A Ultrasonic liposuction is a method of removing fat from the subcutaneous space. The fat is first broken up by ultrasound and then removed by suction. At the same time the skin may be tightened. During ultrasonic liposuction ultrasonic waves sounds waves are produced by a generator.
These waves are transmitted to the tip of a suction cannula or wand. When this tip contacts the fat cells the cells are broken up and the fat emulsified. This liquefied fat can then be removed.
Two weeks prior to your operation, you will need to discontinue medications which can lead to surgical complications. You will meet with Dr. Parker and his nurse for a second visit, during which any remaining questions regarding the operation are answered.
You will then be asked to sign a surgical consent which gives the doctor your permission to carry out the procedure of abdominoplasty, and allows for an Anesthesiologist to administer a general anesthetic.
Photographs will be taken of your abdomen and any other areas upon which Dr. Parker will be operating. You will be asked to sign a photographic consent prior to having any photographs taken.
A general physical examination will be done to ensure that no ongoing medical problems are present which might interfere with the success of the operation. It is imperative that you report any possibility that you could be pregnant.
Specific instructions regarding the date and time of your procedure will be given to you in writing. You will need to arrange for an escort to drive you to and from our office on the day of the operation and for the first postoperative visit. You should wear loose fitting clothing that will wash easily in the event they are soiled.
Do not wear jewelry, contact lenses, or bring valuables to the operating room. Remove all body jewelry from pierced body parts; this can interfere with the procedure and may represent a safety threat to you because of the use of electrocautery during the procedure.
Do not shave or wax your abdomen prior to surgery; this may increase your risk of infection. Appropriate shaving will be done on the morning of your procedure.
Finally, Dr. Parker will write prescriptions for preventative antibiotics to decrease your risk of infection and a narcotic analgesic for post-operative pain relief.
On the day of your procedure, you will meet with Dr. Parker’s nurse and your vital signs checked. The doctor will place skin markings on your abdomen to direct him during the procedure.
The anesthesiologist will review your medical history and he or she will then administer an anesthetic known as a general anesthetic. This implies that you will be completely unconscious during the operation, and will feel no pain whatsoever.
A full abdominoplasty usually takes 2-3 hours, depending on the extent of the work involved. During the procedure, the lower abdominal skin and fat are excised or removed. This tissue is discarded and will not return.
The abdominal skin above the level of the navel is then lifted off the underlying muscle up to your lower rib cage, like lifting an apron. A cut is made around the navel , which is left alone.
The vertical abdominal muscles are then tightened with heavy sutures from your xiphoid (solar plexus) to your pubic bone. This provides a firmer abdominal wall and a narrower waistline.
The skin apron is then pulled down to the pubic area and after a new opening is made for the navel, the skin is stitched. Drain tubes are placed under the skin apron to evacuate any fluid which may ooze after the operation.
The drains exit in the area of the pubic hair through tiny holes and are stitched in place. These drains are removed approximately a week after surgery. The closure of the skin is done with dissolving-type suture material, which does not require removal.
An elastic belt or binder is placed to support your abdomen and provide comfort during the postoperative period. Almost always, patients are ready to be discharged from the recovery room an hour or two after the conclusion of their procedure, but it is necessary to have an escort to drive you home.
Patients cannot be discharged to the company of a minor or to a taxi service. If you have no one to provide you with assistance, our office can make arrangements for medical transport at an additional charge. Out-of-town patients should plan to stay locally for approximately 7-10 days.
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