If you decided to undergo a plastic surgery of breech and calfs, but your skin had already lost its elasticity to such extent that makes liposuction useless, the doctor can recommend you a plastic surgery of breech and calfs.

In which cases is it recommended?

The ageing process of skin causes a low skin elasticity which unables the skin to adjust to a new tissue volume and reattach to it evenly. That is why liposuction is not recommended for some clients. Several foldings, uneven surfaces and dimples could emerge during the healing process, with a little aesthetic effect.

Are you a suitable candidate for the plastic surgery of buttock and calf?

If your skin has already lost its elasticity to such extent to make liposuction useless, you can be a suitable candidate for this operation.

You have to be healthy and with a good balance of mind and with realistic expectations.

If you decided to undergo a plastic surgery of breech, but your skin had already lost its elasticity to such extent that makes liposuction useless, the doctor can recommend you a plastic surgery of breech. 

In which cases is it recommended?

The ageing process of skin causes a low skin elasticity which unables the skin to adjust to a new tissue volume and reattach to it evenly. That is why liposuction is not recommended for some clients. Several foldings, uneven surfaces and dimples could emerge during the healing process, with a little aesthetic effect.

Are you a suitable candidate for the plastic surgery of buttock?

If your skin has already lost its elasticity to such extent to make liposuction useless, you can be a suitable candidate for this operation.

You have to be healthy and with a good balance of mind and with realistic expectations.

 After the buttock operation

 How long shall the result of the buttock operation last?

Injectable fillers are substances own or foreign to the body that are applied under the skin with the aim to smooth and lift aging skin. There are used own fat, collagen, hyaluronic acid, hydroxylapatite, acrylates and others. Anesthesia is local only in form of anesthesia cream. The duration of the treatment depends on the type of filler and size of treated area. Return to normal activities is possible right after the treatment.

What can injectable fillers do for you?

Soft-tissue fillers such as injectable collagen or fat, can help fill in facial lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. Injectable fillers can also add fullness to the lips and cheeks. They may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a face-lift.

Injected collagen and fat are primarily used to improve the appearance of the skin’s texture. They can help fill out deep facial wrinkles, creases and furrows, “sunken” cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips.

Injectables are usually not helpful for severe surface wrinkles on the face, such as multiple vertical “lipstick lines” that sometimes form around the mouth. Instead, your plastic surgeon may suggest a resurfacing technique, such as a chemical peel, dermabrasion or laser treatments. Rather than filling in facial lines, resurfacing methods strip away the outer layers of the skin to produce a smoother appearance.

Deep folds in the face or brow caused by overactive muscles or by loose skin may be more effectively treated with cosmetic surgery, such as a face-lift or brow-lift. Injectable fillers are sometimes used in conjunction with facial surgery procedures; however, injectables alone cannot change your facial contour the way surgery can.

Why injectable fillers Prague?

Prague has many attractive features for those considering injectable filllers abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and injectable filler surgeons ensure you’ll receive the best possible care. Injectable fillers Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.

Types of injectable fillers

Collagen

Collagen is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.

Collagen is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in 1981. It is produced in various thicknesses to meet individual patient needs.

Fat

In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient’s abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in “sunken” cheeks or laugh lines between the nose and mouth; to correct skin depressions or indentations; to minimize forehead wrinkles and to enhance the lips.

Anesthesia

Because the anesthetic agent lidocaine is mixed in with collagen, additional anesthetic is usually not used when receiving injectable fillers. However, if you are especially sensitive to pain, your doctor may use a topical cream anesthetic or a freon spray to numb the injected area.

You may also choose to have an injected local anesthetic or sedative drugs.

Both the donor and recipient fat areas are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment.

The injectable filler procedure

The injectable filling procedure takes from 15 minutes to one hour.

Collagen

Injectable filler treatment with collagen can begin after a skin test determines that you’re not allergic to the substance. The collagen is injected using a fine needle inserted at several points along the edge of the treatment site. If a local anesthesia has not been used, you may feel some minor stinging or burning as the injections are administered.

Since part of the substance is salt water that will be absorbed by the body within a few days, your doctor will slightly overfill the area.

You may be asked to hold a hand mirror during the procedure to help your doctor decide when you’ve had enough.

Fat

After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site.

As with collagen, “overfilling” is necessary to allow for fat absorption in the weeks following treatment. When fat is used to fill sunken cheeks or to correct areas on the face other than lines, this overcorrection of newly injected fat may temporarily make the face appear abnormally puffy or swollen.

