Pre-operative markings are carried out by Dr. Petit before the procedure.
This one can be achieved under general anesthesia, or under local anesthesia (associated or not with a sedation) if the liposuction is limited to one single region of the body. The hospitalization of one night at the clinic or the out-patient basis (hospital discharge that very evening) depends on the quantity of fat removed.
The procedure begins with the injection of an adrenalized solution in the areas to be treated, in order to limit the post-operative blood loss. Then, the excess fat is sucked up in a non-traumatic manner with blunt foam cannulae (perforated at their ends and not sharp), introduced by micro-incisions of a few millimetres.
The cutaneous closure of the liposuction orifices is performed with resorbable sutures.
A compression garment is set up at the end of the procedure.
What to expect after surgery
Pains relating to liposuction are variable according to the patients and the amount of fat extracted. Generally, they are moderate (suggestive of “stiffness”) and are well soothed by analgesics.
Ecchymosis (bruises) are classical and subside within 2 to 3 weeks after the operation. An oedema (swelling) is constant and of variable duration, gradually subsiding within a few months.
The shower with a soft soap is possible the day following the procedure.
Three preventive measures against phlebitis are established after the procedure: the affected leg elevated as well as the walk, the wearing of compression stockings and the daily injection of an anticoagulant (medicines which thin the blood) over 15 days.
The wearing of a compression garment is recommended during 1 month in order to reduce the post-operative œdema and fostering a good retraction of the skin in the treated areas.
Dr. Petit will also suggest massage sessions (lymphatic drainage) accelerating the regression of the post-operative œdema.
The progressive resumption of daily activities is possible the day following the procedure.
The resumption of professional activities is variable (a few days to two weeks) and depends on the operative gesture performed and on the patient’s job.
The resumption of sports activities can be done within 4 to 6 weeks following the operation.
The complications of a liposuction are rare.
The main risks are
In the first hours following the surgery:
- A moderate bleeding through the liposuction orifices.
In the post-operative month:
- Transitory disorders relating to the cutaneous sensitivity.
- An infection: exceptional complication
- A phlebitis, a pulmonary embolism: exceptional complications with the preventive steps previously taken.
In the long term :
- An occurrence and/or an increase of irregularities of the cutaneous surface (orange peel skin, depressions, vagues, skin slackening): rare complications if the operative indication is properly set.
- A pathological scarring (hypertrophic scars or keloid).
- A poor achievement requiring a secondary surgical revision.
The final result of a liposuction is obtained between 3 to 6 months after the procedure, when the post-operative oedema has disappeared.
The scars initially are inflammatory (red and swollen) the first months, then they will fade gradually without disappearing. They are almost invisible full-term.
This result is long-lasting provided the patients have a healthy lifestyle.
The liposuction improves the self-respect of the patients, who feel more at ease in their bodies.