Syringe lipo-sculpting is a technique developed by Dr. Pierre Fournier of Paris, France for the removal of localized deposits of fat. It is a significant modification of machine-assisted lipo-sculpture invented by Dr. Giorgio Fischer of Rome, Italy in 1974. Dr. Feder has studied and operated with both these two great teachers and innovators.
Many people can maintain a proper weight or diet to a desired level and yet still not be able to lose that fat from specific areas. Even a perfectly proportioned upper body does not prevent the hips, abdomen or knees from accumulating excessive fat bulges or cellulite. The technique of lipo-sculpting, in properly trained hands, is one way to safely remove these fat deposits.
The technique of syringe lipo-sculpturing has been used since 1985 in thousands of cases with good results and with few, if any, complications. Dr. Feder has personally performed more than 1,000 lipo-sculptures and has also worked extensively in the United States and Europe with many other leading physicians.
A small puncture is made with a tiny sterile instrument in an inconspicuous area away from the bulge. A special surgical instrument, called a cannula is inserted which then removes the fat with the use of a syringe. Chilled normal saline with epinephrine and lidocaine (tumescent solution) is injected in the fat bulge to avoid bleeding and remove only the fat. A few tiny absorbable sutures or steri-strips are used to close the skin and a tight elastic type dressing is worn for a week. The results can produce an excellent correction of the bulges and fat contour deformity without leaving any significant scarring. Dr. Feder always performs superficial lipo-sculpture; at the same time he performs the rest of his surgery, for more elegant results.
DIET AND EXERCISE
First and foremost, diet and exercise should be used, as a method to remove unwanted fat. Unfortunately, those methods are not always a successful treatment for the elimination of specific fat deposits. The hips, waist, abdomen, buttocks, knees, ankles, or chin can be very resistant to diet and exercise. Heredity and hormonal imbalances are also factors which add to the difficulty of eliminating these fat bulges.
OUTPATIENT AND IN-PATIENT
The procedure is most frequently done on an outpatient basis. Syringe lipo-sculpting is a very safe procedure, but it is still an operation. This procedure and all procedures are preceded by a routine pre-op exam and a routine blood exam. Any other tests specific to the patient's health may be also requested. Photos of localized treated areas are required and are done by Dr. Feder.
Surgery should be avoided during the menstruation, although it is not an absolute contraindication. If the area to be treated is not too extensive, local tumescent anesthesia will be used. Standby (intravenous) anesthesia is usually employed administered by board certified anesthesiologist, in our private operating rooms.
ARE BANDAGES NECESSARY AFTER SURGERY?
Yes, bandages and a binder or girdle help retract the skin after surgery and prevent edema. They are usually worn continuously for one week, and then a modified girdle for one week is used. We use French elastoplast bandages to bind.
HOW LONG AFTER SURGERY BEFORE ONE CAN MOVE ABOUT?
You are encouraged to move about at home and care for yourself the day after surgery; walking is encouraged.
HOW LONG IS ONE USUALLY OUT OF WORK?
After a small procedure you may return to work in one to two days. With larger procedures perhaps an extra day is necessary.
WHEN CAN ONE RESUME EXERCISING?
In order to modify and diminish any adhesions between the tissues and the skin, you are encouraged to start exercising two weeks after surgery and may resume your regular exercising schedule after three weeks.
Long-distance running and strenuous aerobics after four weeks is also allowed.
IS ANY KIND OF SPECIAL DIET NECESSARY?
No. For the best results possible, it is advisable to eat-well balanced meals including fruits, vegetables and protein. Over eating is to be avoided. It is helpful to be on a full vitamin regimen. Ask Dr. Feder for further recommendations.
ARE THE RESULTS OF THIS SURGERY PERMANENT?
Yes. It may be that with large amounts of weight gain, an increase in the operated area or areas may occur.
CAN THIS OPERATION BE PERFORMED MORE THAN ONCE?
In some cases, yes. On some patients, it is sometimes preferable to perform this operation in stages.
CAN COMPLICATIONS RESULT FROM THIS OPERATION?
In the past 20 years that Dr. Feder has performed this surgery, we have seen no complications. Some complications such as infection or hyperpigmentation can occur, as with any surgery.
WHAT HAPPENS TO THE EXCESS SKIN?
Because of the skin's own elasticity, it will shrink over the reduced areas of the body depending on skin tone.
IS THERE ANY BLEEDING?
With Dr. Feder's special tumescent technique, there is almost no bleeding.
No serious lasting complications have been observed for lipo-sculpture since 1974 and especially since the use of syringe assisted lipo-sculpting. It must be noted, however, that excessively saggy skin and orange-peel dimpled skin would not be changed, drastically, by this procedure. The patient must clearly understand what kind of results can be expected. For maximum benefit, it may be necessary to go back and operate a second time, if the fat adiposities are excessively large.
Some possible complications might include, however:
1) Hematoma or Seroma: A collection of blood or fluid in the operative site, which may necessitate additional minor surgery.
2) Bruising or swelling: May be prolonged, but are temporary.
3) Soreness, pain and itching: The operation can incur minimal soreness, pain and itching in some cases, but this is transitory.
4) Numbness: Can occur due to the local anesthetic used and irritation to the small nerves during surgery. In some cases, decreased sensation can be expected in the operative site, for several weeks.
5) Infection: A possible occurrence anytime surgery is performed, but can usually be treated with antibiotics, and is extremely rare.
6) Under-correction: The fat adiposity may not be sufficiently reduced and may require a second procedure to achieve the desired result.
7) Over-correction: This is rare, but is a possible occurrence and can usually be easily corrected.
8) Waviness or wrinkling: This may occur, but is also very rare and we have not seen this in our surgeries. In general, this type of operation rarely has any complications. However, as with any surgery, there can be some minor irregularities.
For smaller areas, either local or standby anesthesia can be used. For bigger areas, standby anesthesia is almost always used (I.V. and local anesthesia).
Recovery time for the discomfort of surgery is usually 24-48 hours, but for a week or so, general activity should be slightly limited. Walking and self-care, however, is encouraged from the first post-operative day on.
WORK AND ACTIVITIES
For office type work, a patient can return to work in 2-4 days. For heavy work, it may often take 10-14 days. Stretching and mild aerobic type exercise can be helpful beginning at 10-14 days, post-op. The patient may return to moderate activities in 2-3 weeks.
Results will be excellent immediately, but it will take up to 3 to 6 months, to be really appreciated, due to swelling. Extensive bruising is quite rare. In general, the results are permanent, but if excessive weight is regained, the operated area can increase slightly, although less than would be the case without surgery. Rippling or waviness can also occur with excessive weight gain. Massage used post-operatively will promote good healing.
Lipo-sculpture is applicable to the face, neck, body, arms and legs.
Lipo-sculpture may be done as a separate procedure in patients with fatty irregularities of the chin or face and in combination with a resurfacing, chemical peel, mini-lift or face-fill.
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