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Liposuction

Surgical Name:

Liposculpture Suction Lipectomy

Hospital Admission:

Atleast 1 night (Hospital nights will vary on the number of treated areas)

Duration of Operation:

1-2 hours per area

Anesthetic:

General Anesthesia

Recommended stay in Bangkok:

7-10 days

Introduction

Liposuction, also called lipoplasty, liposculpture suction lipectomy or lipo. It involves sucking out small areas of fat that are hard to lose through exercise and a healthy diet.

It’s carried out on areas of the body where deposits of fat tend to collect, such as the buttocks, hips, thighs and tummy. During liposuction, the fat is removed through a hollow instrument – a cannula – which is inserted under the skin. A powerful, high-pressure vacuum is applied to the cannula. Liposuction is indicated to:

  • Clients who have localized deposits of fat in her abdomen, arms, thighs and/or neck, which may be the result of heredity and do not disappear with exercise and diet.
  • Male clients who have fat accumulated under his nipples. Liposuction can remove some of the fat, reducing the swelling.
  • Lipodystrophy syndrome – fat accumulates in one part of the body and is lost in another. Liposuction can improve the patient’s appearance by providing a more natural looking body fat distribution.

Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite – the dimpled skin that typically appears on the thighs, hips, and buttocks – or loose saggy skin.

Preparation for your operation

You will usually have your liposuction under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed atleast 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.

>DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.

Smoking must be stopped at least 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped at least a day or two prior to surgery.

The procedure usually takes atleast 1 hour depending on the number of treated areas requested. You are required to stay in hospital overnight.

Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery.

The Procedure

Step 1 – Anesthesia
Medications are administered. The choices include intravenous sedation or general anesthesia.
Step 2 – Removal of Unwanted Fats
In this procedure, small, thin, blunt-tipped tubes (cannula) are inserted through small cuts in the skin. Your plastic surgeon moves these tubes under your skin to target fat deposits and then suction them out. There are a variety of techniques that facilitate liposuction:

Tumescent liposuction

Several liters of a saline solution with a local anesthetic lidocaine and vessel-constrictor epinephrine (adrenaline) is pumped subcutaneously (below the skin) in the area that is to be suctioned. Epinephrine helps minimize bleeding, bruising and post-operative swelling. The fat is suctioned (sucked out) through small suction tubes (microcannulas). This is the most popular form of liposuction. The amount of liquid pumped into the area may be up to three times the amount of fat to be removed. This volume of fluids creates a space between the muscle and the fatty tissue, allowing more maneuverability for the cannula.

Vaser liposuction

During this surgery, the area to be reshaped is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution (called tumescent solution) wets and fills the area to be treated, making it easier to break up fatty tissue with the VASER Systems ultrasound energy. Next a small probe transmits sound energy (similar to that used for cataract removal from the eye) to fragment fatty tissue on contact while leaving other important tissues largely intact. Finally, the liquefied fat is removed through a gentle suction process designed to minimize damage to the surrounding tissues. Then the muscle structures are chiseled out.

Step 3 – Wrapping the body with elastic bandage and garment
The patient will be fitted with either an elasticated support corset or bandages for the targeted area after the operation. They help reduce inflammation and bruising. They should be worn for several weeks. It is important to follow the doctor’s advice on keeping the area clean and how to do this.

Recovery

It’s normal to feel numbness and tingling, as well as pain for a few weeks post-op. You may also have swelling and bruising during this time.

Walk as soon as possible. It’s important to start moving at a gentle pace as soon as you are able. Walking can help prevent blood clots from forming in your, which can be fatal. Gentle movement may also help you heal more quickly as well.

The incision area may be leaky and drain fluids for a few days. This is normal, and some doctors may insert a drainage tube to remove fluid from the site. Keep your incision covered according to Dr Thanakom’s instructions for bandage changing. Keep the area clean by changing the bandages as necessary.

It is important to wear your compression garment at all times.

Returning to normal activities can take several days to weeks. Dr Thanakom encourage walking right after liposuction to help the body start healing. Most people return to work within a few days and exercise within a week or two. Follow Dr Thanakom’s instructions because doing too much too fast can cause problems. Ask Dr Thanakom when it’s safe to return to daily activities, driving, work, sex, and sports or other leisure activities.

FAQ

How long until I see results?
The length of time until the post-operative swelling has decreased and the permanent results of liposuction become visible depends on the surgeon’s technique. If Dr Thanakom uses the “open-drainage” technique where incisions are not closed with stitches, then most patients can expect 90% of the swelling to resolve in about 4 weeks. On the other side of Dr  Thanakom closes all of the incisions with stitches, then significant swelling may persist for 8 to 10 weeks.
When will I be able to return to work?
This will depend on how strenuous your job is. Most of Dr Thanakom’s patients are able to return to work after a week liposuction recovery period. If your work requires a lot of physical activity, it may be more than 2-3 weeks before you can expect to return.
How long until I can exercise?
Within 2-3 days after surgery, all patients should be physically able to walk around inside the house and go for short walks around the neighborhood. Staying in bed and not walking increases the risk of deep vein thrombosis. Most patients can resume their routine exercising within a few days after liposuction.
What are the risks of liposuction surgery?
Liposuction is relatively safe however there are potential risks that you should be fully aware of before proceeding with surgery. Some possible risks and complications include:

  • Bumpy or Uneven Results
  • Infection
  • Loose Skin
  • Nerve Damage
  • Fat Embolism
Do elastic compression garments prevent seromas?
Compression garments can help prevent seromas. Compression garments reduce both the number and size of seromas. The most important measure in the prevention of seromas is the use of micro-cannulas to reduce the degree of surgical trauma caused by liposuction.

Liposuction Prices

Prices include all hospital, operating room, anaesthetists' and doctors' fees, a single private room, standard meals, medications and medical supplies. Generally patients will only pay an additional amount for telephone calls and additional meals extra to the standard hospital supplied meals.

Procedure Price  
Vaser Liposuction 1 Area with GA (GA)
Op. Time: 2 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB70,000 Free Quote
Vaser Liposuction 2 Areas with GA (GA)
Op. Time: 3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB100,000 Free Quote

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