Duhan Plastic Surgery Liposuction - Safe Liposuction by Area

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Over 20 years of know-how

What is simple liposuction?

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The existing liposuction procedure had the burden of being performed under general anesthesia,

and there was also the burden of waking up from general anesthesia after the procedure and the recovery time needed afterward.

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Simple liposuction

is a method of suctioning fat under local anesthesia so that daily life is possible immediately after liposuction.

It reduces the 부담 of liposuction

and is a fast, safe, and effective way to remove fat.

Since local anesthesia is used together with painless sleep anesthesia as support,

the procedure can be performed without any pain even under local anesthesia.

Who is a candidate for simple liposuction?

When you are slim in other areas but have obesity in the lower abdomen
When your upper arms are thicker than your body shape makes you comfortable wearing short-sleeved tops
When your weight is normal but your waistline is straight and you lack leg line definition
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

What is simple liposuction under local anesthesia?

Traditional liposuction had to be performed under general anesthesia because it was difficult to carry out under local anesthesia due to pain.

If there is no pain, there is no need to go as far as general anesthesia.

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

The amount of fat removed in liposuction is usually about 20cc to 1000cc per area.

The procedure takes about 30 minutes to 1 hour.

However, if more than 1000cc of fat must be removed due to severe obesity, it takes a long time, so the procedure is performed under general anesthesia.

What is the procedure method using an ultrasound liposuction device?

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

Conventional mechanical liposuction works by suctioning fat only with negative pressure, but ultrasound liposuction melts fat cells into a liquid and then suctions them out, so it can remove fat effectively and has the advantage of less damage to blood vessels and nerves.

Ultrasound is generated at the tip of the liposuction cannula, melting fat cells into liquid and improving effectiveness.

In the first step, ultrasound liposuction equipment is used to melt the fat, and then liposuction is performed with the attached suction cannula.

What is the effect of simple liposuction?

Depending on the area, about 200cc to 1000cc of fat can usually be removed.

For example, you can expect a suction effect equivalent to half to two glasses from a 500cc beer cup.

However, if more than 1000cc of fat is removed, it takes a long time, so the procedure must be done under general anesthesia; if less than 1000cc is removed, the procedure can be done with local anesthesia alone.

Usually, removing about 300cc of fat from the lower abdomen is enough to see a clear reduction in belly fat.

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

Ultrasound liposuction equipment and additional surgical instruments

What is the procedure for simple liposuction?

① A design is made on the area to be suctioned to measure the area and the amount to be suctioned.
② Painless sleep anesthesia is administered to prevent pain during local anesthesia.
③ Local anesthesia is performed on the liposuction area.
④ The fat is melted using an ultrasound liposuction device.
⑤ The melted fat is suctioned out using a syringe.
⑥ After liposuction is completed, you wear an abdominal binder and go home.

The liposuction area is defined and designed.

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

Contour lines are marked within the suction area to determine which parts will be suctioned more and which parts less.

After the design and disinfection are complete, sleep anesthesia medication is injected through an intravenous line.

Once the sleep anesthesia medication is injected, the patient soon falls asleep. After confirming sleep, 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 suctioned.

After local anesthesia is complete, in the first step the ultrasound cannula is inserted to melt the fat.

Ultrasound is generated at the end of the ultrasound cannula, liquefying fat cells 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 differs by area and by individual, so it is important to remove an appropriate amount of fat tailored to the patient.

After local anesthesia is complete, in the first step the inner arm and underarm areas are suctioned.

In the second step, the outer arm area is suctioned.

For the arms, it is important to use a thinner cannula than for the abdomen to achieve the most precise and smooth suction possible.

By checking the shape during the procedure and confirming from multiple angles whether it is becoming natural, better results can be achieved.

Immediately after liposuction, you put on an abdominal binder and go home.

Wearing the binder is intended to reduce swelling, bruising, and pain.

The binder is worn for about 2 to 3 days.

After that, the suction area should be appropriately compressed with medical compression garments or a corset to maximize the effects of liposuction.

Examples of simple liposuction applications - abdomen

Examples of simple liposuction applications - upper arms, upper arms

How should you care after liposuction?

○ Go home immediately after the procedure.

○ There may be some mild pain and a pulling sensation in the treatment area, but there is no major problem with daily life.

○ On the second day after the procedure, visit the clinic to disinfect the suction area, and if desired, have the compression garment fitted.

○ Avoid strenuous exercise until the swelling and bruising in the suction area subside.

