Liposuction - three topical techniques. Methods of liposuction Modern methods of liposuction

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 the ideal often causes irreparable harm to health. The focus of our review today is liposuction. Let's look at the pros and cons of this procedure, how liposuction methods differ, and also turn to our inner fears: why are we so afraid of surgical methods?

Structure

When Diet Doesn't Help

The crazy rhythm of the city often simply does not allow us to build a balance of nutrition 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 of work often robs us of our appetite, or contributes to improper digestion of food. “At work, I can only force myself to drink a cup of coffee, but in the evening I literally empty the refrigerator,” Svetlana admits. She fights with excess weight tirelessly, but to no avail.

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

Complaints about the so-called "fat traps" are frequent - concentrated accumulations of fat in some specific areas: knees, waist, legs, etc. No matter how much a person loses weight, it is impossible to reduce the volume of these zones.

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

Fat is our enemy?

In an endless marathon of diets, patients begin to hate the very word "fat", but this is not entirely true. From the course of school biology, we are all familiar with the concept of "adipocyte" - a fat cell. This type of cells has been at the center of a dispute among scientists for many years: some argue that their number in the body is unchanged, 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 go anywhere - they simply decrease in volume, therefore 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 deeds and achievements.

Weapon choice

As soon as we decide to work with the problem areas of our figure, the question arises: which method is the most effective and safe? Here we have a vast field of possibilities in which it is easy to get lost. Let's look at the different options, and dwell on the advantages and disadvantages of each of them.

Let's make a reservation right away that most of us are busy people, with a ragged work schedule, and often frequent business trips. With such a rhythm of life, the course of massages and the miracles of separate nutrition lose all meaning. We need to get rid of excess fat as efficiently, safely and economically as possible. So, we came 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 nature of fat deposits in certain areas of the body. And this means that non-surgical liposuction simply cannot be, since liposuction is literally “fat removal”, while non-surgical methods offer only means to promote 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 “fat-breaking process” and not fat removal. Fat cells destroyed as a result of lipolysis are not removed from the treated area.

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

What are liposuctions?

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 apparatus.

Historically, several varieties of classical liposuction succeeded each other:

1) Dry is a classic version of liposuction, in which excess fat is mechanically removed using fairly thick cannulas attached to an aspirator, without prior tissue infiltration. The rapid movement of the cannulas through the subcutaneous tunnels through the fat deposits causes the detachment of the fat cells. After that, 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 introduced into the aspiration zone to soften fatty deposits. Fluid infiltration contributes to the rupture of cell membranes, which greatly facilitates the removal of fat.

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

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

This combination of components, along with an anesthetic effect, contributes to a significant reduction in blood loss and electrolyte loss.

Minuses: work with large cannulas in classical liposuction inevitably damages tissues due to the applied mechanical force, respectively, the procedure as a whole is characterized by more effort, less precision, increased risk of deformation, bruising, increased recovery time after surgery.

What is the result? After such an operation, we will have to experience pain in the area of ​​intervention for too long, and the roughness of the skin will still force us to 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 attributed to liposuction very conditionally, since it only promotes the removal of fat through the venous or lymphatic system. It is rather lipolysis and today there are the following types of it:

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 adipose 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 skin surface from above, opposite the inner one. Radiofrequency liposuction provides a uniform destruction of fat cells, and as a result, the risk of uneven skin is eliminated.

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

What is the result? Time wasted, money wasted. But it is likely that both will have to be sought for a trip to other doctors. You probably don't want to take the risk.

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

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

What is the result? The skin looks like 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 from our colleagues and patients numerous negative reviews about chemical non-surgical liposuction, we were convinced of its low efficiency, therefore 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 fatty tissue is removed as a result of ultrasonic cavitation. Ultrasonic liposuction “cavitation” is performed using a “tube in tube” device, which allows ultrasonic treatment of adipose tissue. The lipolytic effect is achieved by the destruction of fat cells, their subsequent emulsification and excretion from the body. Non-surgical ultrasonic liposuction has long been considered one of the most effective methods of dealing with body fat, until all its disadvantages and side effects were fully studied.

pros ultrasonic liposuction: effective and uniform destruction of fat cells, no unevenness on the skin, injection marks and other unaesthetic defects. Ultrasonic liposuction, the price of which is certainly higher than for other non-invasive methods, solves several problems at once, including the treatment of cellulite, the 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 has a large number of side effects:

- After the procedure, many patients experience intestinal inflammation, a clear sign of which is loose stools. The ultrasonic liposuction machine creates low-frequency ultrasonic 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 both external and internal, when the blood vessels and nerves of the treated area are affected.

