Plastic surgery

Liposuction

Liposuction is a procedure to shape the body by removing excess fat cells. It may be performed on various body areas such abdomen, back, hips, buttocks, arms, chin, thighs and knees. Liposuction may not be used instead of obesity treatment.

The procedure is performed under local or general anaesthesia and uses special cannulas connected in a suction device. The cannulas are inserted from very small incisions made in inconspicuous areas of the skin.
The best outcomes will be obtained for patients with healthy and elastic skin which will contract easily after the procedure. Liposuction may be used in combination with a tummy tuck (removing excess skin and fatty tissue).
Post surgery there may be some swelling, bruising, hypoaesthesia or hyperaesthesia of the skin which may persist up to a few weeks. The patient will be instructed to wear a compression garment for 2 months, which will help minimise the swelling and will support body shaping.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray

 

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking;
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (such as herbs or garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.