Hospital stay and type of anesthesia

Type of anesthesia: Local anesthesia with sedation given by intravenous drip (‘twilight’ anesthesia) or general anesthesia is the usual choice for liposculpture. The type of anesthesia will be decided after discussion with the surgeon and the anesthesiologist

Hospital stay: The procedure is usually carried out on an outpatient basis; the patient arrives and leaves on the same day. The patient is discharged three to five hours after the procedure. An over-night stay following surgery may be necessary.

The procedure

Techniques are adapted in order to obtain the best results in each case. However, some basic points can be provided.

We start by carefully defining the areas from which the fat will be harvested, and the re-injection sites. The harvesting of fat is carried out atraumatically through a tiny incision hidden in the natural skin creases, using a small cannula. An area with reserves, or even an excess, of fat will be chosen for harvesting, at a site not normally visible.

After harvesting, centrifugation will be carried out for a few minutes, in order to separate the intact fat cells, which will form the graft, from elements which cannot be used. Re-injection is carried out through 1mm incisions using micro-cannulas. Tiny particles of fat are re-injected at different levels and in multiple divergent directions. This increases the surface area in contact with the implanted cells and receptor tissue and improves the survival of the grafted fat cells.

Since there is true grafting of living cells, when the technique is correct and the graft takes, these grafted cells will become a living part of the body. This means that liposculpture is a permanent technique since the grafted fat cells will live for as long as the surrounding tissues.

The length of the procedure varies according to the amount of fat to be re-injected and the number of treated sites. It can vary from 30 minutes to 2 hours for liposculpture alone.

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The result

The final aspect will not be visible before 3 to 6 months, particularly when considering liposculpture in Dubai. This is usually satisfactory, whenever the indication and the technique have been correct: the depressions have been filled and volume restored.

Nevertheless, the result will deteriorate little by little as these tissues age. A difference of between 20 and 40% exists between the quantity of fat cells grafted and the quantity that will survive.

The surgeon will allow for this in his initial evaluation of the amount to be injected. Grafted fat is subject to the same variations in volume as normal body fat; therefore, it will fluctuate with weight loss or gain.

The objective of this procedure is to provide improvement but not to attain perfection, when under taken with realistic expectations the results will be extremely satisfying.

Possible complications

Liposculpture, although essentially an aesthetic procedure, is nevertheless an operation, and this implies that the risks inherent to any surgery apply here, too. We must distinguish between risks related to the anesthesia and those related to the surgery. For the anesthesia, the anesthesiologist will explain the risks during the preoperative consultation. You must be aware that anesthesia can cause unpredictable reactions, which can be difficult to control: the presence of an experienced anesthesiologist, in a surgical context, means that the risks are statistically practically negligible.

In fact techniques, products and monitoring methods have progressed considerably over the last decade, giving optimal safety, especially when the operation is not an emergency and the patient is in good general health.

However, complications exist, although rare following liposculpture which has been carried out correctly. Following careful selection of the patient & technique, and by using rounded cannulas which do not damage skin, blood vessels or the nerves, we may avoid as far as possible the risk of complications. Practically, all the operations go well and patients are completely satisfied with the result.

Infection is normally avoided by prescription of antibiotics before and after the procedure. The most frequent complication of liposculpture is hypercorrection; this is caused by re-injection of an excessive quantity of fat giving an unsightly result, difficult to be corrected.