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Liposucton by area

조회 수 12195 추천 수 0 2010.03.05 00:43:20

1. Thoracoabdomen package ( upper and lower abdomen, flank, waist, supracostal fat pad,  subscapular back pad)

 

 

The abdomen is the most commonly selected region for Liposuction, and it is considered as the most attractive region to undergo Liposuction considering the anatomical structure, aesthetical structure and patient's satisfaction.

 

Since there is a wide and flat surface on the abdomen, it is necessary to do liposuction evenly. Also, allowing some of the subcutaneous fat to remain results in a smooth line.

 

It is rather difficult to approach the upper abdomen with a suction cannula due to fat fibrosis and it's sensitivity to pain. Thus, it is necessary to undergo the operation equally using the thin suction cannula. It is necessary to perform suction evenly on the deep layer and superficial layer of the lower abdomen, Also, even though the lower abdominal skin is loose, it is so elastic that it can retract after the operation, so it is unnecessary to remove the skin. However, the upper abdominal region is not elastic enough and it cannot recover its shape after the operation.

 

In cases of obese patients, abdominal plastic surgery including fat excision has been widely undergone, however, for patients whose abdominal stria are not seen or whose skin or fat laxity is not severe, only liposuction is favorable enough. In most cases, flank (hip) should also be considered for a better slim line.

 

 

Venus Clinic's characteristic of abdominal liposuction is the fact that it includes lower abdomen, upper abdomen, flank, waist, supracostal fat pad and subscapular back pad(bra fat). That's why it is called " thoracoabdominal liposuction".  The Thoracoabdominal liposuction of Venus clinic can expose one's own intrinsic waist line.

  

 

< before and after photos of abdomen >

 ab02_1.jpg ab02_2.jpg


ab03_1.jpg ab03_2.jpg


ab04_1.jpg ab04_2.jpg



ab05_1.jpg ab05_2.jpg ab05_3.jpg


ab06_1.jpg ab06_2.jpg ab06_3.jpg 

 

 2. Upper limb package (arms, axilla and back)

 

 

The arm is the region with the most effectiveness and satisfaction regarding liposuction. Since the fat around the arm is not reduced by exercise easily, liposuction is preferred. Most female patients do not want the muscular arms as males do. The aim of arm liposuction is to achieve the convenience for wearing the sleeveless clothes and to show thinner arms when stretching downward.

 

Thick and chubby arms make the body look fatter; however, thin arms have the opposite effects. Arm liposuction always achieves dramatic and favorable outcomes. Even the saggy arm can be recovered by simple liposuction. Under all circumstances, excessive liposuction should be prohibited. It's aim is to improve cosmetic appearance, and not to remove as much fat as much as possible.

 

The basic principle of arm liposuction is to avoid the downward stretch of arm fat. Thus, most arm liposuction removes 75% of fat. Some parts inside of the arm do not have the fatty layer, so it is limitedly undergoes suction when it is considered to have cosmetic effects for excessive obese female patients. The hidden part of the axilla is incised for entrance of suction cannula and the front and back side of the axilla adjacent to the arm usually undergoes liposuction.

 

In this category, Venus's liposuction includes circumferential arms, axilla, anterior-posterior axillary fat pads, and subscapula backs.

 

< before and after photos of  arms, axilla and back >

arm_01_1.jpg arm_01_2.jpg arm_01_3.jpg

 


arm_02_1.jpg arm_02_2.jpg arm_02_3.jpg


arm_03_1.jpg arm_03_2.jpg arm_03_3.jpg

 

3. Lower limb package (hips, buttocks, thighs, and knees)

 

 

The size or shape of the thigh is not easily improved by diet or exercise compared with other parts, and it remains as it is when other parts become slim.


Due to chubby thighs, sometimes there is no choice but to wear different sizes of clothes between the upper body and the lower body. It is so called "two body syndrome"

 

For these people, liposuction can be the option to have a slim and attractive body line. Since the thigh is cylindrical shape, it is necessary to remove the fat evenly throughout the whole parts with aesthetical sensitivity for favorable outcomes as well as well balanced body shape.

