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Liposuction Orange County Liposuction

This page pertains to: Lipo Sculpturing, Suction Lipectomy, Liposculpting, Lipoplasty, Ultrasonic Liposuction, Power Assisted Liposuction, Laser Liposuction, and LipoSculpting

Despite good health and a reasonable level of fitness, some people may still develop localized fat deposits over the neck, arms, chest, abdominal wall, flanks or lower extremities. These fatty deposits are usually more due to heredity than a lack of weight control or fitness. Liposuction is the ideal operation for these excess fatty deposits that you cannot eliminate with diet and exercise alone. Using today’s safer, more-refined and advanced liposuction techniques, your surgeons at Orange County Plastic Surgery can help you change your shape in a matter of hours! The following information has been prepared to familiarize you with facts about the surgical procedures of liposuction that are known by a variety of names as listed above. You are requested to read this information thoroughly and to discuss any questions, which might arise with your surgeon before you proceed with the surgical procedure known as suction lipectomy. You are also requested to keep this form as a reference for instructions in the post-operative period.

You may visit your surgeon as many times as you wish to have all of your questions answered. At your final preoperative visit, which will take at least an hour, your final questions will be answered and you will confirm that you have understood the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for surgical soap that is used before surgery, as well as for pain pills, antibiotics and instructions for their use. You will be instructed to purchase a compression garment, appropriate for the area that will be suctioned. PLEASE, try the garment on before bringing it home or to the Surgery Center – trust me, if you cannot get the garment on before surgery, we will not be able to get it on you after your surgery, after you’ve swollen even more as a result of the procedure! 

Liposuction is usually performed in an outpatient surgical facility under a deep sedative or a light general anesthetic, supplemented by local anesthesia, although an occasional small area may be suctioned strictly under a local anesthetic alone. Small incisions are made in convenient skin folds wherever available. Large amounts of saline solution containing local anesthetics are infiltrated into the surgical sites prior to suctioning. If you have a large amount of fat to be aspirated, or if your fat is in a generally more fibrous area, your surgeon might recommend first treating the area with an ultrasonic probe or in using the newer power assisted liposuction (PAL) or laser machines. These probes assist by breaking up the fat and, in such situations, allow more to be removed with less blood loss, and minimize surgeon fatigue.

Some patients, especially if it is anticipated that larger amounts will be suctioned, may decide to spend the first night with a registered nurse. After an appropriate recovery period, the surgical facility staff will call the pre-arranged person to come and pick you up. It will be imperative that a responsible adult spend the first 24 to 72 hours at home with you after the operation, depending on how much fat was removed. Although you will be given medication for your discomfort, you will initially find it difficult to move by yourself. Because of lowered blood counts, light headedness and pounding headaches are not uncommon initially. The patient will be given prophylactic antibiotics to take after surgery and must also continue taking the iron pills. Patients complain of feeling “wiped out” and tired until their blood counts can be built up again. Most people find that they are comfortable enough to return to a desk job within a week, but vigorous activity will be uncomfortable for at least three weeks. 

Although most patients have very satisfactory results, as with any operation, certain problems can occur and it is important that you be aware of the risks involved. 

Permanent problems rarely occur; however, potential complications with this procedure include thickened or unattractive scars at incision sites, irregularities of contour such as waviness or depressions that may require secondary fat grafting surgery or further suctioning. In the event that skin loss occurs, permanent scarring or the necessity for skin grafting may occur. Skin wrinkling or sagging, numbness or increased sensitivity in the area treated, prolonged swelling of the area treated, accumulation of blood or serum under the skin requiring removal, asymmetry between the treated sides (they will not look alike), a change in the skin color, shock requiring transfusions, clots to the lungs, severe infections or even fatalities have been reported in the literature and may occur. 

Adequate pain medication will also be prescribed. All patients, who go home on the day of surgery or the next morning, will find that an assistant at home is a necessity for the two or three days. High bulk foods are highly encouraged and laxatives may be necessary to prevent straining associated with constipation. The patient will be encouraged to walk as much as possible at home after surgery as this will reduce the possibility of pneumonia or blood clots forming in your calf veins. To minimize swelling and bleeding, activity should be limited at first to simply walking during the first week. Vigorous activity such as playing tennis or racquetball may be resumed when doing so does not cause discomfort, and the swelling, bruising and discomfort have dissipated.

All fees will be discussed with you in advance by the office staff. The office staff can assist you with financing if desired. The fee will vary with the number of surgical sites treated. In compliance with suggestions adopted by the American Society of Plastic Surgeons®, it is customary for the patient to pay all fees for cosmetic surgery prior to the desired operation. This insures that the patient is sincere in her motivation and can afford the surgery, thus creating a better patient/physician relationship. A non-refundable deposit will be required to secure your desired surgery date. The remainder of the fees must be paid prior to the surgery, usually at the time of the preoperative visit, but no later than one week before surgery.

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