Which liposuction is better - let's compare the types. Six types of non-surgical liposuction: injection, hardware, body tite and others How the procedure is performed

Modern beauty standards impose an aesthetic of refined forms. We are strenuously struggling with extra pounds, sometimes resorting to completely blasphemous methods. The relentless pursuit of ideals often causes irreparable harm to health. The focus of our review today is liposuction. Let's figure out what the pros and cons of this procedure are, how liposuction methods differ, and also turn to our inner fears: why are we so afraid of surgical methods?

Structure

When diet won't help

The crazy rhythm of the city often simply does not allow us to build a nutritional balance in such a way that meals take place at regular intervals and provide our body with a complete set of nutrients, vitamins and microelements. We often eat in fits and starts, and the stress associated with work often deprives us of appetite or contributes to improper absorption of food. “At work I can only force myself to drink a cup of coffee, but in the evening I literally empty the refrigerator,” admits Svetlana. She fights against excess weight tirelessly, but to no avail.

“I preferred not to deny myself the habit of eating a lot and tasty, because I liked my figure. But recently I discovered that the body suddenly began to put “reserves” at the waist, and I simply cannot change the way I eat!” Anastasia complained to us. And there are many such examples among patients.

There are frequent complaints about the so-called “fat traps” - concentrated accumulations of fat in certain areas: knees, waist, legs, etc. No matter how much weight a person loses, it is impossible to reduce the volume of these areas.

It turns out that not all people can psychologically withstand diets, and sometimes only one “problem” area requires adjustment, and forcing the entire body to lose weight simply does not make sense.

Is fat our enemy?

In the endless marathon of diets, patients begin to hate the very word “fat,” but this is not entirely true. From the school biology course, we are all familiar with the concept of “adipocyte” - a fat cell. This type of cell has been at the center of a debate among scientists for many years: some claim that their number in the body is constant, others insist on the opposite. Why is it important? The fact is that the number and size of adipocytes in our body determines the external shape.

During a diet, fat cells do not disappear anywhere - they simply decrease in volume, which is why fat removal is much more effective. But you can’t overdo it, because our fat layer is not only a source of disappointment: it warms us, saves energy for new things and achievements

Weapon Selection

Once we decide to work with problem areas of our figure, the question arises: which method is most effective and safe? Here a vast field of possibilities opens up before us, in which it is easy to get lost. Let's look at the different options and take a closer look at the advantages and disadvantages of each of them.

Let’s say right away that most of us are busy people, with irregular work schedules, and often frequent business trips. With such a rhythm of life, a course of massages and the miracles of separate nutrition lose all meaning. We need to get rid of excess fat as effectively, safely and economically as possible. So, we have come close to the concept of “liposuction”.

First of all, you need to understand that not every procedure is called liposuction. Liposuction is exactly that surgical surgery to change the pattern of fat deposits in certain areas of the body. This means that non-surgical liposuction simply cannot exist, since liposuction is literally “fat removal”, while non-surgical methods only offer a means of promoting the breakdown of fat, which is then supposed to be removed from the body through the lymphatic and circulatory systems.

Lipolysis is also not liposuction, since it is a “process of breaking down fat” and not removing it. Fat cells destroyed as a result of lipolysis are not removed from the treated area.

After we have agreed on the terms, we will move directly to the classification.

What types of liposuction are there?

Now in more detail:

Invasive method

Mechanism: after preliminary destruction of the integrity of adipocytes, fat is removed through holes in the skin using a special aspiration device.

Historically, several varieties of classical liposuction have succeeded each other:

1) Dry- a classic version of liposuction, in which excess fat is mechanically removed using fairly thick cannulas attached to an aspirator, without prior tissue infiltration. Rapid movement of the cannulas through the subcutaneous tunnels through the fat deposits causes the fat cells to detach. After which they are pulled by negative pressure into the cannula through the perforations.

2) Wet liposuction is considered a more gentle procedure. An anesthetic solution is first injected into the aspiration zone to soften fatty deposits. Fluid infiltration promotes the rupture of cell membranes, which greatly facilitates the removal of fat.

3) Tumescent liposuction was introduced in 1985. Infiltration is carried out with a special solution, which includes:

- saline,
- soda solution,
- anesthetic,
- a vasoconstrictor drug.

This combination of components, along with the anesthetic effect, helps to significantly reduce blood loss and reduce the loss of electrolytes.

Minuses: working with large cannulas in classical liposuction, due to the applied mechanical force, inevitably damages the tissue; accordingly, the procedure as a whole is characterized by a greater amount of effort, less precision, an increased risk of deformation, bruising, and an increased recovery period after surgery.

What's the result? After such an operation, we will have to experience pain in the intervention area for too long, and the unevenness of the skin will force us to still find time for massages and cosmetic procedures.

