Megaliposuction with abdominoplasty to the effect of 24.5kg was performed by Dr. Sumit Saxena, Consultant Plastic & Cosmetic Surgeon, Inamdar Hospital on 19th July 2012. The patient was discharged within 5 days.
Patient was a Yemen national. “When I wave goodbye, the back of my arms keeps waiving long after my hand stops” told the patient. She already had a gastric bypass done earlier around 5years back. Later on she again started gaining weight after 2years to an extent that she started having problems in her knee and was unable to walk. Also her diet was semisolid and had lot of gastric complaints. She came to India to get it all reversed. Her gastric studies were done at Inamdar Hospital and endoscopic dilatation was performed initially. Thereafter she underwent lipoabdominoplasty for cosmetic reasons at Inamdar Hospital.
Aspiration of more than ten liters of fat in one sitting is termed mega liposuction. The proportion of mega liposuctions being performed is increasing world – wide as it is now considered a safe procedure in well trained hands. Up to 20 liters can be aspirated in one sitting in well-selected cases and in a hospital setting with good infrastructure. This clearly is not a surgery to be undertaken in small clinics or nursing homes. Mega liposuction is probably better done under general anesthesia as most of these cases require circumferential liposuction.
Lipo-abdominoplasty can be a valid treatment for the medically overweight. Dr. Saxena said that large-volume liposuction can be done safely and effectively. Also studies report that the operation could produce significant decreases in systolic blood pressure, fasting insulin levels and total body weight that could possibly improve overweight women’s cardiovascular risk profile. Research suggests that the metabolic benefits of weight loss come from losing fat throughout the body, including areas like the tissues of the heart, pancreas and liver. Removing localized fat deposits may or may not be as beneficial.
“Moreover there is significant reduction in problems like knee pain and friction in thighs, with tremendous improvement in quality of life,” said Dr. Saxena. Psychological benefits achieved in the process are unquantified in terms of boost up in self confidence. Liposuction has become the most commonly performed cosmetic surgery procedure world-wide. There is a rising trend towards larger volume liposuction. Increasing number of over-weight people, rising awareness levels, peer pressure to look good and increase in safety profile of liposuction have contributed to the rise in number of surgeries performed and larger volumes being aspirated.
“The battle of the bulge.” That tiny, five-word phrase has been shoved in our faces whenever we see ourselves in mirror. But sometimes, no matter how hard you fight, despite diet and exercise it’s a lost cause. A “mommy makeover” is a new terminology coming up. Aimed at mothers, it usually involves a breast lift, a tummy tuck and some liposuction. The procedures are intended to tighten slack skin as well as reduce stretch marks and pregnancy fat. Love handles, saddlebags, turkey wattle – self-conscious women have been trying to reduce those body areas for years. But now, with more efficient diets and fitness routines, women are turning to more obscure anatomical zones. The newest worries? “Bra fat” and “back fat.”
In the last two to three years, liposuction, once used predominantly to reduce the flabby abdomens, hips and thighs has become a tool to enhance the near-perfect body parts of the already fit. The incursions of the Barbie aesthetic, celebrity models, satellite television and medical makeovers made it clear just how far some imported notions of beauty, desirability and health have encroached on Indian ideals once considered inviolate. The goal posts are changing so rapidly that what was once considered cosmetically unnecessary is now considered helpful.
“Women do face problem in getting back to shape,” said Dr. Saxena. “Most often a couple of exercises do not make you thin again.” However, it is important to note that liposuction will not prevent you from regaining weight. To keep your new shape and new weight after liposuction, you must follow a proper diet and exercise plan. Research shows that couch potatoes saw an increase in visceral fat, while people who began a moderate exercise regimen 2 months after surgery were successful at maintaining their new, trimmer figures.
During liposuction operations, patient is anesthetized, injected a tumescent solution and fat cells suctioned out of the body with a cannula inserted through incisions in the skin. Patients may be sore and bruised for several days to weeks afterward, but Dr. Saxena says results are permanent on the treated areas as long as patients maintain stable weight. After the operation, most people can return to work within a week and begin light exercise in two weeks or so.
A good candidate for liposuction should have realistic expectations about the results of this procedure. Age is generally not a major consideration when discussing liposuction; however, older patients often have less elasticity in their skin and thus may not achieve the same benefits of liposuction that a younger patient with tighter skin might achieve.
Dr. Sumit Saxena, Plastic & Cosmetic surgeon, said: ”It is a pleasure to see patients embracing life enthusiastically, the dread on the face being replaced by a glow.”