{"id":251,"date":"2022-04-28T16:39:28","date_gmt":"2022-04-28T16:39:28","guid":{"rendered":"http:\/\/drvishalpurohit.in\/?p=251"},"modified":"2022-04-28T16:53:48","modified_gmt":"2022-04-28T16:53:48","slug":"what-is-liposuction","status":"publish","type":"post","link":"https:\/\/drvishalpurohit.in\/hi\/what-is-liposuction\/","title":{"rendered":"\u0932\u093f\u092a\u094b\u0938\u0915\u094d\u0936\u0928 \u0915\u094d\u092f\u093e \u0939\u0948?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u0932\u093f\u092a\u094b\u0938\u0915\u094d\u0936\u0928 \u0915\u094d\u092f\u093e \u0939\u0948?<\/h2>\n\n\n\n<p>\u0932\u093f\u092a\u094b\u0938\u0915\u094d\u0936\u0928 \u0936\u0930\u0940\u0930 \u0915\u0947 \u0906\u0915\u093e\u0930 \u0915\u094b \u092c\u0926\u0932\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u090f\u0915 \u0915\u0949\u0938\u094d\u092e\u0947\u091f\u093f\u0915 \u0938\u0930\u094d\u091c\u0930\u0940 \u0924\u0915\u0928\u0940\u0915 \u0939\u0948\u0964 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\u0939\u0948\u0964&nbsp;<\/p>\n\n\n\n<p>\u0932\u093f\u092a\u094b\u0938\u0915\u094d\u0936\u0928 \u0938\u0947 \u0938\u0947\u0932\u094d\u092f\u0941\u0932\u093e\u0908\u091f \u0938\u0947 \u091b\u0941\u091f\u0915\u093e\u0930\u093e \u0928\u0939\u0940\u0902 \u092e\u093f\u0932 \u0938\u0915\u0924\u093e\u0964 \u0938\u0947\u0932\u094d\u092f\u0941\u0932\u093e\u0908\u091f \u0924\u094d\u0935\u091a\u093e \u0915\u093e \u090f\u0915 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u0938\u0902\u0924\u0930\u0947 \u0915\u0947 \u091b\u093f\u0932\u0915\u0947 \u091c\u0948\u0938\u093e \u0905\u0938\u092e\u093e\u0928 \u0930\u0942\u092a \u0939\u0948\u0964 \u092f\u0939 \u0935\u0938\u093e \u0915\u0947 \u0924\u094d\u0935\u091a\u093e \u092a\u0930 \u0926\u092c\u093e\u0935 \u0921\u093e\u0932\u0928\u0947 \u0915\u0947 \u0915\u093e\u0930\u0923 \u0939\u094b\u0924\u093e \u0939\u0948\u0964 \u0924\u094d\u0935\u091a\u093e \u090a\u0924\u0915 \u0924\u0902\u0924\u0941\u0913\u0902 \u0915\u0940 \u092a\u0924\u0932\u0940 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\u091c\u094d\u091e\u093e\u0924 \u0928\u0939\u0940\u0902 \u0939\u0948 \u0914\u0930 \u092c\u093f\u0928\u093e \u0905\u0924\u093f\u0930\u093f\u0915\u094d\u0924 \u0935\u0938\u093e \u0935\u093e\u0932\u0947 \u092a\u0924\u0932\u0947 \u0935\u094d\u092f\u0915\u094d\u0924\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u092d\u0940 \u0938\u0947\u0932\u094d\u092f\u0941\u0932\u093e\u0908\u091f \u0939\u094b \u0938\u0915\u0924\u093e \u0939\u0948\u0964<\/p>\n\n\n\n<p>\u0932\u093f\u092a\u094b\u0938\u0915\u094d\u0936\u0928 \u0938\u0947 \u0938\u094d\u091f\u094d\u0930\u0947\u091a \u092e\u093e\u0930\u094d\u0915\u094d\u0938 \u0938\u0947 \u091b\u0941\u091f\u0915\u093e\u0930\u093e \u0928\u0939\u0940\u0902 \u092e\u093f\u0932 \u0938\u0915\u0924\u093e\u0964 \u0938\u094d\u091f\u094d\u0930\u0947\u091a \u092e\u093e\u0930\u094d\u0915\u094d\u0938 \u0905\u091a\u093e\u0928\u0915 \u0916\u093f\u0902\u091a\u093e\u0935 \u0915\u0947 \u0915\u093e\u0930\u0923 \u0921\u0930\u094d\u092e\u093f\u0938 \u092e\u0947\u0902 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u092c\u094d\u0930\u0947\u0915 \u0915\u0947 \u0915\u093e\u0930\u0923 \u0939\u094b\u0924\u0947 \u0939\u0948\u0902\u0964 \u0924\u094d\u0935\u091a\u093e \u092e\u0947\u0902 \u0916\u093f\u0902\u091a\u093e\u0935 \u0905\u091a\u093e\u0928\u0915 \u0935\u0938\u093e \u091c\u092e\u093e \u0939\u094b\u0928\u0947 \u092f\u093e \u092e\u093e\u0902\u0938\u092a\u0947\u0936\u093f\u092f\u094b\u0902 \u0915\u0947 \u0939\u093e\u0907\u092a\u0930\u091f\u094d\u0930\u0949\u092b\u0940 \u0915\u093e \u092a\u0930\u093f\u0923\u093e\u092e \u0939\u094b \u0938\u0915\u0924\u093e \u0939\u0948\u0964 \u090f\u0915 \u092c\u093e\u0930 \u0938\u094d\u091f\u094d\u0930\u0947\u091a \u092e\u093e\u0930\u094d\u0915\u094d\u0938 \u092c\u0928\u0928\u0947 \u0915\u0947 \u092c\u093e\u0926 \u0935\u0938\u093e \u0915\u0947 \u091a\u0932\u0947 \u091c\u093e\u0928\u0947 \u092a\u0930 \u092d\u0940 \u0935\u0947 \u0917\u093e\u092f\u092c \u0928\u0939\u0940\u0902 \u0939\u094b\u0924\u0947\u0964<\/p>","protected":false},"excerpt":{"rendered":"<p>What is Liposuction? Liposuction is a cosmetic surgery technique to change body shape. Liposuction contours the body by removing excess fat below the skin with the help of a vacuum suction device and thin long cannulas.&nbsp; What makes it interesting is the fact that unlike any other procedure it does not require elaborate incisions and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":253,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"off","_et_pb_old_content":"<!-- wp:paragraph -->\n<p>Liposuction is a cosmetic surgery technique to remove excess fat below the skin with the help of a vacuum suction device and thin long cannulas.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>What makes it interesting is the fact that unlike any other procedure it does not require elaborate incisions and stitches. Only tiny 2 mm to 4 mm long stabs are made to allow an equally thin cannula to pass through. These stab wounds are not noticeable after they heal as a small dot.