 

For lateral regions of the thigh, generally, both the adjacent lower parts of buttocks and hips are simultaneously treated so as to obtain favorable results. The medial thigh is the most difficult part to undergo surgery. Since the upper part of the medial thigh is jelly-like, with little fibrous tissue, it is easily aspirated, which can be excessively removed so as to be unsmooth.

 

Therefore, in order to prevent an unsmooth shape, tumescent anesthesia as well as a thin suction cannula are required. The subcutaneous layer of the anterior thigh has a homogeneous character with minimal fibrous resistance so the cannula is easily passed through. Thus, it is important to shape the smooth line while preventing excessive suction. Although massive liposuction at one time has more risks of complications than separate liposuction procedures, if the tumescent technique and appropriate suction are applied, the risk can be lowered.

 

In cases of young female patients, the buttocks are smoothly protracted with a dome shape. When the fat is accumulated around this, the buttocks become bigger and more unsmooth. Also, as people get older, the lower part of the buttocks becomes bigger and the ligament that supports buttocks is expands so that the buttocks come down naturally. The purpose of the buttocks liposuction is to lessen the size and volume of the buttocks and to improve saggy appearance, it is necessary to be cautious in order not to lose the balance of the buttocks.

 

Those people whose buttocks are likely to have accumulated fat tend to have an indefinite boundary between the buttocks and thighs, so that it is normal to perform the liposuction of buttocks and thighs together. The liposuction does not lift or raise the buttocks. However, by removing of the lower part of the buttocks as well as reducing the weight and then removing the posterior thigh fat, the surgeon shortens the crease of the lower part of the buttocks and at the same time, does fat transfer to the upper part of the buttocks; then, the thighs look longer and the buttocks look raised. (Buttock-up effects)
 

As a matter of fact, as Venus's liposuction of the pelvic area and lower upper extremities includes hips, buttocks, circumferential thighs and knees, it is possible to contour the whole pelvis and lower and upper extremities at once. This will give you a harmonious, balanced shape in spite of body weight change.

 

< before and after photos of Hips, Buttocks, thighs, and Knees

thigh01_1.jpg thigh01_2.jpg


thigh02_1.jpg thigh02_2.jpg



thigh03_1.jpg thigh03_2.jpg   
 
  

4. Legs and ankles

 

The uneven fat distribution of the leg is set genetically and it is not generally solved by exercise or diet.

 

The leg is one of the most difficult parts to undergo liposuction. The reason is that the fat layer is only one layer so it requires a minute operation, and it is the muscle of the leg and ankle that determines the silhouette, so it does not show a dramatic improvement in the pictures. In many cases, the remarkably protracted shape is very rare and there is difficulty in performing liposuction since the leg is curved shape. Also, the incisional scar is well exposed and the edema lasts long with a slow recovery. In addition to this, it is believed that the reason that the leg is a difficult area is because patients are likely to expect more than realistic outcomes.

 

However, if the development of the leg muscle as well as the thickness of the adipose layer are accurately perceived and it is undergone with a thin suction cannula, it can lead very favorable outcomes. Excessive liposuction can show the leg muscle form, which are the characteristics of men's legs.


< before and after photos of Legs and ankles >

leg01_1.jpg leg01_2.jpg


leg02_1.jpg leg02_2.jpg 
  

5. Face, jaw and neck

 

 
As people get older, fat is accumulated under the jaw, showing a double chin with low elasticity of skin, and the slender chin line disappears. Tumescent liposuction is the best option for fat removal around the jaw. It is very effective for those who do not want the long-term recovery period, scars and complications of the surgical options like facelift in particular.

 

The reason that tumescent liposuction of the jaw is preferred to face lift is that the microliposuction has less risk of scars and does not require general anesthesia; also, it is rapidly recovered from fewer traces of operation. With liposuction, the incision is made under the jaw or ear so that it is unlikely to be noticed. In addition to this, it is undergone with a thin suction cannula so the skin will seem natural.

