Purpose: To improve shape and size of different areas in the body
Length of operation:1-2 hrs
Anaesthesia: General anaesthetic
Inpatient stay: 1 day
Followup: 1 week, 3 months, 6months and 1 year
Time off work: 2 weeks
Recovery: 3 weeks
Risks: Swelling, bruising, scar, infection, bleeding, skin necrosis, asymmetry, further procedures, deep vein thrombosis.
Liposuction is a procedure to improve the shape and size of different parts of the body. It can be used in virtually all parts of the body and can be usefully combined with open surgery. It is particularly useful in the arms, breasts, tummy and the thigh. The advantage of liposuction is the fact that it is minimally invasive and results in barely perceptible scars.
There are number of methods of liposuction which depend on whether it is done using mechanical devices or not. Dr Sanjay Azad uses mechanically assisted liposuction to get greater control and better results with the technique. He also uses the standard practice of infiltrating substantial amounts of diluting fluid (mix of normal saline, local anaesthetic and adrenaline). This makes liposuction easier and also contributes substantially to postoperative pain relief.
The results are generally excellent with high satisfaction rates. In this information system we shall go through the whole procedure, giving you a view of what Liposuction involves in terms of the operation, hospital stay, recovery and the complications. I am quite happy to see you again for a second consultation, so that you can clarify any of your doubts.
Procedure / Hospital Stay
It is advisable to stop smoking for 4 weeks and prior to the procedure. On the day of the operation, the surgeon with do skin markings over the area of interest. Photographs for documentation and teaching purposes are standard and will be discussed. The procedure is done under general anaesthetic and takes about 1-2 hours to perform. The procedure is done using multiple stab incisions in skin creases. Liposuction is done using metal cannulae of different sizes. The incisions are closed with a couple of stitches each. This is covered by steri-strips and a small sticky dressing.
Some local pressure with a garment or dressings is essentially straight after the procedure as it reduces discomfort and also helps skin to stick down. It also provides external shaping to the concerned body part. While you are in hospital you will have blood tests, fluids through a drip and pain killers. You will feel quite bruised and swollen after the operation and this settles in due course. We take precautions to prevent clots in your calves by putting on stockings and giving you a blood thinning injection. The hospital stay is conventionally 1day and depends on your recovery, additional procedures and drain removal.
Recovery After Surgery
At discharge, the dressings stay on and you need to attend the dressing clinic in a week time. The dressing is taken down and you should wear a support garment, day and night for 2-3 months. You will be given some pain killers to take home. Further dressings may or may not be required depending on the wound. You will be seen again in 3 months time. Photographs will be taken at this stage.
You should avoid smoking for 4 weeks after the procedure. Recovery is individual, but most patients get back to work and driving in 3 weeks time. Swimming is usually possible at about 8-10 weeks time. The liposuctioned area is best assessed at 6 months after surgery. Occasionally further procedures may be necessary to get the desired result.
Overall results are excellent but there are some well known limitations, risks and complications which you should be aware about:
- Asymmetry of body parts (as two sides tend to be always slightly different).
- The body is never static and will change with age and weight changes .
- Haematomas (blood clot, which is rare).
- Seromas (collection of body fluid)
- Skin necrosis
- Loss of sensation due to bruising and swelling around the superficial nerves and this is a temporary phenomenon
- Fat aspirated is measured and documented for future reference.
- Further procedures may be occasionally necessary to achieve the desired result.