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Liposuction Principles and Practice - part 5

Tham khảo tài liệu 'liposuction principles and practice - part 5', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | 214 30 Reduction Syringe Liposculpturing The visible resection is the one obtained by the scraping motion of the cannula which also removes a part of the fat that has been mechanically disrupted. The invisible resection is made up of most of the devitalized fat obtained by the friction of the cannula and of some of the mechanically disrupted fat. After a certain period of time the procedure will create scar tissue which will be followed by contractions as is true for any operation on or below the skin. This consideration enhances the prognosis for a thorough and even lipectomy. The peripheral mesh undermining in the whole area treated is to obtain a homogeneous contraction of the scar tissue. The skin will be affected by the primary contraction of the muscular fibers immediate active process . The adipose tissue will be modified by the contraction of the fibrous tissue passive contraction delayed . After a liposculpturing procedure there is an immediate improvement in contour owing to the biologic resection. The skin will also be modified immediately by the primary contraction of elastic fibers and later by the contraction of the underlying fibrous scar tissue. Surgeons performing liposculpturing should remember that the most important consideration is not what is removed but what is left and how it is left as in a rhinoplasty . If too much blood is in the aspirate one should stop working in the area and work on another part of the adiposity or on another adiposity. Under no circumstance should windshield-wiper movements be made as they will cut the adipose columns that harbor vessels nerves and lymph vessels. When lumps are felt under the skin one should work on them with a smaller cannula decreasing work . The following points are to be remembered 1. Small cannulas with one opening should be used. Cannulas with accelerator are also widely used. 2. Blunt tip and blunt openings should face downward opposite to the scale on the syringe . 3. The syringe should be .