Lipolysis is ideal method especially for reduction of small double chin and for improvement of contours of lower jaw, but also for any other part of body. In case that you have normal body weight and small fat deposits which you can not remove by exercise, Lipolysis is a good way to reduce this volume.
During Lipolysis the substance of phosphatidylcholine is applied through microinjections directly into the area with fat cushions. In medicine, this injection substance is used as a drug to stimulate liver function in cases of excessive blood fat contents and to prevent the risk of fat embolism. This is an enzyme that splits solid fat into small particles and thus ensures its solubility. Fat dissolved through the injection is via blood naturally eliminated from the body. Application of Injection Lipolysis is very effective only for reducing small, local accumulations of fat that do not disappear through diet or physical exercise. Liposuction is preferable for larger fat accumulations.
If you use any blood-thinning medicine, we recommend you to consult your doctor that has prescribed them to you about minimum 1 week avoidance before the procedure.
It is necessary to precisely plan the treatment of Injection Lipolysis, so that it is not just “to have a little of fat removed”.
The doctor will apply several subcutaneous injections of phosphatidylcholine directly into the problem areas.
Local anaesthesia is not used during this procedure. Application of Lipolysis takes around 30 minutes, it is recommended to stay another 30 minutes at the clinic where the procedure was done. You can go home after that, it is better to arrange someone to accompany you.
Immediately after the application, redness and big swelling will appear in the area of the treatment. The place is also painful and in some cases small bruises might appear. After several days, the redness, pain and bruises disappear. The swelling may last longer. A week after the treatment it is possible to start carefully exercise. We recommend you to drink at least two litres of water a day in the period after the procedure and to take enough vitamins, minerals and antioxidants. This will accelerate the loss of fat from your body.
Following performance of Lipolysis, the fat at the treated places begins to slowly dissolve and is excreted from the body. Lipolysis has the great advantage that the fat is removed evenly.
The final effect of Lipolysis can be evaluated after two months. In order to achieve the optimum effect, it is usually necessary to perform one to two treatments at eight-week intervals. The result is permanent if the patient retains his present weight. In case of considerable increase in weight the treated places can regain in their volume. Lipolysis does not have the desirable effect in a small group of people (about 5%). The results can depend on the blood supply and the structure of the fat tissue.
UltraContourT of MedixSysteme company is the first patented device of the dual ultrasound technology with the accesory multisequential ultrasounds waves technology UMDR to reach optimal body contours.
System UltraContour is a painless form of liposuction with the help of highly focused ultrasound that is thousand times more intense than normal ultrasound examination. It is a gentle method that enables to reach desirable effects without bruises and odds that are typical for invasive methods. New generation UltraContour™ uses in its first phase (HIFU) combination of physical effects associated with ultrasound:
In the second phase the fat cells metabolism is increased through UMD ultrasound drainage massage waves. They help their drainage via lymphatic system.
UltraContour is a medical device fully certified by CE 0499 according to Medical Directive 93/42/EEC. Its safety and effects are guaranteed and proved.
A woman is the most suitable candidate for the therapy at age 25 to 55, with BMI index 25-35, with the fat in the area of tummy and legs. Eventually even with cellulite. A man is an ideal candidate at age 30 to 50 with overweight in the area of tummy. Both with low exercise and with energetic content of food higher than output. Also a woman after pregnancy or nursing can undergo the procedure, when she wants to quickly regain her original contours.
It is not necessary to keep some special restrictions or preparation. Maybe only sufficient intake of liquids. The procedure is not recommended to patients with metabolic diseases, during pregnancy and nursing, with metal implants and tumors in the area of the procedure, with hepatitis, HIV, inflammations or skin rash in the place of application.
Each procedure – one session consists of two phases. In the first phase a technology HIFU is used (high intensity focused ultrasound), which covers point by point the given area, e.g. tummy, thighs… This part of the procedure takes approximately 20 minutes.
In the second phase (approximately 20 minutes) a technology UMD is used (ultrasound lymph drainage) that ensures effective drainage of residua after HIFU phase. The treated area is painted with special gel, which creates good conditions for ultrasound waves spread.
