Suction-assisted lipectomy may be performed in a surgeon’s office-based facility, an outpatient surgery center, or a hospital. It’s usually done on an outpatient basis, for cost containment and convenience. Extensive procedures may require a hospital stay of two or three days.

Types of anesthesia

If your procedure is not too extensive-that is, the amount of fat and fluid removed does not exceed an amount your doctor will define based on your health, body size, and surgical procedure-liposuction can be performed under local anesthesia, which numbs the area, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and will feel minimal discomfort. Some surgeons may instead use an epidural block, similar to the anesthesia used in childbirth.

If your doctor plans to suction a large area, or to treat several sites, you’ll probably have general anesthesia. In that case, you’ll sleep through the operation.

The surgery

Suction-assisted lipectomy usually takes an hour or two, but the time required may vary considerably- from thirty minutes to several hours, depending on the area and amount being suctioned.

To begin the procedure, the surgeon makes a small incision, just large enough to allow the insertion of a hollow tube called a cannula. The opposite end of the cannula is attached to a machine that creates a strong vacuum. The surgeon manipulates the cannula deep within the fat layers under the skin, breaking up the fat and suctioning it out. Sometimes

additional incisions are needed to remove all areas of fat.

Many plastic surgeons perform rhinoplasty from within the nose, making their incision inside the nostrils. Others prefer an “open” procedure, especially in more complicated cases; they make a small incision across the columella, the vertical strip of tissue separating the nostrils.

When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

After your surgery

After surgery-particularly during the first twenty-four hours-your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by your surgeon. Plan on staying in bed with your head elevated (except for going to the bathroom) for the first day.

You’ll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. In any case, you’ll feel a lot better than you look. Most of the swelling and bruising should disappear within two weeks or so. (Some subtle swelling-unnoticeable to anyone but you and your surgeon-will remain for several months.)

A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. Your surgeon will probably ask you not to blow your nose for a week or so, while the tissues heal.

If you have nasal packing, it will be removed after a few days and you’ll feel much more comfortable. By the end of one or, occasionally, two weeks, all dressings, splints, and stitches should be removed.

In the meantime, you might experience some unexpected reactions from family and friends. They may say they don’t see a major difference in your nose. Or they may act resentful, especially if you’ve changed something they view as a family or ethnic trait. If that happens, try to keep in mind why you decided to have this surgery in the first place. If you’ve met your goals, then your surgery is a success.

If you’ve had local anesthesia, you’ll feel some vibration and friction during the procedure. You may also feel a stinging sensation as the cannula moves closer to the muscle.

You’ll lose fluid long with the fat during liposuction, and it’s crucial that this fluid be replaced to keep your body from going into shock. You’ll be given fluids intravenously, and if needed you may also receive a blood transfusions (usually the blood you’ve donated in advance). For any Medspa agency inquiries, contact Medspa agency