Liposuction, micro liposuction & lipo-sculpture in Geneva – Switzerland by Dr Xavier Tenorio at Aesthetics – Geneva.

1. What is a liposuction?
2. Type of anesthesia
3. The surgery and follow-up
4. Results and complications
5. Contact, make and appointment
6. Price
7. Photos (before and after)
8. Blog ‘Reviews’
Author: Dr Xavier Tenorio

 

Also known as Suction-Assisted Lipectomy, this technique allows the definite removal of localized fat deposits, which generally does not respond to an appropriate diet and physical activity. Body areas suitable for this proceedure include the; chin, neck, cheeks, arms, abdomen, buttocks, hips and thighs.

Since the number of fat cells are genetically determine and they cannot multiply, the aspirated tissue will not return, however the remaining fat will respond to the usual metabolism of the patient.

Definition
Liposuction allows the radical and definitive removal of localised fat. Its best indication is the removal of those locations impossible to modify despite a good diet and  regular physical exercise. On the other hand, liposuction does not constitute a method to become thinner and its goal is not to control the patient’s weight nor act as  a treatment of obesity.

Principles
Liposuction (developed in 1977 for Yves-Gerard ILLOUZ), consists of the aspiration of fat through very thin tubes inserted through small incisions. The tube is connected to a pump producing negative pressure, allowing a uniform suction. Fat cells do not have the faculty to multiply, thus the result is definitive. In practice, liposuction can be applied to a great number of areas of the body: the “love handles”, hips, the abdomen, thighs, knees, calves, ankles and arms. Its technical improvements also have made it possible to extend its action to the level of the face and the neck (double chin, oval of the face). The overlaying skin is expected to retract improving its quality. However, it is necessary to keep in mind that liposuction, despite of its extremely widespread use during these last years, must always be seen as a true surgical operation which must be performed by a qualified plastic surgeon.

Before the surgery
During an appointment with Dr Xavier Tenorio, specialist in Plastic & Aesthetic Surgery, a full evaluation and careful examination will be performed. The motivations and the requests of the patient will be analysed and an attentive study of the localized fat deposits and its relationship with the rest of the body will be done. The fees of this first consultation will be completely refunded by deducting them from the surgical fees.

Drugs containing aspirin should be stopped 10 days preceding the surgery.

Types of anaesthesia and hospitalisation, liposuction Geneva
Anaesthesia: A liposuction can be carried out under general, regional or local anaesthesia deepened by sedatives. The choice between these different techniques will result from a discussion between you, the surgeon and the anaesthetist.
Hospitalization: The post-operative time required to remain in the clinic depends on the amount of fat that has been removed ranging from few hours to one or two nights.

The surgery
The incisions are very short (about 3 or 4 millimetres) and discrete, since they are generally hidden in a natural folds. Fat is aspirated using tubes of different diameter that create an even network of tunnels which respect the vessels and the nerves.

The quantity of fat to be aspirated is adapted to the quality of the overlying skin and  constitutes one of the main factors determining the quality of the result. A modelling bandage is then made with elastic bands or a panty. The surgery may take from one to two hours.

Follow-up
It should be noted that the time necessary to recover from a liposuction is proportional to the quantity of extracted fat. Bruises and swelling appear on the level of the treated areas. The pain is variable, but in general not significant, thanks to the use of very fine tubes. The patient may feel a bit tired after a major lipoosuction. Normal activity could be begun again 4 to 7 days after the surgery. The bruises reabsorb within 10 to 20 days. Elastic clothing is advised to wear during 2 to 4 weeks. Sports activity can be resume 3 weeks after the surgery. It is only at the end of 3 weeks, and after the reabsorption of oedema, that the result will start to appear. The skin may need approximately 3 to 6 months to retract completely on the new contours and to adapt to the new silhouette.

The results and complications
The final result will be visible only six months after the surgery. The liposuction allows definitively removal of located overloads of fat, while involving an appreciable retraction of the skin.

Imperfections
A liposuction correctly administered offers a satisfactory result. In some cases, localised imperfections can be observed, without constituting real complications. These include, insufficiency of correction; residual asymmetry; irregularities of surface. They are, in general, accessible to a complementary treatment under simple local anaesthesia from the 6th post-operative month.

Possible complications
A liposuction, although carried out for aesthetic motivations, is an important surgical procedure, which carries the risks related to any medical operation. It is necessary to distinguish the complications related to the anaesthesia from those related to the surgical procedure.

With regard to the anaesthesia, the anaesthesiologist will inform you about the anaesthetic risks. It should be known, indeed, that the techniques, the anaesthetic products and the methods of monitoring have made immense progress these twenty last years, offering an optimal safety.

Concerning the surgical procedure, by choosing a qualified surgeon one limits these risks.  The complications that can appear during this procedure include:
Thrombo-emboli formation (phlebitis, pulmonary embolism)  although overall rather rare, is among the most frightening complication. Rigorous precautionary measures are used to minimise these incidences. These include, the use of anti-thrombosis agents, early mobilisation and if needed anticoagulant treatment.
Haematoma formation, in fact rare, can justify drainage in order to avoid a secondary deterioration of the aesthetic result.
Infection, which is very rare, will require surgical drainage and an antibiotic treatment.
Seroma formation, the most common complication, can be observed from the 8th day and results from the collection of lymphatic liquid. It can be simply aspirated generally without any particular after effect.
Decrease of the sensitivity of the sub-umbilical area can be observed, but this returns within three to 12 months.

Conclusion
To conclude, a liposuction is a simple procedure, whose complications are very rare but present. The recourse to a qualified plastic surgeon decreases the risks and ensures you that any complication will be treated effectively.

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