Non-invasive method

This is essentially non-surgical liposuction, however, as we said above, this method can be classified as liposuction very conditionally, since it only promotes the removal of fat through the venous or lymphatic system. It is rather lipolysis and today the following types are distinguished:

1) Radiofrequency “liposuction” or electrolipolysis - using two small-diameter electrodes connected to a high-frequency electric field generator, fat cells are destroyed. Electrodes act on fatty tissue in the following way: the inner one is inserted into the adipose tissue under the skin, and the outer one is applied to the surface of the skin from above, opposite the inner one. Radiofrequency liposuction ensures uniform destruction of fat cells, and as a result, eliminates the risk of unevenness on the skin.

Minuses: high risk of tissue burns, blockage of blood vessels, negative effects on internal organs.

What's the result?? Time wasted, money wasted. But there is a high probability that you will have to find both to go to other doctors. It is unlikely that you will want to take risks.

2) Chemical “liposuction” is the removal of excess fat by introducing a special drug into the fat layer. Chemical liposuction allows you to solve the problem of correcting small areas: knees, chin, etc.

Minuses chemical liposuction: subtle effect, the need for repeated injections of a lipolytic drug, the possibility of allergic reactions.

What's the result? The skin looks as if it has been attacked by a huge number of blood-sucking insects, and we are still forced to return to this unpleasant procedure. Having heard numerous negative reviews from our colleagues and patients about chemical non-surgical liposuction, we were convinced of its low effectiveness, so we offer our patients more effective, safe and effective solutions in the fight against excess fat.

3) In recent years it has been popular in Russia Ultrasonic “liposuction”: excess fat tissue is removed as a result of ultrasonic cavitation. Ultrasonic liposuction “cavitation” is performed using a “tube in tube” device, which allows the adipose tissue to be treated with ultrasound. The lipolytic effect is achieved by destroying fat cells, their subsequent emulsification and removal from the body. Non-surgical ultrasonic liposuction has long been considered one of the most effective methods of combating fat deposits until all its disadvantages and side effects were fully studied.

pros ultrasound liposuction: effective and uniform destruction of fat cells, absence of uneven skin, injection marks and other unaesthetic defects. Ultrasonic liposuction, the price of which is certainly higher than other non-invasive methods, solves several problems at once, including the treatment of cellulite, correction of excess weight and the fight against local fat deposits in hard-to-reach places. In addition, ultrasound liposuction is completely painless and does not require postoperative rehabilitation.

Minuses cavitation liposuction: this type is characterized by a large number of side effects:

— After the procedure, many patients experience intestinal inflammation, a clear sign of which is loose stools. An ultrasonic liposuction machine produces low-frequency ultrasound waves that affect the pancreas and internal organs, which can cause Crohn's disease.

- Dehydration of tissues.

- Destruction of the skin. Burns during the procedure can be either external or internal, when the blood vessels and nerves of the treated area are damaged.

What's the result?? Non-surgical liposuction cavitation in inexperienced hands is an actual beating of internal organs. The slightest inaccuracy in the angle of impact, for example, in the abdominal area, can cause inflammation of the genitourinary system.

Minimally invasive method

Laser treatment of fat deposits with the immediate removal of destroyed fat cells through micropunctures. Laser liposuction solves the problem in 2 areas:

- fat removal,
- skin tightening.

Surgeons at the Beauty Doctor clinic have proven in practice the absolute effectiveness of this procedure:

1) Laser lipectomy (liposuction) is potentially less traumatic than ultrasound liposuction and other invasive and non-invasive methods.

The advantage of this type of intervention is due to the development of a technically advanced laser device. The diameter of microcannulas is only half a millimeter. Heating changes the viscosity and structure of fat sucked out through micro-punctures, which minimizes tissue trauma. Delivery of dosed laser radiation is a safe procedure with excellent aesthetic results.

2) Result.

In addition to a significant improvement in body contours after surgery, patients note an increase in skin elasticity and smoothness in the areas of laser treatment. The ability to control the wavelength affecting a specific area allows you to regulate the heating of tissues, and as a result, the degree of skin tightening. For us, a very important indicator of a good result was that almost all patients recommended this procedure to their friends and relatives.

3) Accuracy and precision.

Very often we came across requests from patients to correct local areas with fat deposits: above the knees, in the waist, cheeks, chin, etc. Classic liposuction techniques could not give such an accurate result. In the case of laser liposuction, the patient gets exactly the result he expected, and the healing process is reduced several times.

4) Adverse reactions to the procedure are minor and temporary.

The recovery period is significantly shorter than after classical liposuction and even popular cavitation liposuction.

