Six types of non-surgical liposuction: injection, hardware, body tite and others. Non-surgical liposuction: technique, complications, reviews Liposuction methods

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

Liposuction - what is it?

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

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

The superficial layer is a ball of fat located directly under the skin. The excess of this particular layer gives your figure an unpresentable look.
Deep layer - located under the fascia of the muscles, its amount practically does not change with any type of weight loss.
Internal - location - abdominal cavity. An excess of this type of fat leads to the appearance of "beer" bellies.

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

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

Indications and preoperative preparation

The main indication for liposuction is the appearance of separate areas of accumulation of adipose tissue and a violation of the contours of the patient's figure. You also need to be at least 18 years of age. It is worth remembering that the younger the patient's age and the better the condition of his skin, the more effective this procedure is.

In preparation for surgery, the patient goes through the following steps:

Examination by a plastic surgeon.
Conducting general clinical studies: a general blood test, urine, ECG, fluorography.
If a person smokes - 2 weeks before the "X" hour, he must give up this habit.
Correction of the drugs taken.
Selection of compression underwear.
Choice of anesthesia method.

Features of classic liposuction

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

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

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

Upper back and its middle third.
Shin.
Anterior thighs.

Despite the fact that the method of surgical liposuction has been used for more than a dozen years, the question of the amount of fat to be extracted at one time remains debatable. One part of plastic surgeons claims that the removal of 1.5 kg of adipose tissue is the optimal amount for one operation, other experts claim that 5, 10 and even 16 kg of fat can be removed. In the last few years, the following gradation of liposuction has been adopted in plastic surgery:

Small volume operation - no more than 2.5 liters of fat is removed.
Large-volume operation - up to 5 liters of tissue is removed.
Extra-large volume surgery - the doctor removes more than 5 liters of adipose tissue.

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

Tumescent liposuction

Classical liposuction undoubtedly remains one of the most popular body shaping methods, but there are other methods of lipomodelling, for example, tumescent liposuction. This type of surgery compares favorably with classical liposuction in that the surgeon makes very small incisions in the skin and uses ultra-thin cannulas.

Adipocytes are destroyed by the injected solution of sodium chloride, lidocaine and adrenaline. Thanks to lidocaine, local anesthesia is possible. The operation technique practically does not differ from conventional liposuction, only the volume of adipose tissue removed should not exceed 2.5 liters.

The main benefits of tumescent liposuction are listed below:

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

Video of the operation

Oscillatory liposuction or vibrolipomodeling

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

To perform surgery, a special vibration unit is used, which delivers compressed air through thin cannulas (3-5 mm) into the thickness of adipose tissue, which destroys adipocytes. The doctor sucks off the resulting emulsion using a vacuum unit.

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

Laser liposuction

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

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

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

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

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

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

Radiofrequency liposuction Body Tite

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

Internal - is introduced into the subcutaneous fat and serves to destroy adipocytes, as well as to aspirate the resulting emulsion.
External - directs radio frequency radiation through the skin and is a temperature sensor.

The whole operation takes place under careful computer control of the temperature in the intervention area. As soon as the temperature rises to a critical point, the pulse stops, so the possibility of a burn is completely excluded.

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

Ultrasonic liposuction

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

With the help of ultrasound, it is possible to remove a large amount of fat - 6-8 liters, despite the fact that the operation still remains less traumatic. Another positive effect of this method of liposuction is the improvement of the skin relief - it becomes even and smooth.

Water jet liposuction

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

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

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

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

For this procedure, local anesthesia is used, the entire course of the operation is controlled by a plastic surgeon. The advantage of water-jet liposuction is the absence of restrictions on the simultaneous extraction of adipose tissue. Also, patients do not suffer from swelling and pain after surgery, and the recovery period is limited to 3-4 days.

What to do after the operation?

The algorithm of the patient's behavior in the postoperative period is the same, regardless of the method of lipomodeling. Only the timing of wearing special underwear and the duration of recovery are different.

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

Experts advise to limit physical activity and insolation for 2 months, forbid using the bath and sauna at this time. If a girl wants to get pregnant, she must remember that after liposuction, the date of the alleged conception will be pushed back by 6 months.

Liposuction specialists

Contraindications and complications of liposuction

Contraindications to all types of lipomodeling are very similar:

Pathology of the blood coagulation system.
Endocrine diseases.
Obesity associated with genetic pathology.
Violation of the functioning of the kidneys and liver.
Gastric ulcer.
Vascular disease in the area of the operation.
Heart defects.
Arterial hypertension.
Pacemakers.
The presence of oncopathology.

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

Hyperesthesia of the skin in the area of operation.
The appearance of a seroma - fluid accumulates in the area of operation and a semblance of a cyst is formed.
Edema.
Increased skin pigmentation.
Strong pains.
Hematomas and bruises.
Infection of the operating wound.
Nausea and dizziness after anesthesia.
Fat embolism - the likelihood of developing this complication increases with an increase in the amount of adipose tissue removed.

Surgical liposuction or hardware

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

or .

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

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

Photos of the results of surgical 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 who have some specific areas of fat (on the 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.

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 unevenness 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 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.

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 amount 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 was the first to attempt to alleviate discomfort and reduce recovery time after liposuction with a laser that was designed 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 injury. 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 done with injections similar to the tumescent liposuction technique and involves inserting 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.