Are you a good candidate for injectable fillers?

An Injectable fillers procedure can enhance your appearance and your self-confidence, however it will not change your looks. Before you decide to have this procedure, keep in mind that the results are not long-lasting. The best candidates for injectable fillers are men and women who are physically healthy, psychologically stable, and realistic in their expectations as to how injectable fillers can enhance their appearance. to see the effect of other people’s injectable fillers surgery, click here for injectable fillers before and after photos.

Before your injectable filler surgery

In your initial consultation, your plastic surgeon will evaluate your face – the skin, the muscles and the underlying bone – and discuss your wishes for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.

Your surgeon will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from old injuries. Collagen injections are generally off limits for pregnant women, individuals who are allergic to beef or bovine products, patients who suffer from autoimmune diseases, and those who are allergic to lidocaine (the anesthetic agent contained in the syringe with the collagen material.)

After your injectable filler surgery

Collagen

Immediately following the injectable filler treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours.

However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.

No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly after the injectable filler surgery.

There may be some temporary swelling and redness in the treated area which should disappear within a few days. If these symptoms persist, contact your surgeon.

Fat

If a larger area was treated, you may be advised to curtail your activity for a brief time. However, many patients are able to resume normal activity immediately.

You can expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. You should stay out of the sun until the redness and bruising subsides – usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition.

The swelling and puffiness in the recipient site may last several weeks, especially if a large area was filled.

How long will the results of injectable fillers last?

Collagen Results

Results from collagen injections varies. The injected material is eventually metabolized by the body. You should not expect the same long-lasting results that may be gained from cosmetic surgery.

In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material’s “staying power.” However, the precise reason for the variation of results among patients has yet to be identified.

If you’ve had short-lived results from fat injections, you shouldn’t necessarily assume that collagen injections will work better for you. And, conversely, if you’ve had disappointing results from collagen, don’t assume that injected fat is the answer.

Although it’s true that some individuals’ bodies are more receptive to one substance than the other, others may find that neither substance produces long-lasting results. Sometimes one substance may work better than the other for a specific problem.

Fat Results

The duration of fat injections varies significantly from patient to patient. Though some patients have reported results lasting a year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.

Looking for a new look? Consider liposuction surgery abroad. Read on to discover if liposuction surgery is a good option for you!

What is Liposuction?

Liposuction is a procedure which removes localized fat deposits to shape one or more places on your body. Liposuction improves your body’s shape by intrusion and removal of subcutaneous fat using metal cannula connected to a vacuum device through a tube. It enables to suck the fat from the required areas. The suction cannula is inserted in the body through short incisions, maximum several centimeters in size, which are located in the natural skin folds to be as little visible as possible when healed up. Liposuction can help sculpt the body mainly in the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Liposuction is suitable if you have fat deposits in so-called problematic parts of your body and exercise and diet do not help. It cannot be used to treat extreme overweight or obesity!

Why Liposuction Prague?

Prague has many attractive features for those considering liposuction abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and liposuction surgeons ensure you’ll receive the best possible care. Liposuction Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.

Liposuction techniques

The liposuction techniques are divided into dry and wet (fluid is not or is used). According to the device used and cannula type liposuction can be divided into classical, power-assisted, ultrasound-assisted and laser. They all use the same principle where the intruded fat tissue is removed through a narrow tube – cannula. The cannula is inserted under the skin and using the vacuum it removes the excessive fat tissue. The methods of liposuction and anesthesia maybe combined in various ways. The final result depends on how much tissue is removed, how experienced the surgeon performing the procedure is and, of course, on the technique and anesthesia used.

Classical liposuction

Dry technique: The technique does not use any fluid injection – therefore the name Dry Technique. A higher suction must be used in this method which may lead to higher blood loss or tissue damage resulting in more significant unevenness. The method is considered as obsolete and is seldom used today.

Wet techniques: The fluid is injected under the skin. The wet techniques differ according to the amount of used fluid. The fluid is a mixture of saline solution (solution of sodium chloride), adrenaline (substance contracting blood vessels) and it may also contain an anesthetic. The technique facilitates the removal of fat, reduces blood loss and if an anesthetic is included it also provides anesthesia during and after the surgery. The injected fluid also helps to reduce bruising.

The volume of injected fluid is lower than the expected volume of removed fat. Usually 200 – 300 ml of the fluid for the treated area.

