Πλαστικός Χειρουργός Θεσσαλονίκη | Dr. Δημήτρης Τριανταφύλλου
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BODY

LIPOSUCTION


Η

liposuction
is the most common cosmetic plastic surgery procedure in the US. Liposuction procedures have increased in the last 5 years by about 120%.

Adipose tissue and adipocytes

What happens to the fatty tissue? What is its exact anatomy and what is its physiology? The adipocyte, although until a few years ago considered to be just a fat depository, turns out to be a very very active endocrine organ., which secretes a considerable number of hormones and other substances, thus proving that ‘obesity’ is probably ‘labyrinthine’ in its full understanding.

Some of these substances are leptin, a hormone found elevated in obesity, TNFa, PAI-1, angiotensinogen, lipoprotein lipase, free fatty acids, etc. Ο adipose tissue is the largest energy storage space in the body. The first signs of fat appear in the 4th month of our embryonic life. During a person’s lifetime, fat cells increase in number and also in size. After puberty, the creation of new ones stops. The exact number of fat cells in an individual is generally predetermined and therefore unique to each person, influenced “to some extent” by environmental factors.

The method of liposuction

Η liposuction -ή liposculpture– is applied to areas where there is stored fat locally and is not reduced by diet or exercise. This fat “typically” appears around the hips, buttocks, abdomen, inner surface of the knee, thighs, arms and even the calves. Liposuction is a liposuction method of improving the contour (figure) of the body and not a method of slimming or weight loss. It is an integral part of the cycle of “aesthetic improvement of the body”. What does this mean? That in order to permanently improve one’s body image, one should first adopt some good, everyday habits – more walking, less driving, stopping or reducing smoking and alcohol, exercising regularly and having a balanced daily diet.

Η liposuction is a safe surgical method, as long as the plastic surgeon makes a proper preoperative assessment. Today, it is usually performed under local anaesthesia, assisted by neurolepto-anaesthesia (compared to the past, when many preferred general or epidural anaesthesia). In almost all techniques, a liquid is injected into the area to be suctioned, which helps to “dissolve” and “liquefy” the fat. Then, the plastic surgeon, through small inconspicuous incisions, will suck out the already liquefied fat. This fat should not be more than 5 litres, to avoid electrolyte disturbances.

Liposuction can be performed on all persons over 18 years of age, while the operation must always be performed in an organised and equipped room, in the presence of an anaesthetist. It must always be applied by qualified plastic surgeon and when the candidate’s indications are correct, the results are excellent and fully satisfy the patient. That is why liposuction is the most common plastic surgery procedure.

WITH A MOMMA

Anaesthesia: Neuroleptoanaesthesia (intoxication) or local anaesthesia.
Places: Clinic or organized clinic ( small fat – local).
Duration: 1 – 2 hours (depending on the amount of fat to be removed).
Eve: From 3 – 4 hours to 24 hours (1 night).
Pain: Varies from person to person. Possible use of painkillers for 10 days postoperatively.
Swelling: Maximum on the 3rd day after surgery, gradually subsides by the 8th week (directed downward).
Bruises: Up to 15 days.
Stitches: Usually not present.
Hypersensitivity: can exist in the areas that have been absorbed due to irritation of the terminal endings in the small sensory neurons. It disappears in 1 – 3 months. Local massage helps.
Bandages – Gauze: Removal in 1 -2 days.
Support: continuous application of a special corset – latex for 6 – 8 weeks.
Work:Return to work after 3-7 days.
Driving: After 1 – 2 days.
Exercise: After 4 weeks (earlier may slow down the final result).
Final Result: When the swelling subsides, from 3 to 6 months.
At the initial visit your doctor will ask you to describe in detail exactly what you would like to see improved.

Book your appointment

THE PREPARATION

Good candidates for liposuction are those who:

  1. They are close to the ideal body weight (up to 30%).
  2. They want to remove local fat that resists exercise and dieting (e.g. fat deposits on the abdomen, knees, inner thighs, buns on the buttocks, arms, etc.).
  3. They are stable in weight for at least 6 months.
  4. They have relatively good skin tone.
  5. They do not have loose skin.
  6. They don’t have stretch marks.
  7. They have realistic expectations.
  8. They are emotionally stable.

If someone has all or most of the above, he/she is considered a good candidate for liposuction.

The liposuction not is a weight loss technique, but a technique to “contour” and improve the silhouette.

In some cases obese people may be helped when accumulated fat is removed from an area, which can help them psychologically, so that they can get on a ‘programme’ to lose weight more easily.

In cases with stretch marks and loose skin, the benefit of abdominoplasty may be greater.

You should mention in your history:

  • Problems with the heart, lungs, liver.
  • Cases of hypertension.
  • Family history of thrombophlebitis.
  • Diabetes mellitus.
  • If you smoke.
  • You use medicines or dietary supplements.

Tell your doctor about all those places where you would be interested in liposuction.

THE INVASION

It is usually performed under anaesthesia or local anaesthesia (rarely general or epidural), in an organised surgery or clinic, and lasts about 1 to 2 hours.

TECHNICAL TYPE

There are many different liposuction techniques, but today they all have a common denominator, with minimal blood loss, less pain and faster recovery than in the past. The most important thing is the doctor’s technique and experience rather than the minor differences in techniques.

All techniques have something in common called TUMESCENT.

The liposuction TUMESCENT can be found in magazines and in the literature also as lipoplasty, liposculpture, S.A.L. (Suction Assisted Liposuction) etc.

