What are the methods, zones and types of liposuction? Liposuction methods Liposuction methods: from full surgery to a minimally invasive procedure

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 abdomen 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...

Many men and women, having tried a variety of ways to combat fat deposits, finally come to liposuction - a surgical operation to remove accumulations of fat.

Today we will talk to you about what liposuction is, what liposuction techniques are the most popular in Russia and what are their advantages and fundamental differences.

So, liposuction is a fairly radical and very effective method with which you can remove excess fat from the abdomen, chest, back, hips, pubis, arms, and even from some areas of the face, such as the cheeks or chin. However, liposuction may not help everyone, as there are various contraindications to this operation. Liposuction is not performed on minors, people with diabetes, and patients with complete loss of skin elasticity. You should also refrain from surgical intervention in the presence of certain chronic diseases or during periods of acute manifestations of inflammatory processes.

Nowadays, quite a lot of different liposuction techniques have been developed all over the world, but in our country the most widespread are vacuum, tumescent and ultrasound techniques.

Vacuum liposuction.

The most accessible method for most Russians is the vacuum liposuction method. . During vacuum liposuction, a special needle is inserted into the subcutaneous fat layer, which serves to destroy fat deposits. They are immediately removed using a vacuum device, which allows the patient to get rid of 10 liters of fat in one session.

Ultrasonic liposuction

Ultrasonic liposuction is less traumatic, since the destruction of fat cells in this case is carried out through the action of ultrasonic waves . In this case, there is no need to make tissue incisions, and the fluid formed as a result of cell destruction can leave the body naturally. There are no postoperative scars or hematomas, but the effectiveness of this procedure is somewhat lower than with vacuum liposuction, so several sessions may be needed to achieve the desired result. In some cases, during sonic liposuction, incisions are still made in order to act on fat deposits more effectively.

Tumescent liposuction

Tumescent liposuction is fundamentally different from the methods described above in preoperative preparation. , informs the site. First, a special solution is injected into the area of fat deposits, which causes compression of the blood vessels and swelling of fat deposits. This preliminary preparation ensures the effectiveness of the effect specifically on fat cells.

If general anesthesia is used for vacuum liposuction, then only local anesthesia is used for tumescent liposuction. It should also be taken into account that tumescent and ultrasonic liposuction do not require a long stay in the hospital: a few hours after the procedure the patient is sent home. When using surgical techniques, the postoperative period lasts up to three weeks, during which pain, hematomas, and swelling may be observed. According to plastic surgeons, you will be able to fully appreciate the effectiveness of removing excess fat during liposuction only after 5-6 months, although the first results will be noticeable after 10-14 days.

What can replace liposuction?

You can get rid of cellulite and lose weight in problem areas much safer. Especially for this, we have created a special large section “”. In this section you will find a large amount of material that will definitely help you get rid of cellulite and get in shape, as many of our readers have already done.

In addition, we advise you to visit the “” section. All the most effective weight loss methods are collected here, among which you can definitely find the one that will be most comfortable for you. This section will be useful both for those who want to get in shape and for those who want to maintain the ideal shape they have already obtained after liposuction.

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

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.