The volume of injected fluid approximately equals to the expected volume of removed fat. The technique is similar to the tumescent technique, except that a local anesthetic is not usually contained in the fluid or only in small amounts.

If the tumescent liposuction technique is used, large volumes of fluid are injected into the treated area through a 12cm-long needle which is tubed to a bag with the diluted solution. The fluid is infused slowly using a pump operated by a foot, which enables the surgeon to control the flow easily. The tumescent fluid contains a local anesthetic, usually lidocaine, to provide local anesthesia in the treated area. It enables to perform the procedure without the necessity of general anesthesia. The procedure performed under local anesthesia takes more time than liposuction under general anesthesia. It is necessary to wait for the effect of the local anesthetic and thus inject the fluid into each area just before the suction. The amount of the anesthetic and thereby the amount of the fluid is determined by the weight of the patient. The volume of fluid is usually 2-3 times higher than the volume of the sucked fat. It results in a solid swelling – tumescence, the skin in the treated area becomes white and cold. When the tumescent solution has been applied the suction of fat tissue can start. The liposuction is performed through a cannula tubed to a device which uses vacuum to suck. Different types of cannulas may be used with this technique. The biggest advantage is the possibility to position the patient as the procedure is performed under local anesthesia. The patient is conscious he/she can turn as needed, lift limbs or stand up. Some fat may be after a palpative and visual check removed when the patient stands.

Power-assisted liposuction – PAL

Power assisted liposuction utilizes a so-called vibration cannula that gently vibrates in quick micro-movements within 0,5 – 1 mm back and forth. The cannula is connected to a special device which produces the necessary power. It carefully penetrates fibrous fat tissue – e. g. in buttocks or back. At the end of the procedure it helps to smooth irregularities in the sucked area and its borders to make the transition from sucked to non-sucked area even and smooth. It is used for example in repeated interventions in the tissue. Most clinics use the advanced Vacuson LP 60 equipment which includes the vibration cannula, a device for solution infiltration and a sucking device. Presently, most experts consider the combination of tumescent liposuction, which is due to the contain of an anesthetic in the infiltration solution performed under local anesthesia, and vibration cannula as most advanced as well as most effective and sparing method.

Ultrasound-assisted liposuction

Ultrasound-assisted liposuction uses a special cannula that produces ultrasonic energy.  The energy bursts the walls of the fat cells and the fat is then liquefied. Ultrasound liposuction can be an effective tool for removing fat from fibrous body areas, such as the upper half of the back or enlarged male breasts. The advantage of ultrasound liposuction is the ability to penetrate the more fibrous tissues, e. g. fat tissues. It may be used in repeated liposuctions. Another advantage is a lower blood loss. There is a danger of skin burns unless the technique is performed correctly. The fat is removed in the same way as in other liposuction techniques. The combination of the tumescent method with ultrasound cannula is also a suitable however rare method due to the higher costs of the ultrasound device.

Under the term ultrasound liposuction we often encounter a non-invasive fat removal method where ultrasonic energy is applied to the fat tissue from outside the body. The fat cells are broken and purged by the natural metabolism of the body. Ultracontour and Ultrashape are devices using this advanced technology. The term non-invasive liposuction or E-UAL – external ultrasound-assisted liposuction may be rather misleading as it is not liposuction in the true sense of the word. No fat is sucked away.

Laser-assisted liposuction

Laser-assisted liposuction known also as ultrasound lipolysis uses a 1-2 mm wide cannula with a laser beam. With the forth and back movement of the cannula the energy is applied directly to fat cell, dissolves it and enables its removal. The laser beam also affects hypodermis, contracting collagen fibers. The liquefied fat tissue is not usually sucked in small localities. It is gradually absorbed during natural metabolism. In larger areas it is necessary to suck the fat tissue liquefied by laser. According to the laser type used we know SmartLipo and CoolLipo. Most clinics use a vibration cannula for the suction; it means they combine laser and power-assisted liposuction.

The liposuction cannula diameter is important in all liposuction technique. Wider cannulas suck more fat and save time and effort. However this type of cannulas leaves more empty space behind and therefore creates bigger irregularities on the skin surface. Presently, cannulas with smaller diameters are used more often as they are considered more delicate.

In out-patient liposuction under local anesthesia it is not advised to remove large amount of fat at a time but divide the procedure in several sessions. The suction of larger volume of fat, which also removes water, vitamins and other nutritious substances, can cause a state of collapse (shock). More extensive liposuctions (more than five litres of fat) should be performed by wet technique under general anesthesia. They require careful post-operative care including 1-2 days of hospitalization, replacement of lost liquids by infusions, pain relieving therapy.

