Cosmetic Plastic Surgery Philippines

 

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If you are considering liposuction...

If you are considering liposuction...
Are You A Good Candidate For Liposuction?
Selecting A Surgeon
Consultation
Planning The Surgery
Preparing For Your Surgery
The Risks Of Surgery
Anesthesia
The Surgery
After The Surgery
Follow-Up

Many men and women struggle with unwanted fat. At times, even after months of diet and exercise, it is difficult to eliminate fat in problem areas such as the hips, thighs, stomach, and neck. With the procedure taking only a few hours, it is no wonder then that liposuction is a very popular cosmetic surgery procedure today. Liposuction removes fat tissue by a suctioning technique, contouring the body area to obtain the desired shape.


If you are considering liposuction...
the following information can help you understand the procedure, how it's done and what results can be expected. However, each patient has individual needs and features, and it is only by consulting with a plastic surgeon that you can best understand how plastic surgery can help you.

Although liposuction is generally safe, the discerning patient should consider some factors to ensure safety and minimize the risks involved.
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Are you a good candidate for liposuction?

An ideal candidate is someone who is near his or her body weight, exercises regularly, has good skin elasticity (the ability of the skin to heal), and eats reasonably. Such a person may have an area on their body that exercise and dieting has been unable to reduce. Such a localized pocket of fat is perfect for Liposuction.
To be a good candidate for liposuction, you should be physically fit

Liposuction is not a cure for obesity. There is a limit of fat tissue that can be removed safely from the human body

and eat well-balanced meals, with fatty deposits that are localized. You should be psychologically stable, and realistic in your expectations.

You may think having liposuction will make you look like your ideal or give you perfect looks. You may think that people will treat you differently or that you will be a happier person after your liposuction. These are unrealistic expectations. Good results will help you increase your self-confidence but you won't necessarily look like your ideal.

The patient must have realistic expectations. The ideal candidate is only 10 or 20 pounds overweight. Patients should realize that, although the cellulite's appearance may improve, it is not expected to lessen. The patient should be in good physical health. A healthy well-balanced diet is important in maintaining the postoperative results as well as in ensuring excellent healing during the convalescence. Crash diets immediately prior to the consultation to be considered a candidate for surgery may increase the risk of complications as a consequence of electrolyte imbalances or nutritional deficiencies. The physician should be confident that patients’ motives are well founded and that the discontent with their physique is not a displaced unhappiness with a distinctly separate situation in their life, such as marital or employment difficulties.

How young can be? teenagers?
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Selecting a Surgeon
Although liposuction is generally safe, the discerning patient should consider some factors to ensure safety, minimize the risks involved, and get a good result.

Oftentimes, patients choose their surgeon on the basis of price. However, the success of the procedure is largely dependent on your choice of surgeon. There are no laws in the Philippines that regulate who can perform liposuction. Thus, to avoid unsatisfactory results, it is best to choose a surgeon who has had accredited training in plastic surgery, special training in body contouring and extensive experience in liposuction. This operation also good judgement and the ability to visualize the end result. Your surgeon's skill can make all the difference between a good result and one which will require correction and additional expense.

The patient must also be able to trust the surgeon for proper evaluation and advice.

More on How to Select a Qualified Plastic Surgeon
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Consultation
When you first consult with your surgeon, he will ask you what your goals and expectations are and what you would like your body to look like. He will also evaluate the structure of your bones and how much work needs to be done to get the desired result. What is maximum amount
of fat that can be taken out

Your surgeon will explain the procedure, its risks, alternatives, benefits and recovery time of the procedure. He will describe what he plans to do and what anesthesia he plans to use, considering your preferences. He will discuss where the surgery will be performed, as well as the risks and costs involved. You can also ask him any questions you may have, especially those regarding your expectations about the results.

He will also ask you if you've previously had liposuction as this will affect the planned operation. How

He will ask you about your history of medication, allergies and diseases, prior surgeries and results, including scarring, and personal and family history of diseases If you have allergies, breathing difficulties, if you smoke, or take medications, vitamins, or other drugs, you should also inform your surgeon.

Before you undergo your operation, your surgeon will ask you to have blood tests done to ensure that you will not have any bleeding problems as a result of the operation. If you are 40 years of age or older, you will also be requested to have an electrocardiogram done and to visit your internist or cardiologist for cardiovascular clearance. This is to ensure that you are physically fit to undergo the surgery.


