Case Number: 275
- Before After
This is a liposuction removal of fat using the following method: First the patient is given intravenous relaxation medicine that makes them sleep. Next, the injection of the numbing medicine is performed. This local anesthetic consists of lidocaine (numbing medicine) with adrenaline, both in very small amounts in sterile salt-water solution. The fat space over the muscle and under the skin is filled up with the medicine to the point where almost no more will fit. The patient is then prepared for liposuction by making tiny holes, approximately 3 mm in length in about 7-10 spots on his torso and breasts. These holes are entered using a 3 mm diameter cannula, which is connected to suction and removes the fat into bottles. This individual had about three quarts of fat removed from his chest and torso. After it was done, his muscle could be felt right underneath the skin. True surgical healing takes probably 4-6 months, and so some swelling and firmness will persist during this time. This patient also had liposuction of his breasts, and in this case there was no surgical removal of breast material. When surgical removal of breast material is necessary, Dr. Yoho inserts an instrument that picks the breast tissue out from behind the nipple and areola (the colored area around the nipple) bit by bit. Using this method, we can produce a result with no scarring of the nipple area, and generally no drooping of the nipple after the surgery. This scar can be put in the hairy area of the armpit or sometimes we place it in the area between the abdomen and the breast itself, which contains a crease, and naturally conceals a scar like this. The sort of incision necessary to take out the tissue behind the nipple areolar area usually is less than a centimeter long. These incisions, particularly in very light skin individuals, blend beautifully into the skin in most cases. When the patient is done, he is fitted with a compression garment and sterile foam is put underneath the garment. The foam prevents bruising because it allows good compression in all the irregularities of the body. If the body were a perfect cylinder, a compression girdle could be made that would wrap it perfectly and no spaces for bruising or bleeding into the tissues would remain. Since the body is irregular, the foam helps fill in the little depressions and prevent bruising. Most of our patients have very modest bruising postoperatively. Bruising is a very good indicator of how difficult the recovery is going to be. If there is a lot of bruising, recoveries tend to be much more difficult.