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Updated 03/31/06
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Buttock
Liposuction
Liposuction
is the most commonly performed
plastic surgery worldwide. This technique is used
to reshape the body by
permanently removing localized
fat deposits. Generally, the
suctioning is performed in the
low back above the buttocks,
the back of the thigh just
below the buttock fold or on
the hip at the side of the
buttock. The goal is to create
a natural rounded curve to the
buttock that recalls the look
of the slim, well-proportioned
athletic body.
The
tendency to accumulate fatty
deposits on the buttocks may
be inherited, and these
deposits are often resistant
to diet and exercise. Many
patients become discouraged at
having lost unwanted pounds
without seeing a significant
change in this area. The
overall proportions of the
body may be unbalanced, and
the extra bulk can keep
clothes from fitting well. In
these cases, liposuction can
successfully trim excess fat
to bring better balance and
symmetry to the body.
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.
If’ you’re considering buttocks
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?
A newly trim lower body can provide
a psychological lift and an extra
incentive to exercise regularly to
maintain fitness. Many patients even
find physical activity more
pleasurable after shedding extra
fat, and they also find that clothes
tend to fit them better.
During
the consultation, you’ll be able
to talk to Dr. Kremer / Dr. Zettl about the
changes 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 fat deposits in various
parts of your body. He will also
record your medical
history, including any medications
that you are currently taking.
A
careful history of your weight, diet
and exercise is important as well.Keep
in mind that the higher your goals,
the more you will have to do to
achieve those goals. If you are just
concerned about removing fat,
liposuction alone will achieve that
goal. But if you want an athletic,
sculpted look, and you want to look
great in a bikini, you may need to
incorporate extensive exercise into
your plan.
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
in your arm to make sure the fluid
level in your body remains in
balance. You or Dr. Kremer / Dr. Zettl
may opt
for general anesthesia, or you may
be local anesthesia and a sedative
for relaxation.
During
the procedure, Dr. Kremer / Dr. Zettl
makes tiny incisions in the skin, typically
over the lower back and near the buttock crease, and
inserts thin tubes called cannulas
into the fatty areas. 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. The unwanted fat is
suctioned out with a powerful
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.
If the procedure is done with a
local anesthetic supplemented by a
light sedative, the pain experienced
is minimal, although you may feel
pressure, movement, or a vibrating
sensation. More sedation will
further reduce sensations, and
general anesthesia will eliminate
all sensation.
For
a day or two, you can expect to feel
tired, as though your body has been
through a workout – and it has!
Your hips and buttocks will be stiff and
store, and you may experience some
pain, burning, swelling, or
temporary numbness. Dr. Kremer / Dr. Zettl
will prescribe medication to relieve this
initial discomfort.
You
will be fitted with a tight
compression garment to be worn for
up to six weeks after your surgery.
This specially designed garment will
help reduce pain and swelling, and
help your body settle into its new
shape.
Most
of the bruising and swelling should
subside within three weeks. To speed
the healing process and to reduce
the likelihood of postoperative
complications, Dr. Kremer / Dr. Zettl
will
probably tell you to begin light
activity as soon as possible. You
should be able to return to work
within a few days if your work is
fairly sedentary. You should avoid
strenuous activities for several
weeks as your body heals, but within
6 weeks you should be able to resume
all normal activities.
In
some patients - depending on the
individual skin quality - Dr. Kremer / Dr. Zettl
may find it indicated to initiate a
postoperative treatment with Endermology™.
This external treatment will be
continued for several weeks over at
least 30 minutes per session and
aids in quicker reduction of
postoperative swelling as well as
formation of a smoother skin
surface.
It’s
important to continue wearing the
compression garment, which should be
easily hidden under your clothing,
until Dr. Kremer / Dr. Zettl tells you that it
is no longer necessary.
What
is the long-term outcome like for
most people?
You
should see the visible results of
your surgery within two or three
weeks, but the full effects may not
be evident for six months to a year.
The more fat you have removed, the
longer it takes for your skin to
adapt to the change in shape.
Most
people are pleased with their new
contour, and often feel a boost in
energy and self-confidence.
The fat cells are permanently
removed by liposuction, so you will
not regain weight in that area. It
is important to note, however, that
buttocks liposuction does not
guarantee that you won’t gain
weight or accumulate fat deposits in
other parts of your body, including
adjacent areas.
In
general, the best candidates for
buttock liposuction:
Have
specific fat pockets that are
resistant to diet and exercise.
Have
had no previous surgery in the
area where liposuction is
desired.
Have
firm, elastic skin.
Do
not have frequent fluctuations
in weight.
Desire
reshaping and not weight loss.
Do
not have significant medical
problems such as diabetes, heart
or lung disease, or poor
circulation.
Are
psychologically stable.
Do
not smoke.
Are
well informed about the
procedure.
Are
accepting of any limitations of
the procedure.
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.
Buttocks
liposuction is often performed in
conjunction with a buttocks lift or
with thigh
liposuction.
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 to the procedure, as
with any surgery.
After
surgery, some patients experience
dimpling, lumpiness, numbness,
scarring, discoloration, or sagging
skin in the treated area.
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.
