LIPOSUCTION 

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Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as "lipoplasty" or "suction lipectomy," has benefited from several new refinements. 
Today, a number of new techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique, and the super-wet technique, are helping many plastic surgeons to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods. 
If you're considering liposuction, this brochure will give you a basic understanding of the procedure -- when it can help, how it is performed and how you might look and feel after surgery. It won't answer all of your questions, since much depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don't understand. 
Please ask your surgeon about anything you don't understand. 
The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin. 
 
Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured. 
The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle. 
 
For a few days following surgery, some patients may have difficulty closing their eyes when they sleep in particular following both upper and lower lid surgery but ointment will be provided 
For example, if you believe you want liposuction in the abdominal area, you may learn that an abdominoplasty or "tummy tuck" may more effectively meet your goals; or that a combination of traditional liposuction and UAL would be the best choice for you. 
 
Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail and explaining its risks and limitations. 
PREPARING FOR YOUR SURGERY 
 
Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed. 
 
Though it is rarely necessary, your doctor may recommend that you have blood drawn ahead of time in case it is needed during surgery. 
 
Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at home for a day or two. 
 
ANESTHESIA FOR LIPSUCTION 
 
Various types of anesthesia can be used for liposuction procedures. Together, you and your surgeon will select the type of anesthesia that provides the most safe and effective level of comfort for your surgery. 
 
If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs only the affected areas. However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed. If this is the case AN anaethetist will be called in to make sure you are completely asleep during the procedure. 
 
 
There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome. 
 
Liposuction is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe, depending on the surgeon's preference. If many sites are being treated, your surgeon will then move on to the next area, working to keep the incisions as inconspicuous as possible. 
 
Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery. 
Although newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications prescribed by your surgeon, though you may still feel stiff and sore for a few days. 
 
It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better. 
GETTING BACK TO NORMAL 
 
Healing is a gradual process. Your surgeon will probably tell you to start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery. The stitches are removed or dissolve on their own within the first week to 10 days. 
 
Activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappears within three weeks, some swelling may remain for six months or more. 
 
Your surgeon will schedule follow-up visits to monitor your progress and to see if any additional procedures are needed. 
 
If you have any unusual symptoms between visits -- for example, heavy bleeding or a sudden increase in pain -- or any questions about what you can and can't do, call your doctor. 
YOUR NEW LOOK 
 
You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible. 
 
If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape. 
LIPOSUCTION 
 
Carole I look and feel amazing, I have hated my flabby tummy for years. Mr Peart told me that my skin might not spring back fully but it has. I appreciate the honesty and I can’t get over how good I look in my jeans! Mr Peart also gave me Breast implants 1 year ago and my breasts are so natural no one can tell! He is wonderful. Thank you. 
 
Sarah 

FAT TRANSFER 

In fat transfer, also known as lip-sculpture, fat is taken from one area of your body, such as the thighs or stomach, and injected into another area to fill it out. 
Fat transfer can be used on your face to improve the appearance of wrinkles, crow's feet, laughter lines, some types of scar, sunken cheeks and other indented areas of skin. It can also be used to fill out the back of your hands. 
 
During fat transfer your specialist will identify a suitable donor site and make a small cut in the area. A tube is then placed into the incision site and fat is removed into a syringe. Fat cells are then inserted into the destination area to create the desired effect. 
 
After the procedure, you'll need to wear a dressing over the area for a couple of days. 
Although the results of fat transfer tend to last longer than some temporary synthetic fillers, it is not a permanent treatment and some of the fat will gradually be reabsorbed into the body over time but some remains permanently (around 50-60%) and so there is still improvement. 
 
Fat transfer may be used in conjunction with other treatments such as laser resurfacing or chemical peels to treat severe facial wrinkles. 
 
All procedures carry risks as well as benefits. The chance of complications depends on the type of treatment and other factors such as your general health. Your specialist will explain how the risks apply to you.