Prof.Dr: Ehab Kamal Zayed. october 6 university Faculty Of Physical Therapy Lecture of Liposuction By Prof.Dr: Ehab Kamal Zayed.

Liposuction, lipoplasty or suction-assisted lipectomy

Liposuction Is cosmetic surgery performed to remove unwanted deposits of fat from under the skin. The fat is permanently removed from under the skin with a suction device. The average amount of fat removed is about a liter. Sutures are removed between 7-9 days. Compression bandage provided to be worn for 4 weeks.

Liposuction techniques may be used to reduce localized fat deposits of the: Thighs Hips and buttocks Abdomen and waist Upper arms Back Inner knee Chest area Cheeks, chin and neck Calves and ankles

Diode Laser

Laser Fat Reduction Introduction

Dual Balloon

Laser-assisted liposuction

Post-operative complications: 1- Pain 2- Swelling may last in weeks, in j or months. 3- Respiratory complications as the reduced TV up to 50% depending on incisional site. 4- Delayed Wound healing. 5- Circulatory complications. 6- Muscle weakness 7- Decreased ADL. 8- Complications of anesthesia.

Post - operative Physiotherapy: Phase I: Acute stage 1. Bed Supports Special cushions to support Patient’s back under the sacrum under the heels, to prevent pressure sores in bed. Pillows can also be used under the legs to elevate the feet or to keep the knee flexed after a hip operation.

Elevation of the limb on pillows for at least 3 days post-operatively. 3. Pain control A- Relaxation. B- Thermotherapy as hot backs C- Electro therapy as TENS, Laser, Ultrasound.

(1) TENS Placement of electrodes: Para-incisional and increase The intensity: Slowly in both channels until para-incisional area is numb also the intensity should be below the contractile threshold. Duration: 20 min Pulse duration: 80 us Pulse rate: 140 HZ Amplitude: sub-motor Frequency: 3-6 times/day

(2) Laser The probe of Laser should be perpendicular on the area of pain Dosage: 90 sec/cm2 Mode: continuous mode. (3) Ultrasound LUS (low dose ultrasound 0.5 W/cm2, pulsed mode, 1 MHz, 5 minutes) or HUS (high dose ultrasound 1.5 W/cm2, continuous mode, 1 MHz, 5 minutes) for approximately 1 week to enhance wound breaking strength in an acute incisional wound.

If the goal is to continue to facilitate collagen deposition and wound strength, then a low dose of ultrasound should be used when treatment is continued for 2 weeks. (4) Pulmonary physiotherapy: As breathing exercises (Diaphragmatic & segmental emphasis on collapsed areas). (5) Circulatory exercises

Phase II: Subacute stage: Early physiotherapy will minimize late stiffness of joints and weakness of muscles. Active exercises, either at home or in a physiotherapy department, is essential. Swimming is particularly valuable for mobilizing joints and strengthening muscles. Walking on soft sand in bare feet is good for foot, ankle and knee joint injuries Deep heat, such as short wave diathermy or ultrasound.

The END!