Obesity is divided into simple obesity and pathological obesity, and only simple obesity is suitable for liposuction surgery. The cause of simple obesity is not very clear at present, but a lot of research shows that its occurrence is related to a variety of factors, among which genetic, hormonal and dietary habits are considered to be the main cause of simple obesity. In addition, living habits and environmental factors are also closely related to the occurrence of simple obesity.
Pathological obesity refers to the obesity caused by other diseases, obesity is only one of the clinical manifestations of these primary diseases. Liposuction surgery is not very meaningful to the treatment of this kind of obesity, and this kind of obesity mainly needs to be treated for the cause. Liposuction surgery is only a treatment for local subcutaneous fat accumulation and improvement of the local appearance of the body, and liposuction is only a plastic surgery, which can never be equated with weight loss and does not promote the health of the body much.
The best way to lose weight is physical exercise, even if you have used liposuction and other ways to lose weight quickly, you still need to exercise to consume excess fat in the blood vessels and internal organs.
A. The role of liposuction surgery
The liposuction surgery is only a treatment for localized subcutaneous fat accumulation to improve the local appearance of the body, liposuction is only a plastic surgery to remove the subcutaneous fat that poses the least threat to health. So this surgery does not have much of a health promoting effect.
Second, the risks of liposuction surgery
There are certain risks. Liposuction is also a surgical procedure that can cause bleeding and injury, and may result in complications such as infection. And liposuction is not a minor surgery. Although there are only small incisions on the surface of the skin, they can cause greater trauma under the skin and are even more dangerous than many general surgical procedures.
In addition, there are various objective and subjective conditions that limit the actual surgical result from the patient’s expectations. Patients need to explain their needs before surgery, fully communicate with the surgeon, and understand in advance the actual results of the surgery and the possible complications after surgery according to the specific body conditions and the proposed surgery.
Third, the complications of liposuction surgery
Liposuction is also a type of surgical procedure, and its risks are divided into two main sections.
1. Systemic complications
(1) electrolyte imbalance: mostly seen in the scope of liposuction surgery, post-operative review of laboratory tests will show abnormal results, the doctor will actively deal with, most of the recovery is good.
(2) Lidocaine toxicity: relatively rare, caused by excessive absorption of lidocaine, resulting in high lidocaine concentration in the blood, often occurring within 24 hours after liposuction.
(3) Fat embolism syndrome: mainly presents with coma, hypoxia and skin petechiae.
(4) Lower extremity deep vein embolism: the main symptoms include ankle edema and peroneal tenderness.
2.Local complications
(1) Hematoma: it is one of the most frequent complications, mostly caused by poor postoperative pressure bandaging or poor drainage, or by improper intraoperative operation.
(2) Skin necrosis: the incidence is relatively low and can be manifested as a change in the corresponding skin color and temperature.
(3) Skin unevenness: local skin unevenness is one of the common complications of liposuction. For more obvious unevenness, secondary aspiration can be performed on the protruding part after 3 months, and the extracted fat can be used to fill the depression.
(4) Incisional infection: the incidence is low, once incisional infection occurs, it should be treated actively.
(5) Long-term edema: the incidence is low and usually occurs after liposuction of the calf and ankle, and most edema can recover on its own after 3 to 4 months after surgery.
(6) Pigmentation: mainly due to excessive fat extraction, early treatment measures such as massage and physiotherapy can be used, and avoid exposure to sunlight. Pigmentation will generally fade 4 to 6 months after surgery.
(7) Asymmetry on both sides: the direct cause of asymmetry on both sides is the inconsistent amount of fat aspiration on both sides, for obvious asymmetry, the surgery can be corrected again after 3 to 4 months.
(8) Skin sensory abnormalities: mostly temporary sensations, caused by damage to skin sensory nerve endings during aspiration, generally do not need to be treated, and will recover on their own after 3-6 months.
(9) Necrotizing fasciitis: a rare but potentially fatal complication, manifested as skin petechiae and skin necrosis.