Liposuction with laic wording means removing  fat from the body with suction, mainly from the fallowing body parts: chin, abdomen, hips, thighs, knees, shank, etc.

This is not a method, which replaces the weight loss and diets, as with liposuction it could be removed more than 2000 ml of fat from those parts of the body where the weight loss and physical activity can not reduce or the fat.

This way or body is shaped. So this is the body creation and not reduction of body weight, nor a mending of appearance of skin surface.

On the contrary, sometimes after the operation skin can be more flexible.
This depends also from amount of disposed fat in certain area; it also depends on skin elasticity and from patient age.

Sometimes it is quite explicit in the inner and outer side of thighs, if a patient insists that doctor absorbs all fat, despite to doctor reminders.

Therefore we could also find on internet some unsatisfied patients, who are complaining or even worse, suing doctors for their job, even tough, they have demand it.

With liposuction doctors needs to leave for about one to two cm of subcutaneous fat, depending on body regions and anatomical circumstances of the body.

In the event that the patient also wants to thin this layer, patients must be aware, that there’s a possibility of uneven skin surface.

For Abdominal liposuction surgery, the patient is aware of the possible option of redundant skin, which will remain after liposuction.

There is always a possibility (if there’s a lot of fat to be removed), that doctors will suggest you, to simultaneously cut also surplus skin.

If patient decided not to do it, then is better to wait another six month from the operation, just to see how the skin is reduced and fixed on the bottom of abdominal wall.

In these cases it is possible to subsequently cut the skin if the patient is not satisfied with the outcome.

The scars are usually shorter than one cm and usually mature in one year time, meaning, that the visible colors from operation become less visible, or even spotless.

Time healing for scar tissue depends on the patient’s type of healing, but it happens rarely, that the scars are visible for a longer period of time; especially in the legs, knees, ankles and calves.

The look of the final scar will depend on the patient’s reactions to the body wound healing.

Working capacity of a patient after surgery depends on the job and the quantity of surface and liposuction that was done, usually to a few days to one week and patient could go back to work.

From all other possible complications, which may rise with liposuction, most commonly is bleeding during surgery (surgeon have no effect on that).

If this happened, surgeon needs to stop the operation immediately, even though we haven’t achieve final result with it; the result that we want it.

All patients are informed about this possibility. What will be the stage/level of bleeding is quite hard and impossible to say in advance, despite all the clinical and laboratory information which are done before operation.

Therefore, is impossible to predict 100 % in advance anything. In standard liposuction contains also from 10 to 20 percentage of blood. This consequently means, that with one liposuction we could remove max 2500 ml of fat, also depending on the patient Hb content and body weight.

Operative wound infection are also possible theoretically, although they are not observed so often.

After having liposuction surgery, a result can be permanent, if patient precisely follows these conditions:

• patient doesn’t gain more than 5 kg,
• doesn’t take any hormonal preparations, drugs (as contraceptive pills),
• if there is no hormonal changes( (such as thyroid disease, gynecological problems which could lead to change of hormonal status),
• pregnancy, childbirth, breast feeding (these conditions change hormonal status).

After liposuction surgery the swelling is still present.

The swelling after liposuction surgery is the worst one week after and finally disappear not earlier than in the fallowing three months.

The biggest swelling may be in the legs (knees, shank), therefore the result of liposuction surgery is visible after this period. In rare cases the swelling in the abdomen could be sometimes expressive, so the volume of the abdomen could be bigger than before the liposuction surgery.

Due to swelling patients are advised to wear special compression garments for a week (through all day).

Afterwards patients are advised to wear it also for next 4-5 weeks, but only during the day.

For the same reason they sometime recommend also lymphatic drainage after liposuction surgery.

This could be done immediately after surged areas don’t hurt anymore and pressures massage wouldn’t hurt either.

Fourteen days before the liposuction surgery you are not allowed to take medicine, which would affect blood clotting nor you are allowed to take hormonal contraceptives (before the surgery).

Surgery is not performed during menses.

But do not forget, that every patient is responsible for the true information that he/she gave about her/his medical condition, which doctor cannot verified with laboratory testing and clinical examination.

Superficial liposuction near the surface of the skin

For this procedure they use a very small probe (2 mm thick), which they treated just under the skin with muscle fat, the one that are responsible for cellulite.

This is the latest method of surgical treatment (liposuction surgery) of cellulite.

