Lipid Surgery

Liposuction

Fat is under the skin and above the muscle, can be divided into shallow, middle, layer three parts of deep fat, in the middle of the fat link with some fiber and microvascular tissue, liposuction to deep and will cause muscle bleeding, too shallow will create rugged. The easiest place to hoard fat, in addition to the buttocks and waist, including butterfly sleeves, face, neck, chest, back and thighs, etc., can be through the liposuction surgery, to achieve the perfect body sculpture. At present, liposuction can be divided into three types:
  1. Traditional liposuction: use the silicon tube for liposuction, enter the bottom of the skin scraping fat tissue and then extracted, the advantage is cheaper price, the disadvantage is that silicon tube scraping may also hurt the surrounding blood vessels or soft tissue. Scraping out of fat cells will cause more destruction, is not suitable for autologous fat transplant surgery.
2. water knife liposuction: correctly, it should be said the water column liposuction, directly use the high-pressure water fan-shaped spray water jet directly scattered the tissue and fat cells, at the same time to anesthesia, scattered adipose tissue, use negative pressure to suck back the swelling liquid and chylous shape fat tissue. Adipose cells can remain intact and re-use for autologous fat transplantation.
3. Ultrasonic liposuction: Ultrasonic liposuction is the use of the probe into the fat layer, release ultrasonic to shatter fat, after turned the fat into chylosist then extract, damage less for the surrounding tissue as the same. Suitable for small-scale sculpture, such as double chin, butterfly sleeves and so on.
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Introduction of liposuction surgery
局部脂肪堆積
 
Liposuction is also known as "fat plastic surgery", "fat shaping", "liposuction", refers to the removal plastic surgery of various parts fat of the human body.
Fat is below the skin and above the muscle, can be divided into shallow, middle, deep fat, there are some fiber and microvascular tissue in the fat middle, liposuction too deep will injury muscle and easy to bleeding, too shallow easy lead to uneven.
 
The origin of liposuction surgery
Since the 1960s, some European physicians have used scraping surgery to remove some fat, but because the results will be bleeding and uneven, so this fat removal surgery was soon eliminated; 1974, two Italian gynecologists (Dr. Arpad and Giorgio Fischer) developed a "blunt tunnel" approach, In 1982, the French surgeon (Dr. Yves-Gerard Illouz) invented the "suction assisted lipolysis", combined the concept of the blunt tunnel and negative pressure aspirations, to achieve the commonly known liposuction surgery we know today; there is a French physician (Dr. Pierre Fournier) the use of local anesthetic and postoperative elastic clothing wearing, making the surgical results improved. Then under the joint assistance of many American orthopedic surgeons, today, " super-wet liposuction " and "swelling of the local anesthesia liposuction" is the most widely used and accepted liposuction surgery skills.
 
The lower part of the body is easy to accumulate fat parts, including butterfly sleeves, face, neck, chest, waist, back and other excess fat can be liposuction surgery, to achieve the perfect body sculpture.

 
女性脂肪分佈圖
男性脂肪分佈圖

A two - stage description of liposuction surgery
The first stage
Inject the local anesthetic into the treatment area, the local anesthetic drug injection dose, each treatment site into the amount of local narcotic drugs, impact the physician liposuction surgery final suck out amount of fat, can be divided into four categories:
  • Dry - No local anesthetic drug
  • Wet - 200-300cc diluted anesthetic drugs of each area
  • Super Wet - Average inject 1 cc of diluted anesthetic and extract 1 cc of fat
  • Swollen Tumescent – inject 2-3cc diluted anesthetic, extract 1cc of fat
 
The second stage will be fat withdrawal from the treatment area, different liposuction surgery options:
  • Traditional liposuction - liposuction with manpower.
  • Computer power assisted liposuction - The use of computer-assisted liposuction machine to carry out liposuction
  • Waterjet power assisted liposuction -The use of high-pressure fan-shaped water column, loosening the structure of adipose tissue. at the same time can continuous extract fat and inject water to lose fat. Water knife liposuction do not need to inject too much swelling liquid, postoperative edema situation will be reduced, of course, save time and effort is also the focus.
  • Ultrasound Power Liposuction - Use ultrasound-assisted power liposuction machine to carry out liposuction.
  • Laser liposuction - Dissolves fat with laser energy then proceed liposuction.
Dr. Chenghan Xie
Dr. Chenghan Xie Said...
Preoperative precautions
Before surgery, please look at the following contents and explain, mark the unclear place, and communicate with the physician at the clinic.
 
