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Liposuction Q&A

Liposuction Q&A

Dr Foued Hamza answers questions about fat removal  

LiposuctionQ

How does liposuction work to treat localised fat deposits?

A

Liposuction removes the deep fat cells in the area that requires treatment and can be performed with an adapted cannula linked to a medical aspirator. This enables the doctor to suction the fat through the tube as it is moved around under the skin and sculpt the body to achieve the desired results. A trustworthy practitioner should first arrange for a thorough consultation to determine the risks and assess the feasible outcome for each individual.

Q

Which indications do you typically treat with liposuction rather than surgery and are there any areas you would not treat and why?

A

The use of liposuction is very effective to deal with areas where there are excessive fatty deposits that mis-shape the body but the procedure can’t be used to deal with areas where there is just an excess of skin, which may have come about through weight loss. Areas of the body which this operation is not suitable include the forearm or the back of the thighs because there is little fat to remove and these zones tend to be packed with tendons, muscles, nerves, arteries and veins so underlying structures might be damaged.

Q

 Can you explain your technique for treating each area that you would use liposuction for?

A

All areas of the body will be treated with the same protocol. Personally, I use the wet technique, which implies injecting the same amount of saline solution mixed with xylocaine and adrenaline, as the amount of fat that needs to be removed. I recommend this procedure because it can help reduce bleeding and post operation discomfort. Following this, we would aspirate the fat with a cannula linked to a medical aspirator. This tool allows us to adjust the size of the cannula based on the area and amount of fat to remove as this prevents a rippling effect. For the abdominal area, we use a 4mm cannula, for the calves we use a 3mm one and for the neck area, the most suitable size is a 2mm cannula. Depending on the size and location of the area, we would always opt for an incision to be performed in a hidden area, which allows us to access the fatty deposit easily.

Q

Do you use RF to tighten and remove fat?

A

 I prefer to avoid using RF equipment as, although in the first stage this could induce fibrosis under the skin and help with its retraction, when performing a second liposuction procedure on the same area, this might cause problems due to the bruised tissue and could lead to skin burns. The indication of RF use should be limited to areas that really require it, like the arms. Every cosmetic procedure performed in our practice is designed to be the least invasive and aggressive to the skin as possible so this tool is not part of our portfolio. Our patients are very pleased with the results from the classic wet technique so we’ll continue providing this service to them until there are future cosmetic technological advances for us to consider.

Q

Do you use liposuction in conjunction with any other treatments?

A

I combine over 90% of my liposuction cases with fat transfer procedures to offer the best contours to a patient’s silhouette. Treating the whole shape of the body implies removing the fat from some areas and carefully placing it into other parts of their body to create a harmonious shape. In general, with age, pregnancy and successive dieting, we accumulate fat in the waist and lateral thigh and lose the shape in the buttock area, so we use these mixed techniques to address this process i.e. remove fat from the waist or the tummy and add it to the lateral thigh and buttocks.

Q

What is the expected downtime?

A

 Patients should be able to return to their day-to-day activities after a week to 10 days, depending on the extent of the liposuction procedure.

Q

Are there any contraindications?

A

The ideal candidates for this procedure are those in good health, with no blood coagulation problems or anaemia, but we would always do a thorough assessment of a patient to check their suitability before performing any operation.

Q

Are there any side effects? What is your preferred aftercare procedure?

A

The side effects from liposuction are similar for each surgical procedure. Patients might have an allergic reaction to the anaesthesia, or the quality of their skin might decrease. These risks can be lowered by ensuring that an in-depth screening of the candidate is performed before the surgery. The aftercare process only involves wearing a garment for at least four weeks, until the patient makes a full recovery.

Q

Who does your practice attract?

A

 The common denominator is their need and desire to get into shape with the help of modern medicine. We receive liposuction requests from both men and women, of different ages, however the legal age to perform surgery is 18 and over.

Dr Foued Hamza, is a cosmetic surgeon, practising at the Queen Anne Street Medical Centre off Harley Street, London. W: drhamza.co.uk

Author: bodylanguage

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