In our clinic, it can be done with normal, laser, and vaser devices according to the characteristics and needs of our patients.
It is performed under general anaesthesia or local anaesthesia, the areas where fat removal is deemed appropriate before the procedure are marked and determined. Fats are removed from holes smaller than 1 cm with the help of special cannulas and internal vacuums. Then these inlet holes are closed with thin threads, or sometimes no stitches are made. The procedure takes 1-2 hours, depending on the region of the environment.
Contrary to what is thought, liposuction can be performed easily with local anaesthesia, and the patient can go home on the same day after the procedure. Local anaesthesia is a common type of anaesthesia except for combined procedures.
A laser or vaser device is added to the liposuction procedure for some regions and patients. The vaser device is a technology that makes the fats thinner before the liposuction process with ultrasound waves, shapes them like ‘six-pack’ in men and ‘two-pack’ in women, and reduces the fluctuating appearance after surgery by removing the fats. Laser, on the other hand, is a method that is very effective in tightening the skin, especially in the arm-tickle-lower abdomen and thigh, and tightens the skin with its heat energy and healing increasing effect in the long term. In some patients, two methods can be combined.
It is the most commonly performed procedure in recent years. The fat taken can be injected into areas such as desired buttocks, etc. after being subjected to special containers and procedures. This fat transplant procedure is an entirely different surgery.
It is unlikely if there is no severe weight gain or internal severe medical disease. Fats are permanently removed, and re-lubrication is unlikely in small amounts of weight gain and loss. This situation should be optimized with regular sports and a balanced diet.
It is the biggest problem for many patients. Fat removal is the regular removal of fat between the skin and muscle layer by a closed system. After this procedure, the stretching-loosening skin due to the fats will adapt to the muscle layer over time. The important thing here is that the top subcutaneous layer is protected in a controlled way. Excessive skin adaptation depends on the person’s genetic factors, skin quality (skin elasticity /smoking / circulatory quality ). Irregularity-fluctuation after liposuction is a common condition, albeit slightly. To reduce this situation, proper corset use, the addition of vaser / laser devices if necessary, long-term controlled diet, and sports are significant. Smoking is the primary factor affecting skin adaptation and elasticity. Smoking should be stopped altogether.
The biggest misconception of many patients is that liposuction is not a weight-loss method and can never be. However, it is a method that reduces regional fats. Unfortunately, all patients care about the amount of fat tissue removed, but weight gain can even be observed in patients, especially in the early period due to our body’s defence mechanism. This condition is temporary, it occurs due to oedema in the early period, and if a good diet and well-performed surgery are combined, results start to be obtained from the second month.
General precautions include previous hernia surgery or known hernia, blood thinners, presence of a known internal disease, and smoking. Smoking is the most critical factor that prevents skin adaptation. Fluctuation-irregularity after the procedure is highly likely in smokers.
It is not recommended for overweight patients, those with internal disorders such as diabetes-hypertension and heart diseases, those with rheumatological disorders, patients with a history of the previous clotting, those who have recently undergone another surgery ( such as abdominal hernia, etc.) in the area where liposuction will be performed.
After liposuction, corsets should be used carefully for at least three weeks; the special corsets given to you accelerates this adaptation of your skin, which is loose and will adapt to the muscle layer after the procedure and prevents excessive oedema. Special massages will be described how performed in some areas after the surgery; it is essential to apply massages. Increasing stimulus with external massage will increase skin lymph drainage and increase blood circulation. As before the procedure, smoking will adversely affect recovery. Liposuction should be followed by a diet for at least 3-6 months and combined with sports after the fourth week.
If it is performed under local anaesthesia, you will be discharged after a short observation, and if it is performed under general anaesthesia for one night after observation by describing dressing and massage methods. It is common for oedema fluids to leak from the inlet holes for the first 3-5 days. This will be described to you. Regional pain is normal and tolerable for the first 3-5 days. After the tenth day, a controlled return to social life is expected.
Scars of entry holes not larger than 1 cm according to the region for the procedure are usually stored in anatomical folds, and these minimal scars, although prominent in the first months, fade over time. Minimal vague scars are expected based on extensive incision procedures.
After an average of ten days, you can start walking, active exercises as of the third week, and heavy exercises as of the sixth week.