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

Minimally invasive method

Laser effect on fat deposits with simultaneous removal of destroyed fat cells through micro-punctures. Laser liposuction solves the problem of 2 directions:

- fat removal
- skin tightening.

The surgeons of the clinic "Beauty Doctor" in practice were convinced of the absolute effectiveness of this procedure:

1) Laser lipectomy (liposuction) is potentially less traumatic than ultrasonic 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 the microcannulas is only half a millimeter. Heating changes the viscosity and structure of the fat sucked through micro-punctures, which minimizes tissue trauma. The supply of dosed laser radiation is a safe procedure with an excellent aesthetic result.

2) Result.

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

3) Accuracy and precision.

Very often, we came across requests from patients for the correction of local areas with fatty deposits: above the knees, in the waist, cheeks, chin, etc. The methods of classical liposuction could not give such an accurate result. In the case of laser liposuction, the patient receives 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 much shorter than after classical liposuction and even popular cavitation liposuction.

Compression garments must be worn after the procedure. The term of continuous wearing depends on the area of ​​laser liposuction: from 5 days to 3 weeks. Then the surgeon will designate an individual wearing regimen for you (for example, only at night).

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

Relative minus: Compression underwear is required.

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 at all guarantee the absence of complications and side effects? Maybe it's all about poor information: when we do not fully understand the technique of the operation, it seems to us that this is something terrible and incomprehensible, and, therefore, it is better to avoid it. But a high-quality operation saves not only money, but also the nerves that you have to spend during exhausting diets!

So, maybe you should learn more about modern methods of plastic surgery? Sign up for a consultation 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 something in yourself that cannot be corrected by other methods.

Modern beauty standards require sophisticated forms, and every day we struggle with extra centimeters and kilograms. Often this struggle not only does not bring results, but also harms health. Therefore, liposuction, as a quick, reliable and relatively simple way to correct the figure, is so popular. Moreover, in addition to surgical methods of getting rid of extra centimeters, less invasive ways to deal with fatty deposits have appeared today - microsurgical radiofrequency liposuction, as well as quite effective non-surgical methods.

The specialists of the liposuction center offer you the most complete overview of the methods - from the latest hardware innovations to the proven classics of liposuction:

Liposculpture - a new direction of traditional surgical liposuction

Despite the emergence of dozens of new hardware techniques, it is still in demand. Moreover, today this is the lot of the most sophisticated and demanding patients - Hollywood stars, highly paid models, rich and famous secular party girls. Why? Because liposuction has experienced a rebirth, turning into a jewelry manual technique of body liposculpture.

In the BeautyLine clinic, this method is represented by the famous Italian plastic surgeon Marco Merlin. He performs jewelry mini-operations under local anesthesia. The fat is removed by hand, with very thin cannulas through tiny punctures. The main advantage of corrections from the Italian maestro of plastic surgery is a fantastically accurate and impeccably beautiful result.

The procedure of manual liposuction performed by the famous Dr. Merlin is a guaranteed effect and minimal trauma. No scars, bumps or irregularities - filigree Italian technique of impeccably high quality! Russian patients most often correct the oval of the face (chin, cheeks) with Professor Merlin. The second most popular procedure is manual.

Microsurgical liposuction

The high level of equipment of the liposuction center allows us to offer patients the most modern and effective hardware methods for combating fat deposits. Perhaps the most effective of them is the method. This is a unique technique that combines the advantages of surgical and non-surgical liposuction.

It is as radical as surgery (BodyTite allows you to remove up to 6 (!) Liters of fat in one session), and in terms of safety and rehabilitation time it approaches some non-invasive methods. At the same time, thanks to a large number of specialized nozzles, BodyTite allows you to equally successfully correct the most delicate areas (face, shins, knees), and remove large amounts of fat from the abdomen or thighs.

The main advantage of BodyTite liposuction is the unique double effect of this micro-operation - you not only remove fat, but also tighten the skin at the same time! For patients over 30-35 years old, this is perhaps the best, if not the only way to guarantee the simultaneous removal of unwanted centimeters and a good tightening. Even skin laxity in older patients - a typical contraindication for liposuction - is not a problem for radiofrequency liposuction, which can be performed at any age!