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Planning the Surgery
After evaluating the patient, the plastic surgeon plans the operation and determines where the incisions will be made. The position of the incisions are carefully planned so that the resulting scars are practically invisible after healing. It is rare for a patient to have visible scars if her surgeon is competent. The most important factor in the success of your surgery is your surgeon's training, skill and experience.

The insertion marks should be planned, if at all possible, to be placed in hidden areas while the patient is wearing the typical item of clothing (eg, swimwear, undergarment).

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Preparing for your Surgery
To avoid any complications and risks, your surgeon will give you specific guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Follow these instructions carefully.

Be sure to have a consultation with your doctor.

It is helpful to the doctor if you already know the areas where you gain fat and the areas you wish to have liposuction on.

Before surgery, it is advisable to give blood so that your own blood may be used for transfusion during the procedure if necessary.

Exercise regularly before you have Liposuction. This will help you maintain your body after the procedure.

Take extra protein and vitamin pills before the procedure. This will help your body heal faster during the recovery process.

Loose as much weight as you can before the procedure or else be at a stable weight. This will allow the doctor to better sculpt and shape the area of your body elected for Liposuction.


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The Risks of Surgery
All surgery has some uncertainty and risk involved but complications are infrequent and usually minor when liposuction is performed by a qualified plastic surgeon, since he has the necessary training, skill and experience. If you follow your surgeon's instructions closely both before and after surgery, you can also reduce your risks of complications such as infections, or reactions to the anesthesia.

 

Liposuction is a surgical procedure and there is a risk of bleeding, infection, and blood clot formation in the legs.

The removal of too much fat can result in excessive blood loss. Also, removal of too much fat can create an unnatural and undesired appearance.

In Liposuction there is a risk of too much of the fluids injected into the body being absorbed into the bloodstream. Epinephrine (adrenaline) and Lidocaine (local anesthesia) are commonly found in the fluids injected into the targeted areas. These fluids can become toxic if too much is absorbed by the body. For more information about the fluids used in Liposuction, check out Anesthesias.

The results of Liposuction can also be unfavorable if the skin looks wavy or lumpy.

When performing liposuction, a doctor has a choice in the techniques he or she wishes to use. Each technique has its own benefits and risks. For more information about the different possible options, check out Surgical Techniques.

Complications of liposuction can be reduced significantly by choosing the right doctor.


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Anesthesia
Liposuction can be performed under local or general anesthesia, depending on what you and your surgeon prefer.

With general anesthesia, you'll be sleeping during the operation and wake up after it is finished. With local anesthesia, you'll be awake during the surgery, but in a relaxed state, since you will be lightly sedated. You will be insensitive to pain and the area the surgeon will be working on will be numb.

Dr. Lasa prefers to perform liposuction with the patient awake, under localized tumescent anesthesia. Many of the problems in cosmetic surgery are due to complications from general anesthesia. These complications are prevented when patients are awake during the procedure. With tumescent anesthesia, patients can easily stand up at the end of the procedure without feeling dizzy.
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The surgery: Liposuction Techniques
Liposuction is usually an outpatient procedure, for convenience and more affordable costs. It may be performed in a surgeon's office-based operating room.

The incisions that the surgeon makes are small and heal quickly. (Describe inserting canula, suction fat)

In the tumescent technique, the surgeon injects large amounts of fluid into fatty areas before performing liposuction. The fluid contains a local anesthetic and blood vessel constricting drugs to minimize blood loss, alleviate pain, and lessen the need for and risks of general anesthesia. Liposuction performed with this technique has had an excellent safety profile since it was first used.

The tumescent technique is a liposuction method that can reduce postoperative bruising, swelling and pain. During this procedure, blood loss is minimized. Areas of excess fat are injected with a large amount of fluids before liposuction is performed. This fluid is saline containing a dilute solution of adrenalin and local anesthetic. Tumescent liposuction requires three times as much fluid being injected as what is aspirated. This fluid causes the sections of fat to become tumesced, or swollen or firm. These expanded sections of fat allow the liposuction cannula to travel smoothly beneath the skin as the fat is removed.