There are no limitations. It is good to maintain a healthy menu and to start with exercise activities.
The effects are more lasting compared to alternative non-invasive procedures and massage technologies with vacuum suction. The fat cells are removed similar to invasive liposuction. The best results can be naturally achieved by patient that consequently change their eating habits and increase their exercise activities.
Looking for a new look? Consider liposuction surgery abroad. Read on to discover if liposuction surgery is a good option for you!
Liposuction is a procedure which removes localized fat deposits to shape one or more places on your body. Liposuction improves your body’s shape by intrusion and removal of subcutaneous fat using metal cannula connected to a vacuum device through a tube. It enables to suck the fat from the required areas. The suction cannula is inserted in the body through short incisions, maximum several centimeters in size, which are located in the natural skin folds to be as little visible as possible when healed up. Liposuction can help sculpt the body mainly in the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Liposuction is suitable if you have fat deposits in so-called problematic parts of your body and exercise and diet do not help. It cannot be used to treat extreme overweight or obesity!
Prague has many attractive features for those considering liposuction abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and liposuction surgeons ensure you’ll receive the best possible care. Liposuction Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
The liposuction techniques are divided into dry and wet (fluid is not or is used). According to the device used and cannula type liposuction can be divided into classical, power-assisted, ultrasound-assisted and laser. They all use the same principle where the intruded fat tissue is removed through a narrow tube – cannula. The cannula is inserted under the skin and using the vacuum it removes the excessive fat tissue. The methods of liposuction and anesthesia maybe combined in various ways. The final result depends on how much tissue is removed, how experienced the surgeon performing the procedure is and, of course, on the technique and anesthesia used.
Dry technique: The technique does not use any fluid injection – therefore the name Dry Technique. A higher suction must be used in this method which may lead to higher blood loss or tissue damage resulting in more significant unevenness. The method is considered as obsolete and is seldom used today.
Wet techniques: The fluid is injected under the skin. The wet techniques differ according to the amount of used fluid. The fluid is a mixture of saline solution (solution of sodium chloride), adrenaline (substance contracting blood vessels) and it may also contain an anesthetic. The technique facilitates the removal of fat, reduces blood loss and if an anesthetic is included it also provides anesthesia during and after the surgery. The injected fluid also helps to reduce bruising.
The volume of injected fluid is lower than the expected volume of removed fat. Usually 200 – 300 ml of the fluid for the treated area.
The volume of injected fluid approximately equals to the expected volume of removed fat. The technique is similar to the tumescent technique, except that a local anesthetic is not usually contained in the fluid or only in small amounts.
If the tumescent liposuction technique is used, large volumes of fluid are injected into the treated area through a 12cm-long needle which is tubed to a bag with the diluted solution. The fluid is infused slowly using a pump operated by a foot, which enables the surgeon to control the flow easily. The tumescent fluid contains a local anesthetic, usually lidocaine, to provide local anesthesia in the treated area. It enables to perform the procedure without the necessity of general anesthesia. The procedure performed under local anesthesia takes more time than liposuction under general anesthesia. It is necessary to wait for the effect of the local anesthetic and thus inject the fluid into each area just before the suction. The amount of the anesthetic and thereby the amount of the fluid is determined by the weight of the patient. The volume of fluid is usually 2-3 times higher than the volume of the sucked fat. It results in a solid swelling – tumescence, the skin in the treated area becomes white and cold. When the tumescent solution has been applied the suction of fat tissue can start. The liposuction is performed through a cannula tubed to a device which uses vacuum to suck. Different types of cannulas may be used with this technique. The biggest advantage is the possibility to position the patient as the procedure is performed under local anesthesia. The patient is conscious he/she can turn as needed, lift limbs or stand up. Some fat may be after a palpative and visual check removed when the patient stands.
