MALAYSIAN SOCIETY OF PLASTIC RECONSTRUCTIVE SURGERY

DR FAIZAL ALI

Plastic,reconstructive AND COSMETIC  Surgeon

Plastic Cosmetic Surgery

Johor Bahru



Water Jet Liposuction


Water jet assisted liposuction actually uses a slightly pressurized stream of saline to dislodge fat and simultaneously remove the cells. Instead of destroying fat cells, this type of liposuction loosens the fat cells to facilitate more gentle removal. Water Jet Assisted liposuction injects tumescent fluid (saline and medicines including a local anesthetic) into the body part being treated. 
Tumescent fluid is proven effective and several alternate liposuction technologies are now using the tumescent technique for its local anesthetic benefits. In the case of water jet assisted liposuction, it then uses different processes to actually remove the fat and manage fluid levels.Once the local anesthesia has taken hold, a cannula is then introduced into the tissue to irrigate and then simultaneously suction the loosened fat cell from the body. Finally, any remaining fluid is removed.
​ The procedure is considered gentle and minimally invasive and the force seen in traditional liposuction methods is not needed when using jet-assisted liposuction. There is usually very little bruising or swelling and water jet assisted liposuction often has a very short recovery time, partially because the use of water means that there is less tissue trauma to the body.


Patient usually can go home on the same day. Recovery time depends on the extent of the liposuction, ranging from a few days to one week or so. Most patient can ambulate from day one after operation. After the procedure, the patient will be required to wear a garment for at least 3 months and refrain from vigorous exercise for at least 2 weeks. There will be some swelling and oedema from the procedure and the patient should expect to see the final result only after 2-3 months.

LIPOSUCTION FAT


Liposuction is a procedure where fat is removed from certain parts of the body (abdomen, thighs, flanks, arms etc) using a cannula via small incisions. It is also known as lipoplasty, liposuction fat or suction lipectomy. This procedure is best indicated in areas where there are localised deposits of fat that is resistant to exercise and diet. In patients where in those areas there is excess skin as well as fat, they might require skin excision as well (tummy tuck, arm or thigh lift). Liposuction is a procedure to contour the shape of the body, it is not a weight loss procedure. It cannot substitute for a good exercise and sensible diet regime. There are variants of liposuction such as ultrasound liposuction, laser liposuction and water jet liposuction. The removed material can be used as fat injection in other areas of the body. Liposuction can be performed under local anaesthesia to treat small areas or more commonly general anaesthesia. Pre-operative planning includes drawing the areas that will be treated and giving antibiotic.


A tumescent fluid is infiltrated into the areas through a small cannula. This fluid contains a local anaesthesia for pain relief, adrenaline which helps minimise bleeding and a steroid to decrease swelling and oedema. The fat is removed using cannula of various sizes that is connected to a suction pump and collector. Small incisions (1.0cm) are made around the areas to be treated to insert the cannulas. Depending on the number of areas to be treated, liposuction can take anywhere from 1 hour to several hours. After the procedure, the small incisions are sutured and the patient will be put in a garment.


As with any surgical procedure there are possible risk and complications from liposuction. Although uncommon, possible complications include unevenness (dimpling of the skin), asymmetry, bleeding into the wound, nerve damage and wound infection. Patients who are considering liposuction need to be in reasonable good health and for smokers they need to have stopped smoking for about 6 weeks.