Its secret is that radio waves not only easily melt fat, which is then sucked out through a thin cannula, but also warm and tighten the skin. The low invasiveness of the method is ensured by the fact that the capillaries damaged during liposuction are immediately coagulated, and there is practically no blood loss. This means that this method allows you to remove a much larger amount of fat without risk to the patient.

Radiofrequency liposuction in the Beauty Line clinic is performed by one of the most experienced plastic surgeons in this field - Dr. Ageshina. She believes that this method is in many ways similar to, but has several noticeable advantages over it, the main of which is the effect of simultaneous skin tightening.

Svetlana Evgenievna Ageshina was trained in liposuction using the BodyTite method in Israel, and now she herself conducts master classes on this technique for Russian specialists. She says that in order to visually show how the skin shrinks during the procedure, she suggests that her trainees measure the distance between two points on the body (for example, between moles). During the procedure, this distance becomes immediately smaller by 2-3 centimeters, and 2 weeks after it, it is reduced by another half.

• You can learn more about how liposuction is performed on the BodyTite device on the BeautyLine clinic website.

The three most popular non-surgical techniques

Radiofrequency liposuction Tite-FX uses the same principle of destroying fat cells as the BodyTite method, but is performed non-surgically. This non-surgical method, like BodyTite, is based on radio wave impulses, but liposuction does not require incisions or punctures - the effect on fatty tissue is only “from the outside”.

Thanks to the radio waves generated by the device, subcutaneous fat is heated to a temperature of 38-43 degrees, and its cells literally "burst" - the membranes of fat cells are destroyed, and their contents are gradually absorbed and excreted from the body. Radio waves always affect both fat and skin, tightening and tightening it. In addition, after the procedure, the manifestations of cellulite and stretch marks on the skin are noticeably reduced or completely disappear. The cosmetologist of the BeautyLine liposuction center considers the Tite-FX method to be the most modern and effective.

– non-surgical – perhaps the most common non-surgical lipolysis procedure. This method is completely non-traumatic and comfortable for the patient - no discomfort occurs during liposuction.

Fat cells are gradually destroyed under the action of ultrasonic waves, and are removed, as in any type of non-surgical liposuction, thanks to the body's natural cleansing systems. Ultrasonic liposuction does not require any punctures or incisions. The destruction of fat cells takes place gradually and evenly, so after the procedure no irregularities form under the skin. The method belongs to the procedures of "office cosmetology" and does not require any rehabilitation.

- Another newest method of non-surgical liposuction. In the Beauty Line clinic, with the help of a high-tech LipoCryo device, not only liposuction of the body is performed, but also a double chin lift, for which this method is just perfect.

Like all non-surgical methods, it destroys fat deposits without the use of incisions or punctures, acting on fat cells with low temperatures. The applicator tip of the LipoCryo device captures the fat fold with a vacuum and treats it with cold. In this case, the temperature of adipose tissue drops to 4 degrees Celsius, which leads to its destruction. At the same time, such cooling is completely harmless to the skin (after all, in winter, for example, the skin of our face and hands successfully resists even lower temperatures). The procedure lasts about 30 minutes, fat cells are destroyed, absorbed and utilized by the body within 4-6 weeks.

Liposuction is a widely used cosmetic procedure, the purpose of which is to reduce the volume and change the nature (shape) of fat deposits in various areas of the body.

Liposuction is also classified as a bariatric technique, i.e. procedures used to treat obesity. Strictly speaking, this is not entirely true, since liposuction does not affect the causes and pathogenesis of the disease. However, the cosmetic effect of it may be more significant than when trying to get rid of extra pounds in other more conservative ways.

Liposuction Methods

Important:during the manipulation, it is possible to pump out up to 2 liters of body fat.

Women most often resort to liposuction of the thighs (to eliminate the so-called "riding breeches"), and also ask cosmetic surgeons to remove unwanted deposits in the buttocks, abdomen, waist and forearm. Chin liposuction is a very popular procedure among clinic patients.

Men, as a rule, want to eliminate excess fat in the neck, chest, as well as on the abdomen and buttocks.

Currently, several methods of fat removal are used in clinics.

The following types of liposuction are among the modern techniques:

• ultrasonic liposuction (traditional and non-invasive);
• laser liposuction;
• radiofrequency liposuction (RF).

Indications for liposuction

The indications for the procedure are the presence of noticeable local deposits of lipid tissue, which cannot be removed by conservative methods such as regular exercise and restrictive diet.

