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Liposuction, famously known as Lipo, is a cosmetic surgery that uses suction to remove excess fat from specific areas of your body. There are various types of Liposuction you need to know, as well as their advantages and disadvantages, so you can choose the best kind of Lipo procedure to get your desired body shape. Tumescent Liposuction The most common type of Lipo procedure is fluid injection or Tumescent Liposuction. This procedure involves injecting the fluid into the areas that you opt for the procedure. The medication fluid contains a mixture of local anaesthetic (lidocaine), a drug that contracts the blood vessels (epinephrine), and an intravenous (IV) salt solution. Each has its functions for the process to be done; however, IV is the one that helps to remove the fat easier, whilst lidocaine is the one that allows numbing for the surgery area, and epinephrine helps to reduce the loss of blood during the process. The advantage of this type of procedure is that it is less pricey than the other. But, most importantly, due to the mixture of the substances used, this procedure is also easier to identify and remove the fat; less bleeding, swelling and bruising. Ultrasound-assisted Liposuction (UAL) Ultrasound-assisted Liposuction is a procedure that uses high-frequency sound waves or ultrasonic vibrations to dissolve the fat and makes them easier to remove using the suction technique. This procedure is often used on harder fat, such as on the male chest, upper back or other areas where traditional Liposuction may be difficult. One of the advantages of this procedure is that it is quicker to safely remove the tougher fat in a more significant amount with fewer chances of getting a bruise or bleed. But, there is still a possibility of getting burned due to the high-frequency rays produced by the ultrasound. However, most people still opt for this procedure if they particularly want to remove the harder fat. Laser-assisted Liposuction Laser-assisted Liposuction is quite similar to Ultrasound-assisted Liposuction, which converts the fat into liquid form before the fat uses laser techniques. Then, the fat that has already turned into the liquid form will be suctioned using a cannula. Since the lasers are tiny and easier to control, they will break down the fat more efficiently than other procedures. Another advantage of Laser-assisted Liposuction is that it heals quicker, is less likely to get scars and can do it on rare areas such as your face. Lasers also can make your skin look firmer and younger because it has a tightening effect on your skin. Even though lasers are tiny, they also can create such powerful heat; hence, it is still possible for those who opt for this procedure to get burned, but it is rare.

Liposuction is one of the most famous surgeries in the world; however, like any other surgery procedure, a qualified plastic surgeon in a certified centre avoids any unwanted circumstances. In this topic, you will learn what to prepare before you go through this procedure. What can you do to prepare for a Liposuction? Avoid shaving, especially in the area which is going to be treated, since this action might increase your risk of getting infected. Avoid tight clothes and wear loose, comfortable clothing, especially on the day of surgery. Plan your trip wisely and you might consider finding a helper to assist you, especially after you get the surgery done. Taking a taxi or public transport is not advisable for your surgeon. A helper can also take care of you while recovering from the surgery. Stop smoking. Smoking can narrow your blood vessels and it might cause complications during and after the procedure. Some medicines like aspirin can cause your blood to become thinner. It is crucial to consult with your surgeon regarding your medical conditions, including the medications and supplements that you are taking. Plan your schedule. It would be best if you took some time off from your work to make sure you focus on a healthy and safe recovery. That’s why most people who opt for this procedure will consider doing it during a holiday when their responsibilities are limited and they spend most of their time resting.