Anesthesia

Liposuction may be performed under local or general anesthesia or with tumescent technique.

Liposuction in small areas may be performed under local anesthesia, i. e. the treated area is filled with a solution of local anesthetic.

Tumescent technique uses a rather diluted solution of a local anesthetic. The anesthetic is absorbed from the tissue with contracted vessels (effect of adrenalin) to blood circulation slowly and the limits for the anesthetic contained in blood are not exceeded. There is another advantage as due to the slow absorption the local anesthetic operates in the target area on a long-term basis. The disadvantage is the toxic effect of lidocaine. With this technique you may feel discomfort when the fluid is being injected.

With a general anesthesia the patient sleeps through the entire procedure and all pain is eliminated. The pain is controlled only during the procedure; when the operation is over painkillers must be administered. The choice of analgesic depends on the scope of the procedure. It is necessary not to drink, eat and smoke for about six hours before general anesthesia. Note that general anesthesia is an interference with the organism and has some risks. Presently the liposuction under general anesthesia involves super wet or wet technique and the fluid usually does not contain an anesthetic.

Tools and equipment used for liposuction

Infiltration pump – is connected to a tube system. It is designed to infuse the infiltration fluid into hypodermis.

Suction device – is connected to the liposuction cannula through a tube system. It enables the suction of fat.

The suction device and infiltration pump may be included in one instrument (e. g. Vacuson LP 60 which produces also the energy for the vibration cannula).

Liposuction cannulas – have various diameters from 2 to 4 mm (sometimes 6 mm), various lengths, curvatures; the ends are either rounded or in the shape of a pointless chisel. Each type has its purpose.

There are also the aforementioned power-assisted cannulas, ultrasound cannulas, laser cannulas. Their equipment must include an ultrasound or laser device to produce the energy.

Containers for sucked fat – they are transparent to check the addition of blood and the amount of sucked fat, mainly to compare two sides.

Before liposuction surgery

During your initial consultation, your surgeon will explain the surgery in detail, discussing which liposuction techniques are most appropriate for you. You will together determine where your fat deposits lie and assess the condition of your skin. Be sure to discuss your expectations frankly with your surgeon. You should be realistic in your expectations. The surgeon should be equally frank with you, describing your alternatives and the risks and limitations of each liposuction technique. You should realize that general anesthesia is a significant risk and load for your organism, in particular in case of heart and vascular diseases. During the procedure unexpected complications occurred in some patients, e. g. heart failure due to the fluid overload, allergic reactions to the anesthetic or even death. It is necessary to consider especially following cases:

Your surgeon shall give you instructions to prepare for the surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. You may be asked not to use any medications containing acetylsalicylic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal, etc.) They can increase bleeding during and after surgery. It is assumed that no illnesses (viral illness, cold, etc.) will have occurred at least three weeks before the planned operation. Report any illness to your doctor. If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery.

The liposuction surgery

Liposuction surgery takes one, two or even five hours, depending on the scope of the procedure (size and number of the treated areas, amount of fat being removed, the type of anesthesia and the technique used.) Before the surgery the surgeon marks the area on the skin from which the fat should be removed. The marking should be performed in standing position as in lying position the locations of subcutaneous fat change and the anatomic relations may be distorted. Disinfection shall be applied on the marked place and its surroundings when in the operating theatre or surgery. The place is covered by sterile towels to prevent contamination of surgical tools and subsequent infection.

Depending on the liposuction technique used (except dry technique) the infiltration solution shall be infused in the marked area. Its content depends on the type of technique: with a local anesthetic for tumescent technique and without an anesthetic for wet techniques under general anesthesia. The solution is infused from an infusion bottle connected to a tube with a needle on the other end. The needle is punched into the hypodermis under the marked areas, usually through several punctures, to fill the whole area equally with the fluid. It is important to infuse the solution slowly to give the body time to adapt and in a sufficient amount to suck the fat totally. A pump is used to apply the solution. If the procedure is performed under local anesthesia it is necessary to wait circa 40 to 60 minutes until the anesthetic takes effect.