It is desirable that the patient was in good general health and sufficiently elastic skin. Under such conditions, the cosmetic effect will be maximum, and the likelihood of complications will be reduced to zero.

If the skin is flabby, then after the cosmetic procedure it may sag; to eliminate such consequences, additional surgical intervention is often required.

Note:The best results of liposuction can be achieved in patients whose height is average or slightly above average.

Preparation for liposuction

An objective assessment of the volume of excess lipid tissue is carried out by a qualified plastic surgeon. The main task of the specialist in the preoperative period is the preliminary modeling of the patient's figure, the selection of the area with the greatest accumulation of fat.

Before liposuction, the patient must undergo a complete examination and pass a series of tests.

It is mandatory to get a consultation with a therapist, do an ECG and undergo a fluorography.

Tests that need to be taken in preparation for a cosmetic procedure:

• and (B and C);

10 days before the procedure, it is strictly forbidden to take drugs that affect blood clotting, and it is not recommended to smoke. It is also advisable to carry out bowel cleansing in the clinic.

The duration of manipulations directly depends on the technique and volume of intervention. Liposuction lasts from 30 minutes to 2-3 hours.

Contraindications for liposuction

Liposuction, like most other medical manipulations, has a number of contraindications.

The procedure is not performed for patients diagnosed with:

• serious chronic diseases;
• exacerbation of chronic diseases;
• other pathologies from the cardiovascular system,
• blood clotting disorders (for invasive techniques);
• malignant neoplasms;
• active form;
• acute infectious diseases (including SARS);
• mental illness;
• endocrine pathologies;
• decreased immunity against the background of hormonal therapy.

Liposuction is also contraindicated for women during pregnancy and breastfeeding.

Until relatively recently, to pump out fat, surgeons had to perform rather large incisions, which increased the risk of bleeding. In addition, a rather traumatic operation was performed only under general anesthesia, and anesthesia not only lengthens the rehabilitation period, but can also cause complications in the respiratory and cardiovascular systems.

Currently, the tumescent technique is widely used. During the operation, one or more small incisions are made through which microcannulas are inserted under the skin to pump out lipid deposits. The relatively small invasiveness of the manipulation made it possible to carry it out under local anesthesia, sometimes supplemented by intravenous administration of sedatives. This not only shortened the postoperative period, but also allowed patients to be conscious during the operation and, if necessary, to comply with the doctor's requests.

The widespread use of the technique was facilitated by the development of a special composition consisting of saline, lidocaine, an antibiotic and adrenaline. Before the operation, this pressure solution is injected into the subcutaneous adipose tissue directly in the area where the fat will be pumped out. In this case, the volume of fluid injected should be approximately equal to the volume of fat that is supposed to be pumped out.

The composition of the drug used makes it possible to achieve high-quality anesthesia, minimize the risk of bleeding and prevent the development of infectious complications. Moreover, interacting with fat, this mixture turns adipose tissue into an emulsion, which makes it easy to pump out unwanted deposits using a vacuum method. To pump out fat, low-traumatic thin cannulas are used, which ensure the accuracy of the procedure and the absence of bruises, seroma and large scars after it.

Note: an important point in carrying out tumescent liposuction is the complete removal of emulsified adipose tissue. Failure to comply with this condition entails the appearance of significant depressions on the patient's body.

In most cases, a few hours after the end of the procedure, the patient can leave the clinic. Full recovery usually takes only 3-4 days, after which the person returns to his usual active life.

The technique of ultrasonic liposuction involves the impact on lipid deposits with high-frequency sound vibrations. Under their influence, the cells of the fat layer (adipocytes) are destroyed, turning into an emulsion.

The undoubted advantage of the ultrasound technique is the ability to prevent blood loss, scarring, as well as the formation of irregularities in the form of pits and bumps. The most commonly performed ultrasound liposuction of the thighs, abdomen and facial area (chin). During the procedure, the effect of tightening the skin is achieved.

During traditional ultrasonic liposuction, the emulsified fat (lysate) is pumped out by means of a device that creates reduced pressure (vacuum suction). To do this, thin titanium cannulas are inserted into small incisions in the skin. Up to 1.5 liters of fat is removed in one session.

There is an innovative non-invasive technique that involves the removal of destroyed lipid tissue through the circulatory and lymphatic systems. It does not require incisions, which eliminates the possibility of complications such as inflammation, suppuration and the formation of postoperative scars.

Note:a non-invasive method is used to eliminate small deposits (for example, with liposuction of the chin). A large amount of fat requires its removal in several stages, since during one session when using this ultrasonic liposuction technique, no more than 500 ml is pumped out.

