[medico_gujarat] LIPOSUCTION— POWER ASSISTED LIPOSUCTION – PAL

[dr yogesh g. patel]

http://satyahospital.wordpress.com/2008/03/26/liposuction%E2%80%94-power-assisted-liposuction-pal/



SATYA HOSPITAL

DEPARTMENT OF COSMETIC and PLASTIC SURGERY

DR YOGESH PATEL MS., M.Ch. COSMETIC & PLASTIC SURGEON

DR GEETA PATEL MS. SURGEON
LIPOSUCTION— POWER ASSISTED LIPOSUCTION – PAL

This brochure will give you a basic information of the Liposuction procedure.

What is Liposuction

Many persons can accumulate extra fat that is resistant to exercise
and diet. If diet & exercise cannot remove this resistant fat on your
hips or belly, you may be able to get rid of that localized area of
fat through cosmetic surgery – body contouring surgery.

Liposuction is a cosmetic surgical procedure that vaccums out fat from
beneath the skin to reduce fullness in specific areas. Although
liposuction can produce permanent changes in body contour. It is a
sculpting technique that can improve body proportions, and help to
make clothing fit better.

Liposuction recontours the body by removing some number of fat cells.
The number of fat cells n an adult is said to be constant. When weight
is gained, those fat cells simply grow in size. How many and where fat
cells are distributed is determined by factors like genes, and some
people tend to have more fat cells in some body areas than others. If
an area such as the lower abdomen, flanks, hips, buttocks or thighs
have excess numbers of fat cells as compared to the rest of the body,
these areas will always be out of proportion. Liposuction pemantly
removes such cells. While this is not a protection against generalized
weight gain, the area that has been suctioned will remain
proportionately smaller forever. Liposuction surgery is also effective
treatment for enlarged female breasts and male breast ( Gynecomastia
). Removal of fat is considered permanent, however, if you gain weight
the fat will go to another location. Fat possibly can return in the
same area that was liposuctioned but not to the same extent. It is
important to keep in mind that liposuction has limitations. It will
only remove fat under the skin. It will not remove fat that is inside
the abdomen or under muscle. Liposuction will not change bone
structure either. Therefore, your results may be limited to your own
body structure.

Megaliposuction is removing large amount of fat for treatment of
obesity, to reduce weight.

The Ideal candidates

Liposuction is most effective for removing localized fat deposits that
do not respond to diet or exercise. liposuction is a contouring
procedure. The best candidates for liposuthon are normal weight people
with an elastic skin, reasonable muscle tone who have pockets of fat
in certain areas. Person should be physically healthy,
psychologically stable and realistic in his or her expectations.

Liposuction will not tighten muscle or skin. In cases where there is a
significant loss of tone and elasticity, the desired cosmetic results
may require a combination of both liposuction and surgical skin &
muscle tightening (like abdominoplasty, tummy tuck, thigh lift, etc.)
to remove the excessive loose tissue.



Areas Treated with Liposuction

Lower abdomen, Upper abdomen, Love handles, Hips, Inner knees, Back
of the arms (the part that hangs down), Male Breast (Gynecomastia),
Back rolls (thoracic rolls), Outer 2/3 of the buttock, Inner thighs,
Outer thighs, Saddlebags, Neck (beneath the chin), Jowls, Breast
reduction.

Age Limitations

Patients should be fully grown (post-pubescent). There is no upper age
limitation, although the younger one is the better. This is
particularly important in areas where there may be loose
skin–particularly the abdomen. In areas where there will be loose
skin, patients over 50 years of age are at increased risk for loose
hanging skin and skin irrlegularities (dimpling or rippling of. the
skin). Additionally, stretch marts in the treated areas indicate
patients who are at increased risk for skin irregularities or loose
skin after liposuction.

Person Not suitable for liposuction

Liposuction is a surgical procedure. Therefore, one must be in good
overall health. Person who is on an anticoagulants, blood thinner,
non-steroidal anti-inflammatories cannot be treated unless these
medications can be discontinued both before and after surgery.

Lidocaine is used for tumescent anesthesia. Anyone who is allergic to
Lidocaine, cannot be treated using tumescent liposuction.

One should not be pregnant nor lactating (breastfeeding).

Persons with bleeding tendencies should not be treated using
liposuction unless normalisation is gained.

Persons who are unable or unwilling to follow pre-operative and post-
operative instructions should not be treated.

One should have reasonable expectations and fully understand the risks
and the limitations of the liposuction procedure,. Persons with
unreasonable expectations should not be treated.

Skin infection, Cold, Viral diseases must be cured before surgery.

