The most effective and safe liposuction. Types of liposuction. Shock wave and multi-injection treatment of cellulite

When traditional weight loss methods do not help, people decide to try various liposuction methods on themselves, dreaming of quick and effective removal of fat deposits. Plastic surgeons call the fat removal procedure “liposculpture,” focusing on the high effectiveness of the operation with minimal invasiveness. The traditional principle of the operation is from the problem area.

Liposuction is a local body contouring aimed at removing fat deposits from problem areas, but not in any way combating.

Liposuction does not cure obesity. Weight loss is a long and complex process, based on proper nutrition and exercise. A competent specialist will recommend that his client look for another way to lose weight if obesity is a problem. Or, as an option, he will refer you for lipomodeling of the entire body, which implies a long process in several stages to correct more than 20 problem areas.

The result of the operation directly depends on the chosen method of liposuction. There are a number of indications for the use of all methods. Consult with several specialists about the appropriate method of performing lipoplasty to ensure that the operation is safe, easy, effective and least uncomfortable.

Surgical method

Liposuction (Lipo - fat, suction - suck out) is a surgical procedure to remove accumulations of fat in a certain area using a vacuum, by introducing a long tube (cannula).

Vacuum (classical)

Vacuum liposuction is the most popular and frequently used method of removing fat deposits. The procedure is performed when the volume of pumped out fat does not exceed 2-3 liters. The essence of the procedure is the insertion of a special tube (cannula) under the skin through incisions no larger than 1.5 cm. Depending on how much fat is planned to be removed, the size of the incision, the shape and diameter of the cannula are determined.

Due to the fan-shaped insertion of the tube and characteristic movements (forward - backward), a special vacuum device destroys and removes fatty tissue.

Tumescent liposuction

Tumescent liposuction is performed according to the principle of the classic vacuum method, but is safer for the client. To avoid the risk of hemorrhage and injury, the problem area is first injected with a special solution of adrenaline, saline and anesthetic. The duration of exposure to this mixture is about 30 - 40 minutes, due to which fat deposits are liquefied and easier to remove.

Non-surgical method

Non-surgical liposuction is a type of fat removal method without surgery. The procedure is indicated for patients who, due to health reasons or lack of time for rehabilitation, cannot resort to the surgical method.

Water jet

Disadvantages - healing of the treated area occurs within 2 weeks and there is an age limit, since the most pronounced results are obtained by clients from 20 to 35 years old.

Laser

Hands

When fatty tissue accumulates on the arms, a violation of harmonious proportions occurs, as a result of which the arms appear too full in comparison with other parts of the body. Indications for surgery are a young patient with a small amount of fat and good skin elasticity.

Before the procedure, each client undergoes a test to determine the cause of arm fat. The advantages of the procedure are improvement in the shape of the hands and long-term consolidation of the result (about 5 to 8 years). Disadvantages: swelling and multiple contraindications.

Sides

Cervical hump

Cervical hump is also known as menopausal widow's hump. Some doctors claim that

People are paying more and more attention to their appearance. Ladies, as a rule, take care of their figure to a greater extent than men. But nature did not give every woman an ideal figure from birth. Even if you manage to keep your weight at a decent level, sooner or later the time for motherhood will come and your body will change. Typically, fat accumulates on the thighs, buttocks and abdomen. Most often, women resort to dieting to lose weight, but dietary restrictions do not help everyone. Time spent in the gym may also not be effective in removing stubborn fat deposits.

Liposuction is an operation that involves the destruction and removal of unnecessary resources of subcutaneous fatty tissue in order to correct the contours and shape of the body.

There are several methods of liposuction, and each involves suctioning out the destroyed fat tissue using a thin tube called a cannula. A cannula is inserted under the skin through incisions, and a vacuum device helps remove unnecessary fat. Traditional liposuction typically requires general anesthesia. The mechanical force of cannula movement used during surgery can often lead to excessive bruising and sometimes further complications.