The best effect is achieved by combining non-invasive ultrasonic liposuction with massage procedures and lymphatic drainage regularly performed after the procedure. Positive changes are fully manifested after a month, when the lipids decomposed to simpler chemical compounds are finally removed from the patient's body.

Important:with a general increase in body weight (in particular, with a tendency to obesity), the positive effect quickly reduces to zero. In this regard, patients are advised to comply with a minimum intake of fatty foods and the so-called. "fast" carbohydrates.

A number of leading clinics currently practice non-invasive liposuction using the Ultrashape device. This device generates a powerful directional stream of ultrasonic vibrations. The unique scanning system optimally distributes energy, eliminating the negative impact on surrounding tissues. Impact zones (from 125 to 315 sq. cm) are determined by interchangeable devices included in the device. In the presence of significant fat deposits, cosmetologists advise the patient to undergo from 3 to 8 sessions, the interval between which should be 3-4 weeks. The procedure is absolutely painless, so even local anesthesia is not required in this case.

After non-invasive ultrasound liposuction, you should follow the drinking regime with the consumption of at least 2 liters of fluid during the day. This will allow the body to quickly get rid of the destroyed fat cells.

Important:ultrasonic liposuction is not performed if the patient has endoprostheses or a pacemaker is installed. Also contraindications are , skin diseases in the area of ​​intended exposureand decompensated form of diabetes mellitus.

Laser liposuction is the most innovative and promising method of getting rid of excess subcutaneous fat deposits. It is based on the ability of laser radiation to selectively and very delicately affect the cell membranes of adipocytes. The diameter of the tube for removing fat is only 1 mm, so during the procedure, not an incision is made, but a puncture.

Since the beam is able to instantly “solder” damaged blood vessels, complications in the form of postoperative hematomas also do not develop. The radiation stimulates the synthesis of collagen, therefore, a lifting effect (skin tightening) is achieved in parallel.

With non-surgical lipolysis, which is performed on small areas of the body, there is no need to pump out the lysate. The content of the destroyed adipocytes enters the bloodstream, undergoes splitting in the liver to simple compounds and is excreted naturally. Laser lipolysis leaves no traces in the form of scars

This technique allows you to eliminate deposits in such difficult areas for the doctor as the upper abdomen, neck and forearms. Provides an excellent cosmetic effect and laser liposuction of the chin.

Radiofrequency liposuction

This technique involves burning fat through radio waves. It warms up adipocytes, turning them into a homogeneous substance that is easily sucked off. The advantage of the technique is the parallel achievement of a lifting effect due to the stimulation of collagen synthesis.

1. Within a month, avoid significant physical exertion and refrain from visiting baths, saunas and solariums.
2. Get a massage and lymphatic drainage session.
3. Organize a balanced diet, eliminating from the diet products that contribute to the set of extra pounds.
4. For 1-2 months, wear special compression underwear, which will allow you to complete the process of forming new body contours.

Myths and truth about liposuction: experts talk about them in this video review:

Plisov Vladimir, medical commentator

More and more people pay more and more attention to their appearance. Ladies, as a rule, more than men care about the figure. But not every woman nature gave an ideal figure from birth. Even if you manage to keep the weight at a decent level, sooner or later the time for motherhood will come and the body will change. As a rule, fat accumulates on the thighs, buttocks and abdomen. Most often, women resort to a diet to lose weight, but dietary restrictions do not help everyone. Time spent in the gym can also be ineffective in removing stubborn fat deposits.

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

There are several methods of liposuction, and each of them consists in the fact that during the operation, the destroyed fatty tissue is sucked out using a thin tube called a cannula. A cannula is inserted under the skin through the incisions, and a vacuum machine helps to remove unwanted fats. Traditional liposuction usually requires general anesthesia. The mechanical force of cannula movement used during surgery can often lead to excessive bruising and sometimes further complications.

Solving the problems of traditional liposuction has led to the development of new technologies and devices 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 usually do not give the noticeable results that can be achieved with liposuction. Liposuction is still considered the most effective procedure for addressing fat problems in the abdomen, hips and waist.

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

Most of the new methods of targeted removal of body fat are based on the use of different types of energy in order to damage fat cells and reduce their volume and quantity.