一、Preoperative precautions
  • The clinic accept scheduled surgery date three months in advance, and is retained until the last week for the final confirm, If the clinic is unable to confirm for the time being, the clinic may transfer the scheduled date to another surgery patient.
  • Surgical X-ray and physical examination should be completed one week in advance, the most urgent need three days to complete. (This clinic must accept the medical report of other medical institutions, must be within three months, and meet the requirements of surgical examination items.
  • X-ray and physical examination results will be informed by telephone to the surgery patient, meets the surgical safety standards then can confirm the operation; does not meet the standard, it is recommended to give up surgery, or to suspend surgery. Re-test after three months, if still does not meet the standard, it is recommended to give up surgery.
  • Try to relax and stay physically before surgery, stop all noninvasive drug intake, including diet pills, anticoagulant drugs or traditional Chinese medicine, and nutritional supplements for unknown ingredients.
  • One day before the operation, the clinic will interview by telephone to remind the anesthesia before the note, and do the surgery final confirmation.
  • Surgery patient should arrange at least one week after surgery necessities of life,  avoid inconvenient going out after postoperative swelling. (For facial bone surgery to be prepared with liquid food and children's toothbrush)
  • Do not drive yourself on the day of anesthesia. Please arrange for family or friends for transfer, or the clinic will arrange for transportation.
  • Remember to carry sunglasses, hats, masks or scarves when perform a facial surgery, convenient for cover when return home, to avoid embarrassment.
 
二、Take the initiative to inform the physician whether the abnormal physiological condition or disease, including:
□  Is there a cardiovascular disease (e.g. arrhythmia)?
□  Is there abnormal bleeding (e.g. bleeding)?
□  Are there facial vascular abnormalities (e.g. hemangioma)?
□  Are there facial nerve dysfunction, or facial expression abnormalities?
□  Is there any drug allergy or other allergies?
□  Are there infectious diseases (such as hepatitis C, AIDS, tuberculosis)?
□  Have you took any other surgery?
□  Are there foreign bodies implanted in the body?
□  Is there an adverse anesthesia response record (including other family members)?
□  Is there any other major disease or genetic disease?
 
三、The need for facial bone surgery to complete the following preoperative examination items

A. X-ray photography:
  • P-A View
  • Cephalometric View
  • Panoramic View
B. Physical examination:
  1. Electrocardiogram (EKG)
  2. Blood test
  • General blood test (CBC routine)
  • Prothrombin Time (PT)
  • APTT
  • Blood type
  • Rh factor
  • Glucose AC
  • Cholesterol
  • Liver function (GOT / GPT or AST / ALT)
  • Renal function (BUN, Creatinine)
  • Hepatitis B (HBsAg)
C. Urine examination
Lipid surgery (Patient Instructions)
Before surgery
  • See  preoperative precautions
  • Communicate the expected results with the physician• Anticoagulant drugs should be discontinued for 7-14 days
  • 6 to 8 hours before surgery, fasting, water-deprivation (tea, coffee, etc.)
  • Stop smoking for two months
  • Preoperative photography 
Surgery day
  • Do not ride on your own
  • return home on a daily basis (with few exceptions) 
After surgery
  • Generally return to work within 2 weeks after surgery
  • Continue to wear elastic clothing for about 2 weeks
Postoperative recovery
  • General day-to-day activities are resumed after 3-4 days
  • Swelling will last for 3-5 days
  • Bruise will begin to decrease after 7-10 days
  • moderate exercise after 2 weeks
  • can feel the changes in the volume of the treatment area after about 2-6 weeks
  • Final results will stabilize in 3-6 months
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Add:5F., No.107, Sec. 4, RenAi Rd., Taipei, Taiwan

Tel:02-2772-8887 Fax:0227725822
Wechat ID:miniface_info LINE ID:@vyl7873s

Miniface have no counselors, reply letters by the physician himself, please forgive me if the reply letter late, in general, reply time of 2 to 7 days, no patient to wait for the appointment of outpatient consultation.
Online consultant please provide the following photos: No makeup positive photo / left side 45 degrees / left side 90 degrees / right side 45 degrees / right side 90 degrees
Suggestions to add photos: makeup photo / whole body of life photos
Miniface no consultants, all professional issues answered by the physician personally. Friends or relatives can participate in the consultation, in order to maintain the quality of consultation, do not exceed three person. For special personal privacy needs, please inform the physician first. Can carry information or photos for the physician reference, discuss. The initial cost of five hundred dollars, can be deducted from the surgery fee.
Before the appointment of surgery by physician assessment, consultation method: (1) consultation physician mailbox (2) appointment outpatient consultation.
Please read the preoperative instructions and check items before surgery. After payment of the deposit, we will reserve your scheduled date of operation. "The surgical procedure need physicians with a high degree of focus and commitment, every day of surgery, every physician, only a large amount of surgery, for you to go all out." - is a micro-mini insistence. If you have any reasons need to change the date of operation, please call one day before the operation, otherwise the deposit is not refundable, please be understandable.
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