Body Contouring: Liposuction
Liposuction surgery usually improves contours. In some instances it may be used in a circumferential fashion, thinning an area. Since the healing process is gradual, you should expect to wait at least several months to get an accurate picture of the results of your surgery. The small incisions used for access of the instrument known as a cannula, will fade over a number of months usually becoming barely visible.
The principle of liposuction is essentially based on two aspects: First, the excess fat cells in the disturbing areas are aspirated with fine cannulas and the volume reduced, after which the skin and connective tissue contract and adapt to the new body contour. Both are necessary to achieve an optimal result. The aim of the treatment is not to radically remove all fat cells, but to create a new, even contour.
By removing unwanted fat accumulations and modelling the corresponding areas, the proportions become more harmonious and the body appears slimmer. However, liposuction is not an alternative to weight loss or obesity treatment.
Minor corrections can usually be made on an outpatient basis under local anaesthesia or twilight sleep and you can leave the clinic in the evening after the procedure. Extensive liposuction may require general anaesthesia and a short stay at the clinic.
You do not need to prepare for the operation. Although youshould not take any painkillers (e.g. Aspirin) for 14 days before the operation, as these delay blood coagulation. You should also avoid alcohol and sleeping pills to a large extent.
Before the actual operation, the surgeon marks the affected areas on the standing patient. The small skin incisions of approx. 0.5 cm are planned in an inconspicuous area, e.g. in the gluteal folds or navel. Then, at the beginning of the surgery, the marked areas are injected with a saline solution from these accesses and thus made firm and insensitive. The actual suctioning only begins after a short waiting period and takes from half an hour upto several hours, depending on the area and extent. Compression trousers, support stockings or bandages are pulled over the treated areas while still on the operating table. These are intended to prevent the formation of bruises in the cavities and at the same time support the shrinking of the connective tissue and the skin.
Immediately after the surgery, slight pain and bruising can be expected. Both will disappear within days. As with any operation, swelling of the affected areas is completely normal with liposuction. However, these swellings completely disappear within 6 - 12 weeks. In most cases, a final result can only be assessed after approx. 3 months. The skin incisions leave small scars, which fade in the course of time and are hardly recognizable.
If you suffer from allergies, e.g. to medication or care products, or other illnesses, you must inform us of these. If you tend to have conspicuous bruises or persistent bleeding after minor injuries, a coagulation disorder should be ruled out by an appropriate examination before the operation.
After liposuction, the sensitivity of touch in the treated areas is reduced for several weeks. This usually improves during the following months. Inconsistent bandaging can lead to excessive bruising, which causes improper healing and can delay healing and lead to superficial unevenness.
Occasionally, asymmetries may occur after treatment, which then have to be corrected in a second surgery.
Be prepared to wear compression trousers, support stockings or bandages day and night for the first 4-6 weeks after the operation. This is the only way to ensure optimal healing after the procedure. The stitches at the injection sites can be removed 1 week after the surgery.
Depending on your predisposition, you may be temporarily unable to work, especially during major operations. Normally, however, you will hardly feel impaired in your well-being and mobility. However, depending on the location and extent of the liposuction, you should refrain from exercising for the first few weeks after the operation. Massages should only be performed in consultation with and according to the instructions of your surgeon.