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Liposuction
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For many men and
women, liposuction is a dream come true. Liposuction is the
removal of unwanted lumps, bulges, and areas of fat using
thin suction tubes (cannulae) that are placed into the body
fat through small incisions. A vacuum is applied through a
hose attached to the cannula. This draws fat out of the
body. Liposuction is usually not intended as a weight-loss
technique.
However, liposuction is commonly used to remove stubborn,
diet- and exercise-resistant fat deposits and to sculpt the
body into a slimmer profile. Resistant fat deposits may be
an inherited problem, so do not blame yourself for their
presence.
In women and men, fat deposits may be formed beneath the
chin and on the flanks, hips, abdomen, inner and outer
thighs, knees, and lower legs. These are some of the areas
where body contouring with liposuction produces impressive
results. The most frequently treated areas in women are the
abdomen, hips, thighs, and knees. In men, the love handles,
abdomen, and enlarged male breasts (gynecomastia) are most
often treated. Other areas treated in men include the arms,
neck, and face. Interestingly, sweat glands in the underarm
can be removed by liposuction to reduce excessive sweating
without affecting the body’s overall ability to cool itself.
Nowadays, there are many types of liposuction and facts
regarding liposuction. As was mentioned before, not only are
all patients different, but there are many different forms
of liposuction. There are many different tools with which
liposuction can be performed. Also, there are many different
ways to calm or rest the patient during surgery. The more
combinations of these different factors, the more unique
each liposuction |
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Side Effects |
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As with any
surgical procedure, liposuction is associated with possible
side effects, such as bruising, swelling, temporary numbness,
and discomfort in the surgically treated areas. Although
irregularities of the skin are possible following liposuction,
this side effect is greatly minimized by the use of
small-diameter cannulae and the tumescent technique. Swelling
usually gradually improves within one to three months after
surgery, with optimum results being apparent in about six to
twelve months. Bruising varies from person to person, although
noticeable bruising is usually gone within a couple of weeks.
Because the tumescent technique usually minimizes the soreness
that follows surgery, simple pain relievers such as Tylenol®
are usually all that are required. In some instances, Tylenol®
with Codeine or stronger pain-relief medication is necessary.
As judged by current worldwide experience, liposuction using
the tumescent technique is amazingly safe. Serious
complications, such as blood clots, infection, or allergic
reactions, are extremely rare. Of course, prior to surgery,
your doctor should discuss possible side effects with you. |
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KNOW YOUR DOCTOR |
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Sometimes getting to know your surgeon can be a
very difficult task. We recommend that patients
seek several opinions prior to having liposuction.
When some new twist sounds too good to be true,
run it by a couple of doctors who are proficient
in the field and ask them their opinions.
Unfortunately, some surgeons don't tell patients
all the risks they are facing. Sometimes the most
dangerous of all surgeons is the one who is
overconfident and who tells the patient that there
is absolutely no risk. A good surgeon will
truthfully let the patient know the risks and will
provide his own complication rates to the patient
so that he/she may make his/her own decision when
comparing surgeons. Sometimes in this electronic
age it is easier to know a doctor who is 2,000
miles away than to know the doctor next door.
One thing that you should look for in a doctor is
whether or not he/she has trained at a reputable
U.S. medical school. Unfortunately, many doctors
train in exotic places; for example, Mexico and
the Virgin Islands. Additionally, one should look
for proper residency training, which takes place
in a hospital in which the doctor learns under the
tutelage of other prominent doctors. Sadly, many
doctors have undergone their residency training in
private doctors' offices. This does not allow for
much standardization of learning, and one cannot
be sure that the doctor is properly trained under
these circumstances. Additionally, some of the
best doctors tend to lecture and publish. If other
doctors want to hear a given doctor is saying, it
is likely that that doctor may have some good
ideas. Unfortunately, lecturing does not guarantee
that the doctor is a good surgeon. A person who
can tell a good story does not necessarily have to
be adept with his/her hands. Additionally, many
doctors are like politicians, buying and selling
favors and friendships to be invited to give
lectures.
Look for hobbies that indicate that the doctor has
some level of skill or coordination.
Unfortunately, these days almost every doctor who
is involved in plastic surgery likes to call
himself/herself an "artist." Ask the surgeon to
show you some of the actual art that he/she has
drawn or created. This will indicate the surgeon's
level of skill. Ask the surgeon if he/she has won
any art contests; this may also indicate the level
of skill in artistry. Most artists tend to wish to
have their work shown in galleries as well.
It may also be worthwhile to see whether or not
your surgeon is proficient at some kind of sport.
This may indicate a significant level of hand-eye
coordination. There are plenty of board-certified
plastic surgeons who have passed tests and who
have unfortunately crawled to the top of the
political ladder (residency training pyramid) in
order to gain their positions; yet, these doctors
may be relatively unskilled when it comes to
sewing, cutting or handling a patient's tissue.
Next, ask if any of the staff has had a surgical
procedure performed by the doctor in whose
services you are interested. Most staff will not
allow an incompetent doctor to work on them and
choose instead to merely assist and watch the
other patients have their surgeries. As well,
especially in Florida, we believe it is important
to look up the malpractice history of the doctor
in question. There are several web sites in
Florida that will allow you to gain access to the
insurance files of plastic surgeons. (Go to
www.doi.state.fl.us
and follow the link for "malpractice complaints"
to search for claims paid by the surgeon's
malpractice insurance.) It is worthwhile to note
that some surgeons who tout their wares heavily on
TV and in the media are not so busy from patient
referrals because they have been sued several
times. Since plastic surgeons do not testify much
against each other and because it is very
difficult for attorneys to bring suit against
them, the presence of even a single suit as a
board-certified plastic surgeon may be indicative
of a lack of skill.
Once you have made all of these comparisons, you
might prepare a table with the "high points" and
"low points" associated with each doctor. It is
important that you pick a doctor with no low
points.
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