Liposuction in Mexico by Dr. Manuel Gutierrez Romero

Liposuction in Mexico is the most common procedure perform by any plastic surgeon, the concept of liposuction is “to remove the number of fat cells from a specific area to correct a deformity and improve the shape”. Under no circumstances liposuction should be use as a weight lost method, if a patient is over weight they must be transfer to :
nutritionist and physical trainer or general surgeon for one of the bar iatric procedures like: lap band, gastric by pas, or gastric sleeve, according to the type and amount of overweight.

Genetically we all are born with a different body fat distribution, this will depend were our body swill store the fat if we gain weight, or simply we have a deposit in an specific area that has to much in one area. What ever is the case liposuction can re shape our body and eliminate the number of fat cells from that specific area.

There are several methods available to eliminate the fat from a specific area, some of the manufactures of the new machines have a tendency to proclaim “ this machine is the ultimate, better results, faster recovery, minimal bruising, excellent results, no down time”, and in 1 to 2 years later they have another machine they promises the same thing (they need to sale more new machines) traditional liposuction, ultrasonic, liposuction, smart liposuction, laser liposuction are all reliable methods that depending on the ability and experience of the surgeon will provide optimal results At the end the most important this is the hand of the surgeon, the expertise, and the method that has been able to get you more persistent good results with the less amount of complication.

Problem number one “fat in” solution “fat out” all of the machines eventually will do the same thing, but the expertise of the surgeon will have the final out come.
There are different density of fat in our body typically the fat of the front is smother than in the back depending on the density some methods are more ideal (more power full machines)

THE PROCEDURE:

Most of our liposuction are with epidural or general anesthesia, we don’t belie in local anesthesia an lees a very small area, it is almost impossible to numb a large area with local, and there’s a point were the patient can not stand the discomfort, and the procedure must be stop, “no local”.
We always combines the tumescent method, we inject the area with a prepared solution (bicarbonate, adrenaline, and bupibacaina) this will help with post operative numbing, minimize the bleeding, if we uses ultrasonic, sound travels faster in liquid so is better to inject more liquid.

The procedure is done thru small incisions, ¼ inc or less, we infiltrate the solution and begin extracting the fat. It is very important to levee a small cushion (¼ to ½ inc of fat) to prevent irregularities, also is important also to utilize small diameter canulas, 3 to 4 mm in diameter, also avoid superficial liposuction very close to the skin to prevent irregularities, ones the procedure is finish, we place a compression bandage, it is expected to drain water fluid or blood thru the small incisions for 1 or 2 days, most of our patients are discharge the same day.

The most common complications after liposuction are:

Irregularities, this usually happens, because the Dr. did liposuction to close to the skin, or uses canulas tat are to thick, so the use of smaller canulas is mandatory.
The second most common complication is the collection of liquid, blood or serum, call seroma, this collection of fluid usually happens by 2 reasons: not enough compression, to much physical activity. After liposuction the skin is detach from the muscles, it take up to 7 days for your body to build bridges of collagen that will attaché the skin to the deep layers, so it is very important that for the first week you keep your compression tight and minimal physical activity, this will prevent the creation of a seroma. Scars rarely offered a problem; usually we try to place the scars, in a lees visible area

Post operative care:

You must have a daily shower starting the next day of the operation, you must wear compression garments all the time 24/7 (only take it of for your shower), for the next 4 weeks, you must avoid stannous walking, no walking the dogs, no up and down the stair, no exercise for the next 4 weeks, the only this you must move is inside the house, kitchen, bedroom, bath room, take your medication as prescribe, never apply heat in the area. In order to accelerate the healing process it is advisable to begin lymphatic drainage massages usually after 10 days and it is recommended 3 to 5 times a week, for up to 2 months.

This will help improve the blood flow, the lymphatic drainage, and remove the scaring tissue. The actual result of liposuction is not before 2 to 3 months until the swelling is down. The patient must never have corrective liposuction before this time, must weight at least 6 months up to 1 year to have normal tissues.