Tumescent liposuction using local anesthesia offers the benefits of fewer skin irregularities, less bleeding, reduced bruising, and a faster recovery. Tumescent liposuction is performed as an outpatient procedure. Thus, the potential complications from general anesthesia and a costly hospital stay can be avoided. Also, since the patient is awake during the operation, he or she is able to sit or stand during the procedure, which allows the surgeon to check the status of the patient and the progress of the contouring.

Now, like most liposuction procedures, there is always the possibility of complications involved. Even though fluid overloading is relatively safe, it can result in congestive heart failure, toxic effects of the local anesthesia can also occur. Also the tumescent technique takes longer for the doctor to perform. However it has been proven to be safer than traditional liposuction techniques

Ultrasound-assisted liposuction (UAL) is a more recent modification of the liposuction technique. However, the heat generated by ultrasonic energy may create the added risk of burns in the treated areas.

 

After the procedure, the patient is instructed to wear a snug elastic garment over the treated area for a few weeks.
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After surgery
After surgery, your surgeon will instruct you to

Your face will feel

Take the pain medication prescribed by your surgeon to control whatever discomfort you feel.

It is common to have a bruising and swelling in the affected areas during the first few days after surgery, and you may continue to feel bruised for several weeks. Your surgeon will probably ask you not to

for a week or so, while the tissues heal.

It is normal to have some swelling and bruising after two or three days. Applying cold compresses will reduce this swelling and relieve some of the discomfort. Most of the swelling and bruising should disappear within two weeks or so.

In the days following surgery, many patients feel depressed because of their bruised and swollen body. This stage will pass and your spirits will improve as your body heals.

Although you will feel much better after two days, it may take several weeks before you're back to normal. Your surgeon will give you guidelines about when you can resume your normal activities. Usually, for two to three weeks after surgery, he will ask you to avoid strenuous activities such as sports or sexual relations as these will increase your blood pressure.

 

Your skin will naturally reshape and tighten over the sculpted area. This is part of the healing process.

Depending on the Surgical Technique used by the doctor, there may be slight waviness or visible scars.

Recovery depends upon the Liposuction procedure you choose and the surgical technique used by the surgeon.

Traditional liposuction involves the closing of the incision sites to prevent scarring. A compression garment is worn to help this healing process.

In Tumescent Liposuction the incisions are left open to allow the draining of fluids. A compression garment is also worn in addition to pads to absorb the fluids over the incision areas.

The compression garment is one of the most important aspects of recovery. It is a tight fitting garment much like spandex and holds the area of the body firmly. An ideal garment fits tightly but comfortably and allows the use of absorptive pads underneath.
Photo courtesy of
Home Recovery
It can be easily taken on and off.

There will be some discomfort for the first three days after surgery. There will also be some bruising and swelling. The compression garment helps to ease the swelling.

Most patients return to work after 3 to 4 days depending on the procedure.

Some general rules to follow:

* Drink plenty of fluids to avoid dehydration.
* Avoid all alcoholic beverages.
* Wear compression garments.
* Do NOT use ice packs or heating pads over the Liposuction area.
* Do NOT use hydrogen peroxide or band-aids over the incision sites
* Do NOT soak in a jacuzzi, bathtub, swimming pool, or ocean for at leas
* t seven days after the surgery to avoid infection. When ready to remove compression garment have someone assist you.
* Have help when you first take a shower.
* Sit down if you feel dizzy.
* Take It Slow. Most patients can walk around after surgery, but it is best to keep all activity to lowimpact for the first week.

 


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Follow-up
In the months after surgery, your surgeon will schedule frequent follow-up visits to check on the progress of your healing. In between visits to your surgeon, if you notice anything unusual or have any questions about symptoms, or what you are allowed to do, don't hesitate to call him.

Conclusion
Liposuction is generally safe when the patients are carefully selected, the operating facility is properly equipped, the risks of general anesthesia avoided and most importantly, when the surgeon is properly trained. Having considered these factors, many satisfied patients have experienced how, in a few hours, liposuction can effectively eliminate the localized fat which seemed almost impossible to get rid of.

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Korben Place
3rd Floor, 91 Roces Avenue cor. Scout Tobias St.,
Quezon City, Philippines

Tel (632)-374-6092
Cellphone +63917-822-9014

Email Dr. Carlos Lasa, Jr. or
info@cosmeticsurgeryphil.com