○ On the fourth day after the procedure, wear a compression garment or corset to apply proper pressure to the suction area. In principle, wear it for about 2 to 3 months.

○ On the seventh day after the procedure, remove the stitches from the liposuction area.

○ The effects of liposuction appear as the swelling goes down and the hardened areas soften, and they settle over the course of 3 months.

Comparison of liposuction methods

| ◆ Mechanical liposuction

This method removes fat cells by suctioning them out like a vacuum cleaner through strong negative pressure and mechanical force while manually moving the cannula back and forth. It takes a long time, may damage sensory nerves and blood vessels, and has the disadvantage that fatty tissue with a lot of fibrous tissue is not easily suctioned.
◆ Lipomatic liposuction
This method removes fat cells by suctioning them out like a vacuum cleaner through strong negative pressure and mechanical force while manually moving the cannula back and forth. The difference from mechanical liposuction is that the cannula is moved automatically by power, which has the advantage that the practitioner can suction more easily with less effort, but otherwise there is little difference from mechanical liposuction.
◆ Ultrasound liposuction
This method generates ultrasound at the tip of the cannula to melt fat cells and then removes them by suction like a vacuum cleaner. Compared with mechanical liposuction, it allows the practitioner to suction with less effort and has the advantage of gentle suction while minimizing damage to nerves and blood vessels.
◆ Laser liposuction
This method first shines a laser externally on the liposuction area to melt the fat cells and then inserts a mechanical suction cannula again to remove the melted fat. The difference in melting and suctioning fat is not very different from the ultrasound method. It is cumbersome because laser delivery and mechanical suction must be performed together.

What are the other liposuction methods?

◆ Fat-dissolving treatment - PPC injection

It is a method of dissolving fat using injections, but depending on the drug, the effect is often minimal, and if a strong drug is used, side effects such as uneven skin can occur.

In addition, the U.S. FDA announced that PPC injections contain carcinogenic substances, and the Korean Ministry of Health and Welfare has also designated PPC injections as a harmful drug containing carcinogenic substances and ordered their use to be prohibited.

When a drug is introduced into the body, it spreads to the surrounding area.

You cannot know where or how deeply the drug will spread, and unwanted areas may shrink or become hollow in spots like pits, so caution is needed.

For any procedure, the desired result can only be achieved when the target area is accurately designed and the appropriate amount of fat is precisely removed from the intended area.

What is a mistaken understanding of liposuction?

As with all cosmetic surgery, liposuction is not done by a machine but by the surgeon's technique, that is, the sense and experience of the hands.

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

The effectiveness of liposuction is not determined by which equipment is used.

Liposuction must end by making an incision in the skin and inserting a cannula to suction out fat cells.

Whether it is mechanical, laser, or ultrasound, fat must come out through the cannula, so whatever method is used, the fat cells must be broken down and removed in the necessary amount to achieve the desired volume reduction.

What determines the result is the operator's experience and know-how, and the result of the procedure depends on whether the right thickness of cannula is used for each area, how smoothly and effectively the suction is performed, and whether the needed amount is removed.

What are the side effects of liposuction?

The problem of fat embolism - there are cases often called mega-suction where a large amount of fat is suctioned out at once, and in such cases a major risk must be taken.

If too much fat is suctioned out at one time, fat can enter the bloodstream and block the pulmonary vessels, 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 better not to suction more than 1500cc at one time.

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

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Other side effects include cases where using a cannula that is too thick causes unevenness on the surface, or where excessive suction without considering skin elasticity leads to sagging skin.

To avoid side effects, it is important to gently suction an appropriate amount of fat with a thin cannula, and it is also important to adjust the suction amount appropriately while considering age and the degree of skin elasticity.

Liposuction destroys fat cells by suctioning them out.

Once removed, fat cells do not regenerate.

It is rare for the area that underwent liposuction to gain fat 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 gain fat again.

Dr. Shin Duhan

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What is the solution for calf obesity?

If the cause of thick calves is subcutaneous fat,

the volume can be reduced by suctioning fat from the subcutaneous fat layer.

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If muscle and fat are both developed,

calf reduction surgery may be performed together with liposuction,

and in some cases liposuction alone is performed.

Example of calf obesity

What are the indications for calf liposuction?

If the cause of thick calves is subcutaneous fat, the volume can be reduced by suctioning fat from the subcutaneous fat layer.

If muscle and fat are both developed, calf reduction surgery may be performed together with liposuction, and in some cases liposuction alone is performed.

What areas are covered in calf liposuction?