After the procedure, it is mandatory to wear compression garments. The period of continuous wearing depends on the area of laser liposuction: from 5 days to 3 weeks. Then the surgeon will indicate to you an individual wearing regimen (for example, only at night).

Obvious advantages of laser liposuction: low trauma, reliable control of laser exposure, easy maneuverability of the cannula (as a result - the absence of bumps and irregularities), tightening of the skin in the treated area.

Relative minus: It is necessary to wear compression garments.

Why are we so afraid of surgery?

After we have examined in detail the different types of liposuction, we will try to understand: why do many patients prefer non-surgical methods if they do not guarantee the absence of complications and side effects? Maybe it’s all about poor information: when we don’t fully imagine the technique of the operation, it seems to us that this is something scary and incomprehensible, and, therefore, it is better to avoid it. But a high-quality operation saves not only money, but also nerves that you have to spend during exhausting diets!

So, maybe it’s worth learning more about modern plastic surgery techniques? Make an appointment with a plastic surgeon just to overcome stereotypes and understand that modern plastic surgery is a safe way to become slimmer, more attractive and change things in yourself that cannot be corrected by other methods.

There is no concept of non-surgical liposuction as such., since liposuction is characterized as an operation to artificially pump out fat. It cannot be carried out without punctures and incisions.

The non-surgical (non-surgical) method would be more correctly called lipolysis. Which in turn means the metabolic breakdown of fats into fatty acids under the action of lipase.

This type of procedure is resorted to by people who do not want or for some reason are unable to get rid of fat deposits on their own through sports or dietary adjustments. The procedures can be used by both women and men from adulthood.

The younger the body, the more effective the result will be. A variety of non-surgical liposuction methods allows you to get rid of fat cells from almost any part of the body.

Types of liposuction without surgery

The choice of non-surgical methods to combat problem areas of our body is quite wide. In order to make the right choice, you should carefully familiarize yourself with the features, pros and cons of each procedure.

A correctly selected liposuction method will help you get the maximum result from the procedure.

Ultrasonic

This method is the most popular and in demand. Fat removal using this method occurs using low atmospheric pressure. Under the influence of ultrasound, fat cells burst, acquiring the consistency of an emulsion. The destroyed cells are removed through tubes inserted into the patient's body or through the venous/lymphatic system (with non-invasive liposuction).

Advantages:

allows you to quickly model the contours of the body;
does not require hospitalization;
accessible to most people;
reduces cellulite.

Contraindications:

oncological diseases;
elevated temperature;
diseases of the cardiovascular system;
herpes in active form;
colds;
pregnancy and lactation;
diseases of the endocrine system.

Possible negative consequences:

blood clots in blood vessels;
risk of damage to the peripheral nervous system;
tissue dehydration;
tissue destruction (burn).

The prices for the procedure are quite low. The number of procedures depends on the patient’s “initial data”. On average, 6-8 procedures may be needed. The duration is from 1 to 3 hours.

More details about ultrasonic liposuction are described in this video:

Shock wave (hardware)

It occurs with the help of a special device that affects “problem” areas of the body with acoustic waves and promotes the breakdown of adipose tissue, as well as improving metabolism. Initially, the procedure was used to treat arthritis, arthrosis, varicose veins and other serious diseases. Today it is actively used for:

eliminating cellulite;
increasing skin turgor;
body contouring;
improve blood circulation.

It is worth noting that this technique is not suitable for correcting facial contours and getting rid of a double chin.

Advantages:

The only disadvantage is that 5-6 procedures will be required to obtain a significant effect.

The use of shock wave therapy is contraindicated in:

pregnancy and breastfeeding;
blood diseases;
oncological diseases;
skin damage in the area of required exposure;
active viral infections;
cardiovascular diseases.

You can learn more about shock wave non-surgical liposuction from this video:

Non-surgical injection (chemical)

It is a type of plastic surgery in which special injectable drugs are injected into “problem areas” to combat fat deposits. This technique is not suitable for combating excess weight.. Its main goal is body contouring.

The injected liquid destroys fat cells and turns them into an emulsion. The resulting substance is excreted through the liver without any side effects. The average time for the procedure is 20 minutes. To obtain a positive effect, it is recommended to carry out 8-10 procedures with an interval of 10 days.

Benefits of injection liposuction:

Contraindications:

age under 18 years;
pregnancy;
breast-feeding;
blood clotting disorder;
infectious diseases;
HIV, hepatitis;
oncological diseases;
diabetes;
allergic reactions;
ARVI, fever.

The procedure is suitable for treating the abdomen, buttocks, thighs, shoulders and arms, face and neck.

Possible side effects include slight inflammation at the injection site. After a few days it goes away without a trace. If inflammation progresses, this indicates an infectious complication resulting from violation of sanitary and hygienic standards.

