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1WHAT IS LIPOSUCTION?
‘Liposuction’ is a cosmetic surgery applied to remove the undesired fat from various parts of the body using a suction technique. Liposuction is the common term for the removal of excessive fat. ‘Lipo’ stands for fat. Liposuction is often referred to as ‘Lipofilling’, ‘Liposculpture’ , ‘ Lipotransfer’, ‘Lipoplasty’ and ‘Body Contouring’.
2WHAT ARE THE MANDATORY CONDITIONS TO HAVE A LIPOSUCTION?

⦁ Patient’s age must be older than 18

⦁ Patient must not be suffering from chronic diseases such as diabetes, coronary artery disease and restricted blood flow

⦁ For the abdomen liposuction, undesired belly fat must not exceed 30% of the total weight of the patient

⦁ According to global standards, maximum of 7% out of the total weight can be removed

3WHAT ARE THE AREAS THAT CAN BE TREATED WITH LIPOSUCTION?
MediExpert can successfully perform liposuction on the following areas:

⦁Tummy / Abdomen

⦁Breast

⦁Neck

⦁Chin

⦁Arms

⦁Back

⦁Hips

⦁Waist

⦁Buttocks

⦁Thighs

⦁Knees

⦁Calves

⦁Ankles

4WHAT ARE THE TECHNIQUES USED IN LIPOSUCTION?
Liposuction can be performed by total 4 different main techniques by using vacuum, radiofrequency energy, water flow or laser which the details herein given below.

⦁ TUMASCENT TECHNIQUE (TT)

This is the traditional and most used technique of liposuction. ‘Tumescent Liposuction’ refers to the great volume of liquid injected into the site to be treated. MediExpert’s surgeon injects a sterile solution which includes a mixture of salt water, epinephrine which assist for the blood vessels to constrict and an anesthetic that contains lidocaine for pain relief into the designated treatment areas. A surgeon then makes small incisions into the skin and inserts a thin tube called ‘cannula’ under the skin. Cannula’s function is to remove the fat from the body by suctioning fat through a connected vacuum. This procedure can well be performed under local anesthesia and considered to be one of the safest technique with faster recovery periods for the patients.

⦁ LASER ASSISTED LIPOSUCTION (LAL). 

It is a technique that uses high intensity laser lights for the fat to be melted for removal by the utilization of fibre microcannula. Following are the steps taken by MediExpert in a typical LAL procedure:

⦁The procedure is usually performed under local anesthesia and a sterile anesthetic solution containing mixture of salt water, epinephrine and lidocaine is injected into the designated area for the blood vessels to constrict and to limit the blood loss.

⦁After the anesthesia is completed, surgeon makes small incisions in the area with a length of maximum 3mm in accordance with the size of the laser fiber and microcannula which then allows the removal of the fat precisely by targeting directly with the laser into the designated areas.

⦁Thanks to the laser energy melting the fat by breaking in to an absorbable liquid by the body.

⦁Fat is then sucked out by the aspirator. Patient will might only feel pain when aspirating.

The most suitable patients for LAL are the ones not having an excessive weight and only having some of the particular body areas containing extra fat including hips, leg, thigh, waist and facial areas.

⦁ POWERED ASSISTED LIPOSUCTION (PAL)

This technique is performed by using a cannula that moves in a rapid in-and-out motion or a spinning rotation in which the power supplied by an electric motor or air compressor respectively. This vibration helps the surgeon to take off the tough parts of the fat rather comfortably and the removal of the fat can be made more precisely. Moreover, PAL technique frequently tend to cause less swelling and pain for the patient. It is proven technique to be very effective particularly on smaller parts of the body including ankles, arms and knees.

⦁ ULTRASOUND-ASSITED LIPOSUCTION (UAL) 

UAL is often named as ‘Vaser Liposuction’ which stands for Vibration Amplification of Sound Energy at Resonance. It is also known as ‘Vaser Liposelection’ , ‘Vaser Hi Def Liposuction’ and ‘Ultrasound Liposuction’ It is a plastic surgery technique that breaks the fat cells by using ultra sound waves and liquefies the fat which then ease their aspiration out of the body. Removal of the melted fat is made through a micro-cannula which is inserted under the skin. Liposuction with UAL technique is not related with the body weight as it targets to sculpt the body and present its beauty by removing all the fats areas in the particular parts of the body.
5WHAT ARE THE STEPS TAKEN IN AN ULTRASOUND-ASSITED LIPOSUCTION (UAL)?

⦁ MediExpert’s surgeon injects a special sterile solution that includes a mixture of salt water, epinephrine and an anesthetic that contains lidocaine which has the following functions:

1) Cause for the blood vessels to constrict

2) Anesthesia of the designated area to reduce discomfort

3) Pain is minimized

4) Reduce the blood loss amount

5) Ease of removal of fat tissue by assisting the temporary expansion of the designated area.

⦁After the completion of anesthesia, a little incision is made with the size not exceeding a few millimeters which is just sufficient for the special tiny metal probe can enter. These probes create high frequency sounds that effect designated fat areas to shake and break from the other fat free tissues accordingly.

