(Lipoplasty)
Liposuction is the most popular plastic surgery among women, according to the American Society of Plastic Surgeons. It is also called suction-assisted lipectomy, suction lipectomy or fat suction. This procedure, devised by a French gynecologist in response to a patient''s prodding, used the suction apparatus reserved for rapid abortions to "get rid of fat."
The technique removed unwanted fat deposits from specific areas of the body including upper arms, chest, abdomen, buttocks, hips, thighs, knees, calves and ankles.
-The 2001 Report of the 2000 Procedural Statistics American Society of Plastic Surgeons
Liposuction is not a substitute for legitimate weight reduction programs, but rather a method of removing localized fat that won''t respond to dieting and exercise. Since the newly formed contour is dependent upon contraction of the overlying skin, the best candidates for liposuction are those patients who are young with good skin quality and not obese.
Liposuction is almost always an outpatient procedure. The location can be a properly outfitted office, outpatient surgery center or hospital. It can be done under local anesthesia, local anesthesia with sedation or general anesthesia. Very small incisions are made to insert the vacuum-suction tube underneath the skin. These are deliberately placed in inconspicuous locations. Following surgery, a snug girdle or body stocking is worn over the treated areas to reduce swelling and bruising and encourage your skin to conform to the new underlying architecture. The garment may have to be worn for several weeks.
Though return to work and normal duties takes place within a few days, strenuous exercise may be uncomfortable for two to four weeks following the procedure. A variety of modifications regarding technique and equipment design have been adopted since liposuction was first introduced in the United States in the 1980s.
Liposuction was the most popular cosmetic surgical procedure among women with 302,236 performed.-The 2001 Report of the 2000 Procedural Statistics, American Society of Plastic Surgeons
These refinements have made the procedure less traumatic and produce better results. Over time, much smaller suction tubes evolved minimizing incisions and improving the evenness of the suctioning. Several years ago, researchers developed Ultrasound-Assisted Lipoplasty (UAL) whereby fat is liquefied prior to suction removal for better contouring. Power-Assisted Lipoplasty (PAL) has recently been introduced where fat is more easily removed through vibration of the suction tube.
This procedure however, has the potential to cause lumpiness, particularly in the hands of less experienced surgeons. The most recent modification is known as Vaser-Assisted Lipoplasty (VAL) where intermittent sound waves liquefy the fat, allowing for a more rapid and precise process. All of these recent advances are advantageous for some, but not all, patient situations.
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