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Liposuction is both surgery and art. Even with the best instruments and latest techniques, the surgeon's experience and understanding of aesthetic body proportions is an important prerequisite to giving a beautiful result.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Liposuction is safe and healing occurs rather quickly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>That sums up the answer to liposuction (The essential part anyway).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>But to satisfy you, here comes a detailed explanation of what liposuction is and what makes it so safe.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>History and evolution of Liposuction<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The earliest accounts of liposuction date back to the 1970s. And trust me in those days it was not so safe. The biggest challenges were bleeding and nerve damage. (Not internal injuries)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Don't be intimidated by the length of liposuction cannulas they don't injure internal organs. All surgeons have a pretty stable hand. Internal organ injury is the rarest complication that can occur.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As time passed science progressed and newer and more refined techniques came into being.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Sharp canulas that used to cause a lot of bleeding and nerve damage gave way to blunt cannulas with holes at the sides. These blunt cannulas glide in between essential structures without damaging them and at the same time suck unwanted fat from the sides.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To facilitate the gliding of the cannulas infiltration fluids were crafted. Various combinations of intravascular saline and other medications were tried and tested to loosen the fat and prevent bleeding.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Finally, in 1987, Jeffrey Klein gave us the perfect fluid containing IV saline, lidocaine for anaesthesia and adrenaline to vaso-constrict (close) the blood vessels. This is called Klein\u2019s solution. It is like a magical potion that makes liposuction for a plastic surgeon almost like a child's play.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It's easy to say that liposuction is about sucking out the fat from the skin with cannulas but it took at least half a century of trial and error to achieve what we have right now and i.e. a perfectly safe technique to get the desired body contour. It is almost like magic.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Now that we have understood where we are let's understand what is that we do a little better.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>I believe a little knowledge about the structure of our skin will be valuable to understanding Liposuction and its limitations.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>Understanding the structure of human skin.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The skin that we see, feel and touch and sometimes hold in our hands as a tire (the dreaded abdominal tyre) is made up of three layers.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>The Epidermis is the visible skin.&nbsp;<\/li><li>Below it lies the Dermis which is a thick layer of connective tissue that gives the skin its elasticity.&nbsp;<\/li><li>And finally below the dermis is the subcutaneous fat. The Fat layer envelopes our body from the head to the toe. In some parts, it's so thin that it's almost invisible while in other regions it is much thicker.&nbsp;<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>The subcutaneous fat layer is further divided into three parts. superficial, intermediate and deep.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The superficial fat layer is intimately attached to the undersurface of the dermis. The deep layer lies directly over the muscle and bone.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The thickness and the type of fat in each of the layers depend on the body region. For example, the back has a thinner fat layer which is condensed and fibrous as opposed to the fat in the inner thigh which is relatively loose.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As I have previously told you the knowledge of these variations in the type and distribution of fat across all regions of the body allows the surgeon to be precise and give better results.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>There is one other thing I want you to keep in mind. I want you to think about the role of fat.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>Why do we have a layer of fat below the skin in the first place?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The Role of subcutaneous fat is as follows.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Subcutaneous fat is important for body heat regulation.\u00a0<\/li><li>It also serves as a cushion over the muscles and bone.\u00a0<\/li><li>And it is an important storehouse of energy. Being civilized has enabled us continuous access to food sources. But our ancestors did not enjoy this luxury. There were times when they had to go on without food for days. The stored energy in the fat layer helps to survive fasting. And this is how fasting or dieting works to reduce fat.