QUESTIONNAIRE DR. ROVIRA ABOUT ADIPOSO AUTÓLOGUE TISSUE GRAINS
What are the advantages of grease as a filler?
It is autologous, our own tissue, biocopatible, absence of reactions of rejection, normally we have it in accumulations that can be unattractive and resolve to liposuction 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 aesthetics or for correcting a physical defect due to an illness or accident.
It is usable throughout our anatomy. Both for aesthetic reasons and for reconstructive reasons.
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 are those who will assess the need for analgesia / sedation, so that the comfort is appropriate.
Who can not submit to it.
Those who do not have an adequate risk / benefit ratio. Patients with diseases incompatible with general anesthesia / sedation, smokers have it really bad! The badly compensated cardiologists, etc ... in short, everything is based on the balance of the risk / benefit that wants to assume.
Who does not have fat ..., what are the donor areas and what minimum quantities are advisable, approximately, for gluteal filling.
The best donor areas are the abdomen, the flanks, trocanteres (hips) and inner side of the thighs. For a breast / pectoral increase we need 250 to 300 cc per breast and in the buttocks we will need 600 cc each. Keep in mind that the buttocks will benefit from the liposuction of the adjacent regions to stand out ... For the face from 20 to 60 c.c. Keep in mind that if we lipoaspiramos 1000 cc 250, 350cc are used as a mean after processing adipose tissue.
Preoperative Leave some medication - aspirin, sintrom ... - days before, take some medication, quit smoking, the area to operate requires some special care the days before the intervention...
As in all surgeries, no antiplatelet drugs or anticoagulants on the days necessary for its effect is not obvious, stop smoking about 6 weeks before the intervention, keep hydrated the area that will be donor and which will be recipient. Do not undergo a strict weight loss diet that decreases the fat donor area once it has been assessed by the surgeon.
The day of admission to the clinic. He goes on an empty stomach, takes a tranquilizer at home or is given at the clinic ...
As usual. Tranquility with or without the help of a benzodiazepine (the sublingual orfidal is adequate 1 hour before the intervention).
Type of anesthesia that is used both in the area where liposuction is going to be performed and in which the infiltration will take place.
In the donor 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 appearance. In addition, I like, for the comfort of the patients, a sedation or a general shallow anesthesia. It is essential to work in a team with the Anesthesiologist. You have to be fully involved in everything that refers to the technique, and its specific modifications so that the anesthesia is adequate.
The intervention step by step. Since you enter the operating room until you leave. Explaining how liposuction is done, you have to put some stitch ...; how infiltration is done and where (behind the muscle ... or wherever), 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 surgical table, which can be modified during the procedure. The anesthesiologist proceeds with his technique agreed in advance.
Preparation of the Surgeon and equipment: Mount tables and place the surgical material and check its sterility. Asepsis of hands, fitted, gloves.
We start with tumescent infiltration with Klein's solution in the Giver Zone.
Liposuction at low pressure (0.5 atm) with the vacuum of the operating room, the liposuction or the syringes, depending on the volume to be aspirated is made with 2mm multiperforated cannulae, which are somewhat different from those of classical liposuction. At the same time that it is lipoaspirando, the processing of fat starts according to Coleman's technique, decanting, centrifugation, separation of serum and oil from adipocytes and transfer to syringes of 1cc or 10 cc luerlook depending on where it is treated and, finally, lipotransference of the adipocytes by means of atraumatic cannulas of 1-2mm section, and of different lengths and curvatures. It is performed with reciprocating movements similar to those of liposuction and the adipocytes are deposited in the subcutaneous tissue and muscle, in successive layers, in a fan and in small drops of approximately 1mm2.
Finally suture with 5/0 nylon, very thin, of the liposuction wounds. Placement of semi-compressive bandage, etc ...
Postoperative and aftercare. How long do you have to be in the clinic, medication to be followed ... subsequent visits to follow up ... when can you start normal life?
24 hours as much hospital admission / clinic, scanty analgesia on demand, antibiotics 1 week and follow-up at week, month, three, six, and twelve months.
Lymphatic drainage of the donor areas for the necessary time until the edema disappears. Photographic control Decide at approximately 8 months, retouch, if it is convenient.
Incorporation into social / labor life depending on the areas treated. If lipofilling has been done on the face, it is necessary to wait until the inflammatory stigmas disappear, 15 days ...
Risks of the intervention.
None if you are healthy. Our adipose tissue is "ours", and it is not rejected.
Price. (in glutes, if only on one side or both, the same on legs)
It depends on the time of surgery, and usually around € 4,000 for the face, 7,000 breast / pectorals and glutes. If there are combined techniques, it can vary. It depends on anesthesia and the clinic where it is performed.
Of course in a Clinic / Hospital with everything! And in the Operating Room, of course. This is worth money.
It is recommended that doctors carry it out with the title of Specialist in Plastic, Aesthetic and Reconstructive Surgery, which are those that are specifically trained for it; Since 2002, our Specialist degree incorporates the anagram of "Cosmetic Surgery", as unique, with respect to other related or nearby specialties.
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