Liposuction, also known as lipoplasty, is a cosmetic procedure that removes excess fat deposits from under the skin. It can target fat in the abdomen, hips, thighs, buttocks, and arms. The procedure involves inserting a thin tube through small incisions to loosen and suction out fat. While liposuction aims to contour and slim specific body areas, it will not result in significant weight loss. Nurses play an important role in educating patients, obtaining consent, monitoring for complications, and ensuring proper post-operative care following liposuction.

1. LIPOSUCTION
PRESENTED BY:-
BSc. Nursing 2021 BATCH

2. INTRODUCTION
• Liposuction is a commonly performed aesthetic procedure aimed
at slimming and reshaping areas of the body by removing excess
fat and improving natural body contour.
• Suction-assisted lipectomy ,more commonly known as
liposuction, is an outpatient procedure that removes adipose
tissue from the subcutaneous space with the goal of achieving
a more desirable body contour.
• It is the second most commonly performed cosmetic surgery.

3. DEFINITION
Liposuction (lipoplasty) is the elimination of unwanted fat and
persistent pockets of fat in the:
• Abdomen
• Hips
• Thighs
• Buttocks
• Arms

4. NON-COSMETIC INDICATIONS
• LIPOMAS AND ANGIOLIPOMAS
With no and or minimal scarring.

5. Lipedema
• In which subcutaneous fat deposition in the lower limbs can affect the daily
activities such as walking etc.

6. Lymphedema
• Particularly if it is refractory to traditional conservative treatments.

7. Cervicodorsal lipodystrophy
• Associated with Cushing syndrome and use of HIV medications.

8. Gynecomastia(male) and macromastia(female )
• In congestion with mammoplasty. Additionally, liposuction can be used to.

9. Surgeries
• Reduce excess fat deposits at the surgical sites in obese patient who are
undergoing tracheostomy, colostomy , urostomy etc.

10. Techniques
• Suction-assisted lipectomy
Negative pressure from a syringe applied to a small volume,
blunt tip suction cannula is used to remove fat.
• Ultrasound assisted lipectomy
Transmitting ultrasound energy to emulsify fat prior to its
removal, ultrasonographically assisted lipectomy can be
advantageous in fibrous areas, such as back, chest, and upper
flank, that are more difficult to target in liposuction.

11. • Laser-assisted lipectomy
It is performed by inserting a laser fiber via a small incision.
Although complications of LAL are rare
• Power-assisted lipectomy
It is performed with an external power source, typically and
electric vacuum pump.

12. Complications
LOCAL
• Edema, ecchymosis
• Seromas
• Haematomas
• Wound infection
• Asymmetry
• Skin necrosis
• Neurological
SYSTEMIC
• Significant blood loss
• Hypothermia
• Visceral perforation
• Fat embolism syndrome
• DVT,Thromboembolism
• Pulmonary edema

13. RISK FACTORS
• Cardiovascular disease
• Pulmonary disease
• Diabetes
• Vascular disease
• Tobacco
• Venous thromboembolism

14. NURSING RESPONSIBILITY
Detailed examination- assessment of fat deposition
Frank discussion with patient
Valid informed consent prior to surgery must be obtained
Pre-operative records- weight , measurements and
photographs must be maintained.
Adequate sterilization of instruments must be ensured.
Pre-operative antibiotics are recommended as per hospital or
doctor’s protocols

15. Measures to prevent DVT must be employed routinely
Adequate monitoring in pre and post operative sequelae.
Ensure adequate hydration and urine output peri-operatively.
Advise for regular follow ups
Educate patient about post operative life-style modifications.