Power assisted liposuction utilizes a so-called vibration cannula that gently vibrates in quick micro-movements within 0,5 – 1 mm back and forth. The cannula is connected to a special device which produces the necessary power. It carefully penetrates fibrous fat tissue – e. g. in buttocks or back. At the end of the procedure it helps to smooth irregularities in the sucked area and its borders to make the transition from sucked to non-sucked area even and smooth. It is used for example in repeated interventions in the tissue. Most clinics use the advanced Vacuson LP 60 equipment which includes the vibration cannula, a device for solution infiltration and a sucking device. Presently, most experts consider the combination of tumescent liposuction, which is due to the contain of an anesthetic in the infiltration solution performed under local anesthesia, and vibration cannula as most advanced as well as most effective and sparing method.
Ultrasound-assisted liposuction uses a special cannula that produces ultrasonic energy. The energy bursts the walls of the fat cells and the fat is then liquefied. Ultrasound liposuction can be an effective tool for removing fat from fibrous body areas, such as the upper half of the back or enlarged male breasts. The advantage of ultrasound liposuction is the ability to penetrate the more fibrous tissues, e. g. fat tissues. It may be used in repeated liposuctions. Another advantage is a lower blood loss. There is a danger of skin burns unless the technique is performed correctly. The fat is removed in the same way as in other liposuction techniques. The combination of the tumescent method with ultrasound cannula is also a suitable however rare method due to the higher costs of the ultrasound device.
Under the term ultrasound liposuction we often encounter a non-invasive fat removal method where ultrasonic energy is applied to the fat tissue from outside the body. The fat cells are broken and purged by the natural metabolism of the body. Ultracontour and Ultrashape are devices using this advanced technology. The term non-invasive liposuction or E-UAL – external ultrasound-assisted liposuction may be rather misleading as it is not liposuction in the true sense of the word. No fat is sucked away.
Laser-assisted liposuction known also as ultrasound lipolysis uses a 1-2 mm wide cannula with a laser beam. With the forth and back movement of the cannula the energy is applied directly to fat cell, dissolves it and enables its removal. The laser beam also affects hypodermis, contracting collagen fibers. The liquefied fat tissue is not usually sucked in small localities. It is gradually absorbed during natural metabolism. In larger areas it is necessary to suck the fat tissue liquefied by laser. According to the laser type used we know SmartLipo and CoolLipo. Most clinics use a vibration cannula for the suction; it means they combine laser and power-assisted liposuction.
The liposuction cannula diameter is important in all liposuction technique. Wider cannulas suck more fat and save time and effort. However this type of cannulas leaves more empty space behind and therefore creates bigger irregularities on the skin surface. Presently, cannulas with smaller diameters are used more often as they are considered more delicate.
In out-patient liposuction under local anesthesia it is not advised to remove large amount of fat at a time but divide the procedure in several sessions. The suction of larger volume of fat, which also removes water, vitamins and other nutritious substances, can cause a state of collapse (shock). More extensive liposuctions (more than five litres of fat) should be performed by wet technique under general anesthesia. They require careful post-operative care including 1-2 days of hospitalization, replacement of lost liquids by infusions, pain relieving therapy.
Liposuction may be performed under local or general anesthesia or with tumescent technique.
Liposuction in small areas may be performed under local anesthesia, i. e. the treated area is filled with a solution of local anesthetic.
Tumescent technique uses a rather diluted solution of a local anesthetic. The anesthetic is absorbed from the tissue with contracted vessels (effect of adrenalin) to blood circulation slowly and the limits for the anesthetic contained in blood are not exceeded. There is another advantage as due to the slow absorption the local anesthetic operates in the target area on a long-term basis. The disadvantage is the toxic effect of lidocaine. With this technique you may feel discomfort when the fluid is being injected.
With a general anesthesia the patient sleeps through the entire procedure and all pain is eliminated. The pain is controlled only during the procedure; when the operation is over painkillers must be administered. The choice of analgesic depends on the scope of the procedure. It is necessary not to drink, eat and smoke for about six hours before general anesthesia. Note that general anesthesia is an interference with the organism and has some risks. Presently the liposuction under general anesthesia involves super wet or wet technique and the fluid usually does not contain an anesthetic.
Infiltration pump – is connected to a tube system. It is designed to infuse the infiltration fluid into hypodermis.
