Liposuction - Part 2
After liposuction, there may be a pooling of serum, the straw colored liquid from your blood, in areas where tissue has been removed. You may experience "paresthesias" which is an altered sensation at the site of the liposuction. This may either be in the form of an increased sensitivity (pain) in the area, or the loss of any feeling (numbness) in the area. If these modifications in sensation persist for a long period of time (weeks or months) you should inform your physician. In some cases, these modifications in sensation may be permanent. Swelling may eventuate after liposuction. In some cases, swelling may persist for weeks or months after liposuction. The skin above the liposuction site may become necrotic or "die." When this happens, skin may alteration color and be sloughed (fall) off. Large areas of skin necrosis may become infected with bacteria or microorganisms. During ultrasound assisted liposuction, the ultrasound probe may become very hot and can cause burns. Fat tissue, which contains many of liquid, is removed during liposuction. Also, physicians may inject large amounts of fluids during liposuction. This may result in a fluid imbalance. While you're in the physician's office, surgical center or hospital, the staff would be watching you for signs of fluid imbalance. However, this may happen after you go home and can result in grave conditions such as heart problems, surplus fluid collecting in the lungs, or kidney troubles as your kidneys try to maintain fluid balance. Toxicity from anesthesia is a risk factor. Lidocaine, a drug that numbs the skin, is frequently used as a local anesthetic during liposuction. You may have had a similar drug, novocaine, to numb your mouth at the dentist. Large volumes of liquid with lidocaine may be injected during liposuction. This may result in very high doses of lidocaine. The signs of this are lightheadedness, restlessness, drowsiness, tinnitis (a ringing in the ears), slurred speech, metallic taste in the mouth, numbness of the lips and tongue, shivering, muscle twitching and convulsions. Lidocaine toxicity may cause the heart to stop. Of course, this can be fatal. In general, any type of anesthesia may cause complications and is always considered a risk during any surgery. There are numerous reports of deaths associated to the liposuction procedure. Although it's difficult to be certainly how often death from liposuction happens, there are various studies that estimate how often patients undergoing liposuction die during the regimen or as a result of it. None of the studies is ideal so the outcomes are just estimates. Some of the studies indicate that the risk of death due to liposuction is as low as 3 deaths for every 100,000 liposuction operations performed. However, other studies indicate that the risk of death is between 20 and 100 deaths per 100,000 liposuction procedures. One study suggests that the death rate is higher in liposuction surgeries in which other surgical procedures are also performed at the same time. In order to comprehend the size of the risk, one paper compares the deaths from liposuction to that for deaths from car accidents (16 per 100,000). It is necessary to bear in mind that liposuction is a surgical regimen and that there may be grave complications, including death. Before you undergo liposuction, you should have a complete physical exam so that your doctor can determine if you're an acceptable candidate for liposuction. It is necessary for you to discuss any medical conditions that you have and to tell your doctor about any medications that you're taking including any herbal or other non-prescription ones. If your doctor decides that you could have liposuction, discuss the regimen thoroughly with him or her before deciding if you want to go via with the procedure. Just because a physician says that you may have liposuction does not mean that you must decide to have liposuction. You may still alteration your mind even after discussing the regimen with a physician. Your physician should be able to answer any questions that you have about liposuction including questions about what to expect during and after liposuction and the complications or troubles that sometimes eventuate with liposuction. Some physicians will provide authored information about liposuction. You may also take information from this website to your appointment to discuss with your physician. You may want to have someone drive you to your appointment for liposuction. You may be exhausted or uncomfortable after liposuction and not able to drive yourself home. Discuss this with your physician before the day of your procedure. Your physician may prescribe an antibiotic drug for you to take before and after the surgery. This is to prevent infections. On the day of the liposuction surgery, the physician will mark your body with a pen to indicate where the fat is to be removed. Then you will receive anesthesia, that is medicine that prevents you from feeling pain. Some physicians use only local anesthesia, that is, anesthesia that they inject with a syringe or pump into the area where they will do the liposuction. The anesthesia medicine is injected along with many of fluid, usually buffered salt water and epinephrine, a drug to alleviate bleeding. Large volumes of liquid may be injected, until the skin is very firm. If your physician uses only this kind of local anesthesia, also sometimes called tumescent anesthesia, then you would be awake during the procedure. Other physicians use local anesthesia and a sedative that can be taken by mouth or injected from a syringe. Still others prefer to use normal anesthesia, that is to use anesthesia that will put you to sleep during the procedure. This is usually done in a hospital. Once the anesthesia is working, the physician will make an incision (cut) in the area where the liposuction would be performed. A canula, a hollow tube that is about the size and shape of a skinny pen, would be inserted into the incision. The physician moves this canula back and forth to suction out the fat. The fat, and liquid that has been injected, are collected in a flask. |
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