Liposuction

Liposuction;

Liposuction is the removal of excess fat under the skin from areas that are difficult to lose by diet and exercise. Rather fat which returns when diet and exercise slacken. Before we start to label fat as our enemy that stops us from looking attractive, we need to understand that fat or adipose tissue is the only reason we look beautiful. This layer of fat cells under our skin forms a smooth padding over the muscles and bones of our body. It has many functions in addition to giving us a shape. Fat is necessary for managing the heat loss from our body. It has many stem cells and growth factors that help in regeneration of our tissue when we are unwell. So naturally we have fat depots that are genetically determined which come into action in times of crisis. This gives rise to body curves that are unique to families, races and leads to cultural identities. Beauty is defined as per race, color and geographic locations. Hence this must be different for people from differing races.

Excess fat deposits that occur due to lifestyle and genetics often become target of ridicule for the individual. They are thought to be sign of unhealthiness and laziness. Even when the person diets and exercises, these fat deposits only reduce in size to a certain extent. To add to this, the reduction is not permanent. Fat cells shrink when one loses weight following diet and exercise and better lifestyle. However, they grow back and fill up with yellow fat as soon as the person slows on diet and exercise. On top of this, diet and exercise can be a huge torture to the entire body and mind. It takes a heavy toll on the psyche of the individual. This tendency makes it frustrating for many individuals to go for better lifestyle measures.

Liposuction helps in permanently losing the fat cells from under the skin. The bulging areas can be flattened within no time. Fat cells once lost can take a very long time to regrow. Often the areas treated never fill up again. This procedure has no bearing on diet and exercise. The individual can continue to eat and drink normally and exercise regularly to maintain their shape.

There is lot of bad press about liposuction in the media. It is true, that a huge number of patients have lost their lives during or immediately after undergoing liposuction. But these occur when liposuction is done under general anaesthesia. This technique is done by plastic surgeons across the world, who perform mega liposuction (removing more than 10L of fat in one session). This has a disastrous effect on the body’s metabolism and increases the risk of Pulmonary Fat embolism. However, when liposuction is done using tumescent local anaesthesia (lignocaine), it is found to be safe. This concept was invented by Dr Jefferey Klein, California, USA in the 1980s. IN this technique, a dilute solution of local anaesthesia is infiltrated into the fat compartment making it numb. Fat is then removed using thin steel tubes called microcannulae (less than 3.5mm diameter). Dr Klein has shown that the combination of using Tumescent Local Anaesthesia and Microcannulae gives the best results in liposuction. Dermatologist across the world have continued to use this technique giving superb results and at the same time not endangering lives. But plastic surgeons refuse to accept this concept and hence, deaths continue to be a major risk factor of liposuction done under general anaesthesia.

One big advantage of liposuction is acquiring good quality fat that can be used for regeneration purposes. Adipose tissue has lots of mesenchymal stem cells (MSCs) that are only found in Bone marrow. Fat can be easily removed from under the skin and then used as appropriate. There is an abundance of it and hence there is never a shortage. When placed on fat, it helps in giving huge boost to facial structure and texture of overlying skin. This is called a Fat Grafting. It helps in enhancing the individual own features. The skin gets a wonderful change in texture and color which often is termed as baby skin. There is no increase in size of face as is often feared by patients. You can see it for yourself in the pictures of fat grafting posted in Gallery section of website.

SO visit Juvenis Clinic and ask Dr Goyal to examine you and discuss whether you are a good candidate for lipobodysculpting.

Just FYI, Dr Nilesh Goyal is the only dermatosurgeon from India to be trained in Liposuction and Fat grafting by Dr Jefferey Klein who is the inventor of Tumescent Anaesthesia Liposuction. He has been performing these procedures for the last 16 years. He is now a board member of the International Society for Tumescent Anaesthesia Liposuction (ISTAL)

Dr Nilesh Goyal is a certified trainer in liposuction and fat grafting. He has got students from India, Bangladesh and the Middle East. Together with his students, he has formed an organization called Liposculptors Dermatologic Forum (LDF) that aims to spread awareness amongst dermatologists in India about these procedures.

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