presented by: sweety bafna under the guidance of: mrs.sheeja koliyote for more presentations and...

LIPOSUCTION!

Presented by:Sweety Bafna

Under the guidance of:Mrs.Sheeja Koliyote

For more presentations and information visit http://www.pharmaxchange.info

http://www.pharmaxchange.info/

STRUCTURE OF SKIN



oLiposuction is defined as the removal of fat from deposits beneath the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. oLiposuction can be accomplished either with the use of general anesthesia, or with heavy or mild IV sedation, or by local anesthesia.

WHAT IS LIPOSUCTION?



AREAS FOR LIPOSUCTION

Abdomen Hips Outer thighs (saddlebags) Flanks (love handles) Back Inner thighs Inner knees Upper arms Submental (chin) Gynecomastia (male breast tissue)



CRITERIA

OVER 18

IN GOOD HEALTH

DIET AND EXCERCISE

NO HEALTH COMPLICATIONS



GENERAL PROCEDURE



TECHNIQUES

DRY LIPOSUCTION

WET LIPOSUCTION

SUPERWET LIPOSUCTION

TUMESCENT LIPOSUCTION



•1litre lactated Ringer solution

•1ml 1:1,000 Epinephrine

•25cc 1% Xylocaine

General Anaesthesia

•1litre lactated Ringer solution

•1ml 1:1,000 Epinephrine

•50cc of 1% Xylocaine

•100cc of Soduim bicabonate

Local Anaestheiti

c

•Xylocaine amounts are reduced so as not to exceed the maximum recommended dose of 35mg/kg (Klein, 1990)

Large Volume

Liposuction

CONSTITUENTS OF A FLUID INJECTION



SUCTION ASSISTED

LIPOSUCTION

ULTRASOUND ASSISTED

LIPOSUCTION

POWER ASSISTED

LIPOSUCTION

EXTERNAL ULTRASOUND

ASSISTED LIPOSUCTION

LASER LIPOSUCTION

MECHANISMS



SUCTION ASSISTED LIPOSUCTION

Standard method of liposuction

Insertion of a small cannula

It is attached

to a vaccum

Fat is sucked

out



ULTRASOUND ASSISTED LIPOSUCTION

Involves a cannula that produces ultrasonic energy. Three generations of cannula.

ADVANTAGES

• Ability to remove large volumes of fat

• The ability to break up tough and fibrous fats in areas of the body

• Ultrasound liposuction can break up cellulite.

DISADVANTAGES

• Takes a little longer to perform

• Causes tissue burns in some patients

• Results in seroma formation(ball like collection of fluid)



EXTERNAL ULTRASOUND ASSISTED LIPOSUCTION

Ultrasound energy is applied from outside the body, through the skin

ADVANTAGES

• Cause less discomfort for the patient, both during the procedure and afterwards

• Decreased blood loss

• Allow better access through scar tissue

• Treat larger areas

DISADVANTAGES

• The method is still crude



EXTERNAL ULTRASOUND BEING DELIVERED THROUGH THE SKIN BY ATRANSDUCER OF 1 MHZ.



POWER ASSISTED LIPOSUCTION

Uses a powerized cannula which moves through the fat tissue in a rapid motion.

There are two different types of motion



ADVANTAGES• No burning

risks as with UAL

• Fibrous tissue can be easily treated

DISADVANTAGES

• Difficult to handle

POWER ASSISTED LIPOSUCTION



LASER LIPOSUCTION Use of lasers with traditional

liposuction methodsADVANTAGES

• No problems of skin burning

• Also helps in skin tightening

• Increases the safety standards of the procedure

• Decreases the recovery period

• Extremely painless and accurate

DISADVANTAGES

• More expensive• No FDA

approval



A COMPARISON



LASER LIPOLYSIS CANNULA



Removal of small areas of fat through tiny tubes and very small incisions.

Performed on the face, especially the cheeks, neck, under the chin, and the jowls.

Cannulas used range in diameter from 1.5mm to 6 mm in diameter.

