Liposuction surgery  limitations are  skin tightening, cellulite improvement and weight loss. It cannot improve muscle tone.

•  If you have Good skin tone, the skin will adopt a new shape itself.
• If the skin is thin or has poor elasticity or too much extra. You may require excision surgery with liposuction.
•  Then Laser and Vaser tighten the skin, but there is always a limit.
• Liposuction doesn’t improve cellulite dimpling or other skin surface irregularities. vaser smooth is quite helpful to some extent in such a situation.
• Liposuction doesn’t remove the stretch mark.
• If the underlying muscle tone is poor, one will require muscles tightening to get a good contour. It is similar to an abdominoplasty after pregnancy.
• In liposuction surgery you can get rid of approximately 70 to 80 percent of accumulated fat. If there is really a large amount of fat in one area, in one session you see a huge difference. You may require additional sessions for remaining fat removal.
• If you are morbidly obese, your BMI is greater than 40 or BMI is more than 35 with comorbidity, bariatric surgery gives you better weight loss than the liposuction surgery.

The actual goal of the preoperative preparation and liposuction surgery is to achieve a desired body contour in the least traumatic way with utmost safety and smooth recovery

A.   Pre Liposuction Surgery Preparation

1. Before admission

1. Quit smoking as advised by surgeon
2. Complete your body check-up test
3. Any medical condition like diabetes or hypertension should be under control.
4. Any nutritional support or on-counter medicineshould be stopped
5. You will be given detail specific instruction before surgery
6. The Liposuction surgeon team is always there to guide you in case of any confusion.

2.On Admission at Cosmetic Surgery Center

a. Please inform about:

1. Recent illness like common cold, fever, urinary tract infection or any other seasonal illness
2. Your medical ailments like blood pressure, diabetes, asthma, thyroid or any other illness
3. Any ongoing medication
4. Past history of any major illness, hospitalization, trauma, or surgery
5. Weight loss/ gain history
6. Weight loss or body contouring surgery
7. Drug or any other allergy
8. Family history of any significant illness like blood pressure, diabetes, cardiac ailment, cancer, G 6 PD deficiency, thyroid, thalassemia, bleeding disorder, or any other illness.

b. Dr Prince, plastic surgeon Will:

• Listen to your concerns and explain to you again about the surgery
• Discuss your goal of liposuction surgery
• Your physical fitness is also evaluated (you will also be examined by anaesthesiologist for physical fitness)
• Will mark the operative area with your active participation. This is useful as guidelines in the procedure.
• Preoperative medications will be started.
• The preoperative formalities are done.

B. In The Operation Theater for Liposuction Surgery:

a. Anesthesia:

• A smaller body area can be contoured under local anesthesia, tumescent liposuction or with addition of sedation.
• while multiple or large body areas or, Revision Liposuction surgery requires general anesthesia.
• Qualified & experienced anaesthesiologist will be attending you for a higher safety purpose

b. Incision:

Tiny incisions are made in the hidden location at the periphery of the  liposuction targeted area.

once they heal, they are hardly visible.

c. Fluid Infiltration:

• The surgeon will inject a highly diluted anaesthesia fluid (Tumescent) into the treatment area with the help of a specialized infiltrator.
• The Infiltration amount depends on the quality and quantity of fat as well as the planning and technique to be use during surgery
• Wait until fluid disperses into the operative areas.

d. Fat Aspiration:

• Liposuction surgeon must be an expert to create a smooth desired body contour in a less traumatic way for a safe and comfortable recovery.
• Fat removal surgery done by Various liposuction technologies as described above
• A small cannula slides under the skin through tiny incisions
• Rear-end is connected to the negative suction machine via a hollow tube
• The cannula is moved back and forth in order to remove the fat cells.
• Tiny incisions are closed with one or two buried stitches (closed drainage technique). In some cases, it is left open to drain (open drainage technique)
• The incision areas are covered with gauze.

e. Liposuction Immediate Recovery

• You will be shifted to the recovery room. Your vital will be monitored.
•  You can go home, Once you’ve awakened fully from the anaesthesia,
• You will be provided with pressure garments and post-liposuction surgery care instructions.
•  Dr Prince  and the surgical staff will be there to assist you.