Addressing the challenges of traditional liposuction has led to the development of new technologies and machines that can create better results with less pain and shorter downtime after surgery. Over the past few years, non-surgical alternatives to liposuction have become widely used. A number of fat removal techniques to create new body contours are being considered as alternatives to liposuction or non-surgical liposuction. Although these methods do not require surgery, they generally do not provide the same dramatic results that can be achieved with liposuction. Liposuction is still considered the most effective procedure for treating fat problems in the abdomen, thighs and waist.

Non-surgical liposuction is a set of advanced hardware procedures, representing a qualitative leap in technology after liposuction. Unlike liposuction, non-surgical liposuction does not use invasive procedures to reduce fat.

Most of the new targeted body fat reduction methods rely on the use of different types of energy to damage fat cells and reduce their volume and number.

Below are examples of non-surgical hardware methods for reducing fat deposits:

  • exposure to cold (cryolipolysis);
  • sound waves (high intensity focused ultrasound radiation);
  • light waves (low-level laser);
  • radio waves (radio frequency energy).

Liposuction without surgery is not intended for people who are obese. These methods are recommended for people who are nearly normal weight but have specific areas of fat (belly, thighs, arms, etc.) that cannot be eliminated by diet and exercise.

Laser liposuction

Laser liposuction is not used as monotherapy. Laser liposuction procedures such as CoolLipo, Slimlipo, Smartlipo and Prolipo are not actually alternatives to surgery, but are often used to support and improve the results of surgical liposuction. Laser fat melting before liposuction surgery makes it easier for the doctor to remove unwanted fat deposits in the abdomen, thighs, and waist.

How is the procedure performed?

Laser lipolysis is a non-surgical, innovative method that produces dramatic body sculpting results and is often used as a treatment to correct the shortcomings of traditional liposuction. Laser lipolysis was invented at the end of the last century with the original name Smartlipo. Currently, there are many non-surgical laser lipolysis devices.

Equipment designed to perform laser lipolysis is based on the use of selective interaction between the laser beam and adipose tissue.

Laser lipolysis can be performed in areas that traditional liposuction cannot reach, especially in areas such as the face, neck, back and knees where standard liposuction can only be performed on a limited basis or not at all. Laser lipolysis can reduce excessive deposits of adipose tissue in the abdomen, waist, hips, buttocks, knees, pubis, and chest (false gynecomastia in men). Laser lipolysis offers the possibility of non-surgical facial contouring by, among other things, eliminating a double chin. Laser treatment is used as part of a combination therapy to treat cellulite.

The best candidates for laser lipolysis are:

  • patients in good general health, physically active, slightly above ideal weight;
  • patients with one or more areas of stubborn excess fat on the body;
  • patients wishing to improve skin elasticity to combat cellulite;
  • patients with sagging and uneven skin after classical liposuction, especially in the abdominal area.

Treatment time ranges from 20 to 60 minutes depending on the area of ​​the body. Laser treatments are considered minimally invasive, painless procedures that do not require general anesthesia. These procedures are performed under local anesthesia. The discomfort felt by the patient during the procedure is minimal. Most often, patients feel a slight tingling or stretching of the skin.

Laser lipolysis devices use very thin optical fibers (with a diameter of 300 microns and 600 microns) placed on a special cannula having a diameter of about 1 mm. The doctor makes a small incision (mostly in the folds of the skin, so as to hide tiny scars). The heat generated during the procedure by the interaction of the laser beam and tissue can reduce excess body fat and improve the texture, firmness and elasticity of the skin. Thus, the fat cells turn into an emulsion, which is carefully removed from the body by suction, as well as naturally.

The laser beam penetrates the patient's skin, dissolves fat cells and causes heat shrinkage of skin fibers, giving the effect of immediate skin tightening and cellulite removal. The laser destroys the cell membranes of fat cells and leads to the release of triglycerides. During the procedure, the heat of the laser affects the tissues under the skin and stimulates the production of collagen and elastin.

Immediately after surgery, you may experience minor bruising and swelling of the tissue, as well as some numbness in the treated areas. They usually disappear within a few days after treatment. The swelling subsides in about a week. With laser liposuction, slight swelling may persist for 6 to 12 weeks.

