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Liposuction and medical tourism in Asia

Liposuction is a surgical procedure that sculpts your body by removing unwanted fat from specific areas, such as your buttocks, thighs and upper arms. Liposuction (or lipoplasty) is a plastic surgery procedure that uses a combination of a vacuum and suction to remove fat in problem areas Liposuction, also known as lipoplasty (“fat modeling”), liposculpture or suction lipectomy (“suction-assisted fat removal”) is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs, buttocks, to the neck, backs of the arms and elsewhere. The fat is usually removed via a cannula (a hollow tube) and aspirator (a suction device). singapore liposuction surgeryThe magnitude of fat removed varies by doctor, method, and patient, but the average amount is typically less than 10 pounds (5 kg). There are several factors that limit the amount of fat that can be safely removed in one session. The most important surgical challenges of any liposuction procedure is:

Remove the right amount of fat Cause the least disturbance of neighboring tissue, such as blood vessels and connective tissue Cause the least discomfort to both patient and surgeon Leave the person’s fluid balance undisturbed Ensure speedy recovery Try and get the desired look the patient wanted.

Ultimately, the operating physician and the patient make the decision. The procedure may be performed under general or local (“tumescent”) anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choice of anesthetic and the patient’s overall health. It is ideal for the patient to be as fit as possible before the procedure and to have given up smoking for several months. Recovery depends on the extent of the liposuction. Generally patients are able to return to work within two days and two weeks. A bandage is worn for two to four weeks. Types of Liposuction: Dry liposuction Wet liposuction A small amount of fluid, less in volume than the amount of fat to be removed, is injected into the area. Super-wet liposuction In this method, the infusate volume is in about the same amount as the volume of fat expected to be removed. This is the preferred technique for high-volume liposuction by many plastic surgeons as it better balances hemostasis and potential fluid overload (as with the tumescent technique). Laser assisted liposuction Laser assisted liposuction is a procedure that uses thermal energy to affect lipolysis. Tumescent liposuction Tumescent liposuction is the step that precedes, ‘wet liposuction’. Under this procedure the surgeon injects a solution containing a local anesthetic and vasoconstrictor directly into the subcutaneous fat that needs to be removed. A few top Medical tourism providers that can help answer your Liposuction queries and arrange for treatment in Asia are : India4health.com, ThaiMedHealth.com, MalaysiaMedTravel.com

• Understanding The Tumescent Liposuction Procedure
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• Tumescent Liposuction: Brigitte Nielsen Plastic Surgery

If we look at our own naked body in a full length mirror, one thing will immediately come to mind for most of us.  We are fat.  The fat that we notice is usually not generalised fat distributed over the whole body, but usually over specific areas that we feel do not conform to what we consider the ideal image of our body parts.  Thus we have fat cheeks, fat buttocks, fat abdomen, muffin tops (love handles), saddle breeches, fat arms and thick thighs, to name but a few problem areas. These may have been there for years, coming on insidiously and slowly but surely increasing in size with regular indiscriminate high calorie good eating and lack of exercise.

Getting rid of these problem areas, however, is not a simple matter of reversing the process of fat accumulation via dieting and exercise.  The major challenge that we face is how to get rid
of the fat that we have accumulated in specific problem areas, fat that has accumulated so
easily with no conscious effort on our part.  It is a known problem that when we lose weight, we lose it all over the body, and not just in the specific body parts that bug us such as a big
belly, or big fat buttocks.  This would not be so difficult a problem to solve if certain body
parts whose size we wish to maintain did not look so good with that extra fat, whether it was
originally there or whether it came on with a general increase in body fat.  The most obvious of these areas is the breast size, and in some cultures, the buttock size.  Losing fat here as part of a generalized fat loss program is a definite no-no, as this makes the person feel less attractive to members of the opposite sex. 

Thus we need a solution that gets rid of unsightly fat only in problem areas.  This solution is
seen in the form of liposuction, often referred to as lyposuction. 