Then the most important stage, the suction of fat, is performed. It takes usually 40 minutes. The surgeon makes an incision with scalpel, usually 2 or 3 incisions for one treated area. The liposuction cannula (narrow tube) shall be applied into the hypodermis through the incision (circa 3- 6 mm) and the layer of fat shall be sucked. During the procedure the cannula moves from base to surface (up and down) to prevent any damage to the underlying muscle layer and upper skin cover. The movements must be gentle and even; it is an accurate job. During the liposuction it is possible to change cannulas with different diameters. The most difficult part is the suction of borderlines of the marked locality. The cannula is connected to a vacuum device and the fat is sucked through a tube to the collecting container. The sucked fat is mixed with blood and has peach-like color. The surgeon continuously checks the appearance of the sucked fat and according to the color of fat evaluates the extent of bleeding. In the end the incisions are sutured and dressed with a sterile cover. At some clinics these minor wounds are not sutured but the rims are brought together by a steri-strip which is permeable for the rest of effluent tumescent solution and tissue liquid, and covered. The patient is immediately after the liposuction dressed in a compression garment which may be even tailored at the clinic. Its supply is included in the liposuction procedure. It prevents swellings and hematomas (blood clotts) and enhances the healing process. The liquid keeps leaking for 8 – 10 hours after the procedure is over or even longer and therefore the patients are provided with absorbent mats which may be changed when at home. Corrective procedures or repeated liposuction are not recommended within six months following the initial procedure.

Are you a good candidate for liposuction?

To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. The best candidates for liposuction are normal weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy and psychologically stable. Your age is not a major consideration; however, older patients may have diminished skin elasticity (around 40 years of age) and may not achieve the same results as a younger patient with tighter skin. The procedure then combines with plastic surgery which removes the excessive skin.

Not all areas are suitable for liposuction. There are so-called prohibited areas which include the lower part of buttocks. Some areas are not explicitly prohibited but the liposuction is not recommended due to the anatomic localization, e. g. back. Other unsuitable areas are those with excess skin or even an overhang.

Liposuction is a high-risk procedure for people with health disorders as diabetes mellitus, heart or lung diseases, blood circulation insufficiency (in particular in case of general anesthesia) or for those who have recently undergone an operation near the area to be treated.

After liposuction surgery

Some infiltration solution and tissular fluid shall outflow from the incisions after the operation. It is fluid which was not sucked and has not been absorbed by the organism yet. The fluid may be colored by blood – there is no need to worry. The outflow stops after approx. 10 hours. At some clinics a small drainage tube (so-called drain) may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to enhance your skin condition you will be fitted with a close compression garment. The garment cannot be taken off during first 24 hours after the operation. Than it can be taken off for 1-2 hours every day and perhaps washed. Most types of compression garment have a hole to enable toilet. The garment is worn for a period recommended by the surgeon; it depends on the practice at a clinic. Usually the period of 2 to 3 weeks (even at night) is recommended. The question of massages, so-called “rolling”, is rather discussed. Some surgeons advise not to roll and let the sucked areas quietly heal. Others recommend rolling – roll the sucked areas 3 times a day with a pastry rolling pin. You can go to work and do common activities after 2 or 3 days after the procedure performed by tumescent technique. Driving is not recommended immediately after the procedure; get somebody to drive you home. Sports are not recommended for 2 weeks. Wounds are covered by steri-strips for approx. 5-6 days and then the cover may be removed. The use of painkillers depends on every individual. Usually, it is not necessary or 1-2 tablets of Ibuprofen are sufficient. Tummy is a specific locality where rather strong sensitive nerves to innervate the tummy skin get out of rectus abdominis muscles. Note that during the liposuction under local anesthesia not only the fat but also the local anesthetic is sucked away, which means that the patient may feel pain of different intensity towards the end of the liposuction. Moreover in the tummy liposuction the cannula pulls these nerves which cannot be numbed as they run through the muscles and the pain may be really very unpleasant. The liposuction under general anesthesia is followed by a 1-2 day hospitalization and it is advised to wear the compression garment for 8 to 12 weeks. Sports should be avoided for 4 weeks. The period of wearing the compression garment depends in case of all liposuction techniques on skin conditions, amount of sucked fat, size of treated area and recommendation of the surgeon or clinic.

Shortly after the operation under general anesthesia you should start to exercise lower limbs, eventually stand up and make a short walk. It is a prevention of thromboembolic complications. The swellings and hematomas are individual, you are likely to feel stiffness, pain, burning or your sensitivity may be temporarily diminished. Your surgeon may also use antibiotics to prevent infection. It is not usual at every clinic. It is also suitable to use products for better healing as e. g. Wobenzym. The larger part of post-operative swelling disappears within 7 – 10 days. The stitches, provided the incisions are sutured, are usually removed within the week after surgery. Most of the burning and swelling usually disappears within 3 weeks. Healing is a long-term process and the recovery depends on your physical condition.