Laser lipolysis requires a shorter recovery time and reduces the potential for many of the side effects that occur with traditional liposuction. Patients are usually able to resume normal activities within 1-2 days after surgery.

To improve the effectiveness of therapy, doctors recommend wearing compression garments for about one week after surgery and a short course of antibiotics to prevent infection. You should avoid strenuous exercise for one month.

Laser lipolysis provides:

  • constant destruction of fat cells;
  • skin density and flexibility;
  • reducing the appearance of cellulite;
  • rapid recovery after surgery;
  • minimal risk of complications.

After laser lipolysis surgery, the body gradually improves day by day. Gradually the skin becomes more elastic and dense. The final results obtained after laser lipolysis are permanent. These effects appear gradually after 1-2 months. In some cases, this process can continue for six months. If body weight increases again, fat will be deposited in different areas than those that were processed.

In most cases, one procedure is sufficient to obtain the desired clinical effect. After the operation, gradually over several months the skin becomes smooth, elastic and healthy. These effects last for a long time with a healthy lifestyle, proper nutrition and general body care.

Modern laser liposuction machines have effective systems to ensure maximum patient safety and eliminate the risk of skin burns, which were sometimes previously a side effect of laser treatment.

Contraindications for laser lipolysis

Contraindications to laser lipolysis are:

  • epilepsy, multiple sclerosis;
  • diabetes;
  • thyroid diseases;
  • liver diseases, kidney failure;
  • bleeding disorders;
  • open wounds or skin diseases in the treatment area;
  • pregnancy;
  • cardiovascular diseases;
  • taking antiplatelet agents, anticoagulants, thrombolytics, some anti-inflammatory drugs or photosensitizers.

Ultrasonic liposuction

The goal of ultrasonic liposuction is to reduce fat deposits in the abdominal area and cellulite. Ultrasonic liposuction of the abdomen allows you to remove fat in a much safer, more precise, less painful way than traditional liposuction. This significantly reduces recovery time. Ultrasonic liposuction is a modern non-surgical method for reducing fat deposits and cellulite located in aesthetically important areas, namely the abdomen, hips, waist, buttocks and arms. The method should not be considered as a form of treatment for excess weight!

The best candidates for therapy are:

women aged 25 to 55 years, with accumulation of adipose tissue mainly in the abdominal area and lower extremities, not necessarily with cellulite;

men aged 30 to 50 years, with obesity in the abdominal area.

How is the treatment carried out?

Ultrasonic liposuction is a non-surgical technique that uses ultrasound energy to precisely separate fat from surrounding tissue. The method does not affect surrounding tissue, so there is no risk of damage to connective tissue, nerves or blood vessels.

The hardware method is based on selective damage to the membranes of fat cells with ultrasonic energy (without damage to surrounding organs - blood vessels and nerves), with the result that fat is released into the intercellular spaces.

The use of ultrasonic waves of different lengths, penetrating deep into the skin and emitting energy, leads to the phenomenon of cavitation in fat cells. Countless small air bubbles are created using a vacuum, which causes vibration of fat cells and affects the membranes of adipocytes, leading to their complete destruction. In this case, triglycerides are converted into glycerol and free fatty acids. The released fats are transported through the lymphatic and vascular systems to the liver, where they are metabolized and eliminated from the body through normal physiological processes.

Ultrasound allows you to perform a light massage deep in the tissues, which stimulates blood circulation, lymph flow and local metabolism, and also improves cell turnover, so that the body better gets rid of waste products. Toxins released from adipose tissue are removed from the body through the sweat glands and the lymphatic and vascular systems. The ultrasonic thermal effect has an analgesic effect and relaxes muscles.

Unfortunately, this treatment has a small disadvantage. In fact, the released fat is often not eliminated from the body once and for all. During one treatment, you should not eliminate more than 0.5 liters of fat, so as not to overload the liver.