If a patient wishes, surgeon could make the correction of cellulite after liposuction surgery.

Many small scars are reduced later and they tighten up skin, which is known as a lifting. This is especially explicit on the buttocks, on abdomen and breasts.

The result is one again depending on patient organism, therefore no-one could give you guarantee for the outcome.

Hydro liposuction

Hydro liposuction means, that in area where surgeon will suck out the fat, there will also be injected special liquid which will help to dissolve fat cells.

At the same time, there is also done anaesthetize, which mean that a small dose of narcosis will be allowed.

This enables the patient to go to home after few hours after the operation.

Painkillers are effective also 10 hours after the patient is already at home, resting in bed.

Pain occurs on the fallowing day and only in the movement. So when patient is resting there is no pain so a lot of patient doesn’t need painkillers (analgesics) after liposuction surgery.

It is not advisable to take Aspirin, as it causes bleeding. But it is allowed to take some other medicine such as: Lekadol, Ketonal, Movalis, Brufen, Nalgesin etc.

A poison that can’t compare to anything, when used in higher dose than normal

Many people say often: “Looks good, but this is due to Botox“. Someone else would add, that precisely because of Botox, someone look quite terrifying. Therefore it is not surprising, that Botox have gained such reputation.

As I already mentioned in my previous post, Botox (botulinum toxin) is a natural purified protein produced by the bacterium Clostridium botulinum. Substance stops stimulation on the path from nerves and the small facial muscles, which creates facial expression.

It is injected in very small quantities and it’s causing relaxation of mimic muscles and prevents their consciously and subconsciously contraction.

The skin over the muscles therefore becomes more soft and smooth. It only works on selected muscle (injected with Botox), other muscles, however, operate normally.

Botox is effective at smoothing medium or strong expressed wrinkles, and it’s not appropriate for to remove or smooth scars. For removing scars, patient is opted for surgery.

Botox is most commonly used for removing wrinkles on the forehead, between eyebrows and wrinkles around eyes. Moreover is also used to remove wrinkles from neck, chin or décolletage.

One therapy usually takes around 15 to 20 minutes and is done without narcosis or local anesthesia, as this is done with a very thin needle and the pain is bearable.  In a lot of magazines and on the internet we can find many photos of famous people, which have been treated with Botox.

There are always pics from before and after the intervention. Some are happy, the other are not, and there are also ones, who are reminding us to danger that injection of Botox could cause us. I have find out talking to a plastic expert, how true are the rumors. I find out the following;

Botox is not recommended if:

• you have any muscle disorders,
• you are pregnant or breastfeeding,
• you have problems with the injection of medical products into muscles, inflammation or deterioration of the muscles,
• are already consuming aminoglycoside antibiotics or drugs for muscle relaxation,
• you have active inflammation in the part of your body you want to be treated,
• you had surgery in this part of the muscle,
• you have inflammation in the muscle where you want injection
• you have problems with swallowing or breathing
• you have any problems with the muscles
• if you are planning operation in injected area

Botox could be very dangerous when used by laics, people with no experience or knowledge.
Botox was first used in 2002 and with it each year are performed millions of interventions, using Botox.

Recently, especially in Great Britain, you could find a lot of articles about side effects, which are caused by using Botox.

The authors indicate possibility that individuals have problem, because treatment was done by an incompetent person. These days you could easily purchase Botox from the Internet.

I have come across with many articles, where in USA on a “Botox parties” a lot of things are happening, and a lot of Botox users use it freely on each other. Very important is that injections are done in only certain parts of the body /face, specific muscles on which you want to do mortification.

Therefore is highly recommended and essential that is done only by experts, and not laics.
Before any intervention or injections experts will always talk through all possibilities with patient, and also find out about wishes and expectations.

It’s very important to know, that there are two sorts of wrinkles; hyper-kinetic wrinkles, which are result of the muscles activity, and wrinkles which are due to »tired« skin. And Botox works only on hyper-kinetic wrinkles.

Also is very usefully to have discussion before the injection, because of the potential contraindications. Moreover, Botox is equally effective on elderly and young people, but it depends on muscle strength, which is declining with elderly people.

The effect lasts three to four months, and is renewed with continues treatments.

It also works against sweat

Botox is not used only to reduce wrinkles but also to treat/prevent excessive sweating. Botulinum toxin paralyses sweat gland in the treated area and after therapy sweating completely cease.
The medicine is effective only at the spot, where injection have been done and is not absorbed into the body and does not act systemically in the body.

