1. Medication precautions for liposuction

   

• Please tell us if you are taking any medicine for arthritis, blood circulation disorder and blood coagulation disorders.
• For 2 weeks before the operation and 5 days after the operation, please avoid aspirin or aspirin types of medicine. The aspirin can cause a hemostatic disorder so that it can increase blood loss during the operation or after the operation.
• If you are suffering from common cold, you should stop taking medicine 3 days before the operation.
• You should tell us what kinds of medicine you are taking prior to the operation.
• If you need to take a painkiller, you may take Tylenol.

 

2. Preoperative considerations

 

• For 1~2 weeks before the operation, you should avoid aspirin types of medicine, ibuprofen, vitamin E, gingko leaf extract, riding horse and ginger etc. These medications can cause blood loss and bruising.
• For 1~2 weeks before the operation, you should stop taking anti-obesity medication.
• If you are a hyperthyroidism patient, you should stop taking medicine for 72 hours before the operation.
• For 1~2 weeks, other cold medicine, contraceptives and oriental medicine should be avoided.
• You may take vitamin K for 5~10 days before the operation and you may take antibiotics from 1 day before the operation.
• You should take a shower with soap at the 1 day preoperative morning and on the operation day. On the operation day morning, you should not apply lotion or oil.
• You should not wear jewels, perfume or contact lenses.
• You should remove manicure 1 day prior to the operation.
•  If the operation site is too hairy, the hair should be removed 2 days prior to the operation.
• You have to be accompanied with a career from the hospital to home.
• There should be career with you on the operation day night.
• You should fast from midnight before the operation.
• You should bring comfortable clothes to wear after the operation. If possible, it is better to have black or dark colors of clothes.
• After the operation, blood fluid comes out so that you had better bring a towel or cover to sit on or lie down on the bed.

 

3. Operation day

 

• Once you come to hospital, we will check your blood pressure, pulse, breathing, body temperature and weight preoperatively.
• You should draw up written consent after seeing a doctor.
• You should be explained to about the details during the operation and postoperation.
• You should be asked about your medicine-taking during preoperative details.
• If you do not wish to be treated with conscious anesthesia, you should take the prescribed medicine 30 minutes prior to the operation.
• You should change clothes in the recovery room.
• The area to be treated is designed, and a photo is taken.
• You have to urinate before you enter the operation room.
• After you enter the operation room, we will spray the disinfectant on the operation site while you are in the standing position.
• There should be a sterilized cover on the operation table so that you should lie down with your hip first without touching the operation table.
• The nurse will place sterile towels and drapes on your body, and insert a syringe into the blood vessel in order to connect fluid.
• In case of conscious sedation, heart monitoring is checked and an oxygen mask is applied. Soon after you will feel dizzy and fall asleep.
• When the operation is completed, you may awake up. You may feel dizziness.
• There may be some pain in the operation site, however, the local anesthesia, tumescent fluid remains inside the operation site so the pain should not be so severe.
• If you do not feel any dizziness, for the purpose of the removal of tumescent solution from your body, you may be given a massage in the standing position.
• When the massage is over, we will attach a gauze and absorption pad to the area and then dress the operation site with a compression bandage and an elastic net. If you feel dizzy, you should tell us and lie down.
• You may take a rest for 1 - 2 hours in the recovery room and you may go to the toilet. You have to go to the toilet with a nurse and move slowly since you may feel dizzy.
• If you feel any difficulty to breathe, you have to call the nurse immediately.
• You may drink some water.
• please feel free to call our nurse with any questions.
• After you come out from the recovery room, you will be explained about cautions and then, you may be discharged with your career.
• You should not drive a car on the operation day.
• In the operation day evening, the concentration of lidocaine, local anesthetics, in your blood becomes maximum. If you feel nausea, dizzy, hard to breathe and your tongue stings, you have to contact us immediately.

 

 



 

 

4. Postoperative cautions and care

 

 

1) Activities

 

• You have to take bed rest immediately after the operation. You may walk around when you feel better.
• You may drive and undergo mild exercise and normal activities 1 day after the operation.
• 3~4 days after the operation, you may undergo mild exercise. However, you may not do severe exercise such as jogging or tennis till 3~4 weeks after the operation. You may increase the exercise intensity gradually.
• In general, it takes 1~3 days to be back to normal work at the office.