What is liposuction then? 
Liposuction (lyposuction) is a process by which targeted areas of fat under the skin are removed by means of a suction mechanism.  This technic is also known as suction lipectomy or lipoplasty.

It is important to note that liposuction or lyposuction is indicated only for fat under the skin.  As one puts on weight there is also an increase in visceral fat, that is fat in the abdominal viscera around the intestines and the abdominal organs such as the liver.  This fat cannot be removed by liposuction.

What areas are treatable with liposuction?
As mentioned earlier, subcutaneous fat is targeted, that is, fat under the skin.

The areas usually treated by liposuction, sometimes in addition to surgery to remove the excess loose skin that may result after the liposuction procedure, are:
abdomen
waist (muffin tops, love handles)
buttocks
hips and thighs
saddle breeches
arms
breasts
face
neck

The areas of the body most commonly treated by liposuction are:
in men, abdomen and love handles
in women, abdomen and thighs

It is estimated that the most common plastic surgery procedure done annually is liposuction.
Lyposuction is performed by insertion of a hollow tube with multiple holes on the shaft, known
as a cannula, through a small incision in the skin of an affected area under general anesthetic
or local anesthetic, with the application of a suction force as the tube is moved in and out of
the fat under the skin.  Usually local anesthetic is used in liposuction, making this a painless
procedure.

The most common liposuction procedure is known as tumescent liposuction. In this procedure the fat deposit under the skin is infused with a relatively large volume of saline to which is added a local anesthetic (usually lignocaine) as well as a vasoconstrictor (usually epinephrine, a substance to cause the blood vessels around the area to temporarily narrow down, thus giving rise to less bleeding).  This large volume of fluid creates more space within the fat area and allows for easier movement of the cannula.  After the procedure has been performed to satisfaction and the required amount of fat has been sucked out, the cannula is removed and a compression garment is worn for 2 to 4 weeks in order to keep the shape and to prevent re-accumulation of fluid in the affected area.

Recovery from the procedure is relatively fast, and patients can return to work within 2 days to a week.  Normal physical activity, however, may be delayed till another 2 weeks or so, depending on the procedure.

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• Tumescent Liposuction: Brigitte Nielsen Plastic Surgery
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Defining Tumescent Liposuction Basically, tumescent liposuction is a surgical procedure that is involved in the removal of excess body fat. Both traditional liposuction techniques and tumescent anesthesia are used during this sort of surgical procedure. Tumescent liposuction is one of the many procedures that is newer to the cosmetic surgery line up. In fact, tumescent liposuction was not used until the 1990´s. In comparison to other liposuction procedures, tumescent liposuction has many benefits when it comes to a lessened amount of bleeding during the surgery and a quicker recovery period afterwards. Lidocaine and epinephrine are the two main items that make tumescent liposuction so much different from traditional liposuction procedures. The lidocaine that is used will serve as a local anesthetic to the patient and they will not need to undergo general anesthesia. The epinephrine is what helps to keep the bleeding at a minimum during the surgery, as it will temporarily cause the capillaries to become restricted. With tumescent liposuction, a minimum amount of sedative is all that has to be used. The lidocaine and epinepherine will be injected into the fat under the skin and will cause the fat to become firm and swell up, which makes it easier to remove. The lidocaine will actually be retained in the patient’s body several hours after the surgery has been completed, which will help with any pains post surgery. In fact, the patient will be able to enjoy twelve or more hours of pain free recovery because of the lidocaine. The patient will not have to experience the extreme disorientation that many other patients who undergo traditional liposuction procedures have to deal with due to the amount of sedative they must take. Nausea is another unpleasant feeling that tumescent liposuction patients will not have to deal with in comparison to traditional liposuction patients. There are risks to this type of liposuction procedure, just as there are with any other surgical procedure. The patients will hae to suffer through some side effects such as bruising and swelling. Patients may also experience some temporary numbness of the treated area of skin and tissue. There may be some significant drainage in certain effected areas and there may also be some skin irregularities that result from this surgical procedure. However, skin irregularities only occur in a small percentage of patients and this form of surgery is generally quite safe.

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