DR. MOHAN THOMAS
BEST COSMETIC SURGEON IN INDIA
Liposuction is the most commonly performed cosmetic surgery procedure world - wide. There is a rising trend towards larger volumes in liposuction. Increasing number of "over weight" people, rising awareness levels, peer pressure to look good and increase in safety profile of liposuction have contributed to marked increase of cosmetic surgeries performed and larger volumes being aspirated.
Aspiration of more than ten liters of fat in one session is termed Mega Liposuction. The number of mega liposuctions being performed is increasing world - wide as more and more surgeons are getting convinced of its safety. Up to twenty liters of fat can be aspirated in one sitting in well - selected cases and in a hospital setting with good back up and infrastructure. Mega liposuction should be performed under GA as most of these cases require circumferential liposuction.
Benefits from Mega Liposuction Surgery
Sudden improvement in contour.
Increased motivation to stay in shape.
Positive sustained change in lifestyle more likely.
Liposuction is not meant for weight loss, the main aim is to create a good body contour. When large volumes of fat get aspirated, amount of weight loss also happens. The more elastic the skin, better the liposuction results.
Liposuction is not a substitute for a poor lifestyle - maintaining the results requires calorie restricted diet and regular exercises. Liposuction removes most of the fat cells in the areas treated, hence the chance of putting on fat in these areas get reduced.
Removal of the subcutaneous fat is followed by healing and readjustment of the skin to the new contour. However, if you have loose skin as a result of pregnancy or sudden weight loss, the skin will become more sagging after liposuction. Such cases require a "Lift / Tuck" procedure in addition.
Mega liposuction can be safely carried out by an experienced surgeon and anesthesiologist. Standard risks of anesthesia do exist when the procedure is done under General Anesthesia. As liposuction removes fat from under the skin only, without any damage to internal organs, there are no long term health risks. As most of the mega liposuctions are performed under General Anesthesia, monitored anesthesia is very important. General Anesthesia offers maximum comfort to the patients as contouring of front back and sides can be performed without subjecting patients to inconvenient positions.
It is important that such surgeries be performed at a good surgical facility with all back up facilities and supportive measures. This clearly is not a surgery to be performed in small clinics or nursing homes. Bruising, swelling and soreness are to be expected after surgery. These are temporary effects of surgery and are expected to resolve in 3 - 4 weeks. Major risks include pulmonary edema, hemorrhage, and toxicity from the local anesthetic used. There are fortunately rare. Patients who are high - risk for pulmonary embolism need appropriate preventive measures.
Improved Results of Megaliposuction
Small diameter canulas have improved the results in SAL. There is less chance of contour irregularities and of damage to blood vessels and nerves.
Also the size of access points can be reduced with the use of finer canulas. Ultrasound assisted lipectomy (UAL) and power assisted lipectomy (PAL) have reduced surgeons work effort. These new techniques are advantageous only in scarred areas and in secondary liposuctions. Although newer instruments have certain advantages to them, ultimately the quality of result achieved is dependent on the skills of the surgeon.