LIPOSUCTION!
Presented by:Sweety Bafna
Under the guidance of:Mrs.Sheeja Koliyote
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STRUCTURE OF SKIN
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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.
WHAT IS LIPOSUCTION?
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AREAS FOR LIPOSUCTION
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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CRITERIA
OVER 18
IN GOOD HEALTH
DIET AND EXCERCISE
NO HEALTH COMPLICATIONS
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GENERAL PROCEDURE
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TECHNIQUES
DRY LIPOSUCTION
WET LIPOSUCTION
SUPERWET LIPOSUCTION
TUMESCENT LIPOSUCTION
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•1litre lactated Ringer solution
•1ml 1:1,000 Epinephrine
•25cc 1% Xylocaine
General Anaesthesia
•1litre lactated Ringer solution
•1ml 1:1,000 Epinephrine
•50cc of 1% Xylocaine
•100cc of Soduim bicabonate
Local Anaestheiti
c
•Xylocaine amounts are reduced so as not to exceed the maximum recommended dose of 35mg/kg (Klein, 1990)
Large Volume
Liposuction
CONSTITUENTS OF A FLUID INJECTION
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SUCTION ASSISTED
LIPOSUCTION
ULTRASOUND ASSISTED
LIPOSUCTION
POWER ASSISTED
LIPOSUCTION
EXTERNAL ULTRASOUND
ASSISTED LIPOSUCTION
LASER LIPOSUCTION
MECHANISMS
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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
Involves a cannula that produces ultrasonic energy. Three generations of cannula.
ADVANTAGES
• 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
• 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
Ultrasound energy is applied from outside the body, through the skin
ADVANTAGES
• 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
• The method is still crude
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EXTERNAL ULTRASOUND BEING DELIVERED THROUGH THE SKIN BY ATRANSDUCER OF 1 MHZ.
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POWER ASSISTED LIPOSUCTION
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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ADVANTAGES• No burning
risks as with UAL
• Fibrous tissue can be easily treated
DISADVANTAGES
• Difficult to handle
POWER ASSISTED LIPOSUCTION
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LASER LIPOSUCTION Use of lasers with traditional
liposuction methodsADVANTAGES
• 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
• More expensive• No FDA
approval
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A COMPARISON
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LASER LIPOLYSIS CANNULA
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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.
MICRO LIPOSUCTION
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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
STITCHES
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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.
CANDIDATE PREPARATION
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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.
RECOVERY
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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.
FOR FASTER RECOVERY
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Common Uncommon Bruising Swelling Scars Pain Numbness Limited mobility
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
POSSIBLE COMPLICATIONS
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Table of Approximate Surgical Fees in the United States of America
Body AreaApproximate Lower End
of Range of Surgical Fee ($)
Approximate Upper End Range of Surgical Fee
($)
Abdomen, upper & lower 3,000 7,500
Abdomen, lower 2,000 2,000 Arms 1,500 5,000
Back, female 1,500 4,000Breasts, female 3,000 7,500Breasts, male 3,000 5,000
Buttocks 1,500 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 5,000Outer 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.
WHAT WILL A PATIENT SHELL OUT?For more presentations and information visit http://www.pharmaxchange.info
Abdominoplasty With a hip, thigh or buttock lift Wrinkle removal
LIPOSUCTION CAN BE DONE ALONG WITH…
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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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The procedure remains the same The patient must not be embarrassed It is more expensive Common areas of the body:
Chest (Gynecomastia) Abdomen Neck Flanks
LIPOSUCTION FOR MEN? WHY NOT?
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CONCLUSION
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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.ht
m
REFERENCES
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Thank you!
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