How do I choose which scar gel to use? -------------------------------------------------------- Everyone of us has scars, as they are a part of our life journeys. However some scars are quite obvious and unsightly, and some even cause us to feel discomfort like itchy or pain. Let's discuss what are scars, when and how to treat them, and also what are the future developments in scar management? What are scars? ----------------------- Scars are collagen tissue formed by our bodies following any wound. Once we have an open wound, be it from traumas, surgeries, burns or ulcers, the skin will undergo the 3 phases of wound healing. These phases are the Inflammatory Phase (first 2 weeks), Proliferation Phase( 2weeks to 3 months) and Remodelling Phase ( 3months to 2 years). The final scars that we see are the result of collagen deposition following these phases, meaning that the more collagen that is produced, the more prominent the scars will be. What is Keloid? ----------------------- Keloid on the other hand, is a scar that has become extensive and disturbing. The word Keloid comes from Latin origin, meaning Crab. They imitate the action of a crab that claws out of their original wounds to invade the surrounding skin. Who gets Keloid? ------------------------- Keloid can be passed amongst family members but sometimes it can be sporadic. Generally, if you are in adulthood and never gets Keloid before, it is quite unlikely to acquire a new one. However, you may still get a Hypertrophic Scar, which is also an elevated scar but less extensive that Keloid and easier to treat. Studies also have shown that Keloid happens at very specific locations such as the Deltoid, Sternal, lower abdominal, back and Mandibular areas. It is very rare to happen on the other parts of the face, with the exception of Ear pinnas. How to treat a scar or Keloid? ------------------------------------------ The treatments of these conditions must be tailored in accordace to the principle of wound healing that I discussed earlier. Remember, they are not lesions in the actual sense, meaning that they are part of out healing process. Thus, performing certain procedures, like surgically exciting the scars may end up creating more problematic scars at the exact same site. The best surgical technique is call Intralesional Excision where we remove just the content of the scar tissue and combining with other modalities such as steroid injection or topical chemotherapy application or low-dose radiotherapy. I have been using scar gels but it's not working, Why? ---------------------------------------------------------------------------- The 2 most common mistakes of using scar gels are 1) Wrong timing 2) Wrong technique 1) The best time to apply scar gels is during the end of first and throughout second phase of wound healing. That means but the end of the first week until the 3rd months. This is when the collagen is still fresh and applications of scar gels will directly affect the scar formation. When the application is done after the 6th months or even 1 year after wounds started, the collagen is already being remodelled and hardened. Sometimes the doctor will do procedures like LASER treatments or Surgeries to refresh and resurface the scar. These procedures essentially revert the scars back to the first phase of wound healing and this is why scar gels can be used again. 2) As for the technique of application, the scar gels should be applied using a deep massage and pressed onto the scars. The most common mistake is when you apply with a gently layering on top of the scar surfaces. This will not only lead to faster drying of the gel, but also minimal effects to the scars themselves. Which brand should I use? -------------------------------------- There are many brands of scar gels in the market. I am not going to promote any specific brands but will give a guide as how to choose the ingredients. a) Silicone gel example : Dermatix Advance, Dermatix Ultra This type or ingredient is good as it will be absorbed into the healing scar areas. Silicone will help during the proliferation phase as it will provide hydration and reduce the surface tension. b) Vitamin E and C example: Dermatix Ultra This is another good ingredients as they offer antioxidants properties. Antioxidants will assist in reducing the darkening effects of post-inflammatory hyperpigmentation. c) Onion extracts example : Mederma Contains anti-inflammatory compounds and phenolic antioxidants that reduces pigmentation and acute inflammation on the scars. d) Kojic acid / Arbutin example : SkinCeuticals Phyto Acts as depigmenter agents to lighten up scars. d) Silicone Sheet example :Cica-care Gel Sheet Acts to reduce scar surface tension and promotes skin hydration. Usually this can be used in combination with scar gels. e) Green Tea extracts Example : Tosowoong Essence Also contains antioxidants to reduce inflammation and hyperpigmentation of scars. Other than the correct TECHNIQUE AND TIMING of using scar gels, these following tips also will help to improve the scar appearance 1) Avoid direct sunlight on the scar as this will stimulate more pigmentation from melanin formation. If needed used oral or topical sunscreen. 2) Eat a lot of natural antioxidants such as coloured vegetables and fruits. They can further improve the scar appearance. 3) During the wounds healing process, it is important to follow the doctors instruction and ensure the timely healing. Delayed healing, be it due to infection or wound breakdown, will eventually lead to excessive scar formation and even Keloid. 4) Drink plenty of water, exercise regularly and get enough sleep as a healthy body will definitely assist in scar healing. 5) Do regular scar massage as advised by your doctor. I hope this information will be useful to all of us for daily use. Please share it around with your loved ones. Dr Wan Syazli Plastic Surgeon.

