1. LIPOSUCTION! Presented by: Sweety Bafna Under the guidance of:
For more presentations and information visit
LIPOSUCTION!
Presented by:
Sweety Bafna
Under the guidance of:
Mrs.Sheeja Koliyote

2. For more presentations and information visit http://www. pharmaxchange
STRUCTURE OF SKIN

3. For more presentations and information visit http://www. pharmaxchange
What is liposuction?
Liposuction 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.
Liposuction can be accomplished either with the use of general anesthesia, or with heavy or mild IV sedation, or by local anesthesia.

4. AREAS FOR LIPOSUCTION Abdomen Hips Outer thighs (saddlebags)
For more presentations and information visit
AREAS FOR LIPOSUCTION
Abdomen
Hips
Outer thighs (saddlebags)
Flanks (love handles)
Back
Inner thighs
Inner knees
Upper arms
Submental (chin)
Gynecomastia (male breast tissue)

5. For more presentations and information visit http://www. pharmaxchange
CRITERIA
OVER 18
IN GOOD HEALTH
DIET AND EXCERCISE
NO HEALTH
COMPLICATIONS

6. For more presentations and information visit http://www. pharmaxchange
General procedure

7. TUMESCENT LIPOSUCTION
For more presentations and information visit
TECHNIQUES
DRY LIPOSUCTION
WET LIPOSUCTION
SUPERWET LIPOSUCTION
TUMESCENT LIPOSUCTION
BASED ON THE AMOUNT OF FLUID INJECTED THE TECHNIQUES FOR LIPOSUCTION CAN BE CLASSIFIED AS……

8. Constituents of a fluid injection
For more presentations and information visit
Constituents of a fluid injection
General Anaesthesia
1litre lactated Ringer solution
1ml 1:1,000 Epinephrine
25cc 1% Xylocaine
Local Anaestheitic
50cc of 1% Xylocaine
100cc of Soduim bicabonate
Large Volume Liposuction
Xylocaine amounts are reduced so as not to exceed the maximum recommended dose of 35mg/kg (Klein, 1990)

9. mechanisms ULTRASOUND ASSISTED LIPOSUCTION
For more presentations and information visit
mechanisms
SUCTION ASSISTED LIPOSUCTION
ULTRASOUND ASSISTED LIPOSUCTION
POWER ASSISTED LIPOSUCTION
EXTERNAL ULTRASOUND ASSISTED LIPOSUCTION
LASER LIPOSUCTION

10. SUCTION ASSISTED LIPOSUCTION
For more presentations and information visit
Insertion of a small cannula
It is attached to a vaccum
Fat is sucked out
SUCTION ASSISTED LIPOSUCTION
Standard method of liposuction

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

12. ULTRASOUND ASSISTED LIPOSUCTION
For more presentations and information visit
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)

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

14. EXTERNAL ULTRASOUND ASSISTED LIPOSUCTION
For more presentations and information visit
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

15. For more presentations and information visit http://www. pharmaxchange
External ultrasound being delivered through the skin by a transducer of 1 MHz.

16. POWER ASSISTED LIpOSUCTION
For more presentations and information visit
POWER ASSISTED LIpOSUCTION
Uses a powerized cannula which moves through the fat tissue in a rapid motion.
There are two different types of motion

17. POWER ASSISTED LIpOSUCTION
For more presentations and information visit
POWER ASSISTED LIpOSUCTION
ADVANTAGES
No burning risks as with UAL
Fibrous tissue can be easily treated
DISADVANTAGES
Difficult to handle

18. Laser liposuction Use of lasers with traditional liposuction methods
For more presentations and information visit
Laser liposuction
Use of lasers with traditional
liposuction methods
ADVANTAGES
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

19. For more presentations and information visit http://www. pharmaxchange
A Comparison

20. Laser lipolysis cannula
For more presentations and information visit
Laser lipolysis cannula

21. For more presentations and information visit http://www. pharmaxchange
micro liposuction
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.

22. Stitches Surgeon’s decision Some surgeons leave the incision open
For more presentations and information visit
Stitches
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

23. CandidATE PREParATION
For more presentations and information visit
CandidATE PREParATION
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.

24. recovery Compression garment or Ace bandage.
For more presentations and information visit
recovery
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.

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

26. Possible complications
For more presentations and information visit
Possible complications
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

27. What will a patient shell out?
For more presentations and information visit
Table of Approximate Surgical Fees in the United States of America
Body Area
Approximate 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
Arms
1,500
5,000
Back, female
4,000
Breasts, female
Breasts, male
Buttocks
4,500
Chin, Cheeks, Jowls, Neck
Flanks, male
Anterior Thighs & Knees
Inner (Thighs & Knees)
Hips/Waist
1,600
Outer Thighs
(Total fee = All Surgical Fees + Non-Surgical Fee). If an anesthesiologist is required, then an additional fee must be anticipated.

28. Liposuction can be done along with…
For more presentations and information visit
Liposuction can be done along with…
Abdominoplasty
With a hip, thigh or buttock lift
Wrinkle removal

29. Alternatives to liposuction
For more presentations and information visit
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.

30. Liposuction for men? Why not?
For more presentations and information visit
Liposuction for men? Why not?
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

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

32. For more presentations and information visit http://www. pharmaxchange
references
Advances in liposuction and fat transfer. (Procedures in Therapeutics) Gerhard Sattler. Dermatology Nursing.  April 2005 v17 i2 p133(7).
Wikipedia:
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

33. For more presentations and information visit http://www. pharmaxchange
Thank you!