Liposuction methods. Surgical liposuction - its types and features. Invasive or surgical types of liposuction - advantages and disadvantages when applied

Many men and women, having tried a variety of ways to deal with body fat, come, in the end, to liposuction - a surgical operation to remove accumulations of fat.

Today we will talk with you about what liposuction is, what methods of liposuction in Russia are the most popular 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, thighs, pubis, arms, and even from some areas of the face, such as cheeks or chin. However, liposuction may not help everyone, as there are various contraindications to this operation. Liposuction is not performed for minors, persons suffering from diabetes, as well as patients with a complete loss of skin elasticity. You should also refrain from surgical intervention in the presence of certain chronic diseases or during acute manifestations of inflammatory processes.

Now quite a lot of various liposuction techniques have been developed all over the world, but in our country, vacuum, tumescent and ultrasound techniques are most widely used.

Vacuum liposuction.

The most affordable for most Russians is the vacuum method of liposuction. . In the process of vacuum liposuction, a special needle is inserted into the subcutaneous fat layer, which serves to destroy fatty deposits. They are immediately removed by means of a vacuum apparatus, which makes it possible to rid the patient 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 by exposure to ultrasonic waves. . In this case, it is not necessary to make tissue incisions, and the fluid formed as a result of cell destruction can leave the body naturally. There are no postoperative scars and bruises, 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, with sonic liposuction, incisions are still made to act on body fat more effectively.

Tumescent liposuction

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

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

What can replace liposuction

Get rid of cellulite and lose weight in problem areas can be 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 "". Here are collected all the most effective methods of losing weight, among which you can definitely find the one that will be most comfortable for you. This section will be useful for those who want to get in shape and those who want to maintain the already obtained ideal shape after liposuction.

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 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 organism. 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.

When traditional methods of losing weight fail, people decide to try various methods of liposuction on themselves, dreaming of a quick and effective removal of fat deposits. Plastic surgeons call the fat removal procedure "liposculpture", emphasizing the high efficiency of the operation with low invasiveness. The traditional principle of the operation is from the problem area.

Liposuction is a local correction of the figure, aimed at removing fat deposits from problem areas, but not at all fighting.

Liposuction does not cure obesity. Weight loss is a long and complex process, based on proper nutrition and exercise. A competent specialist will recommend to his client to look for another way to lose weight if there is a problem of obesity. Or, as an option, he will direct him to lipomodeling of the whole 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 for performing lipoplasty so that the operation is safe, easy, effective and least uncomfortable.

Surgical method

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

Vacuum (classic)

Vacuum liposuction is the most popular and frequently used method of fat removal. The procedure is performed when the volume of pumped fat does not exceed 2-3 liters. The essence of the procedure is the introduction of a special tube (cannula) under the skin through incisions, the size of which is not more 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 introduction of the tube and characteristic movements (forward - backward), a special vacuum device destroys and removes adipose tissue.

Tumescent liposuction

Tumescent liposuction is performed according to the principle of the classical vacuum method, but it is more safe for the client. To avoid the risk of hemorrhage and injury, the problem area is first chipped with a special solution of adrenaline, saline and anesthetic. The duration of exposure to such a 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 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

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

laser

Arms

When adipose tissue accumulates on the hands, there is a violation of harmonious proportions, as a result of which the hands appear too full in comparison with other parts of the body. The indications for surgery are a young age of the patient with little fat and good skin elasticity.

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

Boca

cervical hump

The cervical hump is also known as the climacteric widow. Some doctors claim that

In 1985, in California, a dermatologist named Dr. Jeffrey Klein improved this method of liposuction by injecting a tumescent fluid. When using this technique, the amount of solution is injected 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 the previous ones.

The rule for distinguishing liposuction methods is as follows:

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

ULTRASONIC LIPOSUCTION

LASER LIPOSUCTION

Laser method of liposuction, also called laser liposculpture, was first discovered by a Colombian surgeon, Dr. Rodrigo Neira, in 1999. Dr. Neira first tried to alleviate discomfort and reduce recovery time after liposuction with a laser that was created to relieve pain. He noticed that the emulsified fat is released from the fat cells, but the cell membranes are not affected. Laser liposuction is most often used in combination with tumescent liposuction, and is applied in small areas without fat absorption. The device does not generate heat and therefore does not cause a thermal wound. The technique is as follows: the laser is carried out over the treatment area for 12 minutes, then small incisions are made to drain the 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 USA, but is regularly performed in Italy, South America and other parts of Europe. The procedure is performed with injections similar to the tumescent liposuction technique and involves the insertion of a fiber optic device through very small incisions.

