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Surgery

The time varies depending on the number of regions and the amount of fat to be suctioned. - Operative time varies between 30 minutes to 4 hours.

Local and / or sedation anesthesia may be used , whereas general anesthesia is preferred  when more than one region is targeted. 

The entrance holes of the cannulae used do not exceed 2-3 mm. Depending on the region to be suctioned, 1-3 entry holes may be required. Face and neck requires the use  of smaller cannulas (1-2 mm) and minimum number of access holes.

At the end of the operation corset, bandage or compression garment suitable for the region will be used.

Tumescent liposuction technique  involves fluid injection prior to liposuction. Basically, this fluid contains physiologic saline, local anesthesic and vessel narrowing agents. The amount of fluid may be equal to (wet technique) or larger (super wet technique) than the amount of fat to be suctioned. Aim of this manuever is to reduce bleeding, relieve pain and take out fat easily.

In classical liposuction, adipose tissue is released by mechanical movement of the blunt ends of the cannula under the skin and extracted with negative pressure. In laser, ultrasonic, radiofrequency liposuction techniques, the breakdown of fats is achieved with high energy exposure. Finally, the released or emulsified fat cells are pulled out with negative pressure and removed from the body. 

Some of the fluid injected and  fragmented fat cells will retain subcutaneously. An oily, pinkish drainage over the first few days or removed by the lymphatic system over time.

Currently, PAL- Power Assisted Liposuction is the most popular method of  liposuction in the USA and EU countries.

The principle is using lower energy impact to extract fat cells without damaging themand to protect vessels and nerves.

Fat cells harvested with this technique are more viable to be transferred to cheeks, lips, buttocks, hands or wherever neeeded.

LIPOMATIC is a device produced on this PAL principle.

Though I also use other devices in selected cases,  my gold standard is Lipomatic.

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LIPOSUCTION

Fat Cells

BEFORE

AFTER

Liposuction Cannula

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