During the hardware procedure, patients may experience discomfort, cold, tingling, stinging or burning. Patients describe the sensation of ultrasonic waves as deep heating of adipose tissue. After treatment, patients complain of discomfort (pain), bruising, redness and swelling. Redness of the skin lasts for approximately 4-24 hours. The area may have some visible bruising for 1 week after treatment. After the procedure in the abdominal area, patients must wear special underwear to achieve the best effect. Minor discomfort may occur when you exercise or apply pressure to the treated area for a week after treatment.

The effect depends on the individual metabolic rate of the body. The estimated time for fat expulsion is about two months. With ultrasonic liposuction, recovery time depends on the amount of fat that is removed from the body and the area of ​​the body treated. During this period, the body naturally processes and removes destroyed fat tissue. It is extremely important to ease the work of the liver during this period.

To facilitate and speed up metabolic processes, proper nutrition is recommended, reducing the consumption of protein and saturated fats. Dishes should not be overly salty. After ultrasonic liposuction, it is recommended to consume at least 2 liters of water per day. Using dietary guidelines will help remove fat from the body and reduce stress on the liver. Best results can be seen after three to six months.

In order to achieve the expected results, you need to undergo a number of procedures, usually ten. The first series of 3-5 procedures is performed every 5 days. The next two series are held at intervals of 2-5 days.

Contraindications for treatment

Contraindications to ultrasonic liposuction surgery are:

  • pregnancy and breastfeeding, menstruation;
  • diabetes;
  • poor blood clotting;
  • HIV status;
  • hernia;
  • tumor diseases (up to five years after treatment);
  • heart failure, arterial hypertension;
  • viral and bacterial skin diseases, damage to the epidermis;
  • fever, weakness and exhaustion of the body;
  • Non-surgical liposuction is a safe method for correcting body contour deformities, allowing you to reduce body volume and weight, eliminate cellulite, and improve skin condition. lpg cool...

    What is cryolipolysis?

    Cryolipolysis is the fight against excess fat by freezing fat cells. Fat cells freeze before surrounding tissues, die and are destroyed over time during the course of the inflammatory...

The concept of beauty in the modern world is associated with a slender and fit body, a beautiful figure and perfection of form. There are many ways to achieve the ideal, but ultrasonic liposuction is considered the fastest and most effective among them. The procedure was first proposed by Italian specialists in 2006, and in ten years it has managed to not only prove itself, but also gain popularity among patients of both sexes. After a slight refinement of the method, doctors were able to remove fat deposits in various ways.

Ultrasonic liposuction or cavitation is an advanced method of body contouring that allows you to choose treatment schemes. Each of them is capable of providing delicate removal of fatty tissue and giving the body a slim and beautiful shape.

To achieve maximum effect, doctors recommend reducing weight and tightening muscles in order to more accurately identify problem areas.

It is important to know! The procedure is prescribed to patients with slight excess body weight, local deposits and high contractility of the epidermis.

If there is an excess amount of fat and insufficient elasticity of the skin, sagging may occur during correction, which will negatively affect the final result. In addition, surgical intervention is often required to eliminate the consequences.

Description of the method and the secrets of its effectiveness

The technique is based on the process of cavitation. In liquids exposed to low pressure, many vacuum bubbles form, which can increase in size and explode. It is this property that is used to destroy the cell membrane of adipocytes and convert their contents into a fat emulsion.

Varieties

Exposure to ultrasound has a destructive effect on deposits - they “die”, turning into a fatty emulsion. In practice, two methods of liposuction are used: traditional and non-invasive.

During the first procedure, the “waste” liquid is removed from the treatment area using a thin tube - a cannula through pre-made incisions on the skin. In the second case, the emulsified fat is extracted from the body within 21 days through the lymphatic system.

When using correction in the traditional way, the doctor performs preliminary modeling, highlighting problem areas using a marker. After the volume of work to be performed is determined, he makes a decision on the advisability of each type of anesthesia: local or general.