Suction device – is connected to the liposuction cannula through a tube system. It enables the suction of fat.
The suction device and infiltration pump may be included in one instrument (e. g. Vacuson LP 60 which produces also the energy for the vibration cannula).
Liposuction cannulas – have various diameters from 2 to 4 mm (sometimes 6 mm), various lengths, curvatures; the ends are either rounded or in the shape of a pointless chisel. Each type has its purpose.
There are also the aforementioned power-assisted cannulas, ultrasound cannulas, laser cannulas. Their equipment must include an ultrasound or laser device to produce the energy.
Containers for sucked fat – they are transparent to check the addition of blood and the amount of sucked fat, mainly to compare two sides.
During your initial consultation, your surgeon will explain the surgery in detail, discussing which liposuction techniques are most appropriate for you. You will together determine where your fat deposits lie and assess the condition of your skin. Be sure to discuss your expectations frankly with your surgeon. You should be realistic in your expectations. The surgeon should be equally frank with you, describing your alternatives and the risks and limitations of each liposuction technique. You should realize that general anesthesia is a significant risk and load for your organism, in particular in case of heart and vascular diseases. During the procedure unexpected complications occurred in some patients, e. g. heart failure due to the fluid overload, allergic reactions to the anesthetic or even death. It is necessary to consider especially following cases:
Your surgeon shall give you instructions to prepare for the surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. You may be asked not to use any medications containing acetylsalicylic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal, etc.) They can increase bleeding during and after surgery. It is assumed that no illnesses (viral illness, cold, etc.) will have occurred at least three weeks before the planned operation. Report any illness to your doctor. If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery.
Liposuction surgery takes one, two or even five hours, depending on the scope of the procedure (size and number of the treated areas, amount of fat being removed, the type of anesthesia and the technique used.) Before the surgery the surgeon marks the area on the skin from which the fat should be removed. The marking should be performed in standing position as in lying position the locations of subcutaneous fat change and the anatomic relations may be distorted. Disinfection shall be applied on the marked place and its surroundings when in the operating theatre or surgery. The place is covered by sterile towels to prevent contamination of surgical tools and subsequent infection.
Depending on the liposuction technique used (except dry technique) the infiltration solution shall be infused in the marked area. Its content depends on the type of technique: with a local anesthetic for tumescent technique and without an anesthetic for wet techniques under general anesthesia. The solution is infused from an infusion bottle connected to a tube with a needle on the other end. The needle is punched into the hypodermis under the marked areas, usually through several punctures, to fill the whole area equally with the fluid. It is important to infuse the solution slowly to give the body time to adapt and in a sufficient amount to suck the fat totally. A pump is used to apply the solution. If the procedure is performed under local anesthesia it is necessary to wait circa 40 to 60 minutes until the anesthetic takes effect.
Then the most important stage, the suction of fat, is performed. It takes usually 40 minutes. The surgeon makes an incision with scalpel, usually 2 or 3 incisions for one treated area. The liposuction cannula (narrow tube) shall be applied into the hypodermis through the incision (circa 3- 6 mm) and the layer of fat shall be sucked. During the procedure the cannula moves from base to surface (up and down) to prevent any damage to the underlying muscle layer and upper skin cover. The movements must be gentle and even; it is an accurate job. During the liposuction it is possible to change cannulas with different diameters. The most difficult part is the suction of borderlines of the marked locality. The cannula is connected to a vacuum device and the fat is sucked through a tube to the collecting container. The sucked fat is mixed with blood and has peach-like color. The surgeon continuously checks the appearance of the sucked fat and according to the color of fat evaluates the extent of bleeding. In the end the incisions are sutured and dressed with a sterile cover. At some clinics these minor wounds are not sutured but the rims are brought together by a steri-strip which is permeable for the rest of effluent tumescent solution and tissue liquid, and covered. The patient is immediately after the liposuction dressed in a compression garment which may be even tailored at the clinic. Its supply is included in the liposuction procedure. It prevents swellings and hematomas (blood clotts) and enhances the healing process. The liquid keeps leaking for 8 – 10 hours after the procedure is over or even longer and therefore the patients are provided with absorbent mats which may be changed when at home. Corrective procedures or repeated liposuction are not recommended within six months following the initial procedure.
