Silouhette surgery

DEFINITION, AIMS AND PRINCIPLES :
If there relaxation on the inner thigh, isolated liposuction will be insufficient to improve the aesthetic appearance in this area. Only the stretching of the skin can correct the defect: the crural lifting or lifting of the inner thigh.

The surgery aims to remove excess skin, reduce the underlying fatty infiltration, and fix the skin deep.

BEFORE THE SURGERY :

A preoperative check-up is made.
The anaesthesiologist will be seen in consultation prior to surgery.
It is strongly recommended to give up smoking befire the surgery because it may delay healing.
No medication containing aspirin will be taken for 10 days before surgery.

HOSPITAL STAY AND TYPE OF ANESTHESIA

Type of anesthesia : this surgery can be performed under general anesthesia or anesthesia.

Hospital stay : It requires 1 to 3 days admission in hospital.

THE SURGERY :
A liposuction can be associated if there is a significant fatty infiltration.
The excess skin is removed and the remaining skin is stretched and fixed in depth of the aponeurotic ligament through stitches.
The scar will be hidden in a natural crease and thus will be discrete.

At the end of the surgery,placing a lipo-panty is required.

AFTER THE OPERATION: POSTOPERATIVE CARE AND FOLLOW-UP
Edema (swelling) and some bruising (bruises) that will take 10 to 20 days to resorb may appear.

Postoperative pain is usually little intense. A 1-to 3- week sick leave is to be considered starting from the 6th week following the surgery.

THE RESULT :
It will be appreciated in a span of 6 to 12 months after surgery.
Correction fatty infiltration and cutaneous relaxation is generally observed, clearly improving the morphology of the thigh.The scars are usually discrete, since they are consolidated in a natural crease.

DEFINITION

The body lift is an operation intended to tighten the skin in the lower part of the body. Resulting in a scar at the waist. This operation is also called circular lipectomy.

AIMS :

The body lift therefore acts effectively:

• at the front side, on the belly, pubis and upper thighs
• at the back, on the buttocks
• laterally, on the hips and the tighs

INSTRUCTIONS :

• Great weight loss: is of course the most common cause occurring after diet, gastric band or bypass.
• Obesity: the lower part of the body, known as gynoid fat, usually resists to diets
• Generalized obesity: in this case the body lift can also be considered as a fat reduction surgery.
• Age and loss of the skin elasticity in post-menopausal women.
• Following a liposuccion which may leave a cutaneous excess.

BEFORE THE SURGERY :

• It makes sense to perform the operation only when the weight has been stable for several months
• The psychological side. A rapid and dramatic change in body shape can have a strong psychological impact. The surgeon must therefore be sure that there is no fragility at this level.
• Good physical condition and lack of deficiency
• The patient will meet the doctor-anesthetist in consultation long enough before the procedure in so as to have time to prepare the surgery and ask for complete preoperative assessment.
• Smoking cessation is recommended

TYPE OF ANESTHESIA and HOSPITAL STAY DURATION

Type of anesthesia : general anaesthesia is required.

Hospital stay : The duration of hospital stay is usually 4 to 6 days

THE PROCEDURE :

There are some basic common techniques :

Preoperative markings : Essential to proper positioning and symmetry of the scar

Positioning : the operation consists of 2 steps; It begins in the supine position and ends in the dorsal position

Liposuccion : the procedure usually starts with a liposuccion

The Dorsal step : The excess of skin is then removed at the bottom of the back, over the buttocks and laterally to tighten the outer surface of the thighs

The supine step : it is the same as a classical abdominoplasty

AFTER THE OPERATION: POSTOPERATIVE CARE AND FOLLOW-UP

Recovery takes quite a long time. Swelling and bruises appear quickly and can be quite intense. The patient also feels fatigue and pain.

At the end of surgery, a compressive dressing is required for one month to reduce the swelling (edema).

THE RESULT :

There is an immediate visible result because skin tightening is always eye-catching. Starting from the 3rd week, swelling starts to disappear and the result is more attractive.

As for the scar, it should be known that, even if it generally fades over time, it can not completely disappear. In this respect, it should not be forgotten that if the surgeon performs the sutures, the scar is the result of the patient.

Beyond the aesthetic improvement that is often appreciable, the body lift generally brings to the patient a clear functional improvement.

DEFINITION AND FOREWARD
The disgraces that affect the abdominal wall are particularly badly felt and badly lived.

Abdominoplasty or dermo abdominal lipectomy

Whenever there are significant lesions of the skin, with marked distension, numerous stretch marks, even scars, the isolated liposuction will be insufficient and it will be necessary to resort to an abdominal plasty.

AIMS AND PRINCIPLES :

The aim of this procedure is to remove the impaired abdominal skin (stretched skin, scars, stretch-marks) and tighten the remaining surrounding skin.
Localised fat excess can be removed during the same procedure by liposuction and impared abdominal wall muscles may be treated too (widening, herniae).

Extended abdominal plasty

The standard abdominoplasty removes a large amount of redundant tissue between the belly button (umbilicus) and the pubic region

Extended abdominal plasty

The standard abdominoplasty removes a large amount of redundant tissue between the belly button (umbilicus) and the pubic region

The healthy skin from the upper middle part of the abdomen is then redraped downwards in order to replace the removed impaired skin.

The belly button is preserved and put in its normal position through a hole cut and countoured in the newly draped skin.
This procedure leaves a scar. It’s length and position may vary with the amount and location of skin to be removed.
Localized abdominal plasties
In the presence of a smaller lesion, a localized abdominal plasty may be proposed, the scar will then be reduced.

BEFORE THE SURGERY :
A preoperative check-up is made according to your surgeon’s recommendations.

