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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Abdominal
and hip liposuction
" Flat abdomen, slim hips "
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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 abdominal and hip
liposuction ? |
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« This procedure gets rid of localised fat deposits. Some
may have appeared during
adolescence, such as on
the abdomen, or have appeared
with time, lack of exercise
or pregnancy. »
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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
abdominal and hip liposuction
make my figure look younger ? |
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« The skin reacts well in this procedure and will in most cases easily fit
the new shape; this treatment
is one of the most effective
in making your figure
look more youthful. Your
waist will be higher,
you should lose 1-3 sizes
and be able to wear low-waist
clothes again. Losing
thigh weight also lifts
your bottom, making it
rounder, neater and more
athletic, especially in
a bikini. »
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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 adjust to
the new shape. As you
have to look good in a
bikini as well as dressed,
it may just 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. Smooth
results are a primary
aim and we are able to
do this by using very
fine instruments, which
do require high levels
of skill. We also might
look at abdominal muscle
sag, and see if they would
benefit from Endoscopic
repositioning, a scarless
procedure where we reposition
the muscles. This would
mean even higher quality
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 ask
you for the results of
a general medical examination
to spot any medical contraindication.
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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« We would either use a light epidural
or a general anaesthetic
which would mean an overnight
stay. »
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7.
How long does the treatment last ? |
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« This
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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« A light epidural or a general
anaesthetic is needed
for this type of procedure. »
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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 literally vacuum the fat out with it, moving it back and forth across the entire area to be treated. We would use a 3mm diameter tube for the abdomen and a 4mm diameter for the deeper fat layers. Using these fine instruments 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 very rare). By prescribing
antibiotics from two days
before to seven days after
treatment we eliminate
risk of infection. You
may find a decrease in
sensitivity for a few
months, which would absolutely
not extend to the genitals.
Very rarely a lymph pocket
beneath the lower abdomen
skin may swell up later,
requiring lancing. 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, less than 8mm
long each and nearly
invisible after
six months. It is
hidden in the pubic
fold in the pubic
hair, in the navel
and also on the
lower back. It is
closed by invisible
sutures which we
leave in place. »
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13.
Will it be painful ?
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« This
is moderately painful
treatment, rated
at 3.5 out of 10
by patients on the
abdomen and 4.5
on the hips. This
is easily treated
with normal pain
killers. »
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14. How
quickly will I see
the results ? |
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« You
will see most of
the results (70%
reduction) immediately
but residual swelling
will only disappear
after about two
to four weeks, depending
on the patient.
Pressotherapy sessions
will help with this. »
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15. How
often will I have
to have check ups ? |
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« You will have a check up after 10 days,
then once a month
for 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 have to wear a fitted
elastic panty for two
weeks, night and day. »
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17.
What care should I take afterwards ?
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« You can shower immediately. The
little plasters covering
the scars will drop off
after 10 days or so, you
do not have to replace
them. We prescribe a treatment
of iron and folic acid
for a month to prevent
anaemia. »
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18.
How
soon can I start work again ? |
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« You
can start sedentary work
after two to three days,
but you must make no physical
efforts at all. »
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19. For
how long should I avoid
physical activity ?
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« You
can start gym after four
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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