Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Calf and ankle liposuction
" Slimmer calves and ankles "
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
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1. Why would I have calf and ankle liposuction ? |
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« If in spite of regular exercise and good dieting, weight
still has not gone from
your calves and ankles,
leaving them distinctly
rounded, this might make
you feel your choice of
clothing (skirts in particular)
and footwear is limited.
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2. How
do you find out what my
needs are ?
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« Before treatment, we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a nice natural-looking
result that fits with your
figure. » |
3.
Does calf and ankle liposuction make my figure
look younger ? |
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« You will have longer looking legs, giving them more youthful, smoother
curves from thigh to foot.
This will allow you to
wear more feminine clothes
once more, such as skirts
and longer boots. »
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4.
How
do you get natural-looking
results ? |
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« The most important thing is to look at the skin's ability to adjust to
the new leg shape, even
though in this region
it should be pretty good.
However, it may be preferable
to keep some fullness
of shape and make sure
the skin is tight and
smooth, rather than reduce
too much and leave the
skin too loose.
A primary aim is to get
smooth results and we
are able to do this by
using very fine instruments,
and a certain measure
of skill. Very often we
advise treating the inside
knee as well to get even
better results . »
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5.
Do I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we will
ask you for the results
of a general medical examination
to spot any medical contraindications.
You should take no aspirin
or anti inflammatory medicines
for ten days prior to
your visit. »
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| II ) During treatment :
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6.
How
long do I stay at the clinic ? |
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« If we use a local anaesthetic, you would
leave the evening of the
treatment. If we use a
light epidural or general,
this would mean an overnight
stay. »
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7.
How long does the treatment last ? |
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« This
rather delicate treatment
lasts one and a half to
three hours, depending
on the work to be done.
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8.
What
kind of anaesthetic do you
recommend ? |
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« Either a local, a light epidural
or a general anaesthetic
is needed for this type
of procedure, depending
on how much work is to
be done. »
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9.
What
happens during the treatment ? |
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« Firstly we inject an anaesthetic vasoconstriction
fluid into the treatment
zone. Then comes a fine
tube of 3 or 4mm through
a minute opening in the
skin. Then we quite literally
vacuum the fat out with
it, moving it back and
forth across the entire
area to be treated. Using
fine instruments takes
longer but keeps the lymph
system there safe, otherwise
there could be swelling
in the summer months.
Results are also much
better. »
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10.
What are the risks ? |
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« The only real risk is of bruising, which
is quite frequent (haematomas
being much rarer). By
prescribing antibiotics
from two days before to
seven days after treatment
we eliminate risk of infection.
Particular care has to
be taken with fuller-bodied
patients or with those
with sequels of obesity
or heavy tobacco use.
You may find a decrease
in sensitivity for a few
months. Rare cases of
ripple effect can be dealt
with by massage or "m6"
treatment. Very rarely
we might carry out a mini
liposuction at 6 months
to finish off the work.
Any risks associated with
the anaesthetic will be
clarified during pre-treatment
interviews. »
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11.
What risks of phlebitis (deep vein thrombosis)
are there ?
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« There is a very low risk
of phlebitis for this
type of treatment. It
consists of a blood clot
appearing in the deep
veins of the leg, which
can detach and move to
the lungs, causing a lung
embolism. We can effectively
deal with this risk using
anti-coagulants and support
stockings during your
whole visit. During the
treatment, we also do
leg massages. So far,
we have had no cases of
phlebitis at all. »
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III )
After treatment
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12.
What scars will be visible ?
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« There will be discreet,
minor scarring, 7mm long
each, hidden in the fold
behind the knee and also
on the inside calf and
lower hips. »
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13.
Will it be painful ?
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« This
is moderately painful
treatment, rated at 3.5
on a scale of 0-10 by
patients. This is easily
treated with normal pain
killers. You may feel
residual discomfort on
the calves for between
eight and ten weeks. »
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14.
How quickly will I see the results ?
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« You
will see most of the results
(60% less volume ) immediately
but residual swelling
will only disappear after
three or four months.
Pressotherapy sessions
will help with this. »
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15. How often will I have to come back ?
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« You will have a check up after 10 days,
then once a month for
three months, then once
every three months. Of
course you can make an
appointment at any other
time too. »
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16.
What
do you do to protect the
treatment zone ? will I
have to wear bandages ? |
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« You
will need to wear support
socks and special tights
for eight weeks, to prevent
swelling in the summer
months. You may take them
off to shower. »
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17.
What care should I take afterwards ?
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« You can start to shower after
48 hours but you should
not take any hot baths
for two months. Sleeping
with your feet up is highly
recommended. The little
plasters covering the
scars will drop off after
10 days or so, you do
not have to replace them. »
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18.
How
soon can I start work again ? |
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« You
can start work after three
days. »
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19.
Should
I avoid physical activity ?
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« You
can start gym after three
weeks and more strenuous
activities after six. »
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20. Is
this treatment reimbursable
on my health insurance ? |
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« You
will have to consult your
local health authorities
and your private health
insurers to see if you
can be supported financially
following a serious illness
resulting in weight loss,
for example. »
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IV) Photos gallery :
Back
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Docteur
Frédéric Sauveur Sarfati
- 242, rue de Rivoli - 75001 Paris
PLASTIC,
RECONSTRUCTRIVE AND AESTHETIC SURGERY
- ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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