Liposuction is generally not used for elimination of Cellulite &
Stretch marks. Since cellulite appears to be a skin dimpling and skin
contour problem, removal of fat will not improve skin quality.

Permanent. Results

Liposuction selectively removes unwanted fat cells. Once these fat
cells are removed, generally they do not grow back. Therefore, the
results ate permanent, although take over 6 months to be fully seen.

New weight gained after liposuction Since liposuction permanently
removes fat from a specific location, weight gain will shift to
another target area. The new target area of weight gain may be
desirable or undesirable. Therefore, maintaining or loosing weight
after liposuction is essential. It is important to know that weight
loss/gain is a factor, but changes in percent body fat are also
important. Liposuction should compliment a proper diet and exercise.

Skin changes – other changes

Since liposuction will not tighten skin or develop muscle, the result
will depend on the skin elasticity to regain its usual shape. For
patients with loss of skin elasticity due to fluctuations in weight,
sun damage, and pregnancies, liposuction may not be an option. Other
techniques, such as Abdorninopiasty and Lifts may be better options.

Most patients will notice an improved body contour and loss of inches
rather than kgs. Patients can expect an improvement in body shape, and
will probably fit in their current dress size more comfortably or even
drop one size or two.

As would be expected, liposuction does not improve the cardiovascular
status of the patient.

Exercise and diet is recommended.

Amount of fat to remove

Fat removal is limited to 3000 to 5,000 cc per operation for safety
reasons. If additional fat removal is needed, subsequent surgeries may
be necessary.

Complication-

All surgeries carry some unwanted uncertainties and risks.

Liposuction is normally safe. However, it’s important to keep in mind
that there are no guarantees having a good result.

Though they are rare, complications can and do occur.

Factors that increase the risk from liposuction include:

-poor patient health, individuals with medical problems such as
diabetes, significant heart or lung disease, poor blood circulation

- who have recently had surgery near the area to be contoured.

- excessive fat removal

- performing multiple procedures along with liposuction in a single
surgical session, especially under general anesthesia.

Serious but rare complications- Pulmonary embolism, blood clot,
Perforation of organs, Anaesthetic complication, Lidocaine toxicity,
Fluid imbalance.

Bleeding, Bruises, Seromas, Infection, Pigmentation, Lumps, Scars,
Nerve injuries, Seroma, etc. are less common.

More common complications that usually require additional liposuction
surgery include irregularities in contour and asymmetry.

Removing more than 5 liters of fat in a single liposudion treatment is
considered too risky by most surgeons.



Planning your surgery

In your initial consultation, your surgeon will evaluate your health,
determine where your fat deposits lie and assess the condition of your
skin. Your surgeon will explain the body-contouring methods that may
be most appropriate for you. For example, if you believe you want
liposuction in the abdominal area, you may learn that an
abdominoplasty or “tummy tuck” may more effectively meet your goals.
Be frank in discussing your expectations with your surgeon. He or she
should be equally frank with you, describing the procedure in detail
and explaining its risks and limitations. -

Anesthesia

Various types of anesthesia can be used for liposuction procedures.
Liposuction can be performed under local anesthesia. However, if you
prefer, the local is usually used along with intravenous sedation to
keep you more relaxed during the procedure.

Regional anesthesia can be a good choice for more extensive
procedures. like epidural or spinal. However, some patients require
general anesthesia, particularly if a large volume of fat is being
removed.

The time required to perform liposuction may vary considerably,
depending on the size of the area, the amount of fat being removed,
the type of anesthesia and the technique used.

Preparing for your surgery – preop

Your surgeon will give guidelines on eating and drinking, smoking, and
taking or avoiding certain medications. If you develop a cold or an
infection of any kind, especially a skin infection, your surgery may
have to be postponed.

Liposuction techniques

Liposuction is a procedure in which localised deposits of fat ate
removed to recontour one or more areas of the body. Through a tiny
incision, a narrow tube or cannula is inserted and used to vacuum the
fat layer that lies deep beneath the skin. The cannula is pushed
through the fat layer, breaking up the fat cells and suctioning them
out. If many sites are being treated,. your surgeon will then move on
to the next area, working to keep the incisions as inconspicuous as
possible.

Power Assisted Liposuction

At SATYA HOSPITAL we use the MicroAire Power Assisted Lipoplasty
(PAL) Device to perform this procedure. It uses powerised cannula at 2
mm reciprocating movement at 4000 cycles per minute to facilitate the
procedure. This means that less force is required, especially in areas
with more fibrous tissue. That makes the lipoplasty procedure easier
on patients. The PAL is not ultrasonic. No heat is generated by the
instrument or cannula, so burning isn’t a concern.

