[Duhan Plastic Surgery Simple Liposuction] - [Liposuction for Obesity]

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A simple liposuction procedure for obesity

"Ultrasonic liposuction"

Overview of simple liposuction

Traditional liposuction had the burden of requiring the procedure under general anesthesia,

and it also required the burden of waking up from general anesthesia afterward and recovery time after the procedure.

Simple liposuction removes fat under local anesthesia so that daily life can resume immediately after liposuction.

It is a method of quickly, safely, and effectively removing fat while reducing the burden of liposuction.

Because local anesthesia is supplemented with painless sleep anesthesia, the procedure can be performed without any pain even when fat is removed under local anesthesia.

Candidates for simple liposuction

○ When the lower abdomen is more obese than other areas

○ When the upper arms are thick compared with the body type, making short tops feel uncomfortable to wear

○ When the body weight is normal but the waistline is straight and there is no shapely leg line

○ When there is a lot of excess fat on the outer thighs

○ When there is a lot of excess fat on the inner thighs

○ When there is a lot of excess fat under the buttocks

Simple liposuction under local anesthesia

​Traditional liposuction had to be performed under general anesthesia.

The reason was that when the procedure was done under local anesthesia, it was difficult to perform because of pain.

If there is no pain, there is no need to go all the way to general anesthesia for the procedure.

By combining local anesthesia and painless sleep anesthesia, liposuction can be performed simply without general anesthesia.

The amount of fat removed varies from person to person, and in one area, typically as little as 20cc and as much as about 1000cc is suctioned.

The procedure takes about 30 minutes to 1 hour.

However, if more than 1000cc of fat needs to be removed due to excessive obesity,

it takes a long time, so the procedure is performed under general anesthesia.

Simple liposuction using ultrasonic liposuction and micro cannulas

An ultrasonic liposuction device refers to a liposuction machine equipped with an ultrasound generator.

Conventional mechanical liposuction works by suctioning fat only with negative pressure,

but an ultrasonic liposuction device melts fat cells into liquid and then suctions them out,

so it can remove fat effectively,

and has the advantage of causing less damage to blood vessels and nerves.

Ultrasound is generated at the tip of the liposuction cannula,

and by melting fat cells into liquid and suctioning them out, the effectiveness of liposuction can be improved.

In the first step, the fat is melted with an ultrasonic liposuction device, and then suction is performed with the attached cannula.

Differences between ultrasonic liposuction and mechanical liposuction

Conventional mechanical liposuction physically breaks down fat cells with the force of negative pressure,

and removes fat by vacuum suction.

Ultrasonic liposuction emits ultrasound to dissolve fat cells into liquid

and removes fat by vacuum suction.

There is not a big difference in effectiveness,

but in firm areas with a lot of fibrous tissue, suction with the mechanical method is difficult,

and it takes a long time, whereas the ultrasonic method makes it easier to suction even firm areas with a lot of fibrous tissue,

and has the advantage of causing less damage to blood vessels and nerves.

Effects of simple liposuction

Usually, about 200cc to 1000cc of fat can be removed by area.

For example, with a 500cc beer cup, you can see an effect equivalent to half a cup to two cups.

However, if more than 1000cc of fat is removed, it takes a lot of time, so the procedure must be done under general anesthesia,

but if less than 1000cc is removed, the procedure can be performed with local anesthesia alone.

In most cases, removing about 300cc of fat from the lower abdomen is enough to see a sufficient reduction in belly fat.

Therefore, if the obesity is not severe, simple liposuction can sufficiently remove unsightly excess fat.

Understanding the effects of liposuction

Liposuction destroys fat cells and removes them by suction.

Once removed, fat cells do not regenerate.

Therefore, it is rare for the liposuctioned area to gain weight again.

However, if weight is regained due to overeating,

it is not that the number of fat cells increases, but that the size of the fat cells increases.

Therefore, even if weight is regained, the liposuction area does not easily accumulate fat again.

​Comparison of liposuction methods

1. Mechanical liposuction

A method in which the cannula is moved back and forth manually, and fat cells are suctioned out and removed like vacuuming with strong negative pressure and mechanical force.

It takes a long time, there may be damage to sensory nerves and blood vessels, and a disadvantage is that fatty tissue with a lot of fibrous tissue is not easily suctioned.

2. Lipomatic liposuction

A method in which the cannula is moved back and forth manually, and fat cells are suctioned out and removed like vacuuming with strong negative pressure and mechanical force.

The difference from the mechanical method is that the cannula moves automatically by electric power, so the practitioner can suction more easily with less effort, but there is little other difference from the mechanical method.

3. Ultrasonic liposuction

A method in which ultrasound is generated at the tip of the cannula to melt fat cells and suction them out like vacuuming.

