QUESTIONNAIRE DR. ROVIRA ABOUT ADIPOSO AUTÓLOGUE TISSUE GRAINS
What advantages does fat have as a filler?
It is autologous, our own tissue, biocopatible, absence of rejection reactions, usually we have it in accumulations that can be inaesthetic and they are solved to lipoaspirarla and transfer it to where we need it. Synonyms such as Lipofilling, Coleman's Lipostructure, Autologous Lipotransfer, Adipose Tissue Grafts is what is best expressed.
In what areas of the body can be used, either for aesthetic purposes or for correcting a physical defect due to illness or accident.
It is usable throughout our anatomy. Both for aesthetic and reconstructive purposes.
Medical tests that the patient is asked to undergo this intervention.
The usual in all operations of a low-moderate risk, and depending on the team of Anesthesiologists, who will assess the need for analgesia / sedation, so that comfort is appropriate.
Who can not submit to it.
Those that do not have an adequate risk / benefit ratio. Patients with diseases incompatible with general anesthesia / sedation, smokers have it really bad! The poorly compensated cardiats, etc... in short, everything is based on the balance of risk / benefit that you want to take.
Who does not have fat..., what are the donor sites and what minimum amounts are advisable, approximately, for buttocks filling.
The best donor sites are the abdomen, flanks, trochanters (hips) and inner thighs. For a breast / pectoral augmentation we need 250 to 300 cc per breast and in the buttocks we will need 600 cc for each. Keep in mind that the buttocks will benefit from the liposuction of the adjacent regions so that they stand out ... For the face of 20 to 60 c.c. It is necessary to take into account that if lipoaspiramos 1000 c c take advantage of 250, 350 cc on average after processing adipose tissue.
Preoperative. Leave some medication - aspirin, sintrom... days before, take some medication, stop smoking, the area to operate requires some special care the days before the intervention...
As in all surgeries, not antiaggregant or anticoagulant the days necessary for its effect is not obvious, quit smoking about 6 weeks before the intervention, keep the area that will be donor and the one that will be receiving hydrated. Do not undergo a strict thinning diet that will lower the fat-giving area once it has been rated by the surgeon.
The day of admission to the clinic. He goes fasting, takes some tranquilizer at home or is given in the clinic...
The usual. Tranquility with or without the aid of a benzodiazepine (the sublingual orfidal is adequate 1 hour before the procedure).
Type of anesthesia that is used both in the area where the liposuction is to be performed and in which the infiltration is to be performed.
In the Giving Zone, a tumescent loco-regional anesthesia is performed that facilitates the liposuction maneuver.
In the area to be treated, a loco-regional anesthesia can also be done, but without tumescence, so as not to modify the volumes and the appearance. I also like, for the comfort of patients, sedation or general shallow anesthesia. Teamwork with the Anesthesiologist is essential. You have to be involved in everything that refers to the technique, and its timely modifications for anesthesia is appropriate.
The step-by-step intervention. From the time you enter the operating room until you leave. Explaining how liposuction is done, you have to put some stitches ...; how the infiltration is done and where (behind the muscle... or where it is), the approximate time it takes to complete the intervention.
Preparing the patient: draw and design before surgery what you are going to do, on the skin. Preoperative photographs. Placement on the table that can be modified during the procedure. The anesthesiologist proceeds with his agreed