As well as it can be made liposuction, the removed fat can be reinjetada in other areas of the body.

    Use the term lipoescultura when the surgery consists of the retreat of fat certain areas and reinjeção in other depressed areas.

    The fat reinjetada suffers an absorption process. Approximately 30% of this injected fat are absorbed by the organism, so that it is necessary an exaggerating (in 30%) correction, so that the final result is adapted. Of course in this circumstance will also be necessary to await a time of up to 1 year so that it happens the integration and accommodation of this fabric transplanted in his/her new position.

    As it is very difficult for the surgeon to evaluate the amount of fat that is being removed exactly and the one that is being left in his/her place, a great percentage of cases exists in that is necessary to do a correction (or retouch) in the postoperative period. Small amounts of fat can show as saliencies more or less evident in the surface it expresses, after the surgery.

    In general these surgeries of postoperative finishing touch are quite more simplified that the surgeries of conventional liposuction. They can be accomplished with local anesthesia, and frequently they are associated to the liposuction of other areas that you/they had not been accomplished in the first procedure.

Anesthesia

    Different anesthetic techniques exist for the liposuction accomplishment. She can be accomplished with:

• He/she anesthetizes general
• He/she anesthetizes local
• A blockade peridural

    When the procedure to be accomplished is very lingering or the amount of located fat to be removed is quite big, most of the surgeons prefers the general anesthesia. In this technique the patient is maintained, for the anesthetist, without conscience and without pain so that the surgery can calmly be accomplished. When the surgical procedure finishes the patient is wakened up and maintained with painkillers to avoid the immediate postoperative pain. After some hours the medication to avoid the pain can be decreased because the accomplished surgical procedure doesn't unchain lingering pain.

    When the areas the they be lipoaspiradas are small and the patient has psychological conditions of peacefulness to support the surgical procedure, this can be accomplished under local anesthesia. Some mitigation type can also be associated.

    Some exist surgeons that prefer the anesthesia of the type blockade peridural. In these circumstances, the patient is submitted the an anesthesia type that allows him to be conscious or with mitigation, without any sensibility type in certain areas that should be worked by the liposuction.

    Each case should be evaluated carefully in calm interview between the surgeon and the patient for discussion and choice of the best anesthesia type.

Expectations of the Patient

    Frequently the patients have an expectation of complete correction of all their irregularities of deposit of fat of the subcutaneous.

    It is necessary a frank interview among surgeon and patient, so that she can settle the doubts and to undo the fantasies that by chance can still exist in the imaginary of the patient. It is common that the patient arrives at the surgeon's clinic with a desire of retreat of all of the greasy (in many areas of the body) excesses.

    The total amount of fat to be removed should not be exaggerated because a certain amount of blood that is also aspirated during the liposuction procedure exists. If the liposuction goes very bulky, the sanguine loss will also be able to be, causing anemia in the patient.

    In the situation of it puts on weight and weigh loss, the greasy cells increase or they decrease as a balloon full or empty. In the areas lipoaspiradas, there is the retreat of the cellular contingent that allows the operation of the type balloon, therefore once lipoaspiradas appropriately with the retreat of great part of the cells, in these areas no there is more the possibility of it puts on weight.

    Of course if the nutritious contribution goes hipercalórico (with great amount of fat and sugars), other dozens of areas of the body would be capable of being increased and put on weight would happen him again.

Complications of the Surgery

    Frequently there was to speak in complications of the liposuction. Without a doubt it is a delicate procedure that demands the whole care of the medical team involved in the procedure.

    However it is necessary to do a differentiation between the complications of the liposuction and the one of the anesthetic procedure involved in the surgical procedure.

    The complications of the liposuction are related with perforations or trauma of the deeply located structures to the areas lipoaspiradas. Another complication of the liposuction would be the presence of irregularities in the worked surface. In certain situations of quite superficial liposuction, they can also result hipercromia (darker areas) areas, that can be corrected with bleaching substances. Those discoloration procedures many times are lingering.

    It is not uncommon to hear to speak in cardiac arrest and death during the liposuction.

    It is necessary to understand that the anesthetic (of the type it anesthetizes general, it anesthetizes local, or I block peridural) procedure, it can unchain these complications.

    Therefore, as he/she already mentioned himself, it is indispensable the differentiation between the complications of the liposuction and the complications of the involved anesthetic procedures.

    The irregularities larger or smaller can be corrected with a secondary liposuction as it was affirmed previously. If there is perforation of a deep structure, the specific treatment it should be established as soon as be done the diagnosis.

    The complications anestesiológicas should also have immediate treatment as soon as it be made diagnosis.

    In all those situations of complications it is important to take in consideration that the prophylaxis (to avoid), is of the largest importance. The end care can help to avoid complications more or less severe.

    The surgery of the liposuction can be accomplished ambulatorialmente if the amount of fat to be the retreat is relatively small, or with the lowered patient, if the amount of fat to be removed goes of larger volume.

Associated liposuction the other Procedures

    The liposuction can be associated the some surgical procedures.

    For instance, when it is made a surgery of decrease of the mamma many times is necessary to do liposuction around in the greasy saliencies of the mammary gland. For the complementation of the aesthetic aspect of this surgery, a lot of times the retreat of fat portions of the inferior area to the armpit, or of the area of the medium line, among the two mammas, it can the complemental the operated mamma's global aesthetic aspect.

    In the surgery of the abdomen the liposuction can also be associated. In the lateral areas of the abdominal wall, a liposuction can provoke an acinturamento process.