To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. The best candidates for liposuction are normal weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy and psychologically stable. Your age is not a major consideration; however, older patients may have diminished skin elasticity (around 40 years of age) and may not achieve the same results as a younger patient with tighter skin. The procedure then combines with plastic surgery which removes the excessive skin.
Not all areas are suitable for liposuction. There are so-called prohibited areas which include the lower part of buttocks. Some areas are not explicitly prohibited but the liposuction is not recommended due to the anatomic localization, e. g. back. Other unsuitable areas are those with excess skin or even an overhang.
Liposuction is a high-risk procedure for people with health disorders as diabetes mellitus, heart or lung diseases, blood circulation insufficiency (in particular in case of general anesthesia) or for those who have recently undergone an operation near the area to be treated.
Some infiltration solution and tissular fluid shall outflow from the incisions after the operation. It is fluid which was not sucked and has not been absorbed by the organism yet. The fluid may be colored by blood – there is no need to worry. The outflow stops after approx. 10 hours. At some clinics a small drainage tube (so-called drain) may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to enhance your skin condition you will be fitted with a close compression garment. The garment cannot be taken off during first 24 hours after the operation. Than it can be taken off for 1-2 hours every day and perhaps washed. Most types of compression garment have a hole to enable toilet. The garment is worn for a period recommended by the surgeon; it depends on the practice at a clinic. Usually the period of 2 to 3 weeks (even at night) is recommended. The question of massages, so-called “rolling”, is rather discussed. Some surgeons advise not to roll and let the sucked areas quietly heal. Others recommend rolling – roll the sucked areas 3 times a day with a pastry rolling pin. You can go to work and do common activities after 2 or 3 days after the procedure performed by tumescent technique. Driving is not recommended immediately after the procedure; get somebody to drive you home. Sports are not recommended for 2 weeks. Wounds are covered by steri-strips for approx. 5-6 days and then the cover may be removed. The use of painkillers depends on every individual. Usually, it is not necessary or 1-2 tablets of Ibuprofen are sufficient. Tummy is a specific locality where rather strong sensitive nerves to innervate the tummy skin get out of rectus abdominis muscles. Note that during the liposuction under local anesthesia not only the fat but also the local anesthetic is sucked away, which means that the patient may feel pain of different intensity towards the end of the liposuction. Moreover in the tummy liposuction the cannula pulls these nerves which cannot be numbed as they run through the muscles and the pain may be really very unpleasant. The liposuction under general anesthesia is followed by a 1-2 day hospitalization and it is advised to wear the compression garment for 8 to 12 weeks. Sports should be avoided for 4 weeks. The period of wearing the compression garment depends in case of all liposuction techniques on skin conditions, amount of sucked fat, size of treated area and recommendation of the surgeon or clinic.
Shortly after the operation under general anesthesia you should start to exercise lower limbs, eventually stand up and make a short walk. It is a prevention of thromboembolic complications. The swellings and hematomas are individual, you are likely to feel stiffness, pain, burning or your sensitivity may be temporarily diminished. Your surgeon may also use antibiotics to prevent infection. It is not usual at every clinic. It is also suitable to use products for better healing as e. g. Wobenzym. The larger part of post-operative swelling disappears within 7 – 10 days. The stitches, provided the incisions are sutured, are usually removed within the week after surgery. Most of the burning and swelling usually disappears within 3 weeks. Healing is a long-term process and the recovery depends on your physical condition.
Don’t expect to look great right after liposuction surgery. New liposuction technique are more gentle than the old ones, despite, you shall experience some pain or itching for several weeks. The final result is apparent after 2 – 3 months, exceptionally after six months. At some clinics you will be checked regularly during the recovery to judge if you need any correction or you suffer from any complication. Some surgeons do not monitor you and you come only in case of complications. If you have bruises, sunbathing is not recommended. Sunbathing is also not advised for 3-6 months until the scars fade. During this period the scars may be covered by plasters or cream with a high sun protection factor.
