We call Lipoplasty the technique of transporting fat from one part of our body to another. After the first liposuction carried out, plastic surgeons thought that this fat could be used as a filler in wrinkles and scars. At first, the data was discouraging because a very large percentage of this fat tended to be absorbed and the results were not desirable. The plastic surgeons did not lose hope and step by step managed to understand why liposuction did not work, as they later called it. Thus, in 1995, liposuction became a reliable method. The principle lies in the fact that we receive fat from the liposuction process and, with small injections, we inject it into another part of the body. This technique could be used to fill cavities, natural or post-traumatic.
Filling the wrinkles of the face.
- Rhinoplasty grooves (right and left of the mouth)
- Mid-range space
Restoration of facial volume
- Lower eyelids
- Improve the oval of the face
Fleet transport to the body
- Breast filling, after mastectomy.
- The "filling" of a scar after an injury.
- Possible abnormalities after liposuction.
- After triotherapy in AIDS patients, mainly on the face
It should be noted that fat transport is a surgical technique, a surgical procedure that must be performed exclusively by a well-trained plastic surgeon in a surgical environment where all the antiseptic rules are adhered to.
What should be done preoperatively?
After the Plastic Surgeon has a full history of the patient, he / she should inform the patient / physician fully of the procedure and take some photos of the area to be treated. If it is a lipoplastic face, photographs of a younger age are necessary to make a comparison with the present situation.
Then follow these instructions:
- Classic preoperative screening.
- 12 hours before surgery do not eat and 6 hours before surgery do not drink anything.
- On the morning of surgery, we do not receive any medication without the anesthetist's consent.
- Smoking and alcohol should be discontinued at least 3 weeks before the surgery and 2 weeks afterwards.
- It is necessary to meet the anesthetist before surgery. The anesthesiologist reports past anesthesia experiences, whether positive or negative, and informs him of any health problems or medication we receive.
- We do not take aspirin, anti-inflammatory drugs or herbal supplements 10 days before surgery, because they all increase the chance of bleeding during and after surgery.
- In cases of liposuction body, 3 days before surgery and every day we wash with pharmaceutical soap.
Type of anesthesia
The above procedure can be done with local anesthesia and drunkenness for small fat transplants, but also with general anesthesia for the middle and larger. This decision will be taken jointly after consultation with the plastic surgeon and the anesthetist concerned.
Stay in the hospital
No hospitalization is required.
Each surgeon adopts a way of applying lipoplasty. But there are some general rules. The plastic surgeon marks the areas in the body that will become liposuction in an upright position. At this point may be suggested areas that he would like to correct by liposuction. Note that the best areas to take fat are the belly and the inside of the knees. The surgeon also records the fat injection areas.
The fat collection should be done in an admirable manner with special small cannula, through small incisions of 2 millimeters, which are well hidden in our body, such as in the navel, in physical aspects such as the femoral areas, but also in preexisting sections. This fat is then subjected to a special treatment and placed in special syringes in order to be infused.
The infusion of fat is done by means of small cannula and by very small incisions, about one millimeter. The fat should be distributed evenly in the tissues in such a way that each small adipocyte comes in contact with the bloodstream around the tissues so that it can live and not be absorbed. This is a very important element that greatly increases the amount of fat that will remain in the body. With this condition, as many of these cells as we need to survive, they live as long as their neighboring cells are still alive. In other words, the technique of lipoplasty has permanent results.
- Postoperative pains are virtually minimal, since liposuction is not extensive, but the plastic surgeon's job is under the skin and without any incisions.
- An edema in the area of fat injection is inevitable and subsides within 5 to 10 days. Local use of mammalian ointments and other oral medications can greatly aid the rapid absorption of edema after surgery.
- Possible bruising (blue marks) may occur both in the area of fat injection and in the area of this collection and are absorbed within 5-7 days.
The restoration of the person in his / her daily activities is also rapid, as with this technique there are almost no incisions.
The person concerned should avoid exposure to the sun as it has bruises (blue), because there is a risk of permanent skin coloration.
The end result of the surgery is estimated 6 months postoperatively.
It should be noted that perhaps a second fat injection may be needed in cases where the desired volume is not satisfactory. The surgeon is not allowed to inject large amounts of fat into the affected person, because each adipocyte should essentially come into contact with blood tissues. Injecting large amounts of fat increases the likelihood of greater absorption. In some cases, it is desirable to make the infusion at two times in order to have as much fat as possible that will survive and remain in the tissues.
- The complications of this surgery are few and are limited to superficial hematomas and small asymmetries.
- Inflammation is avoided by the use of antibiotics during surgery.
- Pulmonary embolism is a complication of any surgery and is treated with anticoagulant injections and immediate mobilization of the subject.
- Fat stroke is a complication that is avoided by using the right technique.
It should be made clear that you should not underestimate the dangers of a lipoplasty, just realize that it is within the framework of a relatively simple surgery, but it can also have complications.
This text may give rise to new questions. We are at your disposal for any other information.