The procedure

This is a perfectly controlled suction procedure with the purpose to eliminate certain located fat and for the skin to draw in after the procedure. It can be done with local anaesthetic and sedation or with general anaesthetic.
The operation lasts for 2 hours.
Admission at the clinic during 24 hours

Post operation

Relative rest, you should be able to walk at home from the first day.
Shower the next day and go for a walk afterwards.
The area will be swollen for a few days and little by little it will get back to normal.
Return to work in three days.
You will need to wear a girdle for a month.
You can do exercise a month after.
You shouldn´t sunbathe for two months.
You will see the final result in about three months, although this is variable. It takes a little bit longer for men.
A lymphatic drainage is very appropriate; it’s a massage which is especially targeted to reabsorb the edema and residual liquid.

Know more about liposuction
Lipo is Greek and is means fat.
Liposuction, lipolysis, liposculpture… They are all terms which are of the same nature- a procedure that consists of sucking corporal fat via very fine cannulas .
This sucking procedure is perfectly controlled and its final purpose is to eliminate specific situated fat and for the skin to draw in after the procedure. Its result is not to lose weight nor to get rid of cellulite nor to eliminate the any dimples that could be in the skin.
The procedure never extracts all the fat from one area, some residual fat should always stay. The Lipodystrophy is therefore the accumulation of fat in a specific area of the body that produces a less aesthetic figure and it shouldn’t get confused with cellulite. Cellulite is a disorder of more surface fat which shows as typical orange skin, but it doesn’t depend on accumulated fat.
The patient doesn’t recuperate the fat after the operation if s/he controls their weight. Liposuction has many ways to remove body fat. Neither way is better than the next, what is crucial are the hands and experience of the surgeon.

Candidate body areas for liposuction

  • Abdomen, above and underneath the navel.
  • Waist.
  • Hips.
  • Inner and outer thighs.
  • Inside of the knees.
  • The inside of the arm.
  • The back.
  • Breasts in men.
  • Double chin.

The procedure

Minimal incisions are made with a needle, not with a scalpel, and a large amount of liquid is filtered ( saline solution combined with local anaesthetic)
These incisions don’t need stitches as they close by themselves in two days. Very fine cannulas are introduced to remove the fat and thus shaping that area, always taking into account that fat which stays is more important than the fat which is removed.
Some of the filtered liquid is extracted during the actual procedure and some stays inside. Due to the incisions being open for two days, liquid will leak from them, this is normal and there’s no need to be alarmed.
There will still be some liquid inside when the incisions close; this implies that there won’t be any big visible results for ten or fifteen days because the area will be swollen.
Little by little, in its own time, this liquid will gradually be gone.
By the end of the first month, you will be half way of the final result, which is reached between 12 and 18 weeks.

Post operation care

You will need to use a girdle for the abdomen area and some strong compression tights for the legs for about a month.
You can do without them during the night but it is advisable to wear them for 24hours for the first few days.
The rest is relative: from the first day you should walk around your home. The next day, you should go out and walk for about 30minutes after a shower in the mornings and the afternoons.
During the first 15days you will notice a bit of insensitivity on the operated area, numbness. Don’t worry, this is normal. You will regain sensitivity in little time.
Lymphatic drainage is very useful to help eliminate all the accumulated water.
We recommend two sessions a week for two months.
You will be able to do exercise in a month
You can return to work in three days.
Avoid catching the sun for three months.

Counter-indications

Noticeable flaccidity
Morbidly overweight
Vascular diseases.

Complications

They are very low.
We have to differentiate between after –effects and complications: the patient will have after-effects from the procedure but can or not have any complications.
The most common side effects include irregularities in the outline, paraesthesia, bruises and changes in skin colouration, which regularly occurs to all persons subjected to liposuction.
Nevertheless, these are resolved in a spontaneous way or with minimum treatment, like the massage. Complications are rare and include a significant loss of blood, displacement of liquids, asymmetry and irregularities in shape and form.
Fat embolism is very rare
There has been need to retouch in 10% of all cases during some months.

LIPOSUCTION IN MEN: GYNECOMASTIA

It means feminine breasts
It is the increase of the mammary glands in men.
During puberty it is normal that they increase in size due to hormonal changes.
It also occurs in newborns and in old-age.
These changes disappear when the hormonal storm passes, however, in some cases the gland stays increased in size thus provoking an aesthetic alteration and affecting social life.
Drugs, medication, genetic conditions…all can cause this condition, but the cause is unknown in 90% of cases.
The suppression of the excess mammary parenchyma is the only effective treatment.
If the broadening is due to the excess of (pseudogynecomasty) but not of the gland, only liposculpture can provide an adequate improvement to the shape and outline , saving the patient from any scars caused from direct surgical removal of the mammary.
Both mammary glands are affected the majority of times, although it only appears affected in just one breast.

A mammogram is the most efficient method to diagnose.
In men older than 60 yrs old with gynomasty there is need to investigate whether there is cancer of the mammary.
About 1% of men are diagnosed with mammary cancer and it appears between ages of 60 and 70yrs old.
80% of these patients have a family background of cancer.
All clinical characteristics of feminine mammary cancer can also appear in masculine cancer.

Therefore it is necessary to investigate if it’s glandular or if it’s fat.
If it’s glandular, an incision is made just under the areola.
If it’s only fat, liposculpture is done.

The procedure

This is a perfectly controlled suction procedure with the purpose to eliminate certain located fat and for the skin to draw in after the procedure. It can be done with local anaesthetic and sedation or with general anaesthetic.
The operation lasts for 2 hours.
Admission at the clinic during 24 hours

The post operation

Relative rest, you should be able to walk at home from the first day.
Shower the next day and go for a walk afterwards.
The area will be swollen for a few days and little by little it will get back to normal.
Return to work in three days.
You will need to wear a girdle for a month.
You can do exercise a month after.
You shouldn´t sunbathe for two months.
You will see the final result in about three months, although this is variable. It takes a little bit longer for men.
A lymphatic drainage is very appropriate; it’s a massage which is especially targeted to reabsorb the edema and residual liquid.