Don’t expect to look great right after liposuction surgery. New liposuction technique are more gentle than the old ones, despite, you shall experience some pain or itching for several weeks. The final result is apparent after 2 – 3 months, exceptionally after six months. At some clinics you will be checked regularly during the recovery to judge if you need any correction or you suffer from any complication. Some surgeons do not monitor you and you come only in case of complications. If you have bruises, sunbathing is not recommended. Sunbathing is also not advised for 3-6 months until the scars fade. During this period the scars may be covered by plasters or cream with a high sun protection factor.

Complications

As with any other surgery, complication may occur even after liposuction. Although it is not very often your surgeon should inform you on the risks. Complications may occur if your body has for example a reduced healing ability. Problems with recovery may occur if you do not observe surgeon’s instructions or you take unnecessary risk, for example when visiting solarium or doing sports. The skin may very rarely show:

Liposuction is a safe method of aesthetic surgery; however, you should follow all instructions of your surgeon and inform him/her on your health state. If the surgery is performed with precision by an experienced surgeon, the complications are minimal and the result is satisfactory. The liposuction of more than one area during one session is more complicated; eventually a combination of liposuction with other surgical interventions. It is performed rarely and mostly under general anesthesia.

Financing

Liposuction is always an aesthetic surgery paid by the client. The health insurance does not cover it as there is no health indication. The client cannot go on sickness leave and must plan holidays instead.

How long will liposuction results last?

You will see a noticeable difference in the shape of your body usually a week after the surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. If your expectations are realistic, you will probably be very pleased with the results of your liposuction surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. By eating a healthy diet and getting regular exercise, you can help to maintain your new shape.

Some people have problems related to excessive fat deposits in specific areas of the body, including the hips, abdomen and buttocks. This unwanted fat under the skin can be removed by means of a vacuum suction cannula, using a surgical procedure called liposuction.

What is tumescent liposuction?

In case of tumescent liposuction a large amount of infiltration fluid is injected into the target area through a needle tubed to a container with the solution. Tumescent liposuction is usually performed in patients who require just a local anesthesia. This intervention takes more time than conventional liposuction (it runs for three hours in maximum, mostly two hours only). As the injected fluid contains a certain amount of anesthetics (lidocain usually) besides saline solution and adrenaline (to contract vessels), further anesthesia is not necessary. The anesthetic drug contained in the infiltrative solution has an anesthetic effect; however, it also has a lipophil effect and therefore causes surface destruction of the fat cells that are freely sucked by thin (2 mm) cannulas. Usually, 2-3 times more liquid than the volume of the sucked fat is used.

The technique received its name for the swollen state of the fatty subcutaneous tissue (tumescence in English). This edema that is obviously temporary makes using of thin, round cannulas possible. However, if the tissue were not infiltrated, the cannulas would have to be double or triple the diameter. Before the suction it is necessary to wait for about 40 minutes for the anesthetic effect. Then the fat is sucked by liposuction cannulas. The advantages of tumescent liposuction include local anesthesia, application of large amounts of fluid, lidocain lipophil effect, positioning of patient during the procedure and final suction completed in standing position. The procedure takes longer time than the conventional liposuction and it is not recommended to suck several large areas or whole body in one session. Tumescent technique together with a vibration cannula is considered the most effective and the gentlest liposuction method. It is a combination of tumescent and power-assisted liposuction.

SmartLipo or laser lipolysis is a method used in removal of undesirable fat deposits. It shapes your body. The laser beam promotes the breaking up of the fat cells that are eliminated in a natural manner from the body. Without large bleeding, without pain and incapacity for work.

How does  laser liposuction – SmartLipo  work?

A very small cannula (tube) approximately 1.0 mm to 2.0 mm in diameter containing a laser fiber is inserted into the skin. The cannula is moved back and forth delivering the laser’s energy directly to the subcutaneous fat cells, causing them to rupture and easily drain away. The laser energy also interacts with the dermis, resulting in collagen shrinkage.

Liquid fat tissue is left usually without suction in case of very tiny parts. It is gradually absorbed due to natural metabolism. In case of larger treated areas it is necessary to gently suck the fat tissue dissolved through laser. Most of the modern clinics world-wide use technique of vibration liposuction.