⦁The combination of fat free cells and the sterile solution is extracted with specific tubes which assist on protecting connective tissues.

⦁Patients are prescribed a special diet during the recovery period in order to achieve the best possible outcome. Moreover, physical massage therapy may also be advised by the doctor in order to fasten the recovery period.

UAL technique can achieve extraordinary results by solely targeting fat cells without harming any other areas like blood vessels and nerves with minimum tissue alteration which makes UAL the most safest liposuction technique. Both men and women can utilize UAL technique. It is considered to be the best technique for liposuction who desire a six-pack abdominals especially for men and for those women willing to reshape their body by removing the stubborn body fat. Moreover, UAL also proved to be an appropriate method for the breast area as well as upper back for men. :
6WHAT HAPPENS AFTER LIPOSUCTION?
Most people feel fragile after the surgery with a manageable pain. Medication to relieve the pain is prescribed to make the patient more relaxed.
7WHAT IS THE DURATION OF THE LIPOSUCTION PROCEDURE?
Duration for the procedure is related with the size of the targeted area. It takes typically 1-3 hours for the surgery to be performed.
8HOW LONG IS THE RECOVERY TIME?
We advise the patients to take 2-5 days off from work followed by the liposuction surgery. During that period, we suggest short walks even around the house. It is normal cycle of the healing process to have swelling and bruises within the first week after surgery as the body is trying to repair the cellular damage caused while opening the liposuction incisions. To resume with the light exercises, patients are advised to wait around 2-3 weeks after the procedure and by the time all the swelling and bruises should be diminished. The patients are supposed to see the initial results within 4 weeks after the procedure. After 5 weeks, patients should be able to resume their normal exercises as this is important for the patients to maintain a stable weight after the surgery. After 6-8 weeks, patients can now witness the final results by all the scars almost completely faded away at this point.
9SHOULD I NEED TO STAY LONG TIME IN THE HOSPITAL AFTER LIPOSUCTION?
Liposuction is usually a few hours procedure meaning that a patient is free to leave the hospital once recovering from the anesthetic. MediExpert doctor may advise to stay overnight only whether very large areas are treated.
10IS THERE ANY RISKS AND COMPLICATIONS IN LIPOSUCTION?
The common risks are only limited with as similar to any kind of other surgery. There are no complications in liposuction, only bruising and swelling after the procedure which gradually fading away over time.
11WILL THERE BE ANY SCARS AFTER LIPOSUCTION?
Thanks to the utilization of state of the art liposuction techniques by MediExpert, you will have only little scar or minor incision line which will be completely faded over time. MediExpert’s priority is to perform liposuction procedures taking into account the natural skin look in order for the particular area to be remain hidden and physically less visible as possible after procedure.
12DO I HAVE TO WEAR ANY SPECIAL CLOTHES AFTER LIPOSUCTION?
Yes, support garments (elastic belt or corset) are highly advised to be worn minimum of 3-4 weeks at all times depending on the area covered. These garments will help to reduce bruises and swelling. Moreover, it will also assist the skin to adjust the new body shape. MediExpert will provide you detailed instructions on how to use the garments and what exactly needs to be done in to what extent after the liposuction procedure.
13WHAT POSTIVE ASPECTS SHALL I EXPECT AFTER LIPOSUCTION?
You can have plenty of benefits including a weight loss with most of them being fat parts, relieved feeling on muscles and bones, fit shape, fresh look and an increased mobility of the body enable to do physical activities easily and more importantly more confident personality.
14DOES LIPOSUCTION OFFER A PERMANENT SOLUTION?
Yes, liposuction certainly offer a permanent solution as long as you stick to your diet combined with some physical activity in order to keep up the current shape of your body.
15IS LIPOSUCTION A MAJOR SURGERY?
It can be considered as a minimally invasive surgery, not a major one.
16WILL MY SKIN BECOME LOOSE AFTER THE LIPOSUCTION?
Thanks to our elastic nature, our skin has the capacity to adjust with the new outline successfully. Furthermore, some workout for the related part of the body will assist on gaining firm shape of the body rapidly.
17IS LIPOSUCTION AN OBESITY TREATMENT ?
Weight loss is a natural result of this surgery. Nevertheless, liposuction is cosmetic procedure aiming to remove the excessive fat in order to reshape the body. More importantly, it is a balanced approach with respect to the entire body which assists for the patients to restore their confidence once again.
18IS ABDOMINAPILASTY SAME AS LIPOSUCTION ?
Abdominoplasty is a different kind of plastic surgery limited only to abdomen, whereas liposuction can be performed on all parts of the body.
19CAN LIPOSUCTION BE SUBSTITUTE FOR CELLULITE?
Although a cellulite treatment is different than liposuction, it can have some positive effect on particular small cellulite areas.
20CAN LIPOSUCTION COMBINED WITH OTHER SURGERIES?
Liposuction can well be performed with different kinds of minimally invasive procedures resulting for the patient not requiring anesthesia more than once and also advantageous in terms of saving time and money.
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