 

In cases where the skin around the jaw is expanded, nowadays, in order to promote the contraction of expanded skin after liposuction, the third generation VASER Liposuction is used. Otherwise, liposuction is applied after the direct exposure of Nd-YAG laser into the adipose layer.


< before and after photos of Face, jaw and neck >
jaw01.jpg

 
jaw02.jpg

 

6. Breast reduction

 

  

 Some women complain of breasts that are too big breast weight causes pain and limits normal activities with severe stress. Also, due to breast weight, body posture can be affected and there can be pain by degenerative changes in the neck, shoulder and back etc. Furthermore the bra can show, and there can be skin disease, and it can hinder a stylish appearance.

 

In order to reduce such discomforts, liposuction is very effective. Breast liposuction is an effective option that can reduce breast size with a fine cannula (less than 3mm of diameter) under local anesthesia without scars.
 
There is little postoperative pain and rapid recovery. liposuction of 30~50% of the breast fat has little postoperative problem and it is possible to be back within 2 ~ 3 days.

 

General breast reduction plastic surgery has the disadvantages of long operation time under general anesthesia, postoperative pain, scars and a long recovery time, however, breast liposuction can reduce the breast size as much as the removed breast fat. Also, the ligament that keeps breast shape is effectively recovered so that the breast can maintain its shape. However, in cases of very big breasts that require over 50% of breast reduction or breasts that have a very expanded shape, this liposuction is not appropriate.

 

At present, most of breast reduction has been done by vertical excision technique. In a 2002 survey of the American Society of Aesthetic Plastic Surgery, however, 89% of surgeons reported that the new limited incision techniques and liposuction are trends that are here to stay.


< before and after photos of Breast reduction >
breast01_1.jpg breast01_2.jpg
  


 

breast03_1.jpg breast03_2.jpg

 

7. Male breast ( gynecomastia)

 

  

The skin of the chest in men retracts consistently well in young men. The fat, however, is very fibrous and difficult to remove. Younger men also have significant glandular tissue. Removal of this tissue is necessary to obtain an ideal result. Venus clinic uses ultrasonic liposuction(VASER) for a time in this area to get through the fibrous tissue and for skin retraction. Using forceps, the glandular tissue is pulled out through the incision site(usually only one site positioned on the  anteterior axilla) with visible retraction of the areola and nipple as this is done. this is now called "pull through technique". When enough glandular tissue has been removed, the procedure is finished.

 

Gynecomasia operations of Venus Clinic are characterized by a smooth, natural shape of the male chest appearance without visible scars.

 

 
< before and after photos of  Male breast (gynecomastia) >
gyn01.jpg




gyn02.jpg

 

8. Large volume liposuction ( LVL)

 

Large-volume liposuction clinically refers to the removal of more than 5,000 ml of total volume from the patient. George W. Commons, M.D., Plastic surgeon of Stanford University Medical Center, reported on large-volume liposuction in 2001. From the analysis of his 12-year experience with 631 patients who underwent large-volume liposuction, he concludes that large-volume liposuction can be a safe and effective procedure when patients are properly selected and when anesthetic and surgical techniques are properly performed.
 
Limiting factors for LVL are known to be bleeding and pulmonary edema. So we, Venus clinic, adopted the two-doctor system. It is an operation which is done by two surgeons. Remarkably shortened operation time will assure patient's safety as well as satisfaction. The longer the operation time, the riskier of complications from anesthesia, the more bleeding, the more intravenous fluid requirement. In Venus Clinic, most operations are finished by 1 to 1 and a half hours. Therefore, it is possible to discharge a patient 1 ~ 2 hours after the operation, which is a safe with rapid recovery. In particular, it is rather a burden for one surgeon to aspirate over 5,000cc of pure adipose tissue. Since two doctors do the operation simultaneously, it allows enough physical power to undergo and finish the operation accurately with smooth lines.
 
Large-volume liposuction can be performed safely in properly selected patients who have a realistic understanding of the procedures, expectations and limitations. Such patients tend to be very satisfied with the results.

 

< before and after photos of  Large volume liposuction

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venus1_fat02.jpg





mega04_.jpg

fat_03.jpg

 


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