Liposuction or Lipoplasty is one of the most known cosmetic surgeries if you want to remove the fat from your body using suction techniques at some specific regions of your body. You must be within 30% of your stable weight if you want to proceed with the procedure. In addition, this procedure is not typically considered an option for a solely weight-loss method or alternative. Well, if you want to remove fat from specific areas to enhance the contour of your body shape, you may opt for Liposuction. If you are considering Liposuction, you should discuss the benefits and effects with your surgeon before deciding. People usually choose Liposuction because they want to remove fat from areas like the abdomen, upper arms, buttocks and other areas that have not responded to diet and exercise. You shall have to maintain the ideal diet after the surgery to achieve permanent results because the fat cells are removed permanently during Liposuction (in the areas of the surgery). However, if you gain weight again with new fat cells, it will generally go to different areas of your body.

TIPS PENJAGAAN LUKA PEMBEDAHAN SETELAH DIBENARKAN DISCHARGE DARI WAD Masa yang paling di tunggu-tunggu setelah selesai rawatan adalah apabila doktor memberi keizinan untuk pulang ke rumah. Berikut adalah beberapa tips mudah untuk memastikan luka sembuh dengan baik. 1) BAGAIMANA MENGAWASI LUKA DARIPADA TANDA TANDA JANGKITAN KUMAN? Jangkitan kuman pada luka jahitan akan mengakibatkan keradangan kulit atau 'inflammation'. Tanda keradangan ini adalah sakit, kulit kemerahan, bengkak, ada cecair seperti nanah atau discharge, dan rasa kesakitan. Jika ini berlaku, segera berjumpa doktor yang merawat. Jangkitan kuman yang dibiarkan melarat di kawasan jahitan tanpa rawatan boleh mengakibatkan kesan samping seperti luka terbuka. 2) BOLEHKAH LUKA TERKENA AIR MANDIAN ATAU SABUN? Tempoh selama mana luka sepatutnya dibiarkan kering bergantung kepada pakar bedah yang melakukan jahitan tersebut. Bagi saya, untuk luka di muka saya sarankan dielakkan terkena air dalam masa 2 ke 3 hari pertama. Setelah itu, boleh dilalukan air bersih tetapi tanpa sabun atau bahan kimia lain. Namun, jika ada keraguan, segera bertanya doktor. Dressings dari ward seeloknya dibuang selepas hari kedua pembedahan. Bagi kanak-kanak kecil, jika risau akan menggaru luka, setelah disapu ubat cmc, plaster baru boleh ditampal dan dibiarkan selama sehari dua sebelum digantikan. 2) PERLUKAH MENGGUNAKAN SAPUAN ANTIBIOTIC DAN BERAPA LAMA? Antibiotic terdiri dari jenis sapuan seperti chloramphenicol atau cmc dan jenis yang dimakan seperti augmentin atau lain-lain. Samada antibiotics perlu atau tidak, ini akan bergantung juga kepada doktor yang merawat. Namun apa yang penting, jika antibiotic diberi, amat penting untuk mengikut dos dan waktu yang tepat. Sekiranya antibiotic tidak dihabiskan secara tepat, fenomena resistance boleh berlaku di mana bakteria menjadi kuat dan antibiotic tidak dapat bertindak lagi. Tips ini berguna untuk semua prosedure seperti aesthetic plastic surgery, liposuction, breast augmentation.

Many people asked me, what is plastic surgery....? To laymen, it is a practice with the main objectives are to beautify people, to fellow doctors, it is very-diverse surgical specialty, to insurance company it is a major source of headache and to me, it is still an enigma... In plastic surgery we do liposuction, breast augmentation, abdominoplasty, otoplasty and other cosmetic surgery.