As with any other surgery, complication may occur even after liposuction. Although it is not very often your surgeon should inform you on the risks. Complications may occur if your body has for example a reduced healing ability. Problems with recovery may occur if you do not observe surgeon’s instructions or you take unnecessary risk, for example when visiting solarium or doing sports. The skin may very rarely show:
Liposuction is a safe method of aesthetic surgery; however, you should follow all instructions of your surgeon and inform him/her on your health state. If the surgery is performed with precision by an experienced surgeon, the complications are minimal and the result is satisfactory. The liposuction of more than one area during one session is more complicated; eventually a combination of liposuction with other surgical interventions. It is performed rarely and mostly under general anesthesia.
Liposuction is always an aesthetic surgery paid by the client. The health insurance does not cover it as there is no health indication. The client cannot go on sickness leave and must plan holidays instead.
You will see a noticeable difference in the shape of your body usually a week after the surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. If your expectations are realistic, you will probably be very pleased with the results of your liposuction surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. By eating a healthy diet and getting regular exercise, you can help to maintain your new shape.
SmartLipo or laser lipolysis is a method used in removal of undesirable fat deposits. It shapes your body. The laser beam promotes the breaking up of the fat cells that are eliminated in a natural manner from the body. Without large bleeding, without pain and incapacity for work.
A very small cannula (tube) approximately 1.0 mm to 2.0 mm in diameter containing a laser fiber is inserted into the skin. The cannula is moved back and forth delivering the laser’s energy directly to the subcutaneous fat cells, causing them to rupture and easily drain away. The laser energy also interacts with the dermis, resulting in collagen shrinkage.
Liquid fat tissue is left usually without suction in case of very tiny parts. It is gradually absorbed due to natural metabolism. In case of larger treated areas it is necessary to gently suck the fat tissue dissolved through laser. Most of the modern clinics world-wide use technique of vibration liposuction.
Due to the cannula’s small size, Smartlipo is a minimally invasive procedure and can be performed under local anesthesia. The laser causes small blood vessels to coagulate immediately on contact, resulting in less bleeding, swelling and bruising – and a quicker recovery time than conventional liposuction.
Worries about the safety of the laser should be quelled – the laser can easily differentiate between fat cells and other tissues including nerves, blood vessels, and connective tissues. The places of laser beam insertion into the subcutis are not sewn, they are only treated with plaster. They almost disappear step by step.
If you have areas of fat that will not respond to diet and exercise, then you’re a candidate for Laserlipolysis. Ideal candidates are in good health, of normal body weight and have realistic expectations for the results.
SmartLipo is ideal for treating following areas : tummy, chin, arms, male breasts, inner and outer thights, buttocks, decolletage, knees, hips, ankles and areas of loose and flabby skin. The procedure may improve the body’s shape and may improve cellulite to a certain degrese.
For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated.
After the treatment you will need to wear a compression garment for several days to several weeks, depending on the body area being treated.In small treatments such as double chin it is possible to leave the treated areas without compression underwear. Rest is recommended after the procedure and activity may be resumed gradually. Refrain from hot tubs or strenuous exercise for 2 weeks. Most people go back to work after two days.
Yes, adults do not create new fat cells. When a person gains weight, the fat cells expand. The Smartlipo procedure permanently removes the fat cells. Should you gain weight, most fat will be deposited in areas where the procedure was not performed.
Results can be seen as soon as a week with continued improvement over several months.
Liposuction is today the most used way of body shaping. It is based on removal of undesired fat cells of dermis in a certain location. In last fifteen years the range of used liposuction methods has greatly increased. It is caused by new devices and instruments for these procedures and also by confirmation of processes for their usage. It is often very difficult for potential clients of these procedures to orientate in offered techniques and it is even harder to choose one of them. The aim of following text is not professional medical description of shaping procedures but the effort to provide a list of different techniques to a broader public with a step into the history.
