Overview of standard and innovative methods of fat removal: from mechanical liposuction to genetic mechanisms was offered by the special guest of the first International Interdisciplinary Congress on the Correction of Excess Face and Body Volumes Klaus Hoffman , MD, dermatologist, plastic surgeon, laser specialist, vice -Director of the Department of Dermatology at the Ruhr University, Head of the Department of Aesthetic Medicine and Surgery; St. Joseph Hospital in Bochum, Germany.
He served as an adviser to the German government on aesthetic medicine and the use of laser technology, a member of the Advisory Board of pharmaceutical and laser medical companies, a member of the editorial board of a number of medical journals, an honorary member and president of various medical societies. He is the author of more than 400 independent expert works, 9 books. He is a laureate of National and International awards, the winner of the "AWMC Beauty trophy 2013".
Fundamental anatomy and other sources devoted to describing modern body proportions are usually described in men, not women. But men have more inner fat, in women – external. In women, fat is easier to influence.
Fat mass depends on the number of adipocytes and their size. The larger the adipocytes, the easier they are to be affected. Destruction of the adipocyte causes inflammation. You can count the macrophages and determine how badly the fat cells are damaged after the procedure.
Workouts, exercises and diet – great ways to lose weight. Aesthetics – it is an appreciation of the beauty we have created. I was surprised when I met the division of dermatologists, cosmetologists and plastic surgeons. In my opinion, these specialists should work together in aesthetics.
Weight loss – it is the removal of excess fat and water, not just water. Body fat needs to be measured. There is not always enough sports training.
Adipose tissue – it is a source of multipotent cells for humans. There is hyperplasia and hypertrophy of fat cells. Water exchange takes place in fat cells, and we can remove or redistribute it for body shaping.
There is a lot of collagen in superficial white adipose tissue, between and around cells. With age, we lose collagen, and adipose tissue ceases to be structured. If we work on the face with fillers, we must remember about this collagen.
Liposuction – the most popular procedure today. It occupies the most important place in the list of ongoing operations for the correction of appearance. But this is a method of improving the figure, and not a method of losing weight. She carries great risks due to the use of anesthesia. There are different types of liposuction, the patient can choose. Mechanical, water, laser, ultrasonic – There are techniques for every preference. We do not use lidocaine, we use prilocaine and vitamin C, and we also heat the water that we inject into the patient's adipose tissue.
Of course, there are complications. General anesthesia should be avoided. And tumescent anesthesia may be acceptable. Next, you need compression underwear for 2-6 weeks.
I'm a fan of heat because heat thickens the skin. Heat and liposuction work better together. Heat tightens the skin. The more heat you apply, the better the result.
In a laser system, the effect of heat is even more visible. Especially when using a neodymium laser. We heat the tissue deeply, as in liposuction. The temperature at the tip reaches 300 degrees, and the process must be monitored carefully.
Such liposuction is effective, plus the application of heat in the area of \u200b\u200bthe inner surface of the hands. It is much more difficult to achieve a result & nbsp; in the area of the second chin, but it is also good. We act on deep collagen with a laser and heat. The effect is not worse than surgery, but without a scalpel.
Even with lipedema, liposuction with a combination of heat application is possible.
This is possible even with blepharoplasty. We heat the fat by introducing a thin glass fiber, literally for 30 seconds. Can't overheat! Otherwise, healing will take up to 6 weeks. We need to be careful, then we have a good result of tissue tension.
The method also works with cellulite. We squeeze out both water and some fat. There are many compartments large and small. Women have more of them, and still have fat intrusions into the dermis. We must apply heat to the collagen fibers to tighten the skin. We just sinter the layers with heat, we get a great effect: we work on fat, on trabeculae, on the skin and get more collagen production due to the application of heat.
In aesthetics, they also work with focused ultrasound. You need to be wary of a strong impact. Scientific evidence suggests that exposure to ultrasound can destroy not only adipose tissue, but also cause hematomas, disrupt blood vessels, and other tissues.
Ultrasound therapy is combined with radiofrequency therapy, with cavitation. Hard cavitation, which produces fat-destroying steam bubbles, is a very popular technique in Europe today. Soft cavitation relieves the fat cell of water and gas. The patient immediately loses weight after the procedure, but not for long.
Other systems – produce either apoptosis or necrosis. Heat shock proteins are produced as a result of any exposure – whether warm or cold. But the impact must always be measured and controlled. The impact must be controlled and uniform. Then the deep layers decrease.
Cold or cryolipolysis – very popular technique. In this case, the effect on the vessels occurs, and they are conductors of temperature. We draw in the tissue, cool it, then do an external massage, and the fat is destroyed, excreted through the liver. Massage increases the effect by 68%.
Some studies have shown that when exposed to cold, white fat cells turn into brown fat, which is responsible for energy production in the body, and therefore for weight loss.
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