Cryolipolysis (cold)

The method involves applying cold to “problem areas.” Fat cells cannot tolerate low temperatures and are forced to undergo breakdown. The indication for this procedure is obesity caused by eating disorders.

Among the contraindications:

The advantages include:

high efficiency;
possibility of using the method for obesity.

Minuses:

available only in major cities;
discomfort during the procedure;
Only 1 zone is processed in 1 session;
high price.

The duration of the first procedure is 30-40 minutes. Subsequent ones are increased to an hour. The number of procedures depends on the initial data.

More information about cryolipolysis is described in this video:

Radiofrequency or electrolipolysis Body tite

This the procedure is carried out using special equipment Body tite (Body tight) emitting radio frequencies. On the nozzle of the device there is a needle that is inserted into the area of fat deposits and, when heated, breaks down and removes the fat cells.

Electrolipolysis is excellent for correcting the neck, décolleté and face areas, because... does not leave scars and has a beneficial effect on the skin, tightening it and eliminating the first signs of aging.

The procedure has virtually no contraindications due to the absence of injury risk and excellent tolerability.

The advantages include the following features:

skin tightening effect;
high efficiency (in 1 session you can get rid of 5 liters of fat);
minimal trauma.

The duration of radiofrequency non-surgical “liposuction” is about 1.5 hours and can vary depending on the characteristics of the area to be treated.

Multi-injector

The procedure is performed using an ozone-oxygen mixture. In addition to breaking down fat deposits, it helps eliminate toxins and also improves skin elasticity.

Thanks to the simultaneous injection of several needles, the process takes a short amount of time, is evenly distributed over the required area of influence and does not cause pain to the patient.

Contraindications include:

pregnancy;
lactation period;
individual intolerance to the components of the drug;
presence of acute/chronic diseases.

The procedure is effective for any stage of cellulite. A total of 10-12 sessions are prescribed with an interval of 5-7 days. The duration of the procedure is 40 minutes or more (depending on the amount of fat deposits).

Prices for a non-surgical “liposuction” session in St. Petersburg and Moscow are approximately the same, but there is quite a wide range. So, cryolipolysis in one clinic can be done for 2.5 thousand rubles, while another will charge from 30 thousand rubles. and higher.

Photo

The photo shows what the figure looks like, including in the abdominal area, before and after liposuction surgery.

Advantages and disadvantages of this method

The advantages of the non-surgical method are:

absence of cavity incisions and punctures on the patient’s body for pumping out fat;
no anesthesia is used;
fat breakdown occurs naturally;
the procedure can be performed in a cosmetology salon;
insignificant percentage of complications;
high efficiency.

The main disadvantages include:

Load on the liver as apocytes are neutralized. It is recommended to follow a diet during this period.
Problems with the lymphatic system. When removing the emulsion that breaks down fats, intoxication of the body is possible. To minimize the occurrence of such complications, lymphatic drainage massage should be performed.
The risk of allergic reactions to drugs used for non-surgical liposuction (lipolysis).

Contraindications

The main permanent contraindications to the “operation” are:

oncology;
blood diseases;
liver and kidney diseases;
serious diseases of other internal organs.

Temporary ones include:

pregnancy;
lactation period;
menstruation;
menopause;
colds.

Features of the operation for the abdominal area without surgery

Non-surgical liposuction of the abdominal area is indicated in the presence of fat deposits, lipomas and cellulite lumps in this area. The rehabilitation period will be 3 days.

The following methods are suitable for the procedure:

laser (you can find out more about how to deal with fat using laser liposuction);
multi-injector;
shock wave;
ultrasound (you can find out more about what ultrasound liposuction is in);
radio frequency;
injection.

2-3 days before and after non-surgical “liposuction” of the abdominal area, you should avoid visiting the pool, avoid sunbathing and drinking alcohol, and adjust your diet by excluding fried, fatty and spicy foods. Drink 1-2 liters of clean drinking water.

The result of the procedure will be noticeable after the first session. The amount of body fat will be noticeably reduced. However, the greatest result will appear after 3-4 procedures.

After the procedure, it is advisable to follow a daily routine, lead an active lifestyle and adhere to proper nutrition. Otherwise, the extra pounds can quickly return.

Side effects include minor burns on the body due to increased skin sensitivity or exceeding the session time. Also in some cases dehydration occurs. This complication can be prevented by drinking at least 2 liters of still water on the day of the procedure.

The doctor at the clinic where the procedure is planned will be able to help you choose the appropriate method for getting rid of excess fat deposits, as well as determine the possibility of non-surgical liposuction, based on the results of preliminary studies and an analysis of the patient’s health.

An ideal slim figure is considered the modern ideal of a healthy and beautiful person. However some people have fat deposits that do not respond to diet or exercise. Therefore, liposuction is the only way to create a body with ideal contours.