The following are examples of non-surgical hardware methods for reducing body fat:

• exposure to cold (cryolipolysis);
• sound waves (focused radiation of high intensity ultrasound);
• 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 near normal weight but have some specific areas of fat (abdomen, 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 really alternatives to surgery, but are often used to support and improve the results of surgical liposuction. Laser melting of fat before liposuction makes it easier for the doctor to remove unwanted fat deposits in the abdomen, hips, and waist.

How is the procedure performed?

Laser lipolysis is a non-surgical innovative method that allows you to get impressive results in body modeling 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 devices for non-surgical laser lipolysis.

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 places 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 possible at all. Laser lipolysis allows you to reduce excessive deposits of adipose tissue in the abdomen, waist, hips, buttocks, knees, pubis, chest (false gynecomastia in men). Laser lipolysis offers the possibility of non-surgical reshaping of the face, among other things, by eliminating the double chin. Laser treatment is used as part of combination therapy in the treatment of cellulite.

The best candidates for laser lipolysis are:

• patients in good general health, physically active, slightly over ideal weight;
• patients with one or more areas of stubborn excess body fat;
• patients who want to improve skin elasticity to combat cellulite;
• patients who have sagging and uneven skin after classical liposuction, especially in the abdomen.

The treatment time is 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 machines use very thin optical fibers (with a diameter of 300 microns and 600 microns) placed on a special cannula with a diameter of about 1 mm. The doctor makes a small incision (mainly 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 the tissue can reduce excess fat in the body and improve the texture, firmness and elasticity of the skin. In this way, fat cells are converted 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 the skin fibers, giving the effect of immediate skin tightening and cellulite removal. The laser destroys the cell membranes of the fat cells and results in the release of triglycerides. During the procedure, the heat of the laser acts on the tissues under the skin and stimulates the production of collagen and elastin.

Immediately after the operation, slight bruising and swelling of the tissues, as well as slight numbness in the treated areas, may occur. They usually disappear within a few days of being treated. The swelling subsides in about a week. In the case of 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 associated 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 a compression garment for about one week after surgery and a short course of antibiotics to prevent infection. For one month, you should refrain from heavy exercise.

Laser lipolysis provides:

• permanent destruction of fat cells;
• density and flexibility of the skin;
• reduction of manifestations of cellulite;
• quick 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 take up to six months. In the event of a re-growth of body weight, fat will be deposited in other areas than those that were treated.

In most cases, a single 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 persist 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 a side effect of laser treatment in the past.

Contraindications for laser lipolysis

Contraindications to laser lipolysis are:

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

Ultrasonic liposuction

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

The best candidates for therapy are:

women aged 25 to 55 years, with the accumulation of adipose tissue mainly in the abdomen and lower extremities, optionally with cellulite;

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

How is the treatment going?

Ultrasonic liposuction is a non-surgical instrumental method based on the use of ultrasonic energy to accurately separate fat from surrounding tissue. The method does not affect the surrounding tissues, so there is no risk of damage to the 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 the 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 radiating energy, comes to the phenomenon of cavitation in fat cells. Countless small air bubbles are created with the help of vacuum, which causes the fat cells to vibrate and affects the membranes of the 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 system to the liver, where they are metabolized and excreted from the body under normal physiological processes.

Ultrasound allows you to perform a gentle massage in the depths of the tissues, which stimulates blood circulation, lymph flow and local metabolism, and also improves cell metabolism, so that the body gets rid of waste products better. Toxins released from adipose tissue are removed from the body through the sweat glands and the lymphatic and vascular systems. The ultrasonic thermal effect acts as an anesthetic and relaxes the 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, coldness, tingling, prickling, or burning. Patients describe the sensation of ultrasonic waves as a deep heating of adipose tissue. After treatment, patients complain of discomfort (pain), bruising, redness, and swelling. The reddening of the skin lasts for approximately 4-24 hours. The area may have some visible bruising for up to 1 week after treatment. After the procedure in the abdomen, patients should wear special underwear to achieve the best effect. Minor discomfort may occur when exercising or applying pressure to the treated area for up to a week after treatment.

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

To facilitate and speed up metabolic processes, proper nutrition is recommended, reducing the intake 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. The use of dietary recommendations will help remove fat from the body and reduce the load on the liver. The best results can be seen after three to six months.

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

Contraindications for treatment

Contraindications to the operation of ultrasonic liposuction are:

• pregnancy and lactation, 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 lpg liposuction is a safe method for correcting contour deformities of the body, which allows reducing body volume and weight, eliminating cellulite, and improving skin condition. lpg rev...

What is cryolipolysis?



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