Liposuction lecture

3. Liposuction
• Is cosmetic surgery performed to remove
unwanted deposits of fat from under the skin.
• The fat is permanently removed from under
the skin with a suction device.
• The average amount of fat removed is about a
liter.
• Sutures are removed between 7-9 days.
• Compression bandage provided to be worn for
4 weeks.

6. • Liposuction techniques may be used to reduce
localized fat deposits of the:
• Thighs
• Hips and buttocks
• Abdomen and waist
• Upper arms
• Back
• Inner knee
• Chest area
• Cheeks, chin and neck
• Calves and ankles

7. Diode Laser

8. Laser Fat Reduction
Introduction

11. Laser-assisted liposuction

14. Post-operative complications:
1- Pain
2- Swelling may last in weeks, in j or months.
3- Respiratory complications as the reduced TV
up to 50% depending on incisional site.
4- Delayed Wound healing.
5- Circulatory complications.
6- Muscle weakness
7- Decreased ADL.
8- Complications of anesthesia.

15. Post - operative Physiotherapy:
• Phase I: Acute stage
1. Bed Supports Special cushions to support
• Patient’s back
• under the sacrum
• under the heels,
to prevent pressure sores in bed.
• Pillows can also be used under the legs to
elevate the feet or to keep the knee flexed
after a hip operation.

16. 2. Elevation of the limb on pillows for
at least 3 days post-operatively.
3. Pain control
A- Relaxation.
B- Thermotherapy as hot backs
C- Electro therapy as TENS, Laser,
Ultrasound.

17. (1) TENS
Placement of electrodes:
• Para-incisional and increase
The intensity:
• Slowly in both channels until para-
incisional area is numb also the intensity
should be below the contractile threshold.
• Duration: 20 min
• Pulse duration: 80 us Pulse rate: 140 HZ
Amplitude: sub-motor Frequency: 3-6
times/day

18. (2) Laser
• The probe of Laser should be perpendicular on
the area of pain Dosage: 90 sec/cm2
• Mode: continuous mode.
(3) Ultrasound
• LUS (low dose ultrasound 0.5 W/cm2, pulsed
mode, 1 MHz, 5 minutes) or
• HUS (high dose ultrasound 1.5 W/cm2,
continuous mode, 1 MHz, 5 minutes) for
approximately 1 week to enhance wound
breaking strength in an acute incisional wound.

20. • Edemas may form in the body where
fat was removed.
• An edema is a condition that develops
when an excess of fluid accumulates in
an area of the body where a cavity or
separation of tissue exists.
• During liposuction, a tumescent
lipolytic liquid is injected into the
body in localized areas to assist in the
removal of fat.

21. • When fat is removed during
liposuction, skin separates from
muscle and creates a cavity where
fluids can pool.
• Compression garments help minimize
the space caused by the separation.
• The amount of fat removed will
determine how long compression
garments should be worn post-
liposuction.

22. • After initial swelling has gone down,
patient will be reevaluated and refitted
for smaller compression garments if
necessary.
• If compression garments do not fit
properly, they will be ineffective.
• Compression garments should be tight
but not excessively.
• If garments are restricting breathing or
other movements, they are too snug.

23. • The amount of fat removed will
determine how long compression
garments should be worn post-
liposuction.
• After initial swelling has gone down,
patient will be reevaluated and refitted
for smaller compression garments if
necessary.
• If compression garments do not fit
properly, they will be ineffective.

24. It reduces pain
• The pressure applied by the garment helps
to reduce the pain or make it more bearable
when cough, laugh or sneeze.
It also helps:
• The uniform healing of the skin.
• Skin to attach to the muscle.
• Reduce fibrosis.
• Reduce inflammation.

25. ● To hold the tissue in place.
● Preventing seroma and lymphedema.
● Reducing bruises.
● Correcting posture.
● Keeping grafts in proper position.
● Reducing fluid build-up.

26. • If the goal is to continue to facilitate
collagen deposition and wound
strength, then a low dose of ultrasound
should be used when treatment is
continued for 2 weeks.
(4) Pulmonary physiotherapy:
• As breathing exercises
• (Diaphragmatic & segmental emphasis
on collapsed areas).
(5) Circulatory exercises

27. Phase II: Subacute stage:
• Early physiotherapy will minimize late
stiffness of joints and weakness of muscles.
• Active exercises, either at home or in a
physiotherapy department, is essential.
• Swimming is particularly valuable for
mobilizing joints and strengthening muscles.
• Walking on soft sand in bare feet is good for
foot, ankle and knee joint injuries
• Deep heat, such as short wave diathermy or
ultrasound.

28. The END!