Liposuction Surgery Result is visible immediately and improvement goes on as follows

• Immediately: There is a huge difference in your contour. Imagine how delighted your new look will be?
• 1^st week: Some swelling will be there, closed drainage will have more swelling. whereas open drainage will have less swelling,
• 1^stMONTH: Major liposuction result is visible over a month as the majority of the swelling has been reduced now.
• 6^th -8^th MONTHS: A complete liposuction result and body contouring have been achieved.
• 8^th-12^th MONTHS: Collagen synthesis and skin tightening take place.
• The Liposuction surgery result is faster with open drainage technique compared to closed drainage technique.
• In most of the patient, fat cell can increase in size but can’t multiply. Fat rarely comes back in the treated area
• There is no substitute for a healthy lifestyle in order to maintain the best and permanent results.

Liposuction Surgery Result Depends On

• Number of area and amount of the fat to be removed.
•  Primary or secondary surgery
• Individual general condition and healing process.
• Technique and technology used,
• Purpose, and the end goal of the surgery and
•  Dr prince is an Expert in liposuction surgery, so his hands adds to a very extent.
• One must follow liposuction surgeon advice to get best result.

• TAKES MEDICINE AS ADVISE
• DIET
  Take as much liquid as possible once you are comfortable.
  we recommend high protein, low fat and low carbohydrate diet.
  As such there is no restriction on diet, but to achieve better result and sound recovery, please watch your weight. Try to stay 1-3 pounds lighter than your pre-surgical weight.
• POSITION
  Propped up position maximise postoperative comfort. You can change your position and turn side by side. Keep your leg moving in bed
• PHYSICAL ACTIVITY
  Depending on the extent of the liposuction and individual tolerance, you are advised to walk as much as possible on the day of evening once you are conscious.
  One can do office like job in 2 to 3 days.
  You can do cardio like activity in 7 to 10 days.
  One can do heavy gym and jerky activity in 2 weeks’ time.
• RECOVERY
  Pain is easily managed by pain killers;
  One will have numbness till the late evening on the day of surgery. one will feel like something is done, One will feel stretching and pain like stretching, or while changing position, it is normal. You will have soreness on pressing the operative site.
• LOCAL CARE/ WOUND CARE
  Usually we follow the open drainage technique. Injected tumescent fluid, residual fat, broken tissue will come out from the tiny punctures and it will be blood stained. So tissue reaction, swelling, bruising and pain will be less, and recovery will be faster.
  Amount and duration of the fluid discharge depends on the area of surgery and extent of fat removal. Normally it stops in a day or two. In case of mega liposuction, it may last longer.
  In the hospital sister will do dressing. And you will be taught how to take care of dressing before discharge. Mild bruising may occur for 3 weeks after surgery.
  If there is excessive bleeding or swelling or pain unrelieved by medication, please call the doctor immediately.
• PRESSURE GARMENTS
  3 weeks -24 hours-can remove for bath and put back with seam on the outside.
  3 weeks-10 to 12 hours
  Avoid bending, Avoid wrinkle, wet cloth
  Tighten the pressure garment, if it becomes loose
  One may develop swelling distal to pressure garment on limb due to pressure, on removing pressure garment for short time swelling will reduce.
  Wash in normal tap water. Don’t squeeze-avoid drier and sunlight- don’t iron -don’t hang.
• BATHING
  Take bath after discharge is stopped in running water i.e. Shower bath (No bath in Bath tub). Make area dry and covers the wound with bandage. You may wash and dry the garment at the same time when you are showering
• RESULT
  One can see huge the difference in shape immediate after surgery except in body sculpting liposuction, although it is a partial result. Initial 7 to 10 days, there is increase in swelling so result will be less visible. Over one month you will see most of the result as swelling reduces. Improvement in shape and skin tightening goes on for 6 to 8 month.
• FOLLOW UP VISIT
  After the discharge ,you have to do postoperative visit  at 3 days , 7 days ,15 days and then after 1 month.
• LONG TERM INSTRUCTIONS
  It is advisable to visit the Dr prince at 3 and 6 months after the operation. Inform doctor, if swelling, redness pain, hardness
  KEEP WATCH FOR
  Redness, swelling, pain, fever, bleeding or discharge