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ORLANDO, FL, April 17, 2012 /24-7PressRelease/ -- Dr. Jan Karlin's FAQ on Liposuction, answered by Dr. Jan Karlin
Dr. Jan Karlin: What is Liposuction and how does it work?
Liposuction, lipoplasty, liposculpture is a surgical technique in which specific areas of fat under the skin are removed through a small incision in the skin using a cannula (hollow metal tube) and a suction pump. The fat is sucked out through the tube with the aim of shaping the body in that area, explains Dr. Jan Karlin.
After puberty we do not create new fat cells in our bodies. Dr. Jan Karlin would like to point out that when you gain weight, the fat cells that you have expand or grow bigger. Liposuction permanently removes fat cells to improve the body's shape. If you gain weight after liposuction, it goes to the old fat cells that remain in the body, so that the fatty deposits that existed before liposuction can no longer balloon out of proportion to the now thinner surrounding area.
However, long-term body weight is not affected by liposuction. Liposuction cannot prevent you gaining weight. It is not an alternative to sensible dieting; it is a method for removing fat that does not respond to a healthy diet and regular exercise. Dr. Jan Karlin would like to explain that if you want to lose weight after liposuction, you will still have to diet.
It is also not a treatment for cellulite.
Dr. Jan Karlin: From what areas of the body can Liposuction be used to remove fat?
Areas that can benefit from this procedure are many and include stubborn fat around the back, chest, stomach, hips, buttocks, thighs, knees, upper arms, underneath the chin and the neck.
Suitable candidates for liposuction are average weight people with firm, elastic skin who have pockets of fat in specific areas. You should be physically healthy and psychologically stable to have a treatment of this kind, explains Dr. Jan Karlin. Your age is not a major consideration but older people with less elastic skin should not expect the same results as younger people with firmer bodies.
Dr. Jan Karlin: What happens during Liposuction?
Dr. Jan Karlin explains that your first discussion with a practitioner should clearly set out your expectations of the treatment and establish that they match those predicted by your practitioner.
A medical history should be taken, to make sure that there are no reasons why you shouldn't undergo liposuction, says Dr. Jan Karlin. You would also normally be asked to sign a consent form at this time which means that you have understood the potential benefits and risks associated with this type of procedure.
Photographs may also be taken by the practitioner for a "before and after" comparison at a later date.
Dr. Jan Karlin would like to point out that your surgeon or doctor will give you specific instructions before coming in for the liposuction treatment. This may include avoiding the use of aspirin or any similar drugs for a couple of weeks before treatment (as these can cause increased bleeding). They may advise you to stop smoking as this can delay the wound healing explains Dr. Jan Karlin, and avoid alcohol for a few days before the procedure.
Anaesthesia
The anaesthetic may be local, regional (i.e. via an epidural injection), or general, depending upon the area treated, the technique used, and your surgeon's or doctor's recommendations for you.
The use of a general anaesthetic carries a small additional risk which your practitioner will discuss with you before any decisions are made, says Dr. Jan Karlin.
Dr. Jan Karlin would like to point out that depending upon the type of anaesthetic used, you may also have to fast (eat or drink nothing) during the night before and morning of your surgery.
Procedure
Small areas of liposuction may be performed in an outpatient clinic room with the appropriate facilities, but large areas would normally be done in a hospital.
Small incisions, around 5mm or so in length, are made around the area to be treated, and a hollow suction tube (cannula) is put in and then moved around under the skin to break up the unwanted fat, explains Dr. Jan Karlin. The fat is removed either manually with a large syringe, or with the use of a vacuum pump. The overlying skin remains attached to the connective tissue and underlying muscles of the skin during the operation. Dr. Jan Karlin would like to explain that a thin blanket of fat is left under the skin to help prevent rippling or bumpy skin occurring after the liposuction is over.
The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been improved and developed, several variations have been introduced. As Dr. Jan Karlin describes below.
