WHEN IS LIPOSUCTION NOT A GOOD OPTION?
There is no doubt that liposuction is an excellent technique for removing localized fat, but there are situations where liposuction will not produce satisfactory results. See the 3 classic examples below:
Removal of regional oils by liposuction provides an improvement in body contour, but this technique does not have the ability to heal sagging skin. Therefore, liposuction will not lead to good results in cases where the main complaint of the individual is massive weight loss such as those observed after sagging skin or obesity surgery as in post-pregnancy women, because in these cases, a technique is needed in these cases. Encourage removal of excess skin to treat sagging.
Although there is a certain retraction in the skin after liposuction, people who already have sagging skin in the preoperative period will certainly not have sufficient retraction and therefore they are more prone to unsatisfactory results.
Therefore, an adequate clinical history and physical examination can identify cases with skin sagging and thus avoid liposuction in such cases.
Liposuction is not a treatment for obesity. The main purpose of this surgery is to promote an improvement in body contour, not weight loss, despite a reduction in weight after surgery.
When liposuction is performed, the liposuction product does not only contain fat, but consists of liposuction blood, infiltration solution and oil. Thus, the larger the liposuction volume, the greater the “bleeding” during surgery. In cases where the patient is overweight, obese, a large amount of fat will need to be removed to achieve the expected result, and we know that the larger the aspirated volume, the greater the blood loss and the higher the possibility of complications. . Therefore, in cases where the patient is obese, there is no liposuction indication and only slimming treatment is required before liposuction is performed.
Cellulite is technically called gelloid fibroedema and is caused by a number of local changes. Cellulite includes swelling in the connective tissue, a change in the shape and number of fat cells, and changes in venous and lymphatic drainage. In addition, the fibrous septa in the adipose tissue in women is steep and when ruptured, it leads to the fibrosis process, a process that leads to the progression of cellulite.
Cellulite has various causes, such as predisposing factors (heredity, sex, hormonal imbalance), determinants (stress, smoking, physical inactivity, glandular and metabolic imbalances, poor eating habits and liver dysfunction) or conditioning (circulatory disorders).
So cellulite is caused by several integrated factors and therefore associated treatments are required for a good result.
Liposuction allows the removal of fat and can break the fibrous rays that can contribute to cellulite, but it has no effect on other components involved in cellulite formation, such as liposuction, swelling of connective tissue, alteration of lymphatic and venous circulation. For this reason, liposuction alone is not a specific treatment for cellulite.
Liposuction is an excellent technique to improve body contour, but to achieve satisfactory results the technique must be used in selected cases, the plastic surgeon is the most appropriate professional for evaluation.