The anaesthesiologist will be seen in consultation prior to surgery.

Smoking cessation is strongly recommended because it may delay healing.

No medication containing aspirin will be taken for 10 days before surgery.

TYPE OF ANESTHESIA AND HOSPITAL STAY DURATION
Type of anesthesia : Abdominoplasty is usually performed under general anaesthesia. The patient is asleep through the entire operation.

Hospital stay : The duration of hospital stay is usually 2 to 5 days.

THE PROCEDURE :
In practice, the more fat is aspirated , the longer the scar is.
The excessive fat is aspirated with liposuction and the stretched abdominal wall muscles are tightened.

A molding dressing is made at the end of the procedure.

AFTER THE OPERATION : FOLLOW UP
It is recommended to wear a pressure garment for 2 to 4 weeks, day and night.
You shall not go to work for 2 to 4 weeks.
Sporting activities can be progressively started after 6 weeks.

THE RESULT
It can be best appreciated one year after the procedure.
However, abdominoplasty offers an often noticeable aesthetic improvement. It enhances the patient’s comfort, quality of life and self confidence, thus helping him or her to reach for a better weight-control.

DEFINITION, AIMS AND PRINCIPLES

When skin distension takes place at this level, a lipoaspi­ration alone can’t be sufficient and just a skin tightening can improve this deficiency : this is what we call the arm lifting or the arm inner part lifting.

The aim of the surgery is to take away the excess of skin, to decrease the underneath fat infiltration and to redistribute the skin.

BEFORE THE OPERATION :

A preoperative assessment is normally conducted as required.

An anesthesiologist must be seen in co Smoking cessation is strongly recommended at least one month before and one month after surgery (tobacco may cause delayed healing)nsultation before the surgery.

Smoking cessation is strongly recommended at least one month before and one month after surgery (tobacco may delay healing).

No medicine with aspirin in it must be taken for at least 10 days before surgery.

HOSPITAL STAY AND TYPE OF ANESTHESIA

Type of anesthesia : The inner arm lifting can be done under general anaesthesia, under local anaesthesia completed by tranquillizing drugs, injected in veins.

Hospital stay : The surgery can be done in the “day care” department; it means, you can leave hospital the same day of the surgery, just after a few hours of resting and medical supervision. On the other hand,a short stay in hospital may be required.

THE OPERATION :

The fat infitrated the skin is removed by lipoaspiration. The skin excess is removed, what leaves a scar which location and length depend on the amount the skin laxity and on the procedure choosen.

Arm lifting with longitudinal incision along the arm inner side

This surgical procedure responds, mainly, to patients having a major skin laxity with a high and clearly expressed motivation : beside the aesthetical bothering, we can also find functionnal discumfort.

At first, a lipoaspiration is done, each time fat is found infiltrating the arm region.

At the end of surgery, a compressive dressing is done. This type of arm lifting technique corrects with efficiency the as unsightly as embarrassing skin and fat excess but leaving a scar at the inner side of the arm.

Arm lifting with horizontal armpit incision

This type of surgery is aimed at a patient with less skin excess and laxity, mainly located at the upper third of the arm.

The residual scar is usually not very visible but the morpho­logical result is less dramatic that the one obtained with a vertical scar arm lifting.

At the end of surgery, a compressive dressing is done.

THE SURGICAL FOLLOW-UP

The hospital outing usually takes place the same day or the day after surgery.

During the early follow-up period, ecchymosis (bruises) and edema (swelling) can appear. They will decrease within 10 to 20 days after surgery.

The pains are normally less important. Sick leave is required.

A sport activity or working out can be done, progressively, again within 4 weeks after surgery.

THE RESULT :

It will be appreciated within 6 to 12 months after surgery. Most of the time, we can see a good correction of fat infiltra¬tion and skin laxity, what improves a lot the arm aspect.

The functionnal improvement is also very clear, especially in case of longitudinal incision arm lifting.

The scars are usually visible, particulary the longitudinal one, along the arm inner side which is not hidden in a natural fold

DEFINITION, AIMS AND PRINCIPLES

Liposuction can radically and definitively diminish localized areas of protruding fat.

These localized areas of protruding fat do not go away with strict diet and exercise.

Conversely, liposuction is not a method for losing or controlling weight, and it does not aim to control the patient’s weight.

Practically, liposuction can be applied to numerous body areas: hips of course, but also outer thighs, abdomen, knees, calves, ankles and upper arms.

Technical improvements have permitted to extend its action to the face and neck (double chin ,face oval).

HOSPITAL STAY AND TYPE OF ANESTHESIA

Type of anesthesia : Liposuction can be performed, depending on the amount of areas to be treated, either under local anaesthesia, local anaesthesia associated with intravenous sedation or general anaesthesia.

Hospital stay : The duration of hospitalisation depends on the amount of fat removed.

THE OPERATION :

Skin incisions are small (3 to 4 millimeters) and discrete, usually hidden in a natural fold. Fat cells from deep and superficial fat layers are aspirated through smooth cannulas tunneled though subcutaneous tissue layers, taking care to avoid nerves and blood vessels.

At the end of the surgery, a pressure dressing is made with an elastic bandage or a panty.

AFTER THE OPERATION: POSTOPERATIVE CARE AND FOLLOW-UP

Swelling (edema) and ecchymosis are observed in the treated regions.

Pain varies , but it is usually mild. The patient can resume to normal life 3 to 6 days after surgery.

A pressure dressing is made with an elastic bandage has to be worn for 2 to 4 weeks. We can resume to sports activities within 3 week after the surgery.

THE RESULT :
The final result can be best appreciated 6 months after the procedure. It is most satisfactory when the patient selection and technique are properly done, permitting removal of localized fat deposits and producing skin retraction.