General term, which contains all modern invasive and non-invasive methods serving to body shaping. One of the most used invasive techniques is liposuction.
The word comes from Greek lipos-fat and suctio-to suck. It describes permanent removal of undesired fat tissue in certain locations.
The word comes from Latin tumescere – to swell. It describes the look of subcutaneous tissue of treated area, which is filled with larger amount of special solution with a mixture of anesthetics and adrenaline.
It is considered to be a French Dujarrier in 1921. There was used a gynecological curette under pressure, the sucked area were knees and calves and the experiment ended with leg amputation caused by damage of large vessels.
Performed in 1974. Italian Fischer broke and sucked fat tissue in dermis with the help of small rotation scalpel deposited in a cannula.
It was shown by French lllouz in 1978. At the same time he worked with a technique of subcutaneous tunneling of fat tissue from more approaches and their crossing. This system has been used until now with various changes and improvements although it was applied on modern liposuction techniques.
Method used for body shaping before the origin of tumescent liposuction. There was “dry” and “wet” type. The first method was performed under general anesthesia without filling the subcutaneous fat layer with a solution with the need of patient’s hospitalization. Relatively thick cannula sucked fat tissue under high under pressure. This method had many complications (blood losses, ungentleness, fat and blood embolism, odds and asymmetries) and it has not been used anymore. The second (wet) method of this technique uses filling of fat tissue with a mixture of local anesthetics and adrenaline, which reduces the possibility of bleeding and simplifies the suction. Other risks remain though, therefore it has been used only limited for extremely strong individuals or as a part of other procedures under general anesthesia (e.g. abdominoplasty).
Tumescent liposuction (filling of fat tissue with anesthetics only locally without the need of general anesthesia)
Since 1984 and 1985 Peter Fodor and then American Klein introduced “super wet” technique. It is characteristic with large volumes of added mixture, great concentration of anesthetics in this solution, epinephrine (adrenaline) and minerals that change inner atmosphere of treated area. This method enables to suck fat tissue with thin cannulas (from 1 mm to 3mm mean) symmetrically and practically with no blood loss. Recommended values of different ingredients of a mixture were definitely set in 1990 and the instructions have been used with small changes until now. Method with the greatest number of treated patients is now in literature marked as “classic tumescent” or “conventional tumescent”. In the range of modern shaping liposuction techniques it presents “golden standard” today.
It was performed probably in 1993 for the first time. There serves again cannula as a performing device, which is inserted subcutaneously. It transmits ultrasound waves into fat tissue, the cells break due to formed energy and they are sucked out at the same time. At the beginning the technique caused high percentage of damaged skin and muscle membranes and large swellings. Till 2000 it went through many technical improvements, although even today the opinions on the safety of its usage have not been unified.
First efforts for construction of cannulas that also vibrate with great frequency, break and release fat cells and suck the fat at the same time can be found in 1994. The source of vibrations are gracile pneumatic or electromotoric systems. Significant technical perfection were achieved in 2002 (Flynn) and today is liposuction with the help of these cannulas relatively valuable and appreciated method. To its advantages belong gentleness, reduced operating time and reduction of surgeon’s fatigue.
Using laser for dissolving fat was described in 1992 (Apfelberg). First larger studies were described in 1999 to 2004 and they concerned laserlipolysis of chin. At present NdYAG laser is used practically on all body parts with subcutaneous fat excesses. It is based on dissolving of fat cells and suction of formed lysate by gentle classic or vibration cannula. In case of very small parts it is possible to leave these parts without suction and presume to remove the dissolved fat by natural metabolism. The gentleness of the technique and the possibility of laser stimulation of subcutaneous collagen and therefore also reaching of perfect skin lift ranges this method among most perspective.
The principle of this method is twin cannula, where there is a jet of water under great pressure in the inner cannula together with small dosages of local anesthetics. This water beam is precisely defined for fat tissue that it does not cut, but it breaks the fat cells and frees them from the cellular membranes. Such released fat is at the same time sucked by outer cannula. The beginning of water jet technique in other surgical branches started in 1995 “water scalpel), the usage of liposuction procedures began around 2004 and first larger numbers of such performed liposuctions were described in 2006 (Hernuss-Vienna). Longer experiences and evaluation on larger number of patients is still missing and even though this liposuction method is known for more that 4 years, it has not been much used by plastic and aesthetic surgeons.