If a non-invasive liposuction method is chosen, violation of the integrity of the skin is not required, but fat removal occurs in stages over several sessions; a course of 3-8 procedures is considered optimal. The destruction of fat cells is carried out using a special sensor. In this case, the risks of postoperative complications are reduced and the recovery period is shortened. The correction is carried out without the use of anesthesia; there are no injuries (bruises, hematomas, swelling). In order to speed up the removal of fat emulsion from the body, it is recommended to combine this method with lymphatic drainage, manual or hardware massage.

Indications and restrictions

Unlike laser, non-surgical ultrasound liposuction does not pose any danger, therefore the main indication for its implementation is the patient’s desire. It is recommended to perform the procedure if you have the following problems:

  • signs of cellulite on the skin of the thighs, calf area, forearms;
  • the presence of local deposits on the body;
  • increase in subcutaneous fat;
  • formation of lipomas;
  • tuberosity of the epidermis due to surgical manipulations;
  • the appearance of an “orange peel” appearance on the skin of the thighs and buttocks.

But, despite the relative safety of the procedure, when prescribing it, the doctor takes into account the limitations and contraindications that become known from the patient’s words or as a result of preparation for liposuction. Their list includes:

Liposuction should not be performed on women during pregnancy and lactation, the presence of endoprostheses and electrical stimulators, or with high temperature and fever.

Possibility of complications

The liposuction procedure using ultrasound has many advantages, but patients should also be aware of its imperfections.

  1. Dehydration of tissues in the affected area and their damage. This is due to the destruction of adipocytes and a decrease in the extracellular volume of their fluid.
  2. Epidermal burns. They appear as a result of repeated exposure to an ultrasonic wave on the same area of ​​the body.
  3. Thrombosis. When exposed to adipocytes, the blood vessels heat up, which can lead to the formation of clots.
  4. Steatorrhea (fatty stools). Accompanied by the release of fat along with feces.

In rare cases, there is a risk of damage to the peripheral nervous system due to numbness in certain parts of the body.

Advantages of using ultrasound

When comparing ultrasonic cavitation with other surgical methods for eliminating fat deposits, many advantages are noted on the part of people who have undergone this procedure and the doctors who performed it.

  1. Minimal risks to the patient's health and reduction of the rehabilitation period.
  2. The ability to quickly get rid of excess fat and achieve the desired body contours.
  3. Slight sensations of discomfort during manipulations.
  4. There is no need for anesthesia and post-procedural hospitalization.
  5. Improving blood flow and lymph circulation, cleansing and detoxifying the body.
  6. Reduces the “orange peel” effect.
  7. No traces of liposuction.
  8. Accessibility for patients of all ages.

It is important to know! The advantage of the non-invasive method is the simplicity of the preparatory period, the minimal likelihood of blood loss due to tissue injury in the absence of the latter.

All stages of the procedure

Cavitation does not require preliminary preparation; the only requirement of a specialist is a change in diet, switching to light, low-fat foods. The same wishes apply in the case of traditional liposuction.

Preparation

Recommendations before a non-invasive treatment session include the need to increase the volume of fluid you drink to 1.5-2 liters 3-4 days before the appointed date, and drink at least one liter of still water before the procedure.

Regardless of which liposuction method is used, the steps taken before the fat removal process should be considered in detail. First of all, they include laboratory tests:

  • general blood and urine tests to identify inflammatory processes and infections;
  • test for HIV, herpes, hepatitis B and C, syphilis.

If necessary, a fluorography and electrocardiogram may be prescribed. Next, the doctor examines the affected area for even minor skin damage.

Technique

After the patient’s body is marked, the doctor begins the liposuction procedure, which is carried out in stages.

Traditional method

  1. The skin is treated with an antiseptic solution.
  2. Local or general anesthesia is administered (selected in advance).
  3. A special ultrasound device is used to influence adipocytes, which changes their structure, turning it into an emulsion.
  4. Through thin hollow tubes inserted into the subcutaneous layer, the emulsified fat mass is removed from the body.

The patient is transferred to the ward for further observation.

