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LIPOSUCTION!
Presented by:
Sweety Bafna
Under the guidance of:
Mrs.Sheeja Koliyote
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STRUCTURE OF SKIN
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WHAT IS LIPOSUCTION?
oLiposuction is defined as
the removal of fat from
deposits beneath the skin
using a hollow stainless
steel tube (called a cannula)
with the assistance of a
powerful vacuum.
oLiposuction can be
accomplished either with
the use of general
anesthesia, or with heavy or
mild IV sedation, or by local
anesthesia.
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AREAS FOR LIPOSUCTION
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Abdomen
Hips
Outer thighs (saddlebags)
Flanks (love handles)
Back
Inner thighs
Inner knees
Upper arms
Submental (chin)
Gynecomastia (male breast tissue)
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OVER 18
NO HEALTH
COMPLICATIONS
CRITERIA
DIET AND
EXCERCISE
IN GOOD HEALTH
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GENERAL PROCEDURE
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DRY
LIPOSUCTION
TUMESCENT
LIPOSUCTION
TECHNIQUES
SUPERWET
LIPOSUCTION
WET
LIPOSUCTION
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CONSTITUENTS OF A FLUID INJECTION
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MECHANISMS
SUCTION ASSISTED
LIPOSUCTION
ULTRASOUND
ASSISTED
LIPOSUCTION
POWER ASSISTED
LIPOSUCTION
EXTERNAL
ULTRASOUND
ASSISTED
LIPOSUCTION
LASER
LIPOSUCTION
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SUCTION ASSISTED LIPOSUCTION

Standard method of liposuction
Insertion of
a small
cannula
It is
attached to
a vaccum
Fat is
sucked out
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ULTRASOUND ASSISTED LIPOSUCTION
•Ability to remove
large volumes of
fat
•The ability to
break up tough
and fibrous fats in
areas of the body
•Ultrasound
liposuction can
break up cellulite.
DISADVANTAGES

Involves a cannula that produces ultrasonic energy.
Three generations of cannula.
ADVANTAGES

• Takes a little
longer to perform
• Causes tissue
burns in some
patients
• Results in
seroma
formation(ball like
collection of fluid)
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EXTERNAL ULTRASOUND ASSISTED LIPOSUCTION
• Cause less
discomfort for the
patient, both during
the procedure and
afterwards
• Decreased blood
loss
• Allow better access
through scar tissue
• Treat larger areas
DISADVANTAGES
Ultrasound energy is applied from outside the
body, through the skin
ADVANTAGES

• The method is still
crude
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EXTERNAL ULTRASOUND BEING DELIVERED
THROUGH THE SKIN BY A
TRANSDUCER OF 1 MHZ.
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POWER ASSISTED LIPOSUCTION

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Uses a powerized cannula which moves through
the fat tissue in a rapid motion.
There are two different types of motion
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• No burning
risks as
with UAL
• Fibrous
tissue can
be easily
treated
DISADVANTAGES
ADVANTAGES
POWER ASSISTED LIPOSUCTION
• Difficult to
handle
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LASER LIPOSUCTION
• No problems of
skin burning
• Also helps in skin
tightening
• Increases the
safety standards of
the procedure
• Decreases the
recovery period
• Extremely painless
and accurate
DISADVANTAGES
Use of lasers with traditional
liposuction methods
ADVANTAGES

• More expensive
• No FDA approval
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A COMPARISON
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LASER LIPOLYSIS CANNULA
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MICRO LIPOSUCTION
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Removal of small areas
of fat through tiny
tubes and very small
incisions.
Performed on the face,
especially the cheeks,
neck, under the chin,
and the jowls.
Cannulas used range
in diameter from
1.5mm to 6 mm in
diameter.
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STITCHES
Surgeon’s decision
Some surgeons leave the incision open
Some stitch them only partially
Others delay stitching
Also when the fluid is draining, dressing
needs to be changed often
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CANDIDATE PREPARATION
No anticoagulants, Aspirin, Vitamin E should
be taken for two weeks before the surgery.
If receiving general anesthesia, and the
surgery will be in the morning, fasting from
midnight the night before is required.
If only local anesthesia will be used, fasting
is not required.
Smoking must be avoided for about two
months prior to surgery.
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RECOVERY
Compression garment or Ace bandage.
 Removal of drains and sutures.
 Any pain is controlled by a prescription.
 Abation of swelling.
 Fading of bruising.
 Numbness.
 Resumption of normal activity.
 Final result.

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FOR FASTER RECOVERY
Drink enough water to prevent dehydration
Avoid alcohol for a couple of days, both before and
after surgery
Avoid using ice packs or heating pads on the treated
areas
Postpone any submersion in water for at least a week
(bathtub, swimming pool, river, etc.)
If any dizziness is experienced, the patient should
take it easy: stand up slowly, get some help for the
shower, remove the compression garment slowly, etc.
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POSSIBLE COMPLICATIONS
Common
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Bruising
Swelling
Scars
Pain
Numbness
Limited mobility
Uncommon
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Allergic reaction
Infection
Damage to the skin
Spotted appearance on the
skin surface
Skin necrosis
Puncture of an internal organ
Contour irregularities
Thromboembolism and fat
embolism
Burns
Lidocaine toxicity
Fluid imbalance
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WHAT WILL A PATIENT SHELL OUT?
Table of Approximate Surgical Fees in the United States of America
Body Area
Approximate Lower End of
Range of Surgical Fee ($)
Approximate Upper End Range
of Surgical Fee ($)
Abdomen, upper & lower
3,000
7,500
Abdomen, lower
Arms
Back, female
Breasts, female
Breasts, male
Buttocks
2,000
1,500
1,500
3,000
3,000
1,500
2,000
5,000
4,000
7,500
5,000
4,500
Chin, Cheeks, Jowls, Neck
2,000
4,500
Flanks, male
2,000
5,000
Anterior Thighs & Knees
2,000
5,000
Inner (Thighs & Knees)
2,000
5,000
Hips/Waist
1,600
5,000
Outer Thighs
1,600
5,000
(Total fee = All Surgical Fees + Non-Surgical Fee). If an anesthesiologist is required, then an
additional fee must be anticipated.
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LIPOSUCTION CAN BE DONE ALONG WITH…
Abdominoplasty
 With a hip, thigh or buttock lift
 Wrinkle removal
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ALTERNATIVES TO LIPOSUCTION
Change diet to lose some excess body fat.
 Exercise.
 Accept your body and appearance as it is.
 Use clothing or makeup to downplay or
emphasize body or facial features.
 Ultrashape non-surgical lipolysis.
 Collagenase chemical lipolysis.
 Anti-Obesity drugs.
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LIPOSUCTION FOR MEN? WHY NOT?
The procedure remains the same
 The patient must not be embarrassed
 It is more expensive
 Common areas of the body:
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 Chest
(Gynecomastia)
 Abdomen
 Neck
 Flanks
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CONCLUSION
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REFERENCES
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Advances in liposuction and fat transfer. (Procedures in
Therapeutics) Gerhard Sattler. Dermatology
Nursing. April 2005 v17 i2 p133(7).
Wikipedia: http://en.wikipedia.org/wiki/Liposuction
Ultrasound-assisted lipoplasty Joy L Pine; Lisa J Smith;
Melinda J Haws; Mary K Gingrass Plastic Surgical
Nursing; Fall 2003; 23, 3; Health Module pg. 101
http://health.howstuffworks.com/liposuction.htm
http://www.liposuction.com
http://www.tuckthattummy.com/abdominoplasty.htm
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