Thursday, August 6, 2015

Body Contouring

Considering liposuction?  Read below on some of the details to help you consider if it's right for you:

 
Despite good health and a reasonable level of fitness, some people may still have a body with disproportionate contours due to localized fat deposits.  These areas may be due to family traits rather than a lack of weight control or fitness.  Liposuction surgery can be used to treat stubborn fat pockets in many parts of the body including the thighs, arms, neck, hips, waist, back, inner knee, chest, cheeks, chin, calves, and ankles.  In some cases, liposuction is performed alone, in other cases it is used with plastic surgery procedures such as a facelift, breast reduction, or a tummy tuck.
 
What it won’t do
 
Liposuction surgery is not a treatment for obesity and is not a replacement for regular exercise and good eating habits.  People with stubborn areas of fat and who exercise regularly are the best candidates for this procedure.
 
Preparing for liposuction surgery
 
Before liposuction surgery, you may be asked to:
  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can
  • increase bleeding

Special instructions you receive will cover:
  • What to do on the day of surgery
  • The use of anesthesia during your liposuction
  • Post-operative care and follow-up
 
Liposuction risks and safety information
 
The decision to have liposuction is extremely personal and you’ll have to decide if the
benefits will achieve your goals and if the risks and potential complications are acceptable.
Dr. Duncan Miles will explain in detail the risks associated with surgery.  You will be asked to
sign consent forms to ensure that you fully understand the procedure you will undergo and
any risks or potential complications.

 
Possible liposuction risks include:
  • Uneven contours
  • Rippling or loose skin
  • Skin or nerve damage
  • Irregular pigmentation
  • Infection
  • Fat clots
  • Blood clots
  • Excessive fluid loss or fluid accumulation
  • Unfavorable scarring
  • Thermal burn or heat injury from ultrasound with the ultrasound-assisted lipoplasty technique
  • Anesthesia risks
  • Bleeding (hematoma)
  • Change in skin sensation
  • Skin discoloration or swelling
  • Asymmetry
  • Pain, which may persist
  • Damage to deeper structures such as nerves, blood vessels, muscles, lungs, and abdominal organs
  • Poor wound healing
  • Persistent swelling in the legs
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
Is it right for me?
 
If you are bothered by excess fat deposits located anywhere on your body that don’t respond to diet or exercise, liposuction may be right for you.  Ideal candidates for liposuction are:
  • Adults within 30% of their ideal weight who have firm, elastic skin and good muscle tone
  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for body contouring
 
Be sure to ask questions: It’s very important to ask Dr. Duncan Miles questions about your liposuction procedure.  It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress.  Don’t be shy about discussing these feelings.
 

Be Careful
 
Following Dr. Duncan Miles' instructions is key to the success of your surgery and minimizing liposuction complications.  It is important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing in order to minimize the side effects of liposuction surgery.
 

Liposuction procedure steps
 
What happens during liposuction surgery?
 
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Dr. Duncan Miles will recommend the best choice for you.
 
Step 2 – The incision
Liposuction is performed through small, inconspicuous incisions.
First, sterile liquid solution is infused to reduce bleeding and trauma.  Then a thin hollow tube, or cannula, is inserted through these incisions to loosen excess fat using a controlled back and forth motion.  The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula.

Step 3 – See the results
Your improved body contour will be apparent when the swelling and fluid retention commonly experienced following liposuction subside.
With continued practices of healthy diet and fitness, the loss of excess fatty tissue should be permanently maintained. However, substantial weight gain can alter an otherwise permanent result.
 
Liposuction Recovery
 
Once your procedure is completed, a compression garment or elastic bandages may cover treatment areas.  These help to control swelling after liposuction and compress the skin to your new body contours.  In addition, small temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluid.
 
You will be given specific instructions that may include: How to care for the surgical site(s), medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with Dr. Duncan Miles.

 
A special note: Secondary procedures may sometimes be recommended to reduce excess skin.  Special considerations are needed when large amounts - usually more than 5 liters of fat - are suctioned.
 
Be sure to ask Dr. Duncan Miles specific questions about what you can expect during your individual recovery period.
  • Where will I be taken after my surgery is complete?
  • What medication will I be given or prescribed after surgery?
  • Will I have dressings/bandages after surgery? When will they be removed?
  • Are stitches removed? When?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?

When you go home
 
If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately.  Should any of these complications occur, you may require hospitalization and additional treatment.  The practice of medicine and surgery is not an exact science.  Although good results are expected, there is no guarantee.  In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
 
Liposuction results will be long-lasting
 
It may take several months for the swelling to fully dissipate after liposuction surgery.  As it does, your new contours and enhanced self-image should continue to develop.  The fulfillment you feel from the initial results of liposuction should continue as long as you control your weight and maintain a healthy lifestyle.  A significant weight gain can reverse your results.  Following liposuction, your slimmer and better-proportioned body should more accurately reflect the healthy and active life you lead.
 
Back liposuction
 

Leg liposuction
 

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