Non-invasive method

  1. A special agent is applied to the treatment area to ensure better penetration of ultrasound into the subcutaneous layer. For this, natural oil from eucalyptus, sea buckthorn or specific gels are used.
  2. The specialist begins the procedure. He begins to rotate the machine's manipulator roller, gradually moving along the massage lines to cover the entire area. During each session, it is recommended to treat a problem area of ​​no more than 25x25 cm.
  3. After the end of the treatment, lymphatic drainage massage is performed. The duration of one procedure is from 15 to 40 minutes. It accelerates the process of removing fat cell breakdown products through the lymphatic system and bloodstream.

During the procedure, the patient feels pleasant warmth and a slight tingling sensation in the area affected by the manipule. The average duration of one session is 20-40 minutes.

Rehabilitation stage

The recovery process after classical liposuction with ultrasound is quick and does not take a long time, since there is no serious damage to the epidermis. After the procedure, the patient must spend several days in the hospital in order to monitor his health and prevent the development of negative consequences. If there are no deviations, he is discharged from the clinic.

When performing body contouring using the cavitation method, the patient returns home immediately after the procedure is completed.

Expected results

The result of ultrasonic liposuction is the removal of excess fat mass. In the first case, its volume is up to one and a half liters, which corresponds to almost 12 cm in circumference. When using a non-invasive method, it can be as little as 0.5 liters, but a step-by-step approach significantly increases these figures.

After completing the full course, the patient gets rid of signs of cellulite, fat folds and deposits on the face, chin, arms, abdomen, buttocks, back, thighs, riding breeches. He experiences rapid skin contraction and restoration of metabolism. The effect of the procedure becomes noticeable almost immediately, as the amount of subcutaneous fat decreases. A toned body and new figure contours can be seen after a month.

Cavitation costs

The price of one ultrasonic liposuction procedure is considered low and affordable for most patients. However, given the need for multiple sessions, the cost changes significantly. To calculate the approximate financial costs of body shape correction, you can refer to the table, which displays the average prices for treating a certain area.

Advice! It should be taken into account that the cost varies depending on the area of ​​​​the treated areas and the amount of fat removed. In addition, it may include the cost of lymphatic drainage massage, which is recommended after each cavitation session.

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:

  1. 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.
  2. The deep layer is located under the muscle fascia, its amount remains virtually unchanged with any type of weight loss.
  3. 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:

  1. Small volume surgery – no more than 2.5 liters of fat is removed.
  2. A large-scale operation – up to 5 liters of tissue is removed.
  3. 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 lipomodelling.

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:

  1. Mechanical laser disrupts the integrity of the adipocyte membrane.
  2. 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:

  1. Internal - injected into the subcutaneous fat and serves for the destruction of adipocytes, as well as aspiration of the resulting emulsion.
  2. 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:

  1. Narrows capillaries.
  2. Anesthetizes the area where surgery is performed.
  3. 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

    Abdominoplasty This is tummy tuck, i.e. its correction in case of muscle and skin stretching, leading to the formation of an “apron”. This can happen after pregnancy due to sudden weight loss, as well as as a result of metabolic disorders, when excess fat is formed, to which skin that has lost elasticity is added. The “apron” can also sag with age due to natural reasons.

    Indications: everyone who needs it, with the exception of women just planning a pregnancy, - in the process of bearing a child, the muscles can stretch again. Not highly recommended for ladies trying to lose weight, since the result is almost guaranteed to go down the drain.

    The operation is performed as follows: an incision is made on the anterior abdominal wall, excess tissue below the navel is removed, and the muscles are pulled back to their normal position. A cosmetic suture is applied. The operation costs from $2000

    Complications, side effects: depend on individual characteristics, as well as lifestyle.

    Liposuction methods

    Liposuction(from Latin lipos - fat and English suction - suction) is not a way to lose weight!, but - the procedure in most cases is effective only for local fat removal in certain areas: “buns” on the knees, “pop ears”, double chin, etc. .d.- i.e. fat deposits that are difficult or impossible to treat with conservative methods.

    Modeling of body contours is indicated for owners of such deposits with normal weight and elastic skin. Young women will have better results than middle-aged women. Those who have recently had surgery in the same area should not count on liposuction.

