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
BODY
Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati, PARIS Rivoli
 
 
 
Hips and outer-thigh liposuction
" A shapelier figure "

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
 

I) Before treatment Back


1.      Why would I have hips and outside-thigh liposuction ?

« 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. »


2.    How do you find out what I need ?
« 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 ?

 « 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. »


4.     How do you get natural-looking results ?

« 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. »


5.     Do I need a medical examination before treatment ?

« 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. »

 
 
II ) During treatment : Back

6.     How long do I stay at the clinic ?

« As we would use a light epidural or general anasthetic, this would mean an overnight stay. »


7.     How long does the treatment last ?

« This is rather delicate treatment and it lasts one and a half to two hours, depending on the work to be done. »


8.     What kind of anaesthetic do you recommend ?

« 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. »


9.     What happens during the treatment ?

« 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. »


10.     What are the risks ?

« 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 . »


11.     What risks of phlebitis (deep vein thrombosis) are there ?

« 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. »

 

III ) After treatment : Back


12.     What scars will be visible ?

« There will be discreet, minor scarring, 8mm long each, hidden in the buttock fold and also on the outside thigh and lower hips. »


13.     Will it be painful ?

« 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. »


14.     How quickly will I see the results ?

« 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. »


15.    How often would I have to come back ?

« 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. »


16.     What do you do to protect the treatment zone ? will I have to wear bandages ?

« 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. »


17.      What care should I take afterwards ? 

« 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. »


18.     How soon can I start work again ?

« You can start work after three days. »


19.     Should I avoid physical activity ?

« You can start gym after three weeks and more strenuous activities after six. »


20.   Is this treatment reimbursable on my health insurance ?

« 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. »


IV) Photos gallery : Back



 
Docteur Frédéric Sauveur Sarfati - 242, rue de Rivoli - 75001 Paris
PLASTIC, RECONSTRUCTRIVE AND AESTHETIC SURGERY - ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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