In this technique, a fluid containing a local anaesthetic (to reduce pain), adrenaline (to reduce bleeding), saline, etc. is injected into the fatty tissue under high pressure. so that the fat is liquefied (melting).

Then, from inconspicuous small incisions with fine cannulas, the fat is sucked out with a negative pressure of 1 Atm.

The most well-known subcategories are :

-Suction Assisted Liposuction (SAL) – The classic method of liposuction.

–Ultrasound Assisted Liposuction (UAL) – After the injection of the fluid and before absorption, ultrasound is used to further liquefy the fat with a special probe at the top of the cannula.

–External Ultrasound Assisted Liposuction (E-UAL) – Using ultrasound externally to break down fat cells.

-Power Assisted high definition Liposuction (PAL) – Mechanically assisted high definition liposuction – The technique I use, where as the fat is absorbed, the cannula moves itself mechanically back and forth (1,000 revolutions) per minute for a better, less painful result.

–Vaser Assisted Liposuction (VAL) – With ultrasound.

–Laser Assisted Liposuction (LAL) – In the same philosophy, fat is heated to liquefy it.

* Usually ultrasound and LASER techniques have more complications.

THE RENEWAL

– The day after the operation special corsets are applied to help the skin stick back into place, reduce swelling and help the area regain its shape.

– Final results in 6 months.

– Exercise in 3 weeks.

– No alcohol 2 days before and 2 days after surgery.

– Hot baths, SAUNA and sunbathing are prohibited for one month after the operation.

Many believe that it is unlikely to “re-inflate” in the operated area because liposuction removes permanent fat cells.

This is partly correct. Adults have a certain number of fat cells in an area, and liposuction will remove a percentage of them. The rest, if a healthy diet and exercise program is not followed, it is possible to “grow” and “bloat” especially when weight increases. So the problem can reappear to some extent. Usually when there is weight gain after liposuction, it spreads to other areas of the body and not where the surgery was performed.

On the first day, serumy fluid (pinkish in colour) usually comes out of the tiny tumours. This is normal and there is nothing to worry about.

From the next day, bathing with lukewarm or cold water is allowed.

From the next day or the same day, application of a special elastic corset (or belt or vest or armband – depending on the area of liposuction). The elastic should be worn for 3 weeks strictly 24 hours a day and for the next 3-4 weeks only at night when sleeping.

Taking painkillers for the first 3 – 4 days.

The maximum of the swelling will be on the 3rd to 5th day while bruising will be present for about 2 weeks.

Results start to be seen after 1 to 2 months while the final result will take 6 to 9 months.

For any questions, please contact directly the doctor Mr. Triantaphyllou.

The procedure can be combined with other procedures such as breast reduction or augmentation, rhinoplasty, cheek augmentation, genital aesthetics, etc.

POSSIBLE COMPLICATIONS

Complications, although rare, should be reported and treated accordingly. An increased risk exists:

  1. When the operation is performed under anaesthesia (not because of the type of anaesthesia).
  2. More than one of two procedures are performed on the same person on the same day.
  3. A large amount of fat (>5 litres) is removed.

These are:

– Reaction to anaesthesia (local anaesthetic).

– Skin discolorations.

– Skin rippling.

– Hematoma.

– Perfume.

– Praise in the region.

– Inflammation.

– Thrombophlebitis.

– Fat embolism.

– Minor skin necrosis.

– Rupture of organs (very rare).

Extensive discussion with the doctor and understanding all the instructions keeps complications to a minimum.

Book your appointment

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TESTIMONIALS

I had the abdominoplasty procedure with excellent results. My belly became like a teenager’s! Thanks to my doctor who, with this operation, raised my morale as a woman!!

Vasso T.

I have been very pleased with my eyelid surgery. Wonderful and excellent work. I recommend Mr. Triantafyllou unreservedly. A thousand thanks.

Jenny K.

The blepharoplasty did not cause me any pain, neither during the surgery nor afterwards. Excellent result by Mr. Triantaphyllos!

Vasso T.

The liposuction I did was a great success. The result was excellent, taking years off my appearance!

Vasso T.

Thank you very much for giving me back my face after a serious car accident. I am grateful for all the help you have given me.

Tatiana B.

Many thanks from me and my wife for your services in successfully removing the excess lipids from her legs. Before we visited you my wife’s psychology was very bad as a doctor had completely discouraged us.

Nikos P.

The result after blepharoplasty surgery compensates even the most demanding ones. Reduces at least ten (10) years from the actual age!!!

Athena T.

An excellent doctor who knows how to do his job very well, with knowledge, experience and a lot of love for what he does. A wonderful man!

Helen P.

I trusted Mr. Triantafyllou for the cosmetic surgery I wanted to have and it was the wisest decision I have ever made! 20 days after the surgery and I already feel that my life has changed! I thank him from the bottom of my heart!

Joy M.

Thank you very much to Mr. Triantafyllou, for the successful rhinoplasty surgery. Excellent work, the result exceeded my expectations. He is an excellent doctor, with ethics, who loves his job. A big THANK YOU from the bottom of my heart, it made me very happy.

Helen P.

IATRIA THESSALONIKI

Thessaloniki Center: Isavron 14 (Tsimiski with D. Gounari)

+30 2310 225286 – +30 6944 68 8989

Thessaloniki east: Vasilissis Olgas & Aegean 34

+30 2310 404070 – +30 6944 688989

MEDICAL
RODOS

Rhodes: 6 I.Romaiou 6 Paradisi

+30 6947 311224

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