Compared with the mechanical method, the practitioner can suction with less effort, and it has the advantage of being able to suction gently while minimizing nerve or blood vessel damage.

4. Laser liposuction

A method in which a laser is first applied externally to the liposuction area to melt the fat cells, and then a mechanical cannula is inserted again to suction the melted fat.

The difference in melting and suctioning fat is not very different from the ultrasonic method.

It has the inconvenience of having to combine laser application with mechanical suction.

Misunderstandings about liposuction

As with all plastic surgery, liposuction is not performed by a machine,

but by the surgeon's hands, that is, by tactile sense and experience.

​The machine is only a simple tool to make the procedure easier to perform.

​The effectiveness of liposuction is absolutely not determined by which device is used.

​Liposuction must be completed by making an incision in the skin, inserting a cannula, and suctioning out the fat cells.

​Whether it is a mechanical method, laser method, or ultrasonic method, the fat must come out through the cannula,

so no matter which method is used, the fat cells must be destroyed and removed outside as much as needed to achieve the desired volume reduction effect.

What determines the result is the practitioner's experience and know-how,

using a cannula of the proper thickness for each area,

how gently and effectively the suction is performed,

and whether the necessary amount is removed.

Procedure for simple abdominal liposuction

① The skin is designed to mark the liposuction area.

② Painless sleep anesthesia is administered to eliminate pain during local anesthesia.

③ Local anesthesia is performed on the liposuction area.

④ The fat is melted using an ultrasonic liposuction device.

⑤ The melted fat is suctioned out using a syringe.

⑥ After the liposuction is finished, a compression garment is worn and you go home. �

A design is made by defining the liposuction area.

Through the design, the amount to be suctioned is predicted in advance.

Contour lines are marked within the suction area to determine the areas where more suction and less suction will be performed.

After the design and disinfection are completed, a sedative is injected through an intravenous line.

When the sedative is injected, you soon fall asleep, and once sleep is confirmed, a tumescent solution containing local anesthetic and a hemostatic agent is injected into the area to be liposuctioned.

The amount of tumescent solution is adjusted according to the amount of fat to be removed.

Once local anesthesia is complete, the ultrasonic cannula is inserted in the first step to melt the fat.

Ultrasound is generated at the tip of the ultrasonic cannula, melting fat cells into liquid while minimizing damage to blood vessels and nerves.

In the second step, the melted fat is suctioned out with a cannula fitted with a syringe.

The amount suctioned varies by area and by person, so it is important to remove an appropriate amount of fat that suits the individual.

Immediately after liposuction, a compression garment is worn and you go home.

Wearing the compression garment is intended to reduce swelling and bruising and lessen pain.

The compression garment is worn for about 2 to 3 days, and after that, a medical compression garment or corset should be worn to appropriately compress the suctioned area in order to enhance the effects of liposuction.

Post-liposuction care tips

① Go home immediately after the procedure.

② There may be some pain and a pulling sensation in the treated area, but it does not significantly affect daily life.

③ Visit the clinic on the second day after the procedure to disinfect the suctioned area, and have a compression garment fitted if desired.

④ Avoid strenuous exercise until the swelling and bruising in the suctioned area subside.

⑤ On the fourth day after the procedure, wear a compression garment or corset to appropriately press the suctioned area. In principle, it should be worn for about 2 to 3 months.

⑥ Remove the stitches from the liposuction area on the seventh day after the procedure.

⑦ The effects of liposuction appear as the swelling goes down and the firmness softens, and it usually settles over about 3 months.

Side effects of liposuction

The issue of fat embolism

There are cases often called mega-suction, where a large amount of fat is suctioned all at once, but in such cases one must accept significant risk.

If too much fat is suctioned at one time, fat can enter the bloodstream and block the blood vessels in the lungs, causing the serious side effect of pulmonary embolism.

To prevent this, the rule is not to suction more than the standard amount of fat,

and it is advisable not to suction at least 1500cc or more at once.

If more than 1500cc of fat is suctioned at one time, the risk of pulmonary embolism increases greatly, so caution is needed.

Other side effects can include surface irregularities caused by using cannulas that are too thick, or skin sagging caused by excessive suction without considering skin elasticity.

To avoid side effects, it is important to suction an appropriate amount of fat gently with a thin cannula.

It is also important to adjust the suction amount appropriately by considering age and the degree of skin elasticity.

http://www.duhans.com

If there is excess fat, liposuction is possible on any area.

Anesthesia is performed with painless sleep anesthesia under local anesthesia.

The procedure can be performed without side effects and without pain.

Director Shin Duhan

​http://www.duhans.com​