Liposculpture Information for New Patients
Patients embarking on Liposuction Treatment will be required to attend the practice several times. The visits can be divided as such:
- Initial Consultation
- Second (Follow Up) Consultation
- Treatment Day
- First Post Op Visit (within the first week)
- Second Post Op Visit (within 3 months)
- Third Post Op Visit (between 6 and 12 months)
Patients will be required to fill out a Medical Questionnaire prior to their initial Consultation. During the first visit with Dr Paraskevas, your past and current medical history will be reviewed along with a thorough physical examination. Measurements, Weight, Height and Vital Signs will be recorded for future reference.
The areas to be treated will be examined with particular emphasis on the patient’s concerns and desired outcome. Dr Paraskevas will also offer advice that will improve the outcome of the procedure and this may involve treatment of contiguous related areas and fat transfer. He may also advise to break up the procedure into smaller parts to minimise complications and adverse events.
Dr Paraskevas may make some preliminary markings on the areas that will be treated and take photos of these areas for your file.
In addition to this, Dr Paraskevas will order several tests which will include:
- Full Blood Count, Liver Function Tests, Kidney Function Tests;
- Thyroid Function Tests;
- Fasting cholesterol and blood sugar levels;
- Hepatitis B, C and HIV status;
- Clotting Profile;
- beta HCG Levels (in women of child bearing age)
- ECG or stress ECG - for patients over the age of 60 or with a history cardiovascular disease
- Breast Ultrasound/mammogram (in patients undergoing breast liposuction.
- Thyroid ultrasound (may be requested in patients undergoing Chin Liposculpture)
Patients will be provided with a detailed and comprehensive Information Document and a preliminary plan for their liposuction procedure which will be discussed in great detail during the initial consultation.
At this visit, patients will have the opportunity to further discuss the areas of concern and also run through any questions regarding the treatment, its complications and post treatment phase.
Photos will be reviewed and compression garments will be measured out in preparation for the treatment.
Patients will be given a script for prophylactic antibiotics which will be started the day prior to the procedure. A detailed Pre Procedural Instruction sheet will be provided which will outline what to do in the weeks and days leading up to the procedure.
You will be required to fast for at least 6 hours before the procedure and will also need arrange for a family member or friend to drive you in and home. Alternatively we can arrange transport for you if required. On your arrival, you will have a final pre-operative consultation with Dr Paraskevas before the procedure. The areas to be treated will be marked with a special marking pen and final photographs will be taken.
Patients will be given medication that will help them relax, reducing anxiety and also providing some pain relief. Dr Paraskevas does not use intravenous sedation and prefers that patients are alert and awake during the procedure. You will remember very little of the procedure afterwards. One of the major advantages of performing liposuction under mild oral or intramuscular sedation is that Dr Paraskevas can better assess the areas treated by having the patient stand up towards the end of the procedure and marking out any irregularities or areas that require more contouring. This is vital to obtaining a uniform, balanced and symmetrical result.
As liposuction is a sterile procedure, your skin is cleaned with antiseptic solution. Small 2-3 mm incisions are then made which will act as access points for the infiltration of local anaesthetic and removal of fat. These incisions are very small and DO NOT require suturing after the procedure.
Once the local anaesthetic solution has been infiltrated into the fat, a very thin metal tube with a blunt tip and small holes at the end, referred to as a “Cannula”, will be used to help break up the fat and then gently suction the fat out. The fat will be collected in special collection canisters and disposed of at the end of the procedure.
Once finished, 2 compression garments will be fitted and foam pads will be placed in between the garments over the incision points. The compression garments, will be kept on continuously for 24 hours and then worn over 2-3 weeks to help reduce swelling, bruising, and importantly help the skin retract after the removal of the fat.
After the procedure, you will be observed in the “Recovery Room” until you are ready to go home. You will not be allowed to drive and as such will require transport. The nurse will carefully point out the important post procedure instructions and provide a Liposuction Pack” which will contain post-operative medications (analgesics, anti-emetics) and extra foam pads. Patients will be able to contact Dr Paraskevas any time should they have any concerns during the recovery period at home.
Power Assisted Liposculpture (PAL)
Because it can be difficult to move a cannula back and forth through fat tissue, surgeons are not always able to effectively remove all the unwanted fat. Power Assisted Liposculpture, involves using a special motorized device to which the cannula is attached. This device allows the cannula to vibrate and oscillate back and forth which in turn helps to break up fat so that it can easily be suctioned out. Examples of Power Assisted Liposculpture devices are the “Micro Air” and the “Power X”.
Fibre optic laser fibres can be used to help melt small remnants of fat at the end of the Liposculpture procedure. This helps create a more defined and uniform result and also helps with skin retraction or tightening. An example of a Laser Lipolysis machine is the SmartLipo.
Autologous Fat Grafting is a fantastic adjunct to the Liposculpture procedure. Fat can be removed with special cannulae, harvested and purified and then reinjected into areas of the body to improve contour, to augment and to rejuvenate. Fat grafting for buttocks augmentation is one example. It can provide a fuller, more aesthetic shape to the buttocks, further enhancing the hour glass figure obtained with liposuction of the flanks and abdomen. Another example is fat grafting into areas of the face such as the cheeks (malar area) to provide a youthful, heart shape appearance that is lost with age. This injected fat will have the added benefit of rejuvenating the face as it contains stem cells and many growth factors.