It is worth noting that liposuction is not a method of losing weight and does not replace exercise and a healthy diet. First of all, it is an opportunity to remove fat that can no longer be affected. Liposuction is a procedure for removing subcutaneous selection, more details on the website http://liposuctio.ru. The choice of liposuction method depends on the individual characteristics of the patient. And the latest technologies in liposuction surgery make it possible to reduce the rehabilitation process to a minimum and obtain maximum effect.

The first attempts to correct the contours of the figure were made at the beginning of the 20th century. The operation consisted of extensive excision of skin and fat flaps (dermolipectomy). For the first time in 1972, J. Schrudde proposed a “closed” method of fat removal using uterine curettes. Through 2-3 cm incisions, adipose tissue was scraped out in problem areas. However, such operations were accompanied by serious postoperative complications, such as bleeding, lymphorrhea, and seromas. As a result, this type of operation did not become widespread, and only in 1979 the idea of removing excess fat deposits was effectively implemented. Due to its safety and high efficiency, the technique has become widespread and is currently used in several modifications.

The most common use of liposuction is for cosmetic purposes to create a smoother shape in areas such as the thighs, abdomen, buttocks, calves, arms or some areas of the back. Fat can be removed from more than one part of the body during one surgery.

Liposuction is the most beneficial procedure for patients who are close to their ideal weight but still have disproportionately localized fat deposits that are resistant to the effects of exercise and diet.

In addition, a candidate for liposuction must have good skin elasticity and muscle tone. If the patient has already lost a significant amount of weight and has sagging skin, liposuction may only worsen these problems. If the skin is not elastic enough, it will remain baggy after the procedure. For this reason, older patients may not see the same results as younger patients.

Women mainly do this procedure to get rid of the so-called “breeches”, as well as hips, buttocks, waist, etc.

Men most often want to remove fat deposits on the chest, neck, waist, back, and abdomen. Often they need liposuction of the buttocks.

Liposuction is classified according to the degree of surgical intervention:

Small volume - removal of less than 2.5 liters of fat;
- large volume - removal from 2.5 to 5 liters of fat;
- extra-large volume - removal of more than 5 liters of fat.

Abdominal liposuction usually involves removing 1 to 3 liters of fat.

Liposuction methods can be mechanical (based on the principle of crushing fat deposits) and physical-chemical (based on the destruction of adipose tissue through the use of chemical and physical factors).

Depending on the technique used, the following types of this operation are distinguished:

Vacuum or traditional liposuction- local destruction of subcutaneous fatty tissue occurs, and destruction products are removed through small incisions using special tubes (cannulas), which are inserted through tiny incisions. To destroy fat, the surgeon makes reciprocating movements with cannulas through the layer of fat deposits, then using a vacuum pump or syringe, the destroyed fat is pumped out.

Ultrasonic liposuction- adipose tissue cells are destroyed by ultrasound, after which the fat emulsion is sucked out from under the skin using a vacuum.

Radio wave liposuction- destruction of fat cells occurs under the influence of radio waves, after which the breakdown products are removed from under the skin. In addition to the breakdown of fat deposits, this method allows for effective skin tightening, which makes it possible to solve one of the main disadvantages of abdominal liposuction: sagging and sagging skin after the procedure.

Laser liposuction- with this method, fat destruction occurs through a small incision under the influence of laser radiation. Liquefied fat is removed using a syringe or pump.

Hypertumescent liposuction- this technique involves injecting Klein's solution under the skin, which transforms adipose tissue into an emulsion. After this, it is removed using the usual vacuum method. According to reviews of abdominal liposuction using this method, it is quite comfortable for the patient and allows you to model the contours of the body with high accuracy.

Water jet liposuction- this technique uses the power of water, a fan-shaped laminar jet under low pressure separates fat cells from connective tissue and washes them out of the body. This type of abdominal liposuction does not injure blood vessels and nerves, which reduces the risk of bleeding, hematomas, swelling and other side effects and complications, and does not leave scars.

Before the operation, a consultation with a plastic surgeon is required, who will determine the scope of the operation and prescribe the necessary studies.

Adipose tissue is an essential component of the human body. However, its excess not only makes a woman’s figure shapeless and plump, but also poses a serious threat to your health. There are many ways to combat obesity - diet, exercise, body wraps and, of course, liposuction. It is the latter method that will be discussed in this article.

Liposuction – what is it?

Removing excess fat tissue using vacuum is called liposuction. There are several types of this procedure, but they have the same basic principle - a cannula is placed in the subcutaneous fat layer, which is connected to a special device that creates a vacuum. In this way, a kind of “suction” of fat is carried out from problem areas.