WATER JET LIPOSUCTION

Water jet liposuction (WAL) is performed using the Body-jet machine. This type of liposuction is also called - "Water liposuction". The essence of this type of liposuction is the simultaneous destruction and washing out 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. Due to this, softer fat cells are easily separated from the more elastic connective tissue without damaging the vessels and nerves. Low invasiveness of water-jet liposuction is its advantage: there is a decrease in edema and bruising after surgery, the absence of 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 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 technology, liposuction remains a "blind method" and is performed almost by touch, the surgeon relies only on his tactile sensations. However, an experienced surgeon can achieve a flawless result with the traditional vacuum liposuction technique.

Abdominoplasty this is a tummy tuck, i.e. its correction in case of stretching of the muscles and skin, which led to the formation of an "apron". This can happen after pregnancy due to a sharp weight loss, as well as as a result of a metabolic disorder, when an excess of fat is formed, to which the skin that has lost its elasticity is attached. "Apron" can also hang with age due to natural causes.

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

The operation is done as follows: an incision is made on the anterior abdominal wall, excess tissues below the navel are removed, and the muscle is pulled back to the 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 reduce weight!, but - the procedure in most cases is effective only for local removal of fat in certain areas: "buns" on the knees, "popin ears", double chin, etc. .d.i.e. such fat deposits that are difficult or impossible to cope with conservative methods.

Modeling of body contours is indicated for owners of such deposits with normal weight and elastic skin. In young women, the result will be better than in middle-aged ladies. You should not count on liposuction for those who have recently undergone surgery in the same area.

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

There are standard, tumescent, ultrasonic, syringe liposuction and hydroliposculpture. A separate item is the method of electronic lipomodelling.

Standard (vacuum) liposuction- a pioneer among other types of fat removal. It is unlikely that there are those who have never heard of this procedure. It is performed as follows: a special hollow needle (cannula) is inserted through small incisions into the subcutaneous fat. 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, as you will sleep soundly - the operation is most often performed under general anesthesia. A simple at first glance, the technique 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 underwear.

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

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

Tumescent liposuction almost indistinguishable from the vacuum method. The only difference is that before starting the procedure, the surgeon injects a special drug (Klein's solution) into the problem area, consisting of saline, anesthetic and vasoconstrictors. As a result, blood vessels constrict, 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 large enough volumes, the blood loss is insignificant.

Minuses . Typically, general anesthesia is used. Complications of an aesthetic nature are not uncommon (violation of body contours, pigmentation, chronic swelling).

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

Pros . Minimal blood loss, skin lifting effect.

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

Syringe liposuction used in cases where it is necessary to remove a small amount of fat (up to 0.3 l). The operation is carried out 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 hematomas and edema on the skin.

Pros . Only local anesthesia is used.

Minuses . It is impossible to remove a large amount of adipose tissue.

Electronic lipomodeling many experts call a sensation in liposuction. The method is based on the action of high frequency current, which melts adipose tissue. It happens in the following way. Thin needles are inserted into the tissues, connected to a generator that creates an electric field. Fat liquefied by the current is removed using very thin cannulas. An added bonus: the current boosts the metabolism of adipocytes (fat cells), so you'll lose excess weight for several months after the procedure. Note that no cuts will be made to you. Two or three thinnest punctures are enough, after which no traces will remain on the skin.

Minuses . The technique is not designed to remove large amounts 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, then the most harmless side effect is a slight unevenness of the skin. then there are "lumpy" and the "washboard" effect - after all, the removed fat cells will not recover, but the remaining neighboring ones can easily increase in size if you gain weight, and make your skin play in the pits and slides. Liposuction requires a very thorough subsequent rehabilitation with the connection of manual and hardware techniques. This operation has one of the longest and most painful recovery periods. Only elevated temperature can last more than a month. Plus bruises, swelling, pain and the resulting restrictions in movement and even at rest (try to sleep peacefully if the entire area of ​​​​the former "riding breeches" on the hips is a solid bruise).