Liposuction is a procedure that can be performed either under local or general anesthesia. Local anesthesia allows you to remain conscious during surgery, but the treatment area is numbed so you will not feel any discomfort. This option can cost about $100 or more per hour. General anesthesia is used to completely sedate the patient. If it is administered by a nurse, general anesthesia can cost $300 or more per hour. When it is administered by an anesthesiologist, it can cost $450 or more per hour. Deciding which method of anesthesia to use largely depends on the extent of treatment. If the patient is having a small amount of fat removed, local anesthesia may be sufficient. On the other hand, if the patient is having extensive liposuction performed, or if it is being performed in conjunction with other procedures, general anesthesia will probably be the best option.

One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.

Next, your surgeon will insert a thin vacuum tube, called a cannula, through the incision and into the deep fat layer. Your surgeon will move the cannula back and forth to break up the fat cells, and, with the help of an attached syringe or vacuum pump, suction them out. Because a significant amount of blood and other bodily fluids are removed along with the fat, you will receive replacement fluids intravenously during and after the liposuction procedure. Of course, this part of the procedure can vary somewhat, depending on the type of liposuction you select.
Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
Liposuction is very effective for shaping the abdominal area in men and women. The lower abdomen in particular tends to be resistant to diet and exercise, making even the most fit and active individuals insecure about their appearance. Pregnancy and cesarean births can have a disfiguring effect on the lower abdomen, which diet and exercise cannot correct. Most abdominal fat is located directly beneath the skin and can easily be removed through liposuction procedures. However, fat that is located deep in the abdomen (between the intestines) cannot be removed with liposuction because of the increased risk of severe complications. Abdominal liposuction may be performed in conjunction with a tummy tuck.
Certain health conditions may prevent patients from being suitable liposuction candidates. People with chronic ailments such as diabetes and high blood pressure are more likely to achieve less-than-desirable aesthetic results. Individuals who have compromised immune systems and those who suffer from diabetes, poor blood circulation, heart disease, or lung disease should not undergo liposuction, as they could suffer serious health complications. If patients have recently had another surgery in the area they would like to treat, they should wait until the area has healed before considering liposuction.
It all depends on the position of the nipple/areolar complex position. If there is significant loose skin, then the vertical incision is necessary to give you the ideal result. The length of the vertical scar is not long, only 4-5 cm from the bottom of the areola to the crease. This scar heals very well. If there is a lot of excess skin, then the anchor incision is necessary.
There is a basic principle that applies to most cash-pay health care procedures: the more reputable the surgeon, the more surgery will likely cost. A surgeon with considerable experience and recognition in the field of body sculpture can understandably command a higher fee. When you add advanced technology used for the benefit of the patients, this can also drive a price higher. Using lasers and radiofrequency in liposuction has been proven to provide even better results, but this equipment is expensive, and requires special training.
The concept of liposuction surgery may seem simple, but, as with any type of surgery, the process is actually quite complex. A skilled physician will be well trained in all aspects of the liposuction procedure, and will be able to explain the process to you in as much detail as you wish. Of course, each procedure can vary significantly, depending on the treatment area and the type of liposuction you select. However, most procedures follow the same basic outline:
Following liposuction, patients often experience some soreness and tenderness in the treatment area. This can usually be controlled with over-the-counter pain medication, and a physician may prescribe stronger medication, if needed. However, this discomfort is typically minimal, and patients can typically return to work about two days after their procedures. If they experience severe discomfort or if the soreness gets worse after several days, patients should alert their doctors.
Radiofrequency fat removal uses radiofrequency waves to heat unwanted fat cells. The high-power waves can demolish these cells, yet the surrounding cells will be unharmed. Typically, you will have several short treatment sessions. Many experts hail radiofrequency treatments, such as Vanquish and Accent® Ultra, for their ability to remove fat and improve the appearance of cellulite with minimal discomfort and no need for anesthesia. However, this technology has not yet received FDA approval for use in fat removal, and therefore, many doctors are hesitant to offer this form of treatment.
It is important to remember when considering liposuction that shaping the buttocks is more important than reducing the size. Excess removal of fatty tissue in the buttocks can result in an asymmetrical, lumpy, or sagging appearance. The buttocks are important in the overall aesthetic appearance of the body. Surgeons should approach liposuction of the buttocks with the subtle touch of an artist, and should always use a micro-cannula, not more than three millimeters (1/8 inch) in diameter.
The surgeries that risk more significant scarring are the much more common vertical or “lollipop” lift and the inverted T or “anchor” lift, which feature two and three incisions respectively. As they are more invasive surgeries than a crescent lift, you can expect more extensive scarring, but as long as you and your surgeon can provide proper care and observation, these can fade and can be easily hidden while you’re waiting for them to fade.

Some surgeons recommend lymphatic massage starting at about four weeks post-op, to help drain fluid and bring down swelling. “I don’t suggest self-massage, because you can counteract the surgery,” Dr. Mesa says. “But going to a massage therapist who specializes in post-surgical massage does make the healing process faster and prevent irregularities.”

PAL uses an up and down, vibrating-like motion of the cannula to acquire greater fat removal. When compared to simple suction-assisted liposuction, PAL requires less energy for the surgeon to operate while also resulting in greater fat removal. It is commonly used for difficult, secondary, scarred areas, and when harvesting large volumes of fat for transfers to other areas.[9]
A technique called "tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It's also considered the safest. "Tumescent" means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
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