Hello, I am Dr. Park Deok Jun, a specialist in liposuction at Girin Plastic Surgery Center which is located in Gangnam, Korea. With more people undergoing liposuction surgery, there are increasing concerns about the potential side effects of liposuction. Today, I will discuss liposuction methods, side effects, and ways to ensure a safer surgical procedure.
Principle of Liposuction Surgery:
1. Epidermis
2. Cannula
3. Fat Layer
4. Muscle Layer
During liposuction, the first step is injecting a solution called "tumescent" into the fat layer, which is commonly referred to as a solution that melts fat.
What is the Tumescent Solution?
The tumescent solution is a fluid injected into the fat layer to facilitate safe liposuction by minimizing bleeding and tissue damage. The solution, composed of vasoconstrictors and local anesthetics, among others, works together to ease the liposuction process. Vasoconstrictors reduce bleeding by constricting blood vessels and also delay the absorption of the local anesthetic, prolonging its effect.
Tumescent, which means "swollen and firm," causes the injected area to become swollen and firm. However, due to the infusion of a large amount of fluid, including saline and local anesthetic, fat cells in the treated area become swollen due to the solution. As fat cells separate, they become liquefied. Inserting a suction tube called a cannula into the softened tissue allows for easier suction. The fat and tumescent solution mix liquefied fat is suctioned through the holes in the cannula. This method enables the safe removal of fat without the risk of bleeding.
Liposuction Process:
[Manual Liposuction & Mechanical Liposuction]
It's not only about effectively melting fat; the method of extraction is crucial. There are two methods of liposuction: mechanical liposuction, which uses mechanical vibrations to extract fat, and manual liposuction, which relies on the surgeon's tactile sensations to extract fat. Mechanical liposuction combines mechanical forces like vibration or ultrasound with the cannula to efficiently extract fat, particularly during large-volume extractions. However, there's a risk of tissue damage due to vibrations, and delicate extraction can be challenging. On the other hand, manual liposuction involves extracting fat solely based on the surgeon's tactile senses, which takes more time but offers precision and accuracy. It also results in less tissue damage, bruising, and quicker recovery.
Post-Surgery:
During the liposuction process, the tumescent solution is expelled along with the fat, while the remainder is eliminated from the body through urine within two days. About 2-3 days after surgery, some of the tumescent solution and trapped blood between tissue layers may exit through incision sites. This helps prevent the formation of blood clots and embolisms. Besides swelling and bruising in the treated areas, temporary effects like seromas and bio-bonds can occur.
Side Effects and Post-Surgery Precautions of Liposuction:
1) Seromas:
Seromas are soft, fluid-filled swellings that can form in areas where fluid collects between body tissues or organs after liposuction. They are more likely to occur in areas with larger spaces left from the fat removal process and may cause discomfort. Seromas are usually formed by a mixture of plasma, serum, and lymphatic fluid, and they are more common with larger volumes of fat removal.
2) Bio-Bonds:
Liposuction involves dissolving excess subcutaneous fat, which can lead to damage in the skin's dermal layer, blood vessels, and lymphatic vessels. When fluids from damaged vessels and tissues mix and solidify within the body, they form firm masses known as bio-bonds. These bio-bonds occur as part of the healing process and tend to resolve over time. Warm compresses and gentle massage can help alleviate them.
Precautions:
After liposuction, the space between the muscle and skin layers may create room for seromas to form or for the skin to stretch. To prevent this, compression garments should be worn. Wearing compression garments for about 2-3 months is recommended to aid in reducing swelling and promoting recovery. The swelling usually subsides significantly after 2-3 weeks. While intense exercise should be avoided, light walking is recommended to help reduce swelling. Smoking and alcohol should be strictly avoided for a month as they can cause inflammation. Dietary adjustments and moderate exercise are essential after liposuction.
In the next part, I will discuss different liposuction case studies and considerations for designing procedures based on body types.
Thank you for reading this lengthy text.
This was Dr. Park Deok jun, a specialist in liposuction at Girin Plastic Surgery Center. ^^
#plasticsurgery #liposuction #Bodyslimming #Fatreducing #Bodyline
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