The liposuction area is broadly divided into the calf and ankle, and further subdivided so that the calf is divided into two areas, medial and lateral, while the ankle is divided into three areas: lateral, medial, and the front-lateral area of the ankle.

The suction area differs depending on the individual, so the suction area varies depending on where fat is concentrated and which area you want to reduce in volume.

Areas that do not need suction or are not desired do not have to be suctioned, so it is important to clearly determine the suction area after examination.

What is the process of calf liposuction?

① Design the area to be suctioned.
② Perform local anesthesia.
③ Combine sleep anesthesia so there is no pain during anesthesia.
④ Perform precise suction according to the designed area.
⑤ After suction is complete, suture the incision and wear compression stockings before going home.

Calf liposuction removes subcutaneous fat between the skin and the muscle.

For liposuction in the calf area, a thin cannula should be used so that the skin and nerves are not damaged.

Make the smallest possible incision so that almost no scar remains.

The procedure can be performed by area, divided into medial, lateral, and ankle areas.

The key to the procedure is precise suction without sequelae such as contour irregularities or sensory disturbances.

What is the key point of calf liposuction?

★ Select the areas that can benefit and treat only the needed areas.
★ Use a thin cannula so that sensory disturbance does not occur afterward.
★ Perform suction precisely so that no contours are left on the leg.
★ Use minimal and small incisions to minimize scarring.

What should be noted about calf liposuction?

The calf requires a very delicate procedure compared with liposuction in other areas.

The overall calf thickness and the thickness of the fat layer must be assessed, and the procedure should only be performed when a meaningful effect is expected.

Because the calf has many sensory nerves, using a cannula that is too thick or suctioning too much can cause contour irregularities or sequelae such as sensory disturbance.

Therefore, careful and delicate suction with a thin cannula is necessary for an effective procedure without side effects.

Examples of calf liposuction applications

What is the recovery process after calf liposuction?

① After liposuction, wear the compression stockings provided by the hospital and go home.

② Swelling and pain last for about 2 weeks, so avoid unnecessary activity as much as possible.

③ Return after 1 week to check progress and remove the stitches.

④ Wear compression stockings for at least one month.

What are the side effects of calf liposuction?

Calf liposuction is a very delicate area.

★ If suction is performed with a cannula that is too thick, large scars may remain.
★ Excessive suction may cause contour irregularities or unnatural shape in the calf.
★ Excessive suction may cause sensory disturbance in the calf.
★ If the ankle is suctioned too much, pain may become severe.

If too much suction is performed with a cannula that is too thick, various side effects can occur, so suction must be very delicate to achieve a satisfying result without side effects.

To avoid these side effects, an important rule is not to undergo the procedure with someone who lacks experience or is not a board-certified plastic surgeon.

What are the other treatment methods?

| ◆ Fat-dissolving injections such as PPC

Fat-dissolving injections have almost no effect. Some clinics perform procedures using drugs whose effect has not been proven and that are not approved. Although various fat-dissolving injections have been used, there have been no properly verified fat-dissolving injections that showed real procedural effects. As the drug spreads, you cannot know where the effect will appear, and in most cases there is no effect, so one should not be misled.
◆ Radiofrequency treatment
Radiofrequency cannot break down fat. Radiofrequency is a method that breaks down fat using heat, but it is an unverified procedure. The effect of radiofrequency treatment in melting fat is extremely weak or completely absent.
◆ Laser treatment
Laser cannot suction fat. Laser is a method that breaks down fat using heat, but it is a treatment with little effect. In most cases, the effect is extremely weak or completely absent. Removing fat is, as before and now, most effectively and safely done by inserting a cannula and directly removing the fat cells, so this should be kept in mind.

What should be noted about calf liposuction?

♥ Calf liposuction is the best method for reducing the volume of subcutaneous fat.

♥ No other method besides liposuction can produce proper results.

♥ The calf is an area with many sensory nerves, so suction must be done using a micro-cannula.

♥ Laser or ultrasound suction may cause sensory disturbance or sequelae from heat damage to the skin.

♥ Manual micro-cannula liposuction is the safest and most effective for calf liposuction.

http://www.calfs.co.kr

Based on over 20 years of rich experience and know-how

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

Anesthesia is performed with painless sleep anesthesia under local anesthesia.

There are no side effects, and the procedure can be done without pain.

http://www.duhans.com

▶ What determines the result ◀

1. The operator's experience and know-how,

2. Using a cannula of the proper thickness for each area,

3. How smoothly and effectively the suction is performed,

4. Whether the necessary amount is suctioned out are the key factors that determine the procedure and the result.