The popularity of liposuction is growing all over the world today. Even with a weight deficit, many patients of cosmetology clinics complain about disproportionately protruding roundness of the body, which they would like to correct. The reason for such fat deposits may be that even during the laying of the body, before birth, for some reason more fat cells were formed in this area than is necessary for an ideal shape.
Therefore, neither fasting, nor unbridled sports, nor massages and mesotherapy sessions will bring the desired disposal of these excess adipose tissue. In such cases, it makes sense to discuss the possibilities of liposuction with the patient.
Liposuction of different areas of the thighs: features of the procedure
In the first place according to statistics is the number of patients seeking treatment for the "riding breeches" zone (outer surface of the thighs).
The peculiarity of this zone is that it is here that an overly developed area of excess adipose tissue is sometimes observed, up to the formation of a skin fold under it. This is the most difficult option. Here it is very important to decide whether it is possible to promise the patient a complete removal of the "breeches" only with the help of liposuction. It is necessary to assess the possibility of whether to do this in one step or to warn in advance of the need for a two-step approach so as not to get excess skin that may not be reduced in the future. In rare cases, it may be necessary to excise excess skin at the same time as liposuction.
In simpler cases, too much adipose tissue should not be removed, as it is in the "riding breeches" zone that fat is based on a fairly flat surface, which is formed by the muscles of the thigh. And if the fat layer, especially in the lower third of the thigh, is completely removed, this threatens to fix the skin to the muscle, which entails a number of troubles.
With the skill and experience of a doctor, breeches liposuction is one of the most spectacular operations, as it allows the patient to put on beautifully fitting trousers or a skirt almost immediately.
The second most popular is the so-called "flank" zone. These are the same fatty "buns" that very often hang over the "breeches". They are usually separated by a small depression, and therefore it makes sense to remove them at the same time, especially since one of the liposuction punctures will be used for both zones. This is probably the safest area, the fastest way to evaluate the effect.
In third place — areas of the inner thighs. There are two of them on each side. Upper — closer to the inguinal fold. Lower — closer to the knees. Most often they have to be removed together, but often only one of the two. As for the upper zone, it is just as important for liposuction to assess the condition of the skin as in the "breeches" zone.
Great care should be taken with liposuction in patients over fifty years of age, as the elasticity of the skin is lost with age. If the skin does not shrink, excess skin may form, which will have to be excised. However, in some cases, the doctor cannot accurately guarantee that these excesses will form or the skin will shrink. Therefore, the patient can be offered to perform liposuction as the first stage, and if necessary, as the second — skin excision. At the same time, subgluteal fat is well removed from the same punctures, two classic spaces appear between the thighs.
As for the lower areas of the inner thighs, it is important to recognize whether these "pink"s between the knees, hated by patients, are a consequence of the structural features of bones and muscles. These factors are always present to some extent, so it is important to show before the operation what can be done with liposuction, so that there is no illusion about the narrowing of the bones.
Puncture, often the only one, is always carried out in the crease of the popliteal crease. In this regard, there is a small risk of damage to the branches of the great saphenous vein, but this will not cause significant problems. Perhaps the bruises will be a little larger and take a little longer to resolve. Often, along with this zone, it is possible to remove excess fat from the knee area, which will make the knees even more elegant.
Also, from the same puncture it is possible to perform liposuction of the inner surface of the lower leg, where sometimes an elongated fatty cord accumulates right under the knees. But this must be done very carefully so as not to emphasize the naturally wide knees.
In what cases is liposuction of the abdomen performed?
Very often both men and women apply for liposuction of the abdomen (anterior abdominal wall). And the percentage of those who undergo this operation is not very high. The reason is that the roundness of the abdomen does not always appear only due to excess fat, the stretching of the muscles of the anterior abdominal wall may be to blame. And in this case, if you do liposuction, the effect will be minimal. Here, if the goal is to make the stomach flat, another operation will be more effective — abdominoplasty, in which the contour of the muscular wall is changed.
But where there is no spherical belly in a relaxed state of the press, but only an excess of fat, liposuction — the only effective method. In this case, the entire operation in skillful hands is done through three punctures. Not infrequently it is combined with the "flank" zone or with the suprapubic zone, which greatly improves the overall appearance.
Liposuction of other problem areas
Liposuction of the shoulder areas or, as patients say, liposuction of the arms, is one of the most popular in any clinic. Together with the arms, it is often necessary to do liposuction of the back. The back is divided into four zones. The top two — suprascapular. The bottom two — lumbar. There are different opinions about the effectiveness of back liposuction, even among experienced specialists. Someone considers it generally ineffective, someone vice versa.
Liposuction in this area can be effective, but you need to be able to determine the type of patients for whom it is indicated.
It would be incomplete to discuss back liposuction without special attention to the fat hump. For some reason, more often it is called "climacteric", although young girls under the age of twenty are often found in whom he was present. In some publications, it is recognized as unpromising for liposuction, but if the curvature of the cervicothoracic spine is excluded as the main reason for its appearance, liposuction can also get rid of the “hump.”
Often there is a fat lump in the supracacral region, immediately above the intergluteal fold. There is always a very dense and hard-to-remove fat. But nothing but liposuction will help get rid of it.
Liposuction of the buttocks — one of the most difficult areas. The buttocks, like no other area, require strict adherence to three-dimensionality if we are talking about their complete correction. If it is necessary to remove excesses only from the upper or lower semicircles, the task is facilitated, but even here there is the possibility of obtaining an undesirable flattening.
Often, patients ask to lift the lower hemispheres of the buttocks. In most cases this is possible. But when there is excess inelastic skin, excision may be necessary.
Liposuction in the face and chin area is rarely performed as a separate operation. Most often in these areas, liposuction is performed together with a facelift and is considered as one of its stages.
Liposuction: which areas are considered taboo for this operation
Are there taboo zones? Today, there are many opinions about this. If you look at the literature, then those who are currently the undisputed authorities in the field of liposuction always point to the existence of such zones. These include:
- anterior thighs;
- anterior and posterior tibia;
- both surfaces of the forearms.
In conclusion, it is worth adding that the term “liposuction” today it becomes not too correct when applied to ongoing plastic surgery. In fact, this is not a simple fat removal, which is liposuction, but liposculpture, lipomodelling, which allows patients to realize their desire for a perfect body.
According to the materials of the site "Clinic of the Century"
Correction of the face or figure with the help of adipose tissue always raises a reasonable question – where to get enough material with which you can safely implement the planned reconstruction and at the same time not be afraid of complications?
Plastic surgery improves the methods of face and body correction by researching and discussing new ways of processing adipose tissue for lipofilling. Of particular interest is the use of fatty nanoparticles.
Adip cell injection method – lipofilling – is of great interest to practicing plastic surgeons due to its prospects. One of the most important questions in this operation – survival of transplanted cells, and today the search and discussions continue on ways to increase the viability of adipose tissue ready for transplantation.
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