Liposculpture is the surgical procedure in which the corporal contour is molded by breaking and suctioning the adipose or fat tissue, poorly localized and accumulated in any part of the human body (also known as liposuction), decreasing such volume on the body and giving a harmonic and aesthetic figure to the patient’s body; including, if necessary, the infiltration of that adipose tissue in other part of the body that requires a greater volume (Lipoinjection).
This procedure is indicated in patients that have poor located adipose cumulus, given inadequate physical appearance to the abdomen, thorax, armpits, back, waist, thighs and/or arms, but that, in spite such “love handles”, have a proper body weight according their height or that have a body mass under 25; these patients cannot have any base diseases. There are indications on patients with similar physical characteristics, whose weight is above the ideal body weight, according its height with a body mass under 28, overweight; these patients cannot have any base diseases. In patients with ideal body weight but that presented checked base diseases, such as hypertension or hypothyroidism. “This is not a surgery to lose weight, is a surgery to mold the body by the extraction of poor located body fat, so this indicates that it should be contraindicated on patients who suffer overweight and on patients with non checked or treated base diseases”.
Liposculpture can be performed with different approaches, leading to similar results. The conventional liposuction that uses osmotic infiltrations (saline or Ringer's lactate “serum”) into the fat tissue, in a determinate proportion, then the fat tissue is removed through conventional suction cannulae. Other techniques combine this traditional approach with the assistance of high technology equipments that allow to remove the tissue with lower difficulty, less bleeding but at higher cost, with no difference in the systemic or general risk of the procedure. Within these techniques are inner and external laser (Laser Lipolysis), the conventional ultrasound and the VASER, that is a different kind, more selective, ultrasound and the MicroAire (Vibroliposuction), methods that are indicated mainly on patients who have had previews Liposuctions, given the internal cicatrization or the fibrosis. Is also indicated on patients with elevated flaccidity, that need to improve the skin contraction, and for those who desire this procedure, in all other cases is indicated the conventional Liposuction.
The length of this procedure is variable, because it depends on the treated areas, but is around one to five hours. In patients with small fat cumulus it can be done under local anesthesia, but in most cases is performed under general or regional anesthesia, this last is safer, because allows to control the patient response to the cardiovascular pathophysiological and respiratory changes, given the procedure and the position changes during the surgery. Its ambulatory in most cases, unless there is an especial clinic condition on the patient, previous or after the surgery, that indicate hospitalization, as a blood transfusion or any base diseases; if over five litters are extracted, or if its combined with any other surgical procedure, such as Abdominoplasty, Ritidoplasty or a Reduction Mammaplasty. In these cases, in order to stabilize, is better to intern the patient, usually for two or three days.
During the postoperative, there will be swelling, pain, bruises (ecchymosis), serous and bloody draining, some anemic symptoms, such as weakness and “dizziness” if the patient stands for too long, when he/she stands up or when she/he changes position. These symptoms will last about a week.
Within adverse eventualities, we can find bleedings, anemia with generalized response, infections, skin blisters given a trauma alteration of the circulation, poor cicatrization, fibrosis given inner cicatrization, contour irregularities, or other serious situations, as severe infections, pulmonary edema, fat embolism, pulmonary thromboembolism and any other anesthetics and surgical risks that can be presented in surgical procedures.
Recovery implies using analgesics and antibiotics for a week, drainages must be kept for about a week, foam for a couple of weeks, strips for two months. The stitches removal will be done after the first week. The patient will be able to walk and move since the next day, but must not effort him/her self. Also lymphatic drainage and ultrasound for residual fibrosis and fatty tissue massages will be used, starting on the fifth day after the surgery up to the first month. The skin must be moisturized with creams. The patient must attend the scheduled medical controls. Sport activities must be must be resumed when the patient can tolerate it, but is usually after the first week. The medical leave of absence will depend of the job preformed by the patient, but it goes between three to seven days.