 

2) Compression and compression clothes

 

• The most important thing in the postoperative management is to leave the excision open and undergo two types of compression (open drainage and bimodal compression) on the lesion. This is to promote the drainage of fluid that was injected during the operation, and to prevent the fluid gathering in the operation site.
• There are two kinds of compression. At 1~2 days after the operation, relative high-grade compression is undergone and it promotes drainage through incision. After the drainage stops,  low-grade compression maintaining lymphatic capillary is done. In general, for 3-7 days after the operation, it is better to compress for 24 hours a day. It is sufficient to compress by wearing the compression garment.
• If the incision is rather big, it should be sutured 1 or 2 days after the operation.
• For 1 month, it is better to wear the compression clothes(garment). For 2 weeks, it is better to wear the compression clothes all day long and for the following next 2 weeks, it is better to wear them for 12~24 hours a day. This helps to support the operation site during working hours and protects it from the external pain sources. In general, it is better to wear it for 2~3 months depending on the amount of aspirated fat.

 

 

3) Scar management and drainage

 

• Until 1~2 days after the operation, it is normal that the blood fluid comes out from the excision.
• Better drainage for 1~2 days after the operation means less bruising and swelling after the operation. Most fluid is drained for 2 days after the operation and it should stop within 1 week. The fluid is mixed with anesthetic and body fluid. If it is tinted with red color, it is mixed with a little blood, which is normal. However, if blood loss is severe, or there is severe swelling or pain, you have to contact us immediately.
• 2 days after the operation, it is better to wash up the lesion with soap and apply the antibiotics twice a day.
• 3 days after the operation, you may take a shower and it is necessary to wear the compression clothes immediately after the shower. When you take a shower, you can wash and dry the compression clothes. You are not allowed to enter the bath tub until 3 weeks postoperatively.
• During drainage, if the pad gets wet, please change the pad.
• You should leave the lesion open. Do not cover it with bands.
• Stitch removal is undergone at 7~9 days after the operation. 

 

4) Pain and bruising

 

• During 1 week after the operation, the pain becomes most severe but it becomes alleviated. Mostly, the pain is not so severe, however, if the pain is severe, you may take the Tylenol at the interval of 4~6 hours.
• The tumescent technique rarely causes bruises and even if there are bruises, they will  disappear within 1~2 weeks.
• Until 5~10 days after the operation, there remains some swelling. Therefore, it can increase your weight but the swelling will improve sooner or later.

 

 

 

5) Taking medicine

 

• You should take the oral antibiotics that are prescribed.
• You should avoid Aspirin or Ibuprofen which are not prescribed for 5 days after the operation.

 

6) Taking a bath

 

• You should only take a shower 3 days after the operation.
• For several days after the operation, you have to be careful when you take off the compression clothes. If the compression is suddenly released, it can lower the blood pressure and you may fall down. In order to prevent this, you had better take off compression clothes while you are lying down, then, slowly sit up for several minutes. After that you may stand up. You had better lie back down for a while after the shower to redress.
• Dry up the lesion and apply the ointment.
• For 3 weeks after the operation, you should not enter swimming pools and beaches.

 

7) Meals

 

• After the operation, you may drink some water in order to prevent dehydration.
• Soup is appropriate for the first meal after the operation but you should avoid alcohol or coffee.
• 6 hours after the operation, you may have an ordinary meal, however, you had better avoid salty or fibrous food.

 

8) Outpatient visits

 

• 1 days or 2 days after the operation, you have to visit the hospital.
• After that, 1 week, 1 month and 3 months after the operation, you have to visit the hospital. You have to make a reservation for postoperative management.
• 7 days after the operation, the stitches will be removed and 10 days after the operation, you may be given the postoperative management.
• After the liposuction, the skin becomes harder, then you may be given the postoperative management with radiofrequency massage.
• If you are given the postoperative management once or twice a week, the swelling will rapidly recover and tugging sensation will be alleviated.
• If you are not available to be given the postoperative management, it is better to take a bath with warm water to relieve yourself.
• But non-postoperative management does not affect the surgical result.
• You should not judge the final results prematurely.
• The swelling can be remained from 6 weeks to 6 months.
• You may feel dullness on your skin but it will improve sooner or later.
• Do not hesitate to contact us when you have problems or requests. You may consult us through our website.

 

5. Operative process

 

1) Postoperative day 0 photos

 

 

 

2) Postoperative day 1 photos

 

3) Postoperative day 3 photos

 

4) Postoperative day 5 photos

 

5) Postoperative day 7 photos