Liposuction is one of the most popular aesthetic surgery procedures and serves to reshape the body by removing excess fat from the stomach, hips, legs, buttocks, and shins. It is important to note that liposuction is not intended for solving overweight problems.
Liposuction is performed in general or local anesthesia, depending on the region being corrected. The procedure usually lasts about 60 minutes, but it can take up to a few hours.
Liposuction candidates are individuals aged 30 to 45, with overweight not more than 5 – 10 kg.
After the procedure, it is necessary to wear an elastic compression garment and perform light physical exercises to stimulate circulation.
The patient returns to regular activities within 10 – 14 days. However, the recovery is individual for each patient and depends largely on the extent of the procedure.
Tummy tuck (abdominoplasty)
Tummy tuck (abdominoplasty) is an operative procedure that removes excess skin and fat from the stomach, and can also strengthen the abdominal wall and remove a groin and navel hernia. This procedure is intended for people who have suddenly lost a large amount of weight, as well as for women who have had more deliveries.
Abdominoplasty is performed in general anesthesia and lasts about 1 – 3 hours.
The incision is made over the pubic area and the scar remains hidden in the “bikini area”.
After the procedure, the patient is released home after 1 – 5 days, and in the first days the patient should lie with bent legs and perform light exercises in order to stimulate circulation.
During the period of about 4 – 6 weeks, wearing a compression garment is recommended, and physical activities should be avoided for 6 – 8 weeks.
The patient returns to social activities after 10 – 14 days with precautions in accordance with the recommendations of the surgeon.
Upper arm lift (brachioplasty)
Upper arm lift (brachioplasty) is a surgical intervention that removes excess skin and fat tissue from the upper arm. In some cases, when excess fat tissue is less pronounced, liposuction is sufficient to correct the upper arms.
Brachioplasty is performed in general anesthesia and the procedure lasts about 2 hours.The incision is made on the inside of the upper arm, close to the armpits.
The patient is released home the same day after the procedure.
During the first month of recovery, it is necessary to wear a tight bandage and physical activity is not recommended.
The patient can return to social activities one week after the procedure.
Buttock, thigh and calf reshaping
Buttock, thigh and calf reshaping are surgical procedures that can be performed individually or in combination. Buttocks and calves can be decreased by removing fat tissue, or increased with silicone implants of various shapes and sizes. Thigh reshaping includes the surgical removal of fat tissue and skin tightening, consequently making the legs slender.
In a thigh reshaping procedure, the incision follows the fold of the groin and often remains hidden in the “bikini area”.
In the calf intervention, subtle scars are found on skin curves on the backside of the knees, while in the buttocks reshaping procedure, scarring is hidden in the gluteal crease.
The fat removal to reduce volume is performed by liposuction.
Each of these surgical procedures is performed in general anesthesia and lasts 1 – 2 hours.
Recovery involves wearing a compression garment or tightened bandage for several weeks, and physical activity should be avoided for a period of 4 – 6 weeks.
Hand rejuvenation and surgery
Hand rejuvenation is often practiced, as aging signs are noticeable sooner on hands than on facial skin. Treatments are performed with nonoperative methods such as hyaluronic fillers or rejuvenation with fat tissue.
Hand surgery is a complex branch of plastic and reconstructive surgery that involves the operation of peripheral nerves, bones, tendons, soft tissue, and the elimination of tumors and deformities.
The first symptoms of a condition are a pain, swelling, loss of strength in the fists, or numbness and limitation of movement.
Determining the cause of the problem is preceded by examinations, X-ray exam, and analysis, after which the surgeon is able to determine an adequate intervention.
Surgery on hands is performed in the following conditions:
Compressive syndromes (compression of the nerves) such as carpal tunnel syndrome, Guyon or cubital canal, as well as transplantation or transposition of the nerves.
Stenosing synovitis syndrome (“snapping finger”) or de Quervain syndrome is treated with an operative procedure for extension of the tendon duct. Transplantation or transposition of the tendon in old and fresh injuries are also performed.
Benign tumors of ganglion, fat tissue or tendon membrane are removed after a biopsy, either by a conventional surgical intervention or an endoscopic intervention.
Fractures of hand bones, poor or non- healing fractures (pseudoarthrosis), and ligament injuries are also the subject of surgical intervention of the hands.
Degenerative joint conditions or connective tissue of the hands and fingers (Dipitren’s contracture), as well as deformities caused by rheumatism or osteoarthritis, are most effectively treated with surgical procedures.
In case of major injuries, reconstructions of blood vessels and skin transplantation are performed.
Depending on the required intervention, the operation is performed in local or general anesthesia and lasts from 30 minutes up to a few hours. Recovery also depends on the severity of the operation, and sometimes the immobilization of the arm is required.
Stretch marks and scar removal
Removal of stretch marks, acne scars, pockmarks, and surgery scars can be performed using a variety of methods such as chemical peel, hyaluronic fillers, laser application or surgical treatment. Most often, scar removal starts with a laser treatment.
Laser ray by constant pulsation of light produces microscopic damage in the middle layers of the skin, precisely at places where there are irregularities. Consequently, collagen and elastin that regenerate the skin are being created, the skin evens out and gets the color of the surrounding tissue.
It takes 3 to 4 treatments that last about 30 minutes in order to achieve the best results. The interval between the two treatments is 4 – 6 weeks.
The final effect is visible about 6 months after the last treatment.
In cases of major scarring, especially when there is excess skin or difficult functioning of some part of the body, it is possible to alleviate the damage by a surgical procedure.
Depending on the cause and type of scar, the surgeon determines an adequate intervention that will eliminate the damage in the deeper layers of the subcutaneous tissue, as well as on the surface of the skin in order to make the new stitch as thinner and imperceptible as possible.
Often it is necessary to treat the scarring for several months with silicone material or compression to achieve the best results.
Removal of moles, condyloma, fibroma, etc.
Removal of moles, warts, fibromas, atheromas and other subcutaneous or superficial growths on the skin is done for both aesthetic and health reasons. Surgical removal of the growth can help prevent the severity of the disease, and although they are usually benign, a sample is always sent to the pathohistological analysis.
Depending on the position and the type of growth, the surgical procedure involves the incision – removal of the fluid, then excision – removal of skin changes, or cutting (ablation) – removal of minor warts.
Often, small interventions do not require sewing, but in the case of a larger surface, the tissue is reconstructed and evened out with the surrounding tissue.
Treatments are mostly performed in local anesthesia, and recovery does not last longer than a few days.
Burns and bedsores treatment
Plastic reconstructive surgery is very effective, and often the only solution in the treatment of severe forms of burns, as well as bedsores (decubitus). The operation is necessary in burns grade 3 and in cases where burns involve more than 15% of the total body surface area.
Surgical treatment of burns in the initial phase involves the grafting of donor skin (homotransplantation) and subsequent grafting of own skin (autostransplantation). The treatment lasts about 10 – 15 days and is much more effective and faster than treatment with dressing.
The operation of the decubitus is necessary when the wound is of 3rd or 4th level and when the wound does not heal after a few weeks of regular treatment.
Surgery is usually done under general anesthesia unless there is a risk to the patient’s health when local anesthesia is applied.
The operation is preceded by regular wound toilet and cleansing with antiseptics.