MICRO LIPOSUCTION



Surgeon’s decision

Some surgeons leave the incision open

Some stitch them only partially

Others delay stitching

Also when the fluid is draining, dressing needs to be changed often

STITCHES



No anticoagulants, Aspirin, Vitamin E should be taken for two weeks before the surgery.

If receiving general anesthesia, and the surgery will be in the morning, fasting from midnight the night before is required.

If only local anesthesia will be used, fasting is not required.

Smoking must be avoided for about two months prior to surgery.

CANDIDATE PREPARATION



Compression garment or Ace bandage. Removal of drains and sutures. Any pain is controlled by a prescription. Abation of swelling. Fading of bruising. Numbness. Resumption of normal activity. Final result.

RECOVERY



Drink enough water to prevent dehydration

Avoid alcohol for a couple of days, both before and after surgery

Avoid using ice packs or heating pads on the treated areas

Postpone any submersion in water for at least a week (bathtub, swimming pool, river, etc.)

If any dizziness is experienced, the patient should take it easy: stand up slowly, get some help for the shower, remove the compression garment slowly, etc.

FOR FASTER RECOVERY



Common Uncommon Bruising Swelling Scars Pain Numbness Limited mobility

Allergic reaction Infection Damage to the skin Spotted appearance on

the skin surface Skin necrosis Puncture of an internal

organ Contour irregularities Thromboembolism and fat

embolism Burns Lidocaine toxicity Fluid imbalance

POSSIBLE COMPLICATIONS



Table of Approximate Surgical Fees in the United States of America

Body AreaApproximate Lower End

of Range of Surgical Fee ($)

Approximate Upper End Range of Surgical Fee

($)

Abdomen, upper & lower 3,000 7,500

Abdomen, lower 2,000 2,000 Arms 1,500 5,000

Back, female 1,500 4,000Breasts, female 3,000 7,500Breasts, male 3,000 5,000

Buttocks 1,500 4,500

Chin, Cheeks, Jowls, Neck 2,000 4,500

Flanks, male 2,000 5,000

Anterior Thighs & Knees 2,000 5,000

Inner (Thighs & Knees) 2,000 5,000

Hips/Waist 1,600 5,000Outer Thighs 1,600 5,000

(Total fee = All Surgical Fees + Non-Surgical Fee). If an anesthesiologist is required, then an additional fee must be anticipated.

WHAT WILL A PATIENT SHELL OUT?For more presentations and information visit http://www.pharmaxchange.info


Abdominoplasty With a hip, thigh or buttock lift Wrinkle removal

LIPOSUCTION CAN BE DONE ALONG WITH…



ALTERNATIVES TO LIPOSUCTION

Change diet to lose some excess body fat.

Exercise. Accept your body and appearance as it

is. Use clothing or makeup to downplay or

emphasize body or facial features. Ultrashape non-surgical lipolysis. Collagenase chemical lipolysis. Anti-Obesity drugs.



The procedure remains the same The patient must not be embarrassed It is more expensive Common areas of the body:

Chest (Gynecomastia) Abdomen Neck Flanks

LIPOSUCTION FOR MEN? WHY NOT?



CONCLUSION



Advances in liposuction and fat transfer. (Procedures in Therapeutics) Gerhard Sattler. Dermatology Nursing. April 2005 v17 i2 p133(7).

Wikipedia: http://en.wikipedia.org/wiki/Liposuction Ultrasound-assisted lipoplasty Joy L Pine; Lisa J

Smith; Melinda J Haws; Mary K Gingrass Plastic Surgical Nursing; Fall 2003; 23, 3; Health Module pg. 101

http://health.howstuffworks.com/liposuction.htm http://www.liposuction.com http://www.tuckthattummy.com/abdominoplasty.ht

m

REFERENCES


http://en.wikipedia.org/wiki/Liposuction

http://health.howstuffworks.com/liposuction.htm

http://www.liposuction.com/

http://www.tuckthattummy.com/abdominoplasty.htm

http://www.tuckthattummy.com/abdominoplasty.htm


Thank you!



presented by: sweety bafna under the guidance of: mrs.sheeja koliyote for more presentations and...

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