LIPOSUCTION
Ultrasonic assisted liposculpting incorporates the use of
mechanical energy to liquefy the fat under one's skin. This
allows for less bruising, less pain, better skin retraction,
and a more even resection of fat. The liquified fat is then
removed using small liposuct or cannulas.
Any surgical procedure may involve risks and potential complications.
Liposuction is the most commonly performed plastic surgical
operation in the United States and is usually quite safe.
As with any surgical procedure, risks such as bleeding, thrombophlebitis,
infection, nerve damage, etc, can occur and a careful assessment
of the potential risks and benefits must be made preoperatively
during the consultative process. Aesthetic complications such
as skin and fat irregularity can occur. Fortunately, complications
are uncommon and most patients are satisfied with their results
following liposuction.
About The Procedure
This operation is designed, with the properly selected patient,
for the removal of localized fat deposits. It is not performed
to lose weight or in lieu of dieting. Rather, it is for the
person who has abnormal localized fat deposits which cannot
be lost despite adequate diet regimens and exercise programs.
Generally, this is a genetic problem; one in which a person
is born with a particular body type that manifests itself
relatively early in life.
Liposuction can be done as early as the teen years, and while
there is no definite upper age limit, generally it should
be done while the skin still has good tone and elasticity.
The patient is usually extremely self conscious of his or
her appearance. This poor body image affects the patient's
self image, normal activities, and interpersonal relationships.
Many people are afflicted with asymmetries to areas of the
body. While body contouring is similar to sculpting, one must
realize that unlike with clay or stone exact and precise lines
and curves and contours of human tissue is difficult to obtain.
Similarly, exact symmetry cannot be assured. Dr. Diaco uses
his artistic judgment and technical skill to make improvements
so they will be satisfactory from a cosmetic standpoint.
The areas most commonly involved in this kind of surgery
are the "saddle bags" or outer thigh areas; the
inner thighs; "love handles" or flank areas; hips,
abdomen, knees; ankles; buttocks; upper arms. Less common
indications are after reduction mammoplasty, if any residual
fat is present; gynecomastia (fatty breast in men), and fat
under the chin. The procedure is done using the tumescent
technique.
Procedure
It is done as an outpatient procedure. It may also be done
in conjunction with other procedures.
Surgery Time
Variable according to the number of areas operated on. Approximately
one to two hours.
Surgical Procedure
Tiny 1/4 to 1/2 inch incisions are made in inconspicuous areas.
Frequently, multiple areas may be reached through one incision.
A cannula is inserted through the incision and attached to
a suction machine. The cannula is directed to the involved
areas and when the suction is applied, the fat is removed
from this area VIA the cannula. After adequate contouring
is achieved, the incisions are sutured closed.
Postoperative care
At the conclusion of the surgery, pressure dressings are applied
either with the use of special foam tape and/or elastic girdles
or binders. Tapes are left on one day, girdles for two weeks.
Bed rest is required for the first one or two days. Thereafter,
limited activity is permitted for the next two weeks. Usual
activities may resume in about two weeks post surgery.
The patient undergoing such surgery should expect some soreness
for the first day or two which will be alleviated by medication.
You must remain within a reasonable traveling distance of
my office for the first week. You may also find answers to
minor questions in our Frequently Asked Questions of this
site.
Questions Or Problems
Please the office with ANY questions or problems you may have.
Don't take "advice" from anyone not directly concerned
with your surgery. You must remain within a reasonable traveling
distance of the office for one week. You may also find answers
to minor questions in our Frequently Asked Questions section
of this web site.
Medications
Take all medications exactly as ordered, including those to
be taken before your surgery. Do not take aspirin or aspirin
containing compounds for 2 weeks before or 3 weeks after your
surgery. Acetaminophen ( Tylenol, Valadol, Tempra ) may be
used instead. At first sign of hives or a rash, discontinue
ALL medications and call the office immediately.
Possible Minor Complications
Collection of blood or fluid in operated areas which may need
aspiration with a needle and syringe. Black and blue and swelling
in the operated areas is to be expected in all cases. Infection
is possible but uncommon. Dr. Diaco will go in to detail about
any possible complications, no matter how remote, at the time
of your consultation.
Scars
Scars are permanent but are small and should be barely discernible
after a reasonable period of time.
Showers And Baths
Since the compression dressings are to be worn continuously
for two weeks, Dr. Diaco will advise you when to bathe/shower.
Social Activity
Social activities should be limited the first week and then
engaged in moderation. Excessive exercises or exposure to
warm areas should be avoided since this causes extreme sweating
beneath the bandages. No physical contact sports or swimming
should be engaged in for two to three weeks and then ONLY
after allowed by Dr. Diaco. Bruised areas should be protected
form the sun.
Fees
For more details regarding this procedure, please contact our office to schedule a free consultation with our patient care coordinator. (813) 876-3611.
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