The treatment is not harmful for the body. The spots for treatment are armpits, hands or feet, but the effect lasts for eight to ten months and is not renewed with each new therapy.

Almost everyone is satisfied

So, what is going on with unsatisfied patients? Botox can be used in one week time, after that is not recommended to use it for another three months, it’s strictly forbidden. After three months the effect is reduced and skin regain state as it was before treatment.

Unsatisfied patients are minimal, maybe from two to three percent, but most of them are happy and will always return. These are information which I received from expert. In small talk – “it’s like an addition”. Botox is also called “elixir for youth”, as after the treatment appearance on the skin is more “shiny” and relaxed.

Expert I talk to does from 80 to 100 interventions every year. And the number is increasing.  Customers are manly women (eighty percent), but interest for rejuvenating therapy is among celebrities as also among ordinary people.

It is the same effect as with woman and man treatment, but with man is usually used slightly more substance, because they have stronger muscles.
Few interesting things – after the intervention with Botox, in the fallowing three days, you should not be taking drugs that affect blood clotting (aspirin, anadol …).

Four hours after treatment shouldn’t massage your muscles, but it is advanced to move it a bit. It’s also very advisable and recommended to use cold compress to prevent bruises and pain.

Poison that can’t compare to anything

It’s very interesting that Botox is most poisonous natural substance in nature. But has a very high »security window«. This means that a doctor should inject 500-times higher dose than normal, that would be fatal (lethal dose is 500).

A lot of other drugs are more dangerous than Botox.

For example; certain heart drugs have lethal dose 5, means, that if you take 5 tablets instead of one, you are dead.

Therefore, experts say, if you know how to use Botox in right quantities and on the right muscles – then this could be as medicine. But in the quasi-hands could be very dangerous.

Que (waiting time) and prices – ques varies from expert to expert. But on average, you will probably wait two to four weeks, sometimes more than a month and a half, and the rest only a few days.

Also prices are very different; in some clinics starting at 200 Euros or less, the rest in more than 300 Euros, but the price depends on the amount injected Botox.

Complications

During the procedure may appear slight bleeding, which stops almost immediately after the injection. Immediately or with a delay may occur the following reactions: allergy to the substance of preparation, sore, bruise (visible up to one week), redness or pain, sometimes associated with the itch, which can take several days.

With vertical smoothing between the eyebrows, 0.5 percent of patients experience serious problems with the temporary lifting of the upper eyelids, which disappears within three weeks.

Therefore, I would recommend, use Botox with caution. Try to find out as much as you could before intervention and do think through, if you really needed.

Instead of Botox, I would recommend you, to smile as much as you can, and look positively on life ahead.

That’s the best treatment you can give to yourself.

What is Botox / botulinom toxin?

It is a natural purified protein produced by the bacterium Clostridium botulinom. Botulinum toxin (Botox, Dysport) is working in terms of temporary impairment of muscle (impairment lasts 3 to 6 months).

It stops pulses stops on the route between nerves and muscles. Extremely small quantities of Botox are specially manipulated in the injections, and are then injected into facial muscles to prevent wrinkles in the skin. It works only on those muscles, in which it is injected, other muscles, however, operate as usual and create a normal appearance of the face.

What is Botox used for?

Botox is primarily used for so-called mimic or expressive wrinkles in the forehead and areas around the eyes for so called periorbital wrinkles. It is used on other areas of the face as well, but this increases the risk of paralyzing groups of muscles, which are essential for normal mimic of the mouth or facial muscles, which may lead to a sense of partial paralysis, but it is aesthetically very unfortunate.

Who is a candidate for the treatment with Botox?

Botox treatment is popular among people who want fast, efficient and non-invasive method of repairing the face of lines and wrinkles. From the outside corners of the eyes, the so-called “Duck tack” or “laugh wrinkles”, forehead wrinkles on the nose and between the eyebrows, raising eyebrows, wrinkles on upper lip and wrinkles on the neck. Botox treatment can be mitigated and settle a wide range of face lines and wrinkles in a simple 10-minute operation and is suitable for people between 18 and 65 years of age.

