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Liposuction

  What is Liposuction?

Liposuction is a cosmetic procedure that can help sculpt the body by targeting your troubled spots to create a slimmer, more proportional shape. In just a few hours, Fat is permanently removed from under the skin with the use of a vacuum-suction canula (a hollow pen-like instrument) or using an ultrasonic probe that emulfsies (breaks up into small pieces) the fat and then removes it with suction. The surgery may include more than one site, for instance, the abdomen, back, and thighs all on the same day. It is also used to reduce breast size in men with large breasts (gynecomastia) or to remove fat tumors (lipomas) but it is most commonly used for cosmetic body shaping. However, be reminded that Liposuction is a procedure for shaping the body and is not recommended for weight loss.

 

  Price & Packages

 

  PROCEDURE   PRICE (THB)   Type
  Tumescent   50,000 THB   per site with 1 night stay
  Vaser   66,000-74,000 THB   per site with 1 night stay

*An area with very large amounts of fat may be charged as two sites

 

  Preparation for Liposuction

The surgeon will provide a list of instructions on what to do before the surgery. For example, you need to stop smoking, drinking alcoholic beverages, taking hormonal pills, herbal supplements, and medicines (other than those that your doctor allows you continue), at least two weeks before your schedule. People with diseases need surgical clearance from their medical specialist. Muscle-toning exercises and a proper diet before liposuction will contribute to better results of the surgery. Your speedy recovery will depend on your ability to follow these instructions. It should be your number one priority.

 

  Procedure

 

 

1. A large volume is injected into the target area. This solution contains Lidocaine (anesthetic effect) and epinephrine (decreases bleeding).

2. A special cannula (diameter = 2, 3, 4 or 5mm) is inserted through a tiny skin incision and fat is suctioned.

3. Surgeon closes the incision with stitches.

4. Surgery time is 1 hour per site and the procedure is performed under general anesthesia.

 

  Liposuction Risks

It is necessary that patients are aware of the limitations and potential complications of liposuction surgery. You should look for as much information as you can before making a decision which surgery suits ypu best and be prepared for the outcome.

 

Infections could occur after any surgery and may also occur after liposuction. Several surgeons prescribe an antibiotic to all patients undergoing liposuction but other surgeons choose not to. It is vital to always keep the wound(s) clean yet even if you do, infections may possibly occur from the surgery.

 

Embolism can happen once fat is loosened and moves into the blood via blood vessels ruptured (damaged) during the procedure. Bits of fat become stuck in the blood vessels, accumulate in the lungs, or reach the brain.

 

Shortness of breath or difficulty of breathing is a sign that fat clots have occurred in the lungs (pulmonary emboli). Should you have the signs or symptoms of fat emboli after surgery, it is crucial that you ask for emergency medical care immediately. Fat emboli may result in long-term disability and in rare cases, it could be fatal.

 

Visceral Perforations (puncture wounds in the organs) can happen during the course of the surgery, the surgeon cannot see exactly where the canula or probe is. It is possible to puncture or damage internal organs during the procedure. Visceral perforations can also be fatal.

 

Seroma is the condition where serum accumulates in the spots where tissue was removed during surgery. Serum is the fluid portion of your blood.

 

Nerve Compression and Alterations in Sensation - you could possibly experience "paresthesias" which is a changed sensation at the area of the surgery. This could possibly be in the form of a heightened sensitivity (pain) in the area, or the lack of any sensation (numbness) in the area. In case these changes in sensation continue for a long time (weeks or months) you need to inform your surgeon. In rare cases, these changes in sensation could be permanent.

 

Swelling or edema may possibly happen after surgery. Occasionally, swelling could continue for weeks or months.

 

The skin on top of the area where fat was removed can become necrotic (necrosis = death). Necrotic skin could be infected with bacteria and become the source of infection. Dead skin changes in color and may fall off.

 

Burns can happen during the course of ultrasound-assisted liposuction, the ultrasound probe could become very hot that can result in burns.

 

Fluid imbalance results when considerable amounts of liquid are removed with the fat during surgery. Fat tissue contains large amounts of liquid. Surgeons also inject fluids during the procedure and this adds to the fluid imbalance. It can develop critical conditions such as heart problems, excess fluid collecting in the lungs, or kidney problems as your kidneys attempt to preserve fluid balance.

 

Significant amounts of fluid with lidocaine are usually injected during liposuction. This could give you too much doses of lidocaine. The signs of this are lightheadedness, uneasiness, drowsiness, tinnitis (a ringing in the ears), slurred speech, metallic taste in the mouth, numbness of the lips and tongue, shivering, muscle twitching and convulsions.

 

  After Breast Augmentation Surgery

 

Post-Operative Care

  • A day after surgery, patient may do light to moderate physical activities.
  • Strenuous activities may be gradually resumed 1 month after surgery.
  • Wrap treated area with compression bandage snugly and continuously for 6 days to 2 weeks.
  • Do not apply icepacks or a heating pad to skin overlying the areas treated by liposuction.
  • Do not soak in a bath, Jacuzzi, pool or beach at least 7 days after surgery.
  • Keep incision clean.
  • Patient may take a shower 2 days post-surgery.
  • Return for follow-up check as scheduled for removal of stitches.

 

It might take a few months for the swelling to completely resolve after liposuction surgery. As it does, your new contours and improved self-esteem will continue to build up. The satisfaction you get from the early results of liposuction would continue provided that you take control of your weight and follow a healthy lifestyle. A substantial weight gain may reverse your results. Following liposuction, your slimmer and better-proportioned body ought to reflect the healthy and active life you live.

 

  Before and After Photos

Here are Before & After pictures that clearly show the amazing results of the breast enlargement procedure. These images are used with permission from Yanhee Hospital clients, and have not been retouched or modified in any way.

 

 

 

  FAQs

 

Q1: Will I be conscious during the procedure?

A1: You will be asleep under general anesthesia.

 

Q2: Will liposuction on my tummy make it perfectly flat?

A2: Liposuction removes excess fat under the skin but it will not remove the fat inside the abdominal cavity. Thus, if you are overweight, you can expect to have a slimmer, but not completely flat, belly.

 

Q3: How long do I have to stay in Bangkok?

A3: Your surgeon will ask you to stay near Bangkok for 7-10 days for post-surgical follow up.

 

Q4: Is the result permanent?

A4: A good weight control diet and toning exercise regimen will help you keep your post-liposuction form. Pregnancy and significant fluctuations in weight will negate the results of surgery.

 

Q5: Tell me about the scars.

A5: You will have a very small scar per area done where the liposuction tube is inserted.

 

Q6: Will liposuction remove cellulite?

A6: Skin surface irregularities such as cellulite cannot be solved by having liposuction.

 

Q7: How long is the recovery period?

A7: There will be swelling and bruising, most of which will resolve in about 2 weeks. The degree of post-surgical soreness will depend on the number of areas done. Limitation of physical activity must be observed for about 4. Full wound maturation will gradually occur over 6-12 months.

 

Q8: What could go wrong?

A8: Some risks of surgery include bleeding, adverse response to anesthesia, infection, delayed healing, fat necrosis, nerve injury , skin contour irregularities, sagging of skin, keloid at sites where the liposuction tube is inserted, and need for revision surgery.

 

Q9: How do I prepare for surgery?

A9: To avoid complications and reduce risk factors you need to stop smoking, drinking alcoholic beverages, taking hormonal pills, herbal supplements, and medicines (other than those that your doctor allows you continue), at least two weeks before your schedule. People with diseases need surgical clearance from their medical specialist. Muscle-toning exercises and a proper diet before liposuction will contribute to better results of the surgery.

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