Liposuction

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Liposuction is a common plastic surgery procedure. Often, localized fat deposits may develop in various regions of the body. These regions usually persist in spite of proper diet and exercise. Liposuction is not an effective treatment for cellulite or obesity. Individuals who consider liposuction should be healthy and relatively fit, have firm, elastic skin and good muscle tone, and be within 30% of their ideal weight.

Small incisions are made. A thin cannula connected to a vacuum is the used to selectively remove fatty deposits. Laser or ultrasound-assisted liposuction is occasionally used, but generally offers little advantage and is usually much more expensive.

Usually sedation in theatre.

Occasionally general anaesthetic, theatre, overnight stay.

Moderately painful.

50% recovery in 7days

80% recovery in 6 weeks

99% recovery in 6 months

Generally low risk. Because the skin is not removed, one might have redundant skin. Worsening of cellulite. Asymmetry. Infection. Fluid toxicity and blood clots are serious complications, but are fortunately rare and occur more frequently with large volume liposuction (> 5 litres).

Liposuction is almost always used during face-lifts, tummy tucks, thigh lifts and arm lifts. The fat that has been extracted can also be used for fat grafting.

This procedure is time dependent.

From R 13 500

Tummy Tuck

(ABDIMINOPLASTY)

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Pregnancy, weight loss and genetics can contribute to the development of loose skin, lax muscles, and stretch marks in the abdominal region. These areas typically persist despite proper diet and exercise. An abdominaplasty can improve these problems significantly. This is a popular procedure.

Loose skin is removed from the lower tummy. Liposuction is used to treat the love handles and other stubborn fatty deposits. The tummy muscles are repositioned and tightened. A new belly button needs to be constructed.

The scar is typically in the bikini line. The width of the scar will depend on the amount of excess skin to be removed. A mini-tummy-tuck typically results in a shorter scar, less tightening of the abdominal muscles and the navel is usually not affected by the operation. The results are not as dramatic but the recovery is significantly quicker.

General anaesthetic with overnight stay.

Moderately painful

50% recovery in 4 weeks

80% recovery in 6 weeks

99% recovery in 6 months

Minor wound complications. The scar does take time to settle. Blood clots and major wound problems are serious potential side effects, but are fortunately quite rare. Side-effects are more common in patients that are obese, smokers or diabetics. This procedure should preferably be done after completion of children. Because of the slightly higher risk of blood clots, it is not recommended to travel long distances within 4 weeks.

Breast reductions, breast lift and enlargements.

From R 38 000

Vaginal Rejuvenation

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Common problems experienced by patients involve excessively large inner lips (labia minora), excessive clitoral hooding and small outer lips. Pregnancy and childbirth often makes these problems more pronounced. These problems are not only aesthetically unsatisfactory but can also cause functional problems, especially with tight fitting clothes and sexual intercourse.

This usually involves reducing the size of the inner lips. The clitoral hood can also be reduced to expose more of the clitoral glans. The outer lips can be augmented with fat grafting.

Local anaesthetic with conscious sedation.

2 - 4 weeks.

Swelling, wound infection. Generally considered a low-risk procedure.

Often combined with other procedures.

From R 14 000

Dr JC van der Walt Inc.

Plastic & Reconstructive Surgeon

The Stables

1 How Avenue

St George's Hospital

Port Elizabeth

Reg. No. 015/218777/21

VAT. No. 4550270468

PO Box 20058

Humewood

6013

South Africa

Tel: + 27 (0) 41 373-2261

Fax: + 27 (0) 41 373-2267

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