Patient Benefits: Less Trauma, Better Results, No Heat means No Risk of Burning.

PAL requires less effort because a powered tube allows the fat to be
sucked up easier by pushing through the tissue. PAL reduces force
needed, especially in areas with more fibrous tissue such as the
chest, back, breast. It facilitates fat removal in the love-handle”
area in men and enlatged breasts (gynecomastla) also in men. The
electric powered tube is more efficient, so the patient spends less
time in the operating room.

The MicroAire Power Assisted Lipoplasty Device makes it easieron everyone.

Power-assisted liposuction allows for the body fat to be removed in a
significantly safer, faster and less traumatic way than could ever be
achieved manually by pumping a cannula back and forth. Power-assisted
liposuction has been shown to successfully remove unwanted fat in all
areas of the body more efficiently with a faster healing time than
traditional liposuction.

.

Post-operative

The local anesthesia injected into the tissue remains for about 24
hours following liposuction surgery, greatly minimizing post-operative
pain.

After PAL, most patients are generally alert. Patients are encouraged
to walk immediately after surgery to enhance the healing process.
Patients can usually return to a desk-type job within a few days.
Physical exercise may be resumed three to seven days after the
procedure.

After surgery, you will likely experience some fluid drainage from the
incisions.

To control swelling and to help your skin better fit its new shape
pressure elastic garments are needed for 8 weeks. Your doctor may also
prescribe antibiotics to prevent infection.

Don’t expect to look or feel great right after surgery. Even though
the newer techniques are believed to reduce some post-operative
discomforts, you may still experience some pain, burning, swelling,
bleeding and temporary numbness. Pain can be controlled with
medications prescribed by your surgeon, though you may still feel
stiff and sore for a few days.

It is normal to feel a bit anxious or depressed in the days or weeks
following surgery. However, this feeling will subside as you begin to
look and feel better.

Back to normal

The stitches if any are removed or dissolve on their own within the
first week to 10 days.

Activity that is more strenuous should be avoided for about a month as
your body continues to heal. Although most of the bruising and
swelling usually disappears within three weeks, some swelling may
remain for six months or more.

Your surgeon will schedule follow-up visits to monitor your progress
and to see if any additional procedures are needed.

If you have any unusual symptoms between visits — for example, heavy
bleeding or a sudden increase in pain — or any questions about what
you can and can’t do, call your doctor.

Your new look

You will see a noticeable difference in the shape of your body quite
soon after surgery. However, improvement will become even more
apparent after about four to six weeks, when most of the swelling has
subsided. After about three months, any persistent mild swelling
usually disappears and the final contour will be visible.

If your expectations are realistic, you will probably be very pleased
with the results of your surgery. You may find that you are more
comfortable in a wide variety of clothes and more at ease with your
body. And, by eating a healthy diet and getting regular exercise, you
can help to maintain your new shape.

As healing progresses, a more proportional look will emerge.

A slimmer body contour can help you feel more confident and comfortable.


LIPOSUCTION

POWER ASSISRED LIPOSUCTION

ABDOMINOPLASTY

TUMMY-TUCK

BREAST REDUCTION

GYNAECOMASTIA

BREAST AUGMENTATION

FACE LIFT











SATYA HOSPITAL- LIPOPLASTY & BREAST SURGERY CENTRE

*C-203,204,Sweni Complex,Akhabarnagar Circle, New Vadaj,
Ahmedabad-380013, Ph: 079- 27640807

*A-407, Millenium plaza, Mansi circle, Vastrapur, Ahmedabad, Gujarat

LIPOSUCTION & LIPOPLASTY- PAL

By - POWER ASSISTED LIPOPLASTY DEVICE from MICRO-AIRE – USA ( First in Guj.)

Adv.- more precise, less discomfort, less tissue trauma, more
safe, early recovery,

very good results.

For – Removal of EXTRA / LOCALISED / RESISTANT FAT Deposits over

Abdomen,Flanks(love
handles),Hips,Buttocks,Thigh,Leg,Back, Neck &

Chin etc.

Reshaping Aging Body

Breast Reduction- Female & Male – Gynaecomastia

Contact:
DR. YOGESH G. PATEL
M.S.,M.Ch.
PLASTIC & COSMETIC, RECONSTUCTIVE SURGEON
Mobile: 94276 14382, +91 98240 19403

DR.GEETA Y. PATEL
M.S. – SURGEON
BREAST,ANORECTAL & FEMALE SURGERY SPECIALIST
Mobile: +91 94276 14383, +91 93761 75150



satyah...@gmail.com