Preparing for Liposuction
In preparation for liposuction the best thing you can do is to get yourself as lean as you can and as strong as you can. Unless your body fat % is already normal or low (some persons with low body fat still benefit from liposuction to very specific areas) then you will improve your final outcome by lowering your current body fat levels, for when your general body fat levels are normal or near normal then the area(s) of persisting excess fat are more clearly demarcated from the surrounding normal subcutaneous fat. The liposuction task of reducing such areas of persisting excess fat becomes simpler, and achieving the most precise result becomes more straightforward.
Being fit and strong brings another benefit. Most body sites treated by liposuction consist of subcutaneous fat overlying skeletal muscle. It is the task of the liposuctionist to reduce a measured amount of fat to produce a normalised fat layer between skin and muscle. To do this well and thoroughly, it helps to be able to clearly and readily discern the depth and nature of the muscle layer, and this is most readily done when the muscle underlying the fat is firm and toned.
It can be of no surprise that, once again, reducing body fat and increasing muscle bulk and tone by attention to diet and exercise is of benefit.
Most patients who attend for liposuction do not have other medical problems. However, if you have a known medical condition or if you take regular medication you should discuss your liposuction plan with your GP or specialist physician.
In doing so, what you want to know is whether you can safely undergo a minimally-invasive surgical procedure.
Your heart and lungs need to be healthy. Your liver has to be healthy, as its job will be to metabolise the local anaesthetic (lignocaine). Your kidneys have to be healthy, to help pass out the fluid we use to dilute the anaesthetic. Your blood system has to be healthy.
In particular, your clotting system has to be completely normal, in order that bruising is minimised. For this reason it is paramount that you will have taken no aspirin, no Nurofen, no Naprogesic nor any similar anti-inflammatory/analgesic medications (=NSAIDs, cyclooxygenase or Cox inhibitors) for ten days prior to your liposuction treatment, because these agents have an effect on your platelets to make them less able to form clots. Patients taking aspirin when they have an operation of any sort will bleed more and bruise more, and this is a risk we don’t want to take when performing liposuction.
Taking Panadol is OK, since it is of a different class of drug that doesn’t affect platelets.
Make sure Dr Mahony knows about all the drugs and medications you are taking, even the over-the-counter ones and the herbs and vitamins and supplements.
Dr Mahony will want you to have a blood test prior to proceeding. This will be to ensure that your liver works well, your kidneys work well, your blood count is normal and your clotting system works normally.
Usually this is all that is required as far as blood tests go, but if you have any concerns of any nature that may be helped with further blood testing, discuss these with Dr Mahony during your consultation: we may knock over two birds with one stone, as they say.
Mentally Preparing for Liposuction
As medical/surgical procedures go, liposuction is quite straightforward, but the right thinking helps prior to any procedure.
Obviously, you are keen to get the best outcome, but it is vital to have a clear idea as to what liposuction can, and cannot, do for you.
Liposuction removes fat cells, and that’s it. The rest of the improvement depends on your own body, and different bodies handle the recovery process differently.
So it is important to have gone over the consent form with Dr Mahony carefully, and to have a clear understanding of the range of results that might arise from your procedure.
The Day Before Your Surgery
Dr Mahony likes his patients to start some antibiotic the day before the liposuction procedure. Typically, the antibiotic chosen is Keflex.
Infection contracted during liposuction is very very rare, but when it occurs it can be very serious. Prophylactic antibiotics are given to help prevent such an outcome, especially with regard to streptococcus pyogenes infection. Now, the reality is that public-health doctors and infectious diseases doctors don’t like the idea of the use of prophylactic antibiotics, as they are concerned about the emergence of resistant strains of bacteria. However, it is my job to weigh this concern against a reduced infection risk in my patients, and I find in favour of minimising risk in my patients.
Research evidence has found that patients due for a surgical procedure should scrub their whole bodies with antiseptic in the shower or bath the night before their procedure. This has been demonstrated to reduce preoperative infection rates. Chlorhexidine and Betadine are suitable choices, but if you can’t find these at your pharmacy ask your pharmacist for a suitable antiseptic, after describing its purpose.
If you forget this step, or can’t do it for any reason, don’t worry: we’ll still be using *plenty* of antiseptic prior to and during the procedure.
Post Surgery Care
Ensure that you have prepared for someone to pick you up from the practice once you are ready to leave, and ensure someone stays with you overnight on at least the first night. Whilst it is an extremely safe procedure, liposuction is still an invasive procedure, and whilst it will be safe for you to go home afterwards, it remains prudent to have someone around as you rest over the first 24 hours afterwards.
And – wear loose comfortable clothing. No tight white jeans.
Once your body is right, your expectations are realistic and clear, and you have prepared as above, you are ready to maximise your satisfaction from liposuction at Peach.
Give Peach a chance
To talk to a member of our team or book a consultation, please contact us today.