Due to the cannula’s small size, Smartlipo is a minimally invasive procedure and can be performed under local anesthesia. The laser causes small blood vessels to coagulate immediately on contact, resulting in less bleeding, swelling and bruising – and a quicker recovery time than conventional liposuction.

Worries about the safety of the laser should be quelled – the laser can easily differentiate between fat cells and other tissues including nerves, blood vessels, and connective tissues. The places of laser beam insertion into the subcutis are not sewn, they are only treated with plaster. They almost disappear step by step.

Are you a good candidate for laser liposuction – Smartlipo?

If you have areas of fat that will not respond to diet and exercise, then you’re a candidate for Laserlipolysis. Ideal candidates are in good health, of normal body weight and have realistic expectations for the results.

SmartLipo is ideal for treating following areas : tummy, chin, arms, male breasts, inner and outer thights, buttocks, decolletage, knees, hips, ankles and areas of loose and flabby skin. The procedure may improve the body’s shape and may improve cellulite to a certain degrese.

How many treatments are needed?

For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated.

What is necessary to do post-treatment?

After the treatment you will need to wear a compression garment for several days to several weeks, depending on the body area being treated.In small treatments such as double chin it is possible to leave the treated areas without compression underwear. Rest is recommended after the procedure and activity may be resumed gradually. Refrain from hot tubs or strenuous exercise for 2 weeks. Most people go back to work after two days.

Does laser liposuction provide lasting results?

Yes, adults do not create new fat cells. When a person gains weight, the fat cells expand. The Smartlipo procedure permanently removes the fat cells. Should you gain weight, most fat will be deposited in areas where the procedure was not performed.

Results can be seen as soon as a week with continued improvement over several months.

Some people have problems related to excessive fat deposits in specific areas of the body, including the hips, abdomen and buttocks. This unwanted fat under the skin can be removed by means of a vacuum suction cannula, using a surgical procedure called liposuction.

What is ultrasonic liposuction?

Ultrasound-assisted liposuction (UAL) uses a special suction cannula producing ultrasound energy. This energy affects the walls of fat cells and liquefies the fat. Ultrasound liposuction can be an effective tool for removing fat from fibrous body areas, such as the upper half of the back, male buttocks, abnormally large male breasts, scarred areas, as well as in older patients. The advantages of ultrasound liposuction include lower blood loss and the ability to penetrate tissues with larger content of ligament. Unless the technique is performed correctly there is a risk of skin burns, however not very often. The fat suction is identical with other liposuction methods. Ultrasound suction cannula can be successfully combined with tumescent technique. The ultrasound-assisted liposuction is not much used due to the high costs of ultrasound device and the surgery.

The term ultrasound liposuction is often incorrectly used for external ultrasound-assisted liposuction (E-UAL) in which the fat cells are disturbed by ultrasound through skin and washed out of the body by natural metabolism. The skin is not damaged and no fat is sucked through a cannula. This technique of fat removal and body contouring is used by Ultracontour and Ultrashape devices.

What is power assisted liposuction?

Some people have problems related to excessive fat deposits in specific areas of the body, including the hips, abdomen and buttocks. This unwanted fat under the skin can be removed by means of a vacuum suction cannula, using a surgical procedure called liposuction.

Power assisted liposuction utilizes a surgical device with a liposuction cannula that oscillates in quick micro-movements back and forth. The device has proven to be especially gentle to fatty tissues with higher percentage of ligament, e.g. on buttocks or back. This kind of liposuction is used for repeated intervention in tissue remodeling; it can smooth the final irregularities in the sucked area and in the border areas between sucked and unsucked parts of the body. Vacuson LP 60, the advanced and most often used equipment, consists of a vibration cannula, infiltration and suction device. Presently, the tumescent technique using a vibration cannula is considered the gentlest and the most efficient method, i.e. tumescent liposuction together with power-assisted liposuction.

Both men and women occasionally wish to have their genitals altered through surgical means. In women it is usually vaginal surgery, surgery of labia minora or majora or hymen reconstruction surgery. Men usually wish to have the size and volume of their penis changed, or perhaps circumcision.

Female Genital Surgery

Vaginoplasty

Generally speaking vaginoplasty is the modification of the female vagina. The most frequent procedure is the narrowing of the vaginal opening. This specific narrowing of the vagina can lead to it becoming more firm.

