and

The liposuction consists in removing the excess of grease per aspiration by means of a nozzle re-entered by all small incisions of the skin generally dissimulated in a natural skin fold.
In practice, the liposuction can be implemented to a great number of regions of the body: “the riding breeches” of course, but also hips, the abdomen, thighs, knees, the chin…
This operation has the large advantage of even leaving only very small cicatrices which attenuate, disappear, with time.

The surgical indication takes account of the fat infiltration certainly, but especially of the possibilities of cutaneous elasticity which condition the quality of the result.
The surgeon plastics technician will precisely explain to the patient the advantages and the limits of such an intervention in his particular case.
The lipo-aspiration can very easily withdraw a surplus quantity of grease.
However the cosmetic result depends, and for much, of cutaneous elasticity and its possibilities of retraction.
It is thus this cutaneous elasticity which it will be necessary to appreciate and it is of its quality on which depends the surgical result.
When this elasticity is good, one can hope for a good retraction of tissues and a harmonious result.
When this elasticity is insufficient, it is advisable either to disadvise the intervention in certain cases, or to proceed to a moderated lipo-aspiration, withdrawing only one decreased amount of grease, to leave with the skin a certain state of voltage.

This consultation is very important, because it makes it possible to determine the motivations of the patient well and to specify the technical possibilities as well as possible.
The morphological analysis will make it possible as well as possible to specify the quality of the tissues (texture and skin turgor, density and consistency of grease, quality of deep tissues), as many elements which will direct the operational gesture.
The surgeon will seek by a meticulous of medical history or surgical interrogation, the concept of a hereditary mailman, a circulatory mailman or hormonal problems.

Obviously, also the dietary habits and the way of life will be specified. This consultation will end in the capture of photographs which will be used as a basis for the intervention and the evaluation of the post-operative results.

A consultation with an doctor-anesthetist is programmed before the intervention to practice a complete physical exam and to prescribe the complementary examinations necessary.
This consultation makes it possible to refer to the various types D '' anesthesia, to take all the safety measures necessary.
The doctor-anesthetist then specifies you all the measures to be taken before the intervention concerning the fuel supply, drinks, the tobacco and the medicamentous captures.
In certain cases, to limit the ecchymotic and continuations, a specific treatment can be advised.
In other cases, a venous balance-sheet will be useful.
In all the cases, cutaneous elasticity must-being specified and if it is necessary certain processing preparatory can advise to improve this cutaneous tonicity.

Which type of anesthesia will be practiced?
Generally, and each time that is possible, an local anesthesia is practiced. This type of anesthesia is possible when it is a question of discussing one, even two localizations.
Beyond two localizations, it is preferable on the medical level and for the comfort of the patient to carry out an neurolept-analgesia.
Neurolept-analgesia associates a local anesthesia and a light somnolence of the patient, allowing an intervention under good conditions.
In certain cases, obviously, when the quantity of grease to be withdrawn and the number of localization are more important, an general anesthesia is carried out.
Lastly, the anesthesia can in certain cases being proposed when the intervention relates to only the lower part of the body.
The mode of anesthesia like the operational gesture are thus adapted to each particular case.

Which is the duration of the intervention?
The duration of a depends on the number of localization and can last from 1 to 2 a.m. So complementary gestures are provided for, the time of the intervention will be prolonged of as much (abdominal plastic surgeon, or face lift of the interior of the thighs).

Will there be visible cicatrices?
Skin incision is very discrete, it measures less than 1 centimetre and it is in general hidden in a natural fold. In a few months, it becomes very discrete.
The absence of visibility of cicatrices is one of the major advantages of this operation.

How is held the intervention?
The principle of the intervention consists in mobilizing the greasy lobules and withdrawing them according to the technique of aspiration. This mobilization is carried out using microcomputer-nozzles which to some extent make it possible to liquefy grease before withdrawing it.
The is then carried out making it possible to remove surplus grease. During the intervention, it is necessary to appreciate the reaction and the quality of the skin.
In certain cases, when cutaneous elasticity is not perfect, or when grease is particularly hard, it is possible to precede the by a technique with the ultrasounds.
One speaks then about , technique which would have a favorable result on the retraction of tissues.
It is thus possible to have the various technical possibilities, that the surgeon will adapt according to each particular case.