Application

The process is fairly simple, but requires a good knowledge of anatomy and surgeon experience. Botox can be injected only by a doctor, which also applies to other injection therapy, that are used in aesthetic surgery today, such as RESTYLAN, collagen, etc.. This is very important in particular because, we had in practice the opportunity to see patients who have been injected in cosmetic salons, and completely non-medical people. Some interventions and complications that were identified in these cases were extremely unpleasant. Botox, which must be frozen and remain such until the time of injection, injection in the wrong place, or in the wrong layer of tissue may cause ptosys of eye eyelids or another part of the face of face, which is very inconvenient for the patient, although the situation returned to normal within a few weeks until a few months.

Botox is injected through very small, thin needles in exactly the muscle tissue, which is supposed to fix. Neurotoxic components lead to inhibition of the release of neurotransmitters acetylcholine and thus in the absence of further shrinking the muscle, causing the accumulation of skin and the creation of wrinkles.
The process of injection lasts from 5 to 10 minutes, depending on how many areas of the face we want to treat. After the treatment the area in which it was injected, Botox should not be massaged, but the patient may immediately return to their daily activities. In individual cases it may occur transient redness on the part of the skin, which disappears within a few hours. The major effect is seen within 2 to 5 days, where the disappearance of wrinkles is very obvious.

Results achieved with injections of Botox, last about 6 to 8 months, and then it is necessary to repeat the process. Otherwise, the situation is slowly beginning returned to their original condition.
Today, Botox is considered as a reliable procedure with very few side effects which are even lower, when Botox is injected by experienced doctor. In addition to drastically reducing and even removing wrinkles, it also acts preventive, thus preventing the formation of new wrinkles that are inevitable in the aging human face.

However, this method of disposing of wrinkles will not prevent the need for FACE LIFTING, which allows the removal of excess facial skin and neck, or even correction of eyelids, which removes excess skin and subcutaneous fat in eyelid pads. Botox certainly represents another step forward in maintaining a better and more fresh appearance, which requires the least effort.

The best example of the popularity of Botox are the recent Oscars nominations in Los Angeles. Dr. Frank Kamer, one of Hollywood most distinguished surgeons, whose patients include Michael Douglas, Catherine Zeta Jones, Liz Taylor, Sinatra and others. From dawn to twilight he is fully occupied exclusively by injecting Botox injections. Because of this assault, he unfortunately, had to terminate all operational interventions for two whole weeks.

It is believed that after the registration of Botox by the FDA only to reduce and remove wrinkles on the face, its use will significantly increase and the proportion of people with the wrinkle-browed, and around the eyes will be rapidly decreased. But is this really so important? Of course not, but it is good to know that we have a choice and if we decide to do something for our self and our face and to improve the well-being in our own skin, we have always this option.

Risks

As with all medical procedures, it should be noted on the possible side-effects in the use of Botox. Even with ideal candidates the treatment may cause minor side-effects (temporary paralysis of various muscle groups, allergic reactions, swelling at the site of injection). The vast majority of side effects disappear within a few days, rarely in a few weeks after the operation. Only few patients are allergic to Botox. Candidates, who are considering an intervention with Botox, should consult a doctor before the operation. We will gladly answer your questions and concerns about the affect of Botox. Interventions with Botox are safe and effective because each patient is treated individually.

Benefits of Botox treatment

The advantages of using Botox injections are placed to the most popular method of cosmetic operations. Interventions with Botox give your face a young, refreshing look. Search among the information on the use of Botox and its advantages. The biggest advantage to the prejudice Botox is to erase the effects of aging in your face and that removes wrinkles and lips practically in a few days. Duration of the effect of injection is about 4 to 6 months. After multiple repetition of the mime face permanently returns to the original position and the long term, prevent the formation of wrinkles in certain parts of the face. When using Botox there is very little risk as we eliminate possible risk groups such as pregnant women who use certain medicines and patients with certain neurological diseases on the medical review.

Side effects in of Botox:

• Less numbness or rag around the injected area
• Minor swelling around the injected area
• Allergic reaction to Botox
• Nothing improving after operation
• Headache (temporarily)
• Insomnia (temporary)
• Falling eyebrow or eyelid (temporarily)
• Flu-like symptoms

What else can Botox also be used for?

Botulinum toxin (Botox, Dysport) is also used to treat hiperhidrosys (excessive sweating). Botulinum toxin paralyses glands dress, responsible for the intense sweating field. Injection sites are armpits, hands or feet. Therapy works from 8 to 12