Thanks again for your reply. One further question if you don't mind. One of the other risks I've read about, as I mentioned is if some fat breaks loose and gets lodged somewhere it shouldn't causing an embolism. It seems as if this is a rather remote risk however I was wondering techniques that use either laser or ultrasound to first liquify the fat further reduce this risk? Thanks again. Trying to be prepared with all the questions I want to ask my surgeon between now and my surgery.
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.
Liposuction is a component of many different types of Plastic Surgery such as Abdominoplasty. Deep venous thrombosis or DVTs are real and we always stressed the factor not only in a discussion of not just Risks of Tummy Tuck Surgery
, but also during all of our Liposuction Consultations
. Plastic Surgery Anesthesia
is one factor in that equation. One of the features why I like my movement towards local anesthesia with sedation such as for my Tumescent Tummy Tuck
, was to be able to get a patient up and walking around straight from the operating table. Of course we used sequential compression devices during our operations. However, the best way to prevent DVT beyond the surgery technique, is using the leg muscles. Up and walking about means much less risk than in pain in bed. That is why we concentrated so much on our Comfort after Tummy Tuck
so we could not just help our patients with less pain, but also lower their risks of complications. This was true for also Recovery After Liposuction
I never liked any of the fat destruction techniques, and there have been many over the years. They certainly make the surgeon's work easier and that might mean shorter operating room times. But my analysis was that the doctors using such methods had much more swelling and bruising. We carefully monitored the path our patients took from the before to after surgery such as in Swelling and Bruising After Tummy Tuck
or Swelling and Bruising After Gynecomastia Male Breast Reduction
. In my opinion, it is the doctor advocating that ultrasonic or vasor, or "smart" or whatever liposuction technique to show the in between path to be as good or better. Unfortunately most do not, and one needs to look for their patients' recovery on forums posted by the patients themselves or see them in my office for a revision operation and hear their comments comparing my more complex revision surgery to their first surgeon's methods. You can read more about this on Revision Gynecomastia Forum - Unhappy: VASER Liposuction Did Not Remove Gland
which was also had an element of those devices not working on gland of the male breast, but also reflects the issues of recovery path taken. Liposuction Forum - Why do some people gain weight from lipo?
discusses documentation of bruising and swelling path taken by a technique.
It is an issue of the destroyed fat not being completely removed and the body's process in dealing with that and damage to remaining tissues left behind. If a method is better, then someone advocating it should demonstrate it with documentation such as sequential standard pictures and movies how patients were up and about after surgery. To date, I have yet to find any coming close to what we were achieving. But that day will come as someone takes off beyond what I had been able to evolve. Hand waving with words alone is not sufficient, look, see how an individual moves with video at that point in time is why we took the added effort to take the pictures and movies. You can find many such videos on my Plastic Surgery Encyclopedia.
The above details were why I did things my way. The method evolved following a critical analysis of what we and others were doing. But then again, each surgeon has his / her methods. It is nice when someone takes the time to develop their documentation to help set their patients at ease as to why they do something.
Wish you luck on your surgery.
Hope this helps,
Michael Bermant, MDLearn More About Liposuction Body Contouring