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Updated 07/30/09
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Arm
Liposuction
Liposuction
is not a weight loss
technique, and is not a cure
for overall obesity. It is,
however, a great way to get
rid of those bulges that you
cannot seem to get rid of any
other way. The
arms may be a particular
difficult area and often are
not improved by dieting.
If
you're considering arm liposuction, the following
information will provide you with a
good introduction to the procedure.
For more detailed information about
how this procedure may help you, we
recommend that you schedule a
consultation with Dr. Kremer / Dr. Zettl.
What
are some of the most common benefits
of this procedure?
Firm, trim arms create a more
youthful look and can provide an
incentive to exercise regularly to
maintain fitness. After liposuction,
patients who have been
self-conscious about their heavy
arms often feel more comfortable
wearing a range of clothing styles,
and they also find that clothes tend
to fit them better.
During the consultation, you will be
able to talk to Dr. Kremer / Dr. Zettl
about the
changes that you would like to make
in your appearance. He
will explain the different options
available to you, the procedure
itself, and its risks and
limitations as well as the kind of
anesthesia required.
Dr. Kremer / Dr. Zettl will begin with a
physical examination to evaluate
your overall weight, your skin and
muscle tone, and the pattern of
distribution of fat deposits. He
will also record your medical
history, including any medications
that you are currently taking.
Be sure to ask all the questions you
have about the procedure. Learning
everything you can about your
options, risks and benefits is the
key to making an informed decision.
Before surgery, Dr. Kremer / Dr. Zettl
will mark
the precise areas of the body where
the fat is to be removed. An
intravenous (IV) line will be
inserted in a vein over your wrist to
make sure the fluid level in your
body remains in balance.
During the procedure,
Dr. Kremer / Dr. Zettl makes tiny incisions in the skin,
typically near the elbow or in the
armpit crease, and inserts thin
tubes called cannulas into the fatty
area. The cannulas are used to break
up the fat deposits and sculpt the
area to the desired proportions. There
are a number of different cannulas
available today that differ in
length, diameter and the shape of
their tips. Unwanted fat is suctioned out with a
high pressure vacuum, leaving the
skin, muscles, nerves, and blood
vessels intact.
In the tumescent technique
("wet technique"), a
saline solution containing a local
anesthetic and adrenaline is
injected into the area to be
treated, which makes the fat
deposits easier to break up and
extract. This extra fluid also
minimizes trauma to the surrounding
tissue, reducing swelling and
post-operative pain. The
administration of adrenaline also
decreases bleeding during surgery,
further reducing risks.
An earlier method of liposuction,
called dry liposuction
because no liquefying agent was
used, required general anesthesia.
This technique is not in frequent
use today and is not used by Dr. Kremer / Dr. Zettl.
The technique Dr. Kremer / Dr. Zettl
will choose for your
operation will be determined by a
combination of factors, including
the precise area to be treated, the
amount of fat to be removed, or the
quality of your skin.
If you have no medical problems, the
procedure can be performed on an
outpatient basis, either in Dr. Kremer / Dr. Zettl’s
office or in an outpatient clinic. You may be
allowed to return home within a few
hours of the surgery, and spend the
night in the comfort of your own
home.
If
you have other medical problems,
concurrent procedures, or a
lengthier procedure performed under
general anesthesia, it may be
necessary to spend the night in the
hospital so your recovery process
can be monitored by a medical staff.
The procedure is most often done
with a local anesthetic. In this
case, the pain is minimal, although
you may feel pressure, movement, or
a vibrating sensation.
Your arms may be stiff and store for
a few days, feeling like you have
over-exercised. You may experience
some pain, burning, swelling, or
temporary numbness. If necessary, Dr. Kremer / Dr. Zettl
will prescribe medication to relieve
this initial discomfort.
You may be fitted with compression
bands to wear on your arms to cut
down on swelling and to hold your
arms in their new shape until the
tissues have adjusted. It is
important that you follow Dr. Kremer / Dr. Zettl’s
aftercare instructions, including
wearing these bands, for the best
results.
Most of the bruising and swelling
should subside within three weeks.
You should be able to return to work
within a week, or within a few days
if your work is fairly sedentary.
Remember that you must wear the
compression bands for several weeks
after your surgery to ensure that
your arms stay firmly shaped.
What
is the long-term outcome like for
most people?
Most people are pleased with the new
contour of their arms. They often
report a boost in energy and
self-confidence.
Even though the arm size has been
reduced, there may be extra skin
once the fat has been removed.
Although wearing the compression
bands will help to firm the area,
this extra skin may sag, especially
if your skin was not particularly
elastic to begin with. It may be
necessary to perform an armlift
to correct this problem.
The fat cells are permanently
removed by liposuction, so you will
not regain weight in that area. It
is important to note, however, that
arm liposuction does not guarantee
that you won’t gain weight or fat
deposits in other areas of your
body.
In
general, the best candidates for arm
liposuction:
Have
specific fat pockets that are
resistant to diet and exercise
Have
firm, elastic skin
Do
not have frequent fluctuations
in weight
Desire
reshaping and not weight loss
Are
psychologically stable
Do
not smoke
Are
well informed about the
procedure
Are
accepting of any limitations
Have
realistic expectations about the
outcome
The
above is only a partial list of the
criteria that Dr. Kremer / Dr. Zettl
will
consider in determining whether or
not this procedure is appropriate
for you.
Since the normal aging process
affects the firmness and elasticity
of the skin, older patients may not
achieve quite the same results as
younger patients.
Although
liposuction
is the most commonly performed
cosmetic plastic surgery procedure
in Germany, and the
majority of these operations are
successful, there are risks and
limitations, as with any surgery.
After surgery, some patients
experience dimpling, lumpiness,
numbness, scarring, discoloration,
or sagging skin in the treated area.
Follow-up surgery may be needed to
correct these problems.
More serious complications include
blood clots, infection, excessive
fluid loss leading to shock, and fluid
build-up in the lungs. A combination of the
following factors is associated with
an increased risk of serious
complications:
The
removal of large amounts of fat
More
than one procedure being
performed at the same time
The
use of general anesthesia
In
order to minimize these risks, it is
important that you follow all of Dr. Kremer / Dr. Zettl’s
instructions, both before and after
surgery.
Tell
Dr. Kremer / Dr. Zettl about any allergies
you have (to foods, drugs,
environmental elements)
Tell
Dr. Kremer / Dr. Zettl if you have a history
of bad scarring, such as keloids.
Tell
Dr. Kremer / Dr. Zettl about all
medications, herbal supplements
or natural supplements you are
taking (both prescription and
non-prescription)
Carefully
follow any instructions Dr. Kremer / Dr. Zettl
gives you regarding
eating and drinking and smoking.
Avoid
aspirin and aspirin-containing
medicines for
two weeks prior to surgery.
Arrange
for someone to drive you home
after surgery or after discharge
from the day surgery center or
the hospital.
Please
inform Dr. Kremer / Dr. Zettl immediately in
case you should experience fever
or symptoms of an infection
after surgery.
Tell
Dr. Kremer / Dr. Zettl if you have any of the
following pre-existing conditions:
thyroid
problems such as hypothyroidism
elevated
blood pressure or other
circulatory disorders
cardiovascular
disease
diabetes
any
other serious medical
condition(s)
The
information on this web site is only
intended as an introduction to this
procedure and should not be used to
determine whether you will have the
procedure performed nor as a
guarantee of the result.
The
best method of determining your
personal options is to schedule a
personal consultation with Dr. Kremer / Dr. Zettl. He will be able to answer
specific questions related to your
situation.
