Plastic Surgery & Reconstructive Procedures

Liposuction

Liposuction
  • About

    Liposuction (or suction lipoplasty) is a surgical technique by which unwanted deposits of fat – which are resistant to diet and exercise – is removed. It can be performed as a primary procedure or done in combination with a tummy tuck, thigh lift or facelift.

    To perform liposuction, Dr du Toit uses the safe and modern tumescence technique. The fatty tissue is prepared by infiltrating it with a special liquid solution. A hollow surgical instrument called a cannula is used to perform the liposuction.

    You can anticipate a 10-day recuperation period and will most likely wear a special “pressure garment” for up to 6 weeks.

    The best candidates for liposuction are individuals of relatively normal weight who have excess fat in particular body areas. Having firm, elastic skin will result in a better final contour after liposuction. Skin that has diminished tone due to weight loss, stretch marks, or natural ageing will not reshape itself to the new contours, and may require additional surgical techniques to remove and tighten excess skin.

    Liposuction, by itself, will not improve areas of dimpled skin known as cellulite. Individuals with poor skin tone, medical problems, obesity, or unrealistic expectations may not be candidates for liposuction.

  • Potential Risk
    • Fat embolism syndrome
    • Deep Vein Thrombosis and PE
    • Infection
    • Lidocaine toxicity
    • Contour irregularities
    • Skin necrosis, seromas
    • Hyperpigmentation
    • Asymmetry
    • Scar
    • Chronic induration

More information about precautions, preparations & planning before, on the day & after surgery is listed below.

  • Prior to Surgery

    If you are a smoker – NO SMOKING for 3 months prior to surgery.

  • Recovery
    • Take pain medication as prescribed.
    • Do not smoke, as smoking delays healing and increases the risk of complications.
    • The combination of decreased activity and pain medication may promote constipation, so you may want to add more fruit and fibre to your diet.
    • Be sure to increase fluid intake.
    • A good stool softener, such as Movicol, may be used.
  • Activities
    • Start walking as soon as possible. This helps to reduce swelling and lowers the chance of blood clots.
    • Discuss your time off from work with your surgeon. This varies according to surgery.
    • Activities involving the affected areas should be minimised for approximately 2 weeks.
    • Strenuous exercise and sports activities should be avoided for 3-4 weeks, depending on the extent of the surgery.
  • Incision Care
    • Avoid exposing your scars to the sun for at least 12 months.
    • Always use sunblock, regardless of the weather outside – even if you plan to stay indoors.
    • Micropore can be applied to the incision lines for 3 months. Change every 7-10 days. Do not remove the tape every day as it will cause irritation of the surrounding skin.
    • Keep incisions clean and inspect through Micropore daily for signs of infection or oozing.
    • Incision areas must be massaged through the Micropore for the first 3 months.
    • ScarScience & Kelo-cote can be applied from 6 weeks postoperatively, over the Micropore for another 6 weeks, and then on the incision directly for another 3 months postoperatively.
    • No soaking in the bath while sutures or drains are in place.
    • Support garments must be worn 24/7 for 3 months postoperatively and only removed for short periods while taking a shower.
    • Sleep with a pillow under your knees and your head elevated on 2 pillows.
  • What to expect
    • Discomfort will be maximal in the first 3 days, improving each day thereafter.
    • You may experience temporary pain, soreness, numbness, swelling and discolouration.
    • Scars will fade in several months to a year.
    • You will have bruising and swelling of the lipo-area. The majority of bruising and swelling will subside in 6-8 weeks.
    • You may tire easily for several weeks.
  • Follow-up Care
    • Surface stitches will be removed in 4-7 days postoperatively.
    • Support garments should be worn 24/7 for 6 weeks postoperatively, and only removed for short periods while taking a shower.
  • When to Call
    • If you have increased swelling and bruising.
    • If swelling and redness persist after a few days.
    • If you have increased redness along the incision.
    • If you have severe or increased pain not relieved by medication.
    • If you have any side effects to medication, such as rash, nausea, headache, vomiting.
    • If you have an oral temperature over 38℃.
    • If you have any drainage from the incisions or notice a foul odour.
    • If you have bleeding from the incisions that does not stop with light pressure.