Cosmetic Plastic Surgeon In Hyderabad

Liposuction

Various terminologies are in use about fat removal. Liposuction,Lipoaspiration,Liposculpture….But all boil down to only –removal of excess fat from the body, with or without fat refilling in areas of depressed regions over the the skin-ultimately giving a uniform, smooth cotour to the body parts, along with reduction in the size of the girth of the body parts. Weight is in relation to height of the individual. If the weight is more than 20% of ideal weight for the height of the individual - It is called obesity. In cities 50% of women and 30% men suffer from obesity.The common causes are:

-  Increased intake of food
-  Decrease physical activity
-  Metabolic disordrs
-  Hormonal disorders

If we take more than what is required- most of it is stored in the form of fat. In the majority the number of fat cells is constant and only the size of the
fat cell increases in obesity. In a minority (20%), fat cells many increase in number. This second category have more problems. Liposuction has come into vogue since 1960, but is more popular from 1970 on wards. Dr. Illouz popularized this procedure with certain modifications. The basic principle in this technique is sucking out fat by introducing metal tubes with holes at the tip and connected to a suction machine at the other end. The tubes are safe, as their tips are blunt and fat is taken from the walls of abdomen and not inside the abdomen.

Liposuction is not the first choice for management of obesity. In fact it should be done as a last resort. Initially one has to follow weight reduction measures- such as

-  Decreased intake of food
-  Increased physical exercises
-  Other measures

Even when the above measures are followed strictly, fat may not melt in some areas of the body (abdomen, loins, inner sides of arms, thighs etc).Liposuction is more useful in limited areas like these, rather than in diffusely obese patient.

One can not take out more fat at a time, as it may have adverse affects as the body. But the safe limit is increasing with increased understanding of the metabolic changes in the body after liposuction.Previously we were not taking more than 5 lts of fat at a time. But now we are able to take out fat up to 10-15 lts depending on the situation. But in general the safe limit is 8-10 % of the body weight in liters. If necessary, it can be done again with a time gap of 3-6 months. Immediately after liposuction one may feel the skin hard and numb but in course of time they do settle giving youthful appearance to the body. The operation takes 1-4 hours time  and one may have to stay for 1-2 days in the hospital.

Tummy Tuck

The following categories of persons do suffer from sagging of abdomen.

1. Women after their child birth do suffer from excess sagging of skin and fat deposits over the abdomen.
2. Some have weak abdominal muscles leading to separation of muscles of abdomen and hernia of the intestines also.
3. Those who were on 'diet' regulating measures (especially those over 30 yrs) to loose excessive weight develop these.

During pregnancy, obesity& in hernias- the skin stretches to a greater extent to accommodate the increased contents of abdomen. After the delivery of the child or reduction of weight etc. the skin may not retract back to the original status in all the persons  to the same extent. in some especially those under 30 years of age the skin retraction is better, where as in others it may not. "Abdominoplasty or tummy tuck" is beneficial in this category of persons where skin retraction is less and skin hangs over abdomen in loose folds.

In this procedure the excess skin and fat are removed. If excess fat is the problem it can be removed by liposuction at the same sitting. During this process the abdominal muscles can be tightened in those with weak muscles, because of pregnancy and other reasons. The judgment of doing tummytuck alone or in combination with liposuction depends on the experience of the surgeon . In this procedure a cut is made very lower abdomen and excess fat and skin are removed and skin closed. The scar obtained is hidden by under garments. The operation may take 3-5 hrs and is done under GA. One may have to stay for 2 - 4 days in the hospital.

Skin

It is a common notion in the public to think that all white patches may be related to leprosy. Some white spots are harmless and are only a cosmetic problem. This can occur following Burns, Injury or without any reason. Many methods are available for treating these patches. Initially medicines should be tried by a dermatologist if no improvement occurs, surgery is advised. Abrasion of superficial layers of the white patch and skin grafting is one of the options. puch grafting where in areas of normal skin in form of punches are introduced into areas of white skin, so that the pigment spreads to the areas of white skin.

Lasers

By certain type of lasers one can reduce the severity of this pronblem. It may take more sittings and helpful only in some. Not all the types of lasers available in the market are suitable for this purpose . A qualified dermatologist or plastic and cosmetic surgeon can assess the type of skin, amout of scarring and decide if laser would benefit or aggravate the problem.