The goal of this surgical procedure is to provide the patient with a better sex life.

This surgery is usually performed in middle-aged women who have given birth. The vagina and vaginal opening has loosened because of the birthing process and increasing age.

The procedure is performed under general anesthesia and usually lasts 45 minutes. It is performed using the following technique: In the area of the vaginal opening, on its back side, an excision of tissue in various sizes (according to the wish of the patient, anatomical findings, etc.) is made. Then the wound is sutured. It is better to make the extent of the excision bigger and therefore narrow the opening more because it is common that the vaginal opening will widen slightly again.

If the incision is expanded even to the back of the vaginal wall and in different lengths, we can contract the whole vagina in this way. This surgery is also performed under general anesthesia, it takes about 1.5 hours.

The surgery does not only involve the mucosa, but it enters into the muscular layer of the vaginal wall. First, the vaginal mucosa is excided in the needed (chosen) extent; next, the muscular layer of the vagina is firmed and shortened. The last phase of the surgery is to suture the vaginal mucosa. The same procedure is valid regarding the extent of the excision as is mentioned in the correction of the vaginal opening. During this surgery, the prudence and experience of the surgeon is critical because of the vagina’s proximity to the terminal part of colon. This is necessary to prevent the creation of a so-called rectovaginal pouch.

Both methods of surgeries use absorbable suturing material. Following the surgery, it is recommended to avoid sexual intercourse for up to six weeks. More information about vaginoplasty abroad can be found here.

Labiaplasty

Labia minora

This term refers to the surgical modification of the inner and outer lips of a woman’s vagina.

The labia minora in women often protrudes between the labia majora and may reach an unbelievable size. The goal of this surgery is to reduce the protruding inner lips, and in severe cases, sometimes even almost completely remove them. Because of their function we do not recommend their total removal.

The surgery is not especially difficult; it can be performed under local anesthesia, analgosedation, or if needed, under general anesthesia. We use absorbable material for the sutures and don’t recommend sexual intercourse for about one month.

Labia majora

There are several solutions:

It is possible to perform all the above surgeries under local anesthesia, although it is better under analgosedation or general anesthesia. More information about labiaplasty abroad can be found here.

Hypertrophic (excessively large) labia majora

This most often occurs in young women. There are also several solutions:

Hymenoplasty – Hymen reconstruction surgery

Much could be written about the reasons women decide to undergo this surgery.

There are several methods, although it is impossible to fully reconstruct the real hymen. The only goal of this surgery is bleeding during sexual intercourse so the man believes he was the first man for his partner.

Usually, a thin, short and small flap of mucosa is separated from the vaginal wall (approximately 1/3 of vaginal width.) It is then sewed very gently to the opposite vaginal wall. In this way, the vagina is not blocked too much to interfere with menstruation; but at the same time, the woman will bleed during sexual intercourse.

The surgery is not difficult for an experienced surgeon. It is better to perform the surgery under general anesthesia. More information about hymenoplasty abroad can be found here.

Male Genital Surgery

Foreskin

Circumcision

– Total (complete) removal of the penis’ foreskin; the foreskin is removed to the extent that the glans penis is uncovered. The sutured surgical wound is under the glans penis. More information about circumcision abroad can be found here.

Common reasons for this surgery include:

So-called Burian Plastic Surgery

– An incomplete foreskin removal that is combined with the enlargement of the opening of the foreskin flap for the glans penis.

This type of procedure is usually done for medical reasons:

It is possible to perform both types of surgeries under general anesthesia with several hours or a one day stay in hospital. It can also be performed under local anesthesia as an out-patient procedure, when the patient goes home after surgery. The sutures are not removed as they are from an absorbable material. Sexual abstinence is necessary for approximately 3 to 4 weeks.

Many men have questions relating to the possibility of a penis enlargement or extension. It is necessary to keep in mind that this surgical procedure has its difficulties; and the risk for complications is great. If complications do occur, they can lead to irredeemable penis damage, not only anatomically but also functionally (penis deformation, erection defects, etc.)

Penis Enlargement

Extension

– And perhaps even enlargement of the penis in volume. It involves several procedures; usually a combination is best.

 Size enhancement

The most advantageous method is to use one’s own tissue – usually a fat tissue:

It is always necessary for doctors to know precisely what the patient has in mind; regarding both the result and the reasons for the desired surgery. Knowing this, we can hopefully meet the patient’s expectations; or inform them of the true possibilities. This is true for all cosmetic procedures.

As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down.