Before moving on to a description of the liposuction process, it is worth explaining that this procedure is not indicated for all people, but only for those who have developed the subcutaneous fat layer. Why? The fact is that the fat mass of the human body is divided into 3 groups:

The superficial layer is a ball of fat located directly under the skin. The excess of this particular layer gives your figure an unpresentable appearance.
The deep layer is located under the muscle fascia, its amount remains virtually unchanged with any type of weight loss.
Internal – location – abdominal cavity. Excess of this type of fat leads to the appearance of “beer” bellies.

All types of liposuction can only reduce the superficial layer of adipose tissue, so if you have an excessive increase in the deep and visceral layers, look for other methods of losing weight.

It is also worth paying attention to the form of obesity, which can be local and generalized. The second type of excess adipose tissue occurs in various genetic and endocrine pathologies, so vacuum liposuction is not indicated for such people. But if you are concerned about the condition of certain areas of the body, removing fatty tissue using the vacuum method can significantly correct figure imperfections.

Indications and preoperative preparation

The main indication for liposuction is the appearance of individual areas of accumulation of adipose tissue and disruption of the contours of the patient’s figure. Also a mandatory requirement is that you must be at least 18 years old. It is worth remembering that the younger the patient’s age and the better the condition of his skin, the more effective this procedure is.

In the process of preparing for surgery, the patient goes through the following stages:

Examination by a plastic surgeon.
Conducting general clinical examinations: general blood test, urine test, ECG, fluorography.
If a person smokes, 2 weeks before hour “X” he must give up this habit.
Correction of medications taken.
Selection of compression garments.
Choice of anesthesia method.

Features of classical liposuction

Liposuction is a very extensive and traumatic surgical procedure (especially if you plan to remove a large amount of fat), so experts recommend the use of general anesthesia. But if you only need to correct a couple of areas, local anesthesia is also allowed.

The essence of the operation is very simple - small incisions are made on the skin, through which a cannula is inserted, the outer end of which is connected to a special apparatus. The cannula is inserted into the subcutaneous fat layer and moves there fan-shaped and progressively, and the fat through it, thanks to the vacuum created, is removed out into a special bag. Some experts compare the liposuction process to the work of a vacuum cleaner.

There are several areas that cannot be treated in this way:

Upper back and middle third.
Shin.
The front surface of the thighs.

Despite the fact that the method of surgical liposuction has been used for decades, the question of the amount of fat removed at once remains controversial. Some plastic surgeons claim that removing 1.5 kg of fat tissue is the optimal volume for one operation, while other experts claim that 5, 10 and even 16 kg of fat can be removed. In the last few years, the following gradation of liposuction has been adopted in plastic surgery:

Small volume surgery – no more than 2.5 liters of fat is removed.
A large-scale operation – up to 5 liters of tissue is removed.
Ultra-large volume surgery – the doctor removes more than 5 liters of fatty tissue.

But you should be aware that the final decision on the amount of fat removed is made jointly by the plastic surgeon and the patient.

Tumescent liposuction

Classic liposuction undoubtedly remains one of the most popular methods of figure correction, but there are other methods of lipomodeling, for example, tumescent liposuction. This type of surgery differs favorably from classic liposuction in that the surgeon makes very small incisions in the skin and uses ultra-thin cannulas.

Adipocytes are destroyed by an injected solution of sodium chloride, lidocaine and adrenaline. Thanks to lidocaine, local anesthesia is possible. The surgical technique is practically no different from conventional liposuction, only the volume of adipose tissue removed should not exceed 2.5 liters.

The following are the main benefits of tumescent liposuction:

The use of local anesthesia eliminates the possibility of developing complications of general anesthesia: confusion, nausea, difficulty breathing.
The duration of the postoperative period is reduced to 3-4 days, due to the low-traumatic nature of the operation.
The volume of blood loss is significantly reduced.
There is no need to use an intravenous infusion.
The use of ultra-thin cannulas reduces the incidence of postoperative complications such as hematomas and bruises.
Small incisions in the skin guarantee rapid healing of wounds and the formation of unnoticeable scars.

Video of the operation

Oscillatory liposuction or vibrolipomodeling

In an effort to make the liposuction procedure as safe and minimally traumatic as possible, Belgian plastic surgeons invented a special technique - vibroliposuction. This method is also called 3D lipomodeling.

To perform surgery, a special vibration unit is used, which supplies compressed air through thin cannulas (3-5 mm) into the fatty tissue, destroying adipocytes. The doctor sucks out the resulting emulsion using a vacuum unit.

This method of lipomodeling allows you to remove fat deposits from very delicate areas - the face, chin, chest. The volume of one-time removal of adipose tissue is relatively small - 1.5 liters, but such a gentle operation guarantees a short recovery period (3-4 days) and a minimal risk of developing postoperative complications.