    All existing types of liposuction can be divided into two groups. The first includes techniques based on mechanical crushing of adipose tissue. A classic example of this is vacuum liposuction. The second group is methods in which adipose tissue is destroyed due to various chemical and physical factors, for example, special solutions or ultrasound.

    There are standard, tumescent, ultrasound, syringe liposuction and hydroliposculpture. A separate point is the method of electronic lipomodeling.

    Standard (vacuum) liposuction- a pioneer among other types of fat removal. There are hardly anyone who has never heard of this procedure. It is performed like this: a special hollow needle (cannula) is inserted into the subcutaneous fat through small incisions. With careful movements, the specialist moves the cannula under the skin, thus destroying fat cells, which are immediately removed through a vacuum apparatus. However, you will not feel any of this, since you will be sleeping soundly - the operation is most often performed under general anesthesia. A simple technique at first glance is quite traumatic, but with the help of vacuum liposuction you can get rid of such a volume of adipose tissue that you will see an impressive result as soon as you remove the compression garments.

    Pros . You can get rid of the largest volumes of fat (up to 10 liters). Low cost compared to other types of liposuction.

    Minuses . As a rule, general anesthesia is used. The highest probability of bleeding and complications (hematomas, seromas, fat embolism, in rare cases leading to death).

    Tumescent liposuction almost no different from the vacuum method. The only difference is that before starting the procedure, the surgeon injects a special drug (Klein solution) into the problem area, consisting of saline solution, anesthetic and vasoconstrictors. As a result, blood vessels narrow, and fat cells, on the contrary, swell, which facilitates their further removal. If during the procedure not standard cannulas are used, but thin (up to 3 mm) hollow needles, this method is called hydroliposculpture. As a rule, it is used as a final procedure after other types of liposuction.

    Pros . It is possible to remove fairly large volumes, with little blood loss.

    Minuses . As a rule, general anesthesia is used. Complications of an aesthetic nature are common (violation of body contours, pigmentation, chronic swelling).

    With the method ultrasonic liposuction Fat deposits are first broken down using a special ultrasound probe, which is inserted directly into the fat layer. The fat cells are then removed using cannulas.

    Pros . Minimal blood loss, skin lifting effect.

    Minuses . There is a high risk of complications (burns, seromas, skin necrosis in the surgical area).

    Syringe liposuction used in cases where it is necessary to remove a small amount of fat (up to 0.3 l). The operation is performed manually; instead of vacuum pumps, the surgeon uses syringes. The intervention itself lasts quite a long time, sometimes five to six hours, but thanks to the use of thin syringes, there are no bruises or swelling on the skin.

    Pros . Only local anesthesia is used.

    Minuses . It is impossible to remove large amounts of fatty tissue.

    Electronic lipomodeling Many experts call liposuction a sensation. The method is based on the action of high frequency current, which melts adipose tissue. This happens as follows. Thin needles are inserted into the tissue and connected to a generator that creates an electric field. The fat liquefied by the current is removed using very thin cannulas. An added bonus: the current helps speed up the metabolism of adipocytes (fat cells), so you will lose excess weight for several months after the procedure. Please note that they will not make any cuts for you. Two or three very thin punctures are enough, after which no marks will remain on the skin.

    Minuses . The technique is not intended to remove large volumes of fat.

    After liposuction

    Complications, side effects: removing fat is not the same as pouring water out of a glass. According to the description, the operation is simple, but this simplicity is deceptive. If liposuction is unsuccessful, the most harmless side effect is slight unevenness of the skin. Next comes the “lumpyness” and the “washboard” effect - after all, the removed fat cells will not be restored, but the remaining neighboring ones can easily increase in size if you gain weight, and give your skin a game of pits and slides. Liposuction requires very careful subsequent rehabilitation using manual and hardware techniques. This operation has one of the longest and most painful recovery periods. Only an elevated temperature can last more than a month. Plus bruises, swelling, pain and resulting restrictions in movement and even at rest (try to sleep peacefully if the entire area of ​​​​the former “breeches” on the hips is a continuous bruise).