Weight Loss

Liposuction
Though liposuction is strictly not a means to reduce weight, a large volume liposuction (in selected persons)can produce a significant weight loss and the person then can maintain or even reduce weight further by following a healthy life style and moderate exercise. Liposuction is like a kick start or an impetus to the frustrating cycle of dieting - weight loss - binge eating and rebound weight gain. Yes, the wallet does loose its weight in this bargain and the slimming centers laugh all the way to the bank.

What is Liposuction?
Liposuction also known as lipoplasty or liposculpture is the surgical removal of adipose tissue by the use of small metal cannulas.

What are the indications for liposuction?
Liposuction works best for treating localised fat deposits that do not respond to traditional diet and exercise. The treated areas will retain the new contours . Large volume of fat removal will also help reduce weight of the person.

If the fat is removed, will it return?
The body produces fat cells during three different periods: in utero, early childhood and early adolescence. In general, after reaching maturity the total number of fat cells in the body will not increase. Fat cells that are removed through liposuction or other techniques will not be replaced by other fat cells. So the resultant loss of fat & weight loss cells will be permanent.

What are the most common sequelae of liposuction?
The most common sequelae include contour irregularities, paraesthesias, oedema, ecchymosis & discoloration, which occur routinely in almost all patients who undergo liposuction. However, they resolve spontaneously or with minimal treatment such as massage & Pressure garment.

How much fat can be removed?
Whatever extra subcutaneous fat is there can be removed in a single sitting from different parts of body.

What is the postoperative care required?
No special care is required but one has to wear pressure garments for at least 3-6 months.

What is "wetting solution"? Why do we use it?
Wetting solution is the delivery of subcutaneous infiltration into the subcutaneous fat before the use of liposuction. It has two advantages: an anaesthetic effect secondary to the use of lidocaine and a haemostatic effect due to use of epinephrine.

Does the excessive skin need to be resected after removal of fat by liposuction?
In general, despite large amounts of fat being removed, skin has good elasticity and will reconfirm to the new underlying volume. However, in patients with inelastic skin or in older patients the skin may not redrape and skin resection may be needed.especially in the abdominal region for which a tummy tuck is a better option

Cosmetic Surgery after weight loss.
If you have recently undergone a major gastric bypass operation or other similar procedure, you know that after weight loss surgery, your body can morph into something you don't even recognize. Cosmetic surgery can help adjust and enhance the areas you'd like to improve. Your options are many, and should be discussed with a qualified medical professional.
There are many procedures available to adjust and enhance your appearance post weight loss procedure. Some of them are mentioned below.

Abdominoplasty
Commonly known as a "tummy tuck", this cosmetic procedure aims to remove the unwanted, draping skin that hangs from your stomach after weight loss surgery. This process usually results in a dramatic improvement of the overall appearance of the abdomen. One thing to consider-if you're planning on having children, it's best to wait until after giving birth for this procedure as the skin will stretch all over again.

Face Lift
There are really two options to combat extra skin around the face after weight loss surgery-a thread lift and a traditional face lift. A thread lift is a simpler procedure that works well at removing a small amount of excess skin, and is often preferred by patients since it involves less investment and less recuperation time.
However, if you have lost a great deal of weight and have more than a little excess skin around the chin and jawline, you may want to consider a traditional face lift, which is more time consuming but also offers more dramatic results.

Redraping
This is the best option for those that find large amounts of excess skin all over their body after a successful procedures. Redraping can be done in stages, and involves removing excess skin and then actually redraping what's left over the affected area so that it hangs differently on the body. It's a very complicated and time consuming procedure, so be sure you need it before you go under the knife.

Breast Reduction
After weight loss surgery, your breasts may or may not shrink. If they do not, but the rest of your body does, you may suffer from back problems and other health issues that are highly uncomfortable. If you find yourself in this situation, consider a breast reduction surgery to alleviate the discomfort and better proportion your entire body.
Obviously, cosmetic procedures should be considered carefully and discussed with your doctor and family

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