<\/li><li>The subcutaneous fat layer makes our skin soft and supple to touch. It helps to give a\u00a0 beautiful contour.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Keeping in mind the important role of the fat layer for our survival it is imperative that we do not remove all the fat.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Only the extra unwanted fat needs to be removed. Another way of saying this is that the superficial layer of fat is not removed as it is essential for aesthetics and survival. And so Liposuction targets only the intermediate and deep fat layers.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The next logical question is,<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>How does Liposuction work?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>So far, I have told you a little about the evolution of Liposuction and how it has made liposuction extremely safe. And a little about the skin and subcutaneous fat.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>But to know how does liposuction actually works, we need to go a little deeper. Let us go at the cellular level.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Fat is stored inside the fat cells called adipocytes. The number of adipocytes is more or less fixed. Fat individuals don't have more cells it's just that their cells have accumulated more fat.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The process of extracting fat with the help of cannulas breaks these fat cells and sucks them out as well. The final aspirate after liposuction contains fat as well as fat cells.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Once taken out of the body these fat cells don't grow back.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Let us now make sense of everything we have learned so far by knowing the steps of liposuction.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>Steps of Liposuction.<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li><strong>Anesthesia<\/strong>: The first thing to consider is that surgery can not be performed if you keep on feeling pain. So the obvious first step is to numb the area or body region. This can be done in two ways<ol><li><strong>General Anesthesia<\/strong>: If the body area is large then general anaesthesia is advised.\u00a0The benefit is that you will remain asleep throughout the procedure.<\/li><li><strong>Local Anesthesia<\/strong>: If only a couple of regions need liposuction then Local Anesthesia is preferred. You remain awake throughout the surgery. The benefit is that you can return home immediately after the procedure. There is a small drawback that is the process of anaesthetic infiltration is slightly painful for the first few seconds.<\/li><\/ol><\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:list {\"ordered\":true,\"start\":2} -->\n<ol start=\"2\"><li><strong>Incisions<\/strong>: multiple tiny 2 mm to 4 mm incisions are made around the region to be suctioned. These stab incisions are only skin deep and heal quickly. There is no need to suture them. They leave behind a dot-like scar.<\/li><li><strong>Tumescent Fluid Infiltration (Klein\u2019s solution)<\/strong>: a multihole infiltration cannula is used to push and spread the infiltration solution below the skin. If the procedure is being done under local anaesthetic then numbing and infiltration is done at the same time.\u00a0<\/li><li><strong>Vacuum-assisted suction<\/strong>: Once the infiltration fluid has maximum effect liposuction is performed. A liposuction cannula of an appropriate size is attached to the liposuction machine with help of tubing. With a gradual too and fro motion the cannula is moved through the fat to suck out the extra fat. This extra fat gets collected outside the body in jars.<\/li><li><strong>Dressing and Pressure Garment<\/strong>: The last step is to apply small dressings over the incision sites and place a tight pressure garment.<\/li><\/ol>\n<!-- \/wp:list -->","_et_gb_content_width":"","cos_headline_score":0,"cos_seo_score":0,"cos_headline_text":"","cos_headline_has_been_analyzed":false,"cos_last_analyzed_headline":[],"inline_featured_image":false,"footnotes":""},"categories":[18,21],"tags":[],"class_list":{"0":"post-251","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-body","8":"category-liposuction"},"acf":[],"_links":{"self":[{"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/posts\/251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/comments?post=251"}],"version-history":[{"count":0,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/posts\/251\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/media\/253"}],"wp:attachment":[{"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/media?parent=251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/categories?post=251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drvishalpurohit.in\/hi\/wp-json\/wp\/v2\/tags?post=251"}],"curies":[{"name":"\u0921\u092c\u094d\u0932\u094d\u092f\u0942\u092a\u0940","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}