Liposcution plastic surgeon

News Talk

7/10/2024

Transcript

00:00Info for Patients

00:30Whether you are a good candidate for liposuction or not

01:00Whether you are a good candidate for liposuction or not

01:02Or is there a risk of any active disease

01:04or if you are an active patient

01:06So this whole consultation is about

01:08checking all the risk factors

01:10So, there is definite risk factors

01:12for any active disease

01:14And there are many lists of things

01:16we have to rule out

01:18before the surgery

01:20Assalam o alaikum

01:22I am Dr. Bushra Akram

01:24and I am an assistant professor

01:26of plastic surgery

01:28We will talk about liposuction and very commonly asked questions and we will try to answer them.

01:38Doctor, what is liposuction?

01:40Liposuction is basically a procedure in which we extract the excess fat of the patient through cannulas or suction machines.

01:54This is done without any major cuts or scars.

01:58Which patients are the best candidates for liposuction?

02:02There is a myth about liposuction which is prevalent that liposuction is a procedure in which the weight is reduced.

02:12Most of the patients come to us with the same problem that we have to reduce weight and for this we want to do liposuction.

02:21This is a myth that needs to be corrected.

02:25Liposuction does not play a role in reducing weight.

02:29Liposuction is done only in those areas where there is excessive fat and we do liposuction to improve the contours of the body.

02:39Liposuction does not play a role in reducing weight.

02:43Excessive fat accumulates in different parts of the body and it looks bad.

02:49It spoils the contours of the body.

02:52To balance this, we remove the excess fat from the body.

02:56This procedure is called liposuction.

02:58Which parts of the body can be liposucted?

03:01Different parts of the body can be liposucted.

03:05We perform liposuction on the stomach, waist, legs and arms.

03:13Some clients have double chin and excessive fat.

03:18We perform liposuction on those areas as well.

03:21What is the procedure to perform liposuction?

03:24First of all, there are details related to the procedure.

03:30More importantly, either you are a good candidate for liposuction or not.

03:36First of all, assessment is important.

03:39When we assess that our client is a good candidate for liposuction,

03:45the next step after the assessment is how to perform liposuction.

03:51In liposuction, there is no big scar.

03:55There are many questions like, will there be a cut or a long scar?

04:01In liposuction, there is a small scar from which we have to pass the cannulas.

04:06Through that, we liquefy the fat and extract it.

04:10This is the procedure.

04:12There are two ways to perform liposuction.

04:15One way is to remove excess fat from a very small area.

04:20This area is such that the patient can do it comfortably without fainting.

04:25We infiltrate local anesthesia and extract the fat from there.

04:31But if the area is such that the local anesthesia is not comfortable for the patient

04:39and the procedure is long and we have to do a combined procedure,

04:46in those cases, we have to perform this procedure through general anesthesia.

04:51Doctor, are there any risk factors for liposuction?

04:54The risk factors for liposuction, as I just said,

04:58first of all, assessment is very important.

05:01Either that patient is a good candidate for liposuction.

05:05Second important thing is that in-clinic consultation is very much important.

05:12Its purpose is to rule out all the risk factors,

05:17medical history, medicines that we need to stop,

05:22or any active disease in which we cannot perform this procedure.

05:27So, assessment before procedure and in-clinic is very important.

05:32In this regard, I would like to say that some patients don't come for evaluation

05:38and they prefer to come for the procedure.

05:43So, this is very important and it's good for the patient.

05:47When you come for assessment,

05:49it's not just that the doctor has to tell you the details about the procedure,

05:54but it is also very important that how fit you are for that procedure

05:59or whether you are a good candidate for that procedure or not.

06:02So, the purpose of all those consultations is to assess your risk factors.

06:08We assess the contraindications of performing the procedure.

06:14So, there are definitely risk factors.

06:17If there is any active disease in which we should not do this procedure,

06:21then we have to rule it out beforehand.

06:24And there are lists of things that we have to rule out before doing the procedure.

06:29So, definitely there are risks and there is a level of Body Mass Index

06:34in which we can perform the procedure.

06:36If there is any active disease or if a patient is using any medicine

06:40and it is very important to stop it for some time.

06:43So, all these things are a part of our consultation.

06:46Doctor, is there any criteria for which patient is the best candidate?

06:53Yes, there is a criteria.

06:55As we were talking about Body Mass Index,

06:58the first myth that we talked about is that it is not a tool to reduce weight.

07:03It is just a contouring procedure.

07:05There is also a range of BMI,

07:07in which we perform liposuction of the patients who fall.

07:12So, this is the criteria of Body Mass Index.

07:15The second criteria is their health factors and whether they are controlled or not.

07:21The third criteria is their history of medication.

07:24And the fourth criteria is the patient's expectations.

07:30There are two categories.

07:31One patient comes and says that this is a bulge of fat and we want to remove it.

07:37Another patient is 5 feet tall and weighs 120 kgs.

07:42That patient comes to us and says that he wants to lose weight and he wants liposuction.

07:47So, that is the scenario where we have to exclude

07:51which patients are falling in our criteria and which patients we have to advise for treatment.

07:58So, definitely there are some criteria set for this.

08:01And according to that, we select our patients.

08:04So, doctor, for the patients who are not the best candidates for liposuction,

08:09is there an alternate surgery for them?

08:11Yes, there is an alternate surgery for them.

08:13There are expectations in it.

08:15Some people come to us and say that the skin of their stomach has become dull

08:20and there is additional fat.

08:22We have a problem getting up and sitting.

08:24And we want to get liposuction done.

08:28So, we have to guide them accordingly.

08:32If they are fit according to our assessment for surgery,

08:36then they are such a candidate in which we advise their abdominoplasty instead of removing fat.

08:42So that their dull skin and loose muscles and all those things

08:46we can deal with them better through a proper surgical procedure.

08:51So, definitely your treating consultant will definitely advise you the best option.

08:58And that is the important thing that you have to ask in the discussion before surgery.

09:04The best way and the best modality for your concerns.

09:08So, definitely the patients who do not fall in the criteria,

09:11we advise them the procedure that is best for them.

09:14So, Dr. Sir, the patients who have diabetes or blood pressure,

09:17can they also undergo this surgery?

09:19The thing is, as we are talking about health factors,

09:22when we hear the name of diabetes,

09:25we think that it will be a 70-year-old male.

09:29It is not like that.

09:30He will have a lot of problems.

09:32If diabetes in a young patient,

09:34and he has done his glycemic control very well,

09:38good exercise,

09:40he has maintained his weight very well,

09:42and that patient comes to us,

09:44definitely we can help in treating that patient if they have any concern.

09:49So, it's like custom-made.

09:52Every patient, we cannot set any rule in which we say that

09:56we can do liposuction in every diabetic patient.

09:59And we cannot say that we cannot do liposuction in every diabetic patient.

10:04So, this is a procedure in which we have to give a custom-made treatment plan.

10:09So, the patients who come to us,

10:11their health issues, their history, their medication history,

10:15keeping all these in mind,

10:17we advise them the best treatment plan.

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