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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Hips and outer-thigh liposuction
" A shapelier figure "
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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 hips and outside-thigh
liposuction ?
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« If in spite of regular exercise and good dieting, weight
still has not gone from
your hips and outer thighs.
This may happen after
the age of 30 or following
pregnancy. This area is
easy to treat, as is it
fairly localized. »
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2. How
do you find out what I need ?
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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 hips and outside-thigh liposuction really
make my figure look younger ? |
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« Yes, because we would be aiming to smooth your shape from waist to outer
thigh. This would make
your figure look younger
and more athletic. You
should lose 1-3 sizes,
be able to wear tight-fitting
trousers again and jersey-knit
from bust to knee. »
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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 capacity to retract
back onto the new shape.
It may be preferable to
keep some fullness of
line and make sure the
skin is still tight and
smooth, rather than reduce
too much and have the
skin too loose. A primary
aim is to get good smooth
skin, which we do by paying
a lot of attention to
it and using very fine
instruments. »
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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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« As we would use a light epidural or
general anasthetic, this
would mean an overnight
stay. »
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7.
How long does the treatment last ? |
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« This
is rather delicate treatment
and it lasts one and a
half to two hours, depending
on the work to be done.
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8.
What
kind of anaesthetic do you
recommend ? |
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« A light epidural or a general
anaesthetic is needed
for this type of procedure,
once again, 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. We
quite literally vacuum
the fat out, moving across
the entire area to be
treated. Using the narrow
tube takes longer but
results are 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 patients
with sequels of obesity
or heavy tobacco use.
Sensitivity in the area
may be modified temporarily.
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 stay. 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, 8mm long each,
hidden in the buttock
fold and also on the outside
thigh and lower hips. »
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13.
Will it be painful ?
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« This
is moderately painful
treatment, rated at 3
on a scale of 0-10 by
patients. This is easily
treated locally with pain
killing creams. »
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14.
How quickly will I see the results ?
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« You
will see most of the results
(70%) immediately but
residual swelling and
bruising will only disappear
after about three or four
weeks. Pressotherapy sessions
would help with this. »
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15. How often would I have to come back ?
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« You will have a check up after 10 days,
then once a month for
six 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 only have to wear
an elastic panty for two
weeks, day and night.
You can keep it for showering
as it is quite tight and
dries very quickly with
warm towels or even a
hair dryer. »
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17.
What care should I take afterwards ?
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« You can start to shower after
48hours, and 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 :
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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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