LIPOSUCTION

DR.P.R.K.PRASAD
 DEFINITION

SURGICAL Dr Yves-Gerard Illouz,

ASPIRATION OF in 1982.
SUBCUTANEOUS FAT
BY USE OF A
CANNULA ATTACHED
TO A VACUUM PUMP.
SUCTION ASSISTED LIPECTOMY
LIPOSCULPTURE
HIGH DEFINITION LIPOSUCTION
 AREAS

FACE (CHEEKS) ABDOMEN, HIP,

NECK FLANK, &BACK
ARMS (LOWER TORSO)
MALE BREASTS BUTTOCKS

FEMALE BREASTS THIGHS

CALVES & ANKLES
 PROCEDURE

INFILTRATION OF ADRENALINE CONTAINING

SOLUTION
ASPIRATION OF FAT
 INFILTRATION

ABDOMEN 2-4 liters

LATERAL THIGH 1-2 liters on each side
I saw liposuction. You ever see how they do that? Its, like, violent. They get the
hose -- it looks like theyre mad at how fat you are
 THE ASPIRATE

HOW MUCH?

>5 ltrs MEGA LIPOSUCTION

8% BODY WEIGHT

EXPECTED WT LOSS

Most often < 5 kgs

Occassionally 5-10 kgs
THE CANNULAS
 EVACUATION

 VACUUM PUMP Rs30000 – 1 lakh

 SYRINGE LIPOSUCTION Rs10000 - 80000
 POWER ASSISTED LIPOSUCTION Rs 5 lakh
 ULTRASOUND ASSISTED LIPOSUCTION Rs40 lakh
 LASER ASSISTED LIPOSUCTION Rs 1 crore
THE ADIPOCYTE
ADIPOCYTE
 LFDs

METABOLICALLY BLOCKED FAT

B 3 RECEPTORS - UNRESPONSIVE
 EVALUATION OF PATIENT

LET THEM TALK THEIR FULL STORY

RECENT SUDDEN CHANGES IN WT
HAVE THEY TRIED DIETING OR EXERCISE
MAIN PURPOSE : WT LOSS OR CONTOURING
PINCH TEST
MEDICAL / SURGICAL HISTORY
ULTRASOUND ABDOMEN
 ANAESTHESIA

LOCAL (TUMESCENT ANALGESIA)

SPINAL (SA OR EPIDURAL)
GA
 TUMESCENT ANALGESIA

RINGERS LACTATE OR NS : 1 LITRE

2% LIDOCAINE : 30 ML
1 IN 1000 ADRENALINE : 1 ML

1985, Klien and Lillis
 TUMESCENT ANALGESIA

0.06% LIDOCAINE IN 1 IN 10 LAKH ADRENALINE

LIDOCAINE DOSE 35 mgs per kg bd wt
 END POINT

PINCH TEST
VISUAL ASSESSMENT OF CONTOUR
PALAPATION FOR SMOOTHNESS
SYMMETRY / MEASUREMENT OF VOLUME
BLOOD IN THE ASPIRATE
 POST OP CARE

WOUND CARE
PRESSURE GARMENTS
 POST OP RECOVERY

AMBULATION 2 DAYS
SEDENTARY ACTIVITY 5-7 DAYS
EXERCISE 3 WEEKS
STRENUOUS EXERCISE 6 WEEKS
 GOOD CANDIDATES

BMI < 30
LFDs
CLOTHING PATTERN
GOOD QUALITY SKIN
 RESULTS

BEST
 LATERAL THIGH
 POSTERIOR ARM
 MEDIAL THIGH
 ABDOMEN (THIN)
 FLANKS
MODERATE
 MALE GYNAECOMASTIA
 BUTTOCKS

POOR
 ABDOMEN (OBESE)
LATERAL THIGHS & FLANKS
MALE BREASTS
POSTERIOR ARMS
LATERAL THIGHS
 COMPLICATIONS

COMMON
 BRUISING
 DYSTHESIAS
 CONTOUR ABNORMALITIES
 SEROMAS

UNCOMMON
 HEMATOMAS
 FLUID IMBALANCE

RARE
 INFECTION
 SKIN NECROSIS
 LIDOCAINE TOXICITY
 DVT
 FAT EMBOLISM
 MAJOR ORAGAN OR VESSEL PERFORAION
 OTHER METHODS

MESOTHERAPY
ULTRASHAPE
 MESOTHERAPY

Mesotherapy  is a non-surgical cosmetic medicine

treatment. Mesotherapy employs multiple injections
of pharmaceutical and homeopathic medications,
plant extracts, vitamins, and other ingredients into
the subcutaneous fat. Mesotherapy injections
allegedly target adipose fat cells, apparently by
inducing lipolysis, rupture and cell death among 
adipocytes.
 MESOTHERAPY
 T3-T4 thyroid,  Lymphomyosot  Lidocaine
 Isoproterenol  Co-enzyme   Ginkgo biloba
 Aminophylline  Melilotus
 Pentoxifylline  Dimethylethanola  C-adenosine
mine monophosphate
 L-carnitine
 Gerovital  Multiple vitamins
 L-arginine
 Glutathione  Phosphatidylcholin
 Hyaluronidase
 Tretinoin e
 Collagenase
 Alpha lipoic acid  Trace mineral
 Yohimbine
 Vitamin C elements
 Procaine  Carbon dioxide
 ULTRASHAPE

DELIVERS ULTRASOUND ENERGY FROM AN

EXTERNALLY PLACED PROBE TO DISRUPT
ADIPOCYTE CELL MEMBRANE.
THE REPTURED ADIPOCYTE RELEASES
TRIGLYCERIDES INTO CIRCULATION WHICH
ARE METABILISED IN LIVER
EACH SESSION LASTS 45 -60 mts.
REDUCTION 4 - 10 cms.
 LIPOSUCTION COST

US $5,000 – 10,000

RS 20,000-60,000

 Yo momma is so fat. Even Bill Gates couldn't pay for her

liposuction
THANK YOU