Liposculpture / Liposuction

The ideal patients for liposculpture/liposuction surgery are normal weight patients, with a stable weight, who have localized fat deposits that are difficult to eliminate with diet and exercise alone. However, if you follow an incorrect diet, the residual adipocytes accumulate fat, deteriorating the benefits of the liposuction performed. The most frequently treated areas are thighs, buttocks, hips, chest, back, upper arms, neck and chin. It is very common to combine, in a single operation, liposuction for example of thighs and legs, or buttocks and hips, but it is also possible to carry out liposuction of non-neighboring areas, such as arms and thighs. Furthermore, good skin elasticity of the patient is essential to optimize the result. The areas treated with liposuction in areas with poor skin elasticity may, in fact, require further surgical treatments of excess skin resection to achieve the desired remodeling.

During the specialist visit, the plastic surgeon will help eliminate doubts and perplexities, explain exactly how the operation will take place and what all the options and possibilities are that are presented in your case. It is always important to evaluate the feasibility of the intervention and above all the patient's expectations

The operation takes place under general or local anesthesia, depending on the size of the area to be treated. The duration of the operation is variable. Before proceeding with the aspiration procedure, a solution is injected into the area of ​​the body to be treated. The injected solution consists of a saline solution, a local anesthetic drug and a drug that causes vasoconstriction in order to reduce blood loss during the procedure. We therefore proceed with the incision of small cuts (a few millimeters long) and the insertion of a cannula at subcutaneous level. The size of the cannula varies depending on the area treated. In order to optimize the result, assisted lipo devices such as the PAL Microaire can be used. We then proceed with the removal of fat and liquid through a suction system. Once the aspiration procedure is completed, we proceed with disinfection, dressing and positioning of compression bandages that reduce post-operative swelling. Clearly at the same time the aspirated adipose tissue can be collected, processed and injected again, to correct areas of the body such as buttocks and breasts in order to create a real body contouring.

Discharge normally occurs the same day. At the end of the liposuction, it is normal for there to be an accumulation of liquids in the operated area and for the area to appear swollen and painful for a few days, for this reason, especially in the liposuction of large areas, it is advisable to combine specific massages of the areas, in order to drain any collections. You will immediately put on the containment sheath recommended by your doctor during the first visit. The sheath must be worn day and night for the first month and then only during the day in the following period, according to the doctor's opinion. For the first 6/7 days you will live a peaceful life without too much effort, after which you can resume normal life, but avoid gymnastics for at least a month. After approximately 24 hours, the wound is treated, the compression bandage is removed and graduated compression stockings, girdles or compression shorts are applied, as appropriate. After liposuction on the legs it is recommended to start moving immediately after the operation, to promote blood circulation and the reabsorption of liquids. Movements are limited by bandages, which are then removed in favor of compression stockings. In the first post-operative phase, a sensation of swelling, stiffness and pain in the treated areas, discomfort and asthenia will be normal. Post-operative control photographs will be taken approximately one month after the operation; periodic follow-up checks will then be scheduled.

In order to reduce post-operative pain, anti-inflammatory and pain-relieving drugs will be prescribed. In order to reduce the risk of infection, the patient will undergo antibiotic therapy.

The residual scars are a few millimeters long and are therefore invisible or not very relevant from an aesthetic point of view.

Liposuction patients normally express a very high degree of satisfaction thanks to the fact that the aesthetic results of the remodeling of the treated area are evident in the absence of visible or significant scarring. The success of the surgery depends on several factors such as: the patient's initial clinical condition, adequate surgical removal of localized adipose tissue and the patient's compliance with the doctor's post-operative instructions. The results are noticeable after 4 – 6 weeks. The results of the intervention are long-lasting and, if coupled with a correct diet and physical activity, more evident over time. The positive aspects that the intervention offers are both psychological and physical: in addition to the newfound self-esteem, it corrects physical defects and gives a new harmony to the whole body.

Complications of the surgery are rare but possible: hematomas and bleeding, infections, seromas and poor healing. In some cases, a temporary alteration in skin sensitivity may occur. It may happen that, at times, the skin appears irregular, wrinkled or chapped due to irregular fat removal and the lack of elasticity of the skin. These imperfections can also be permanent.