Which type of bandage will be used?
To help the skin with reacting well and to limit the post-operative edema, the port of a clothing of application is advised. It is of a or a sheath whose model and size will be adapted to the intervention and the patient.
The port of this clothing is comfortable, because it limits the nuisance and the post-operative pain.
He is advised 8 to 10 days in a permanent way at the beginning then primarily the day, the patient being able to withdraw it to sleep.
Generally, the port of this clothing of application is advised about 3 weeks after an intervention.
These consultings are obviously to modulate according to each particular case.

Which is the duration of the hospitalization?
It depends, obviously, of the importance of the operation and the type of anesthesia.
If it is about a local anesthesia, the patient can leave the very same day.
In the cases of interventions a little more important, 24 even 48 hours of hospitalization will be necessary.

them continuations are functions of the importance of the operation.
There exists an edema and bruises, i.e. the operated area is inflated during a few days.
This explains the utility, even the need for the clothing of application.
This edema and these bruises last 15 days in general and regress then gradually.
At the end of nth, the result starts to appear. It is complete in the nths which follows the operation.
In the operational continuations however, there will be consultings to give to the patient, during the various consultations.
Complementary therapies circulatory processing type and lymphatic drainage will be advised. In the same way, the resumption of the sport is possible 3 weeks after the operation and the exposure to sun is disadvised the first nths.
The result, as for him, thus appears gradually and its quality is function on the one hand quantity of withdrawn grease and on the other hand elasticity and tonicity of the skin.

Like any surgical operation, a can have some rare general complications such as: infection, hematoma or anesthetic complication.
In general, a contains in fact very little local consequence durable. The edema and the bruises reabsorb.
The regular visits are however necessary to detect a possible complication of the infectious type.
As for the reaction of the skin, it is about reaction of an individual type which it is difficult to provide for entirely.
One a long time reproached this technique for involving complications and irregularities corrugated irons type: in fact, this is due to a bad skin turgor and it is necessary to generally provide for this type of disadvantage.
In certain cases, if the skin should not react well, it will be advised to leave a little grease to ensure a hold the nonelastic skin.
Lastly, it is possible that the result is not completely homogeneous, this being able to be due to a greasy cluster localized residual.
In this case, a rework could be practiced 3 to nths after the operation, under local anesthesia, to homogenize the result.

The number of fat cells is supposed to be final and it does not appear, a priori, of lubricating new cells. So the authorizes an even final durable result.
A ponderal overload will result by an increase in weight and thus in an increase in volume which will be distributed in a harmonious way.
It is thus necessary, in the operational continuations, to provide for a food attitude reasonable, but not necessarily rigorous.
On the other hand, it is necessary, to follow the circulatory aspect, and the hormonal state of the patient to slow down the development of the process of cellulitis.
Lastly, the conversation of the result is ensured by the techniques lymphatic drainage type and palpate-to roll automatic.

The technique exists now since sufficient time so that one can speak about even final durable result.
Indeed there is a priori no reappearance of withdrawn grease. A riding breeches discussed with an even final durable result. It is the same for the other localizations.
The process hormonal and continuous to evolve/move for the remaining airframes, which can cause the complementary intervention appropriateness on other localizations. This belonged to the post-operative analysis and the later consultations.

The corrects in an effective and durable way, localized plain fat excesses as various body parts.
The incision is discrete and the result is Net after six to eight weeks.
If cutaneous elasticity is good, the skin retracts and preserves a good elasticity. A bad cutaneous elasticity would result in an insufficient retraction and the appearance, so of irregularities on the skin.
Recent progress as regards with in particular the use of finer nozzles authorizing surface gestures allowing to obtain results on areas up to that point considered difficult like the front of the thigh or the oval of the face.
The use of the ultrasounds can also appear interesting in certain cases. Its aim is to split up beforehand a harder grease (back, hips, bump of bison…) and to facilitate thus considerably then its aspiration.