Laser liposuction

Italians have always been considered great connoisseurs of female beauty, so it is not surprising that it was Italian plastic surgeons who became the inventors of another method of lipomodeling - laser liposuction.

The advantage of this method is its complex effect on adipose and connective tissue, as well as vascular coagulation. The laser is delivered into the fat globule through a microcannula with a diameter of 1 mm. The destruction of lipocytes occurs through two mechanisms:

Mechanical laser disrupts the integrity of the adipocyte membrane.
Thermal - high temperature melts the fat, which turns into a liquid emulsion. The latter can be removed by the body’s own forces using the lymphatic system, or can be aspirated by a surgeon.

Also, under the influence of high temperature, coagulation (cauterization) of blood vessels occurs in the fat removal area, which minimizes the possibility of bruising and hematomas. Also, photostimulation of connective tissue leads to activation of collagen synthesis processes, which guarantees natural lifting of the skin in the surgical area. The volume of fat removed when using this method is small - 1.5-2 liters.

The advantages of laser lipomodeling over classical liposuction are as follows:

A positive side effect is skin tightening in the corrected area.
The use of microcannulas and small incisions significantly reduces the invasiveness of the operation.
Use of local anesthesia.
Short recovery period – 3-4 days.
The effect after surgery is visible immediately, and not after a few weeks.
Visual control of the entire course of the operation, which eliminates damage to large vessels and damage to internal organs.
The procedure can last no more than 40 minutes (time depends on the area being treated).

Radiofrequency liposuction Body Tite

If there are contraindications to classical lipomodelling, you may be offered another method of body contouring - radiofrequency liposuction. This technique is based on the effect of high frequency current on fat cells. Body tight liposuction is performed using two electrodes:

Internal - injected into the subcutaneous fat and serves for the destruction of adipocytes, as well as aspiration of the resulting emulsion.
External – directs radiofrequency radiation through the skin and is a temperature sensor.

The entire operation takes place under careful computer control of the temperature in the intervention area. As soon as the temperature rises to a critical point, the pulse stops, thus completely eliminating the possibility of burns.

Radiofrequency body modeling is performed under local anesthesia; up to 2.5 liters of fat can be extracted during the operation. The advantage of this type of liposuction is a short recovery period, minimal traces of impact, as well as a pronounced lifting effect.

Ultrasonic liposuction

You are probably familiar with the ultrasonic method of destroying gallstones and kidney stones, so it is logical that there is an ultrasonic method of liposuction. This procedure is painless and very effective. In a certain place, under local anesthesia, a small incision is made, through which an ultrasound probe is inserted into the thickness of the adipose tissue. The supplied ultrasound destroys fat cells forever, which leads to a stable and long-lasting lipomodelling effect.

With the help of ultrasound, it is possible to remove a large volume of fat - 6-8 liters, while the operation still remains low-traumatic. Another positive effect of this method of liposuction is the improvement of skin texture - it becomes even and smooth.

Water jet liposuction

World pathophysiology has long proven that fat cells are a depot not only of fat, but of many harmful elements (heavy metals, microdoses of various medications). The destruction of lipocytes during liposuction leads to a massive release of these substances into the human body, which leads to its intoxication (poisoning). To avoid this state of affairs, a new body modeling technique was invented - water-jet liposuction.

This method is based on the mechanical separation of fat cells from the connective tissue base using a jet of water and subsequent aspiration of the resulting liquid. For water-jet liposuction, a special solution is used, which has the following effects:

Narrows capillaries.
Anesthetizes the area where surgery is performed.
Separates adipocytes.

To supply this solution under pressure, a special apparatus is used, on which the number of injections and their strength are set before the operation begins.

For this procedure, local anesthesia is used, and the entire course of the operation is controlled by a plastic surgeon. The advantage of water-jet liposuction is that there is no limitation on the immediate extraction of adipose tissue. Also, patients do not suffer from swelling and pain after surgery, and the recovery period is limited to 3-4 days.

What to do after surgery?

The algorithm for patient behavior in the postoperative period is the same, regardless of the lipomodeling method. The only differences are the timing of wearing special underwear and the duration of recovery.

Even in the operating room, the patient is dressed in special compression garments - this prevents sagging skin, the formation of hematomas and bruises. You should wear these clothes without taking them off for about 2 months. For the first 10 days after liposuction, doctors ask you to limit social activity; you also need to reduce salt intake for up to 2 weeks, and not take aspirin and other anticoagulants. When using gentle methods of figure correction, recovery after liposuction occurs faster - in 4-5 days, and sometimes in 3-4 days.