Body shaping via liposuction techniques is at present one of the most performed procedures in the field of aesthetic surgery. It is caused also by no medical risks and possibility of out-patient performance only under local anesthesia (tumescence). Its still increasing number is also caused by stricter assessment of aesthetic appearance of an individual. Regarding life style of temporary population still more women and men can be expected to undergo one of the shaping procedures. They should choose clinics that specialize on these procedures, have many years of experience, own complete needed equipment and that are able to professionally treat all requested parts by a client.
It’s that time again! Soon the air will be full of summer, holidays, and the thought “I want to lose weight and so something with myself…”
We all want to be beautiful and slim and to handle everything with a smile at work and in our personal lives. So, we need a new stimulus, motivation, or the help of a specialist. In our cosmetics department we offer our clients a wide choice of face and body care programmes. Now we want to present something new – the Cellu M6 Keymodule I device produced by LPG Systems (France), which works on the principle of the latest Endermology technology.
This technology is designed to treat pathological chances in connective tissue. The Cellu M6 Keymodule I combines the effect of a modulated vacuum and a roller massage. Its treatment head, containing two completely independently powered rollers creates a “vacuum wave” which the self-propelled head moves forwards, backwards, to the side, or diagonally. Depending on the choice of programme it offers a painless way of loosening the fat deposits below the uppermost layer of the epidermis.
The device is equipped with a procedure checking system allowing the operator to monitor the intensity of the session on the folds of the skin and ensure the maximum efficiency of each movement.
As each treatment has its own specific characteristics, LPG Systems has developed special body care programmes:
1. Aesthetic programmes
2. Therapeutic programmes
3. Sports programmes
The basic effects resulting from use of the Cellu M6 Keymodule I and Endermology technology are:
Another new device we have added to the range of appliances in our cosmetics department is the LIFT 6, also made by LPG Systémes (France). It works on the basis of the new Cosmécanique three-dimensional technology. This device enables treatment of the face, neck and upper chest area using a mechanical vacuum method.
The device has the following positive effects where it is applied:
Olga Afanaseva, cosmetologist
The tried and tested LIFT 6 method produces excellent results which can be seen during the application itself. Info www.asklepion.cz!
Nowadays lasers are used almost in all medicine fields. Plastic surgery and esthetic dermatology are not an exception. In this article you can find out why not to be afraid of SmartLipo method and what you can expect.
This surgical method develops dynamically and is used in many countries with success. It was approved by FDA in USA. It completes and gradually substitutes older liposuction methods.
It is the newest conception of body contouring through laser beam. It presents the least invasive technique that can remove excessive fat tissues in all areas. It is caused by change from energy of laser beam to thermal energy, which breaks up the fat cells. The fat cells of an adult person don’t have the ability to reproduce (multiplication, reproduction) and that’s why the performed procedures have permanent effect. The permanence of the result does not concern only the reduction of fat tissue, it includes also permanent optimal body shape. Also another effect of laser liposuction is of the same importance, unique skin lift in treated areas that is caused by laser stimulation of subcutaneous collagen.
The area of laser fibers insertion is not sewn after the procedure, they are treated only with a tiny piece of plaster and the marks fade after some time. The patient wears according to the surgeon’s recommendation elastic underwear for several days. In case of very tiny extent of the procedure it is possible to leave the treated area without special underwear (e.g. gentle treatment of double chin).
The same advantages are valid for the described surgical technique as for tumescent and vibration-tumescent technique, i.e. out-patient procedure without the need of general anesthesia; no medical and esthetic risks of the procedure; the possibility to evaluate the result in a vertical position; permanent effect of the result; self-sufficiency after the procedure without the need for repeated check-ups by the surgeon; improvement or deletion of eventual cellulite.
Moreover compared to other liposuction techniques by laser liposuction we can expect: