Local / General Anesthesia
What is Liposuction?
Liposuction is the absorption of subcutaneous fat tissue, with pencil-thick hollow tubes (cannulas). Since the cannulas are inserted into the skin through incisions of a few millimeters, there is almost no scar left. The suction is done by using aspirator.
The main purpose of this surgery is to remove the fat cells in which the fat is stored rather than removing the fat. After a person reaches puberty, the number of fat cells in his body does not change. When gaining weight, where the fat will be stored depends on the number of fat cells in that area. For example, if a woman has a million fat cells in her hips and you can reduce this number to five hundred thousand by surgery, this lady will not have her basins again, no matter how much weight she gains in the future. It is very important to understand this side of the surgery.
Who are the right candidates for Liposuction?
The purpose of this surgery is to remove the fat that is collected in certain places and cannot be given no matter how much diet and exercise are done. The most typical example is the hips that accumulate on the lower-sides of the ladies’ hips. These hip oils, which are a structural form of fat, do not melt stubbornly no matter how much weight is lost. Liposuction is an ideal solution to remove such excess.
It is not realistic to expect overweight people to lose weight with kiposuction. . Some fat can be removed with liposuction, but it would not be realistic to expect a really fat person to be weakened.
One more subject needs to be addressed. Liposuction is a technique that only removes fat. Therefore, it has little effect on the skin on the surface. When the tension created by the oils decreases, the skin needs to be reshaped by tightening itself. If the skin has lost its elastic structure, sagging after the fat is removed may cause a very bad appearance. For example, if there is sagging and deep cracks under your abdomen after three births, it is almost certain that this area will sag in an empty state after liposcution.
In summary, this surgery is suitable for those who do not have problems such as cracks and sagging in their skin.
The patients with the best results are usually women who have given birth at most, middle age at most, who are not overweight, or are close to normal overweight men who want to get rid of the “bagel” on their waist.
For Which Areas Is Liposuction Suitable?
Fat can be taken from anywhere. But while certain places are very suitable for this surgery, some places are not suitable at all.
Most Suitable Places for Liposuction
- The most suitable areas for men are the waist circumference and abdomen, that is, the places that wear names such as “bagel”, “love handle”. Under the neck (jowl).
- In women, again, abdomen and waist, hips, hips, knees and inner and upper parts of the legs, ankles, again under the neck (jowl), under the arms, back.
Unsuitable Places for Liposuction
The front of the legs and the lower parts of the hips. If a little too much oil is taken from here, it is very possible to crash. If possible, it is better not to take it.
Liposuction For Men
Men in the world are making an increasingly aesthetic surgery. If you think that pedicure is performed in all men’s hairdressers, it should not be surprising (one should not always think unilaterally about gender equality). The most common cosmetic surgery performed by Turkish men is nose surgery. Liposuction comes second.
Liposuction for men is a little different from that of women. First of all, the fat areas of men are limited to the area around the belly button, abdomen and waist on both sides. Beneath these fats, even the leanest man has a considerable abdominal mass. Therefore, the purpose of Liposuction is to remove as much of the fat in the belly area as possible. Since taking all the fat in women can create a very masculine and muscular appearance, usually less fat is taken.
The ideal male type for this surgery is men who do sports but have an irregular and high-calorie diet, whose weight is slightly above normal. Since the ability of the men’s skin to recover itself is very good, it is possible to take the waist “bagels” of these patients completely.
The aim is to reveal the muscles. As the subcutaneous adipose tissue gets thinner, it is possible to reveal the muscles that stand in the midline and to have a diamond look.
When is the Best Time for Liposuction?
If you are losing weight with a diet, postpone this surgery when you finish losing weight. The only exception to this may be if you feel that you are unable to lose any more weight during your diet.
The biggest problem of people who make diet is to lose their motivation. In this case, the surgery can be pulled a little forward.
When you see that the fat you lose is increasing and your body shape has changed, you can be motivated again. But do not think to have surgery first and keep your motivation for health diet and exercise first.
The ideal time for mothers is the end of the first year. During this time, mother loses the weight as she can and the degree of sagging and cracks are fully revealed.
Liposuction does not create any problem for future pregnancies, but if a new pregnancy is planned very soon, it is useful to postpone liposuction.
Is Additional Treatment Required Before And After Liposuction?
It is not must but but “endomology” treatments that accelerate lymph drainage before and after surgery, such as lymph drainage massage or LPG, are very useful. Even the patients’ self-massage after the surgery affects the results and the speed of recovery.
What are the complications with Liposuction?
As with any surgery, bleeding and infection are among the most feared complications for this surgery.
There is no possibility of serious bleeding in such operations, but simple hematomas in the form of bruising can be seen.
Redness, fever, and swelling that occur around the fifth day after the operation may indicate an infection. The solution would be to clear the infection and natural antibiotic treatment.
Rarely, skin loss is among the complications that might be seen. It can mostly be seen when a very comprehensive liposuction is applied to the same area for the second time. Even a single cigarette will increase this possibility. Do not start smoking just because nothing will happen. Remember that the first two weeks after each surgery are critical.
Every doctor uses the corset for different periods of time, but three weeks is the minimum for everyone.
When you take off your corset for the first time, you will see your skin bruised and sagging. Don’t worry. The bruises, if any, pass in a week and your skin adapts to the new shape by gaining elasticity in a few weeks.
Do not rush to see the result after surgery. With the first swelling, you can be both heavier and wider for a few weeks. At the end of the first month, you will see that you become thinner and lighter.
You will have a loss of sensation in the areas where fat is removed. Most of these will pass in the first months, some around the 9th month. It is very rare for loss of sensation to be permanent.
Anesthesia: Local (+ Sedation) or general anesthesia.
Pre-surgery preparation: Ideally, up to 10 sessions of lymph drainage massage, or endomlogy
Where should the surgery be performed: In a hospital operating room.
Duration of the surgery: It is between half an hour and 6 hours, depending on the amount to be taken.
Length of stay in the hospital: Usually not required.
Post-operative pain and bother: Slight tingling for up to four days. Simple oral pain relievers are sufficient.
Swelling, bruising: 3-6 days, mild to moderate.
Dressing: It can be completely removed and washed on the second day.
Corset: 3 weeks.
Stitches: A stitch is removed in 5-6 places where the cannulas are inserted, one week later.
When to return to work: Usually on the 4th day.
Sports: Long walks after 2 weeks, running and other sports can be started after 3 weeks. It is necessary to wait 6 weeks for competitive and body-to-body sports such as basket and box.
Final form: Most of the stiffness and swelling that occur after the operation decreases in the 2nd month. But the full result will be around 6-9 months.