Experts advise limiting physical activity and sun exposure for 2 months and prohibiting the use of bathhouses and saunas during this time. If a girl wants to get pregnant, she should remember that after liposuction the date of expected conception will be delayed by 6 months.

Specialists about liposuction

Contraindications and complications of liposuction

Contraindications to all types of lipomodeling are very similar:

Pathology of the blood coagulation system.
Endocrine diseases.
Obesity associated with genetic pathology.
Impaired functioning of the kidneys and liver.
Stomach ulcer.
Vascular diseases in the area of the operation.
Heart defects.
Arterial hypertension.
Pacemakers.
Presence of oncopathology.

If the operation is performed on a healthy patient, the development of complications is unlikely, but, unfortunately, still possible. The main complications after liposuction are as follows:

Hyperesthesia of the skin in the area of surgery.
The appearance of seroma - fluid accumulates in the surgical area and forms something like a cyst.
Edema.
Increased skin pigmentation.
Severe pain.
Hematomas and bruises.
Infection of the surgical wound.
Nausea and dizziness after anesthesia.
Fat embolism – the likelihood of developing this complication increases with increasing volume of fat tissue removed.

Surgical or hardware liposuction

Fear of surgery is a stimulus that forces many people to look for an alternative to classic liposuction. This method is hardware liposuction, an example of which can be considered;

or .

But it is worth remembering that a significant effect from hardware or injection liposuction occurs only after 3-4 procedures. A significant disadvantage of the non-surgical method of destroying fat deposits is the impossibility of removing destroyed adipocytes. As a result, the body has to independently remove decay products, waste and toxins, loading the liver. Also, these methods do not guarantee the durability and duration of figure correction. If you do not follow a diet and exercise, the previous volumes will return fairly quickly.

Choosing a way to lose weight is a very responsible task, so you should not make such an important decision on your own. Be sure to consult with your cosmetologist and plastic surgeon. Only specialists with considerable experience in performing various methods of liposuction can tell you the most optimal method of body correction. , read on our website.

Photos of the results of surgical liposuction

In 1985, in California, a dermatologist named Dr. Jeffrey Klein improved this liposuction method by injecting tumescent fluid. When using this technique, the amount of solution is introduced 3-4 times more than the amount of fat removed. Today, tumescent liposuction is the most popular and common type of liposuction. This, according to plastic surgeons, is a safer method for the patient than all previous ones.

The rule for distinguishing between liposuction methods is as follows:

If the surgeon injects less tumescent solution than the volume of fat being removed, then this is a wet technique.
If the surgeon injects approximately the same amount of tumescent solution as the volume of fat being removed, then this is a super-wet method.
If your surgeon injects a solution that is 3 or 4 times the volume of fat being removed, then this is a tumescent technique.

ULTRASONIC LIPOSUCTION

LASER LIPOSUCTION

Laser liposuction method, also called laser liposculpture, was first discovered by Colombian surgeon Dr. Rodrigo Neira in 1999. Dr. Neira first tried to relieve discomfort and reduce recovery time after liposuction using a laser, which was created to relieve pain. He noticed that the emulsified fat was released from the fat cells, but the cell membranes were not damaged. Laser liposuction is most often used in combination with tumescent liposuction, and is used on small areas without suctioning the fat. The device does not create heat and therefore does not cause thermal injury. The technique is as follows: the laser is applied to the treatment area for 12 minutes, then small incisions are made to drain fluid and fat cells.

LASER LIPOLYSIS

Currently, a modern method of liposuction - laser lipolysis - has been invented in Italy. This technique is rarely used in the United States, but is routinely performed in Italy, South America, and other parts of Europe. The procedure is performed using injections similar to the tumescent liposuction technique and involves inserting a fiber optic device through very small incisions.

WATERJET LIPOSUCTION

Water jet liposuction (WAL) is performed using the Body-jet device. This type of liposuction is also called “water liposuction”. The essence of this type of liposuction is the simultaneous destruction and washing away of fat cells with a jet of water under high pressure. The amount of fluid introduced into the patient's body is equal to the amount removed. Thanks to this, softer fat cells are easily separated from more elastic connective tissue without damaging blood vessels and nerves. The low invasiveness of water-jet liposuction is its advantage: there is a decrease in swelling and hematomas after surgery, no blood loss and pain in the postoperative period, as well as the possibility of using adipose tissue for liposculpture (lipofilling).

In conclusion, I would like to note that all techniques, methods and devices for liposuction are created primarily to facilitate the work plastic surgeon. But no matter how modern and expensive the device is, the result of the operation always depends on the skill of the specialist. Despite all the latest technologies, liposuction remains a “blind method” and is performed almost by touch; the surgeon relies only on his tactile sensations. At the same time, an experienced surgeon can obtain an impeccable result using the traditional vacuum liposuction technique.