Fluid injection
A technique in which a solution of lignocaine (an anaesthetic) and adrenaline (a drug that contracts blood vessels to reduce bleeding) is injected into the fatty areas before liposuction. Dr. Jan Karlin would like to point out that this helps the practitioner to remove fat more easily, reduces blood loss, bruising, and provides local anaesthesia before and after treatment. Hence, it reduces any pain or discomfort that the patient may feel.
Tumescent Liposuction
Large volumes of fluid, sometimes as much as three times the amount of fat to be removed, are injected into the fatty area. This procedure is usually performed on patients who only need a local anaesthetic explains Dr. Jan Karlin, but it usually takes much longer to do the treatment, sometimes up to four or five hours for large areas of fat removal.
The super-wet technique
Similar to the tumescent technique above, except that less fluid is used, explains Dr. Jan Karlin. This is usually performed under a sedative given through a syringe into the vein, or via a general anaesthetic, and typically takes around one or two hours.
Ultrasound - Assisted Lipoplasty (UAL)
For this procedure a special cannula, a hollow suction tube, that produces ultrasonic rays of energy is used. The energy breaks down the walls of the fat cells which makes the fat liquid and this liquid is then removed by standard liposuction, explains Dr. Jan Karlin. UAL improves the ease and success of liposuction in fibrous areas of the body, such as the upper back or the enlarged male breast where the fat is much tougher to break down. It can also be a more precise technique as a follow-up procedure once the main volume of fat has been removed by other methods. Dr. Jan Karlin explains that in general, UAL takes longer than basic liposuction.
The doctor or surgeon must have advanced surgical skills and be experienced in cosmetic surgery to perform procedures that involve the removal of a large amount of fat (i.e. more than 5 litres).
After the fat is removed, Dr. Jan Karlin would like to shed light on the fact that the wounds are stitched and sometimes a drainage tube is inserted for a few days to prevent any fluid build up.
Dr. Jan Karlin says that if you are not staying overnight in hospital, it may be wise to have someone take you home and look after you for a day or so following the procedure.
Repeat procedures
Although good results achieved with this procedure can be permanent, with a sensible diet and exercise, Dr. Jan Karlin would like to point out that some patients may require a repeat procedure in the future in order to achieve or maintain a desired result.
Dr. Jan Karlin: How long will it take to recover from a Liposuction?
Depending on the extent of the procedure, Dr. Jan Karlin informs you that you may be able to return to work within a few days to a week.
Dr. Jan Karlin: What are the risks and potential complications from Liposuction?
Some pressure, movement, and stinging can be felt while the fat is removed, but it is rarely painful. Any pain following the procedure is usually controlled with pain-killing tablets explains Dr. Jan Karlin.
Bruising, swelling, and some blood colored fluid leaking from the wounds may be expected for a few days, says Dr. Jan Karlin. Infection is a potential complication, along with numbness, or nerve damage at the site of the liposuction.
Dr. Jan Karlin says you may also be able to see some unevenness, persistent swelling, or lumpiness at the places where the liposuction took place, and a little skin discoloration, or scarring at the incision points. If you have liposuction which involves ultrasound, there may also be a risk of burns to the skin and to the deeper tissues under the skin.
Dr. Jan Karlin would like to inform you that only very rarely, more serious risks or side effects can include blood clots, severe infections and death.
Dr. Jan Karlin: What should you do after a Liposuction operation?
It is very important that you carefully follow the advice of your practitioner following any liposuction treatment. Dr. Jan Karlin explains that this will make sure that the treatment is successful and reduces the risk of complications.
Post-treatment recommendations may include:
Dr. Jan Karlin suggests you start walking as soon as possible after the procedure to reduce swelling and help prevent blood clots. Dr. Jan Karlin says applying cold compresses to the area treated to help reduce swelling. You can control swelling by wearing an elastic bandage over the treated area. Arranging follow up visits to monitor progress and remove stitches, if required, or any drainage tube that the doctor may have put in. Avoid strenuous activity for around one month. Dr. Jan Karlin says to contact your practitioner immediately if you notice any signs of infection or if you experience heavy bleeding or a sudden increase in pain.
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