After having liposuction, you'll be fitted with an elasticated support corset or compression bandages. Thank you for your inquiry, It sounds as though your surgeon wants you to have the best results possible. Conclusion The malar bulge is a superficial, localized collection of subcutaneous fat positioned inferiorly to the lateral lower eyelid. Pre-disposing factors for Deep venous thrombosis (DVT) include-inherited hypercoagulable states, chronic smokers, surgery for more than 2 h, obesity, dehydration, advanced age (>60 years), patients with varicose veins and patients taking oral contraceptive pills.

We have successfully overcome this problem by re-designing the compression garment with closure (hooks and zipper) on both sides.Plain X-ray of the abdomen in upright position, computed tomography scan or laparoscopy may be used to confirm the diagnosis.

If you are uncertain about the advice you are being given, please consult your board-certified dermatologist. We have also had our share of dissatisfied patients, although with experience we have been able to identify potentially difficult or problem patients with a fair amount of accuracy. Liposuction is usually carried out under general anaesthesia, although an epidural anaesthetic may be used for liposuction on lower parts of the body. This swelling will be apparent within 24-48 h after the procedure and continues to mildly increase for the first 10-14 days. Patients with poor skin elasticity, excessive musculofascial laxity and large fat deposits, who may ideally require skin excision surgeries such as a tummy tuck or thigh lift or arm lift, but do not want the long incisions associated with these procedures and opt for only liposuction should be clearly forewarned of these sequelae after liposuction.Therefore, patients should be instructed to stop smoking and contraceptive pills at least 2 weeks prior to surgery. Procedures such as abdominoplasty, brachioplasty and thigh plasty may be offered to the patient for correcting this skin laxity after liposuction.

Both our cases had small abscesses and patches of full thickness skin necrosis in the adjacent area.General pre-operative and intraoperative measures to minimise blood loss have already been discussed. Toledo and Mauad recommends hyperextending the abdomen during liposuction to prevent inadvertent visceral penetration of the cannula. Local tumescent anesthesia, alone, is perfectly adequate to accomplish correction of the malar fat pad.

Skin necrosis is more likely to occur with the use of sharp cannulae and with excessive superficial liposuction especially by turning the openings towards the skin surface.However, our more updated protocol enlists the use of 1% lidocaine/1:100,000 epinepherine (1cc to 2 cc per side) — rather than Klein’s solution — which is delivered through a 1-inch, 30g needle. As the face ages, supporting structures that secure this fat pad lose their integrity and overlying skin becomes more redundant, making this “pouch” more obvious. Patients who are obese, with old surgical scars on the abdomen, with divarication of recti and with abdominal wall hernias are at a greater risk for visceral perforation during liposuction. Since the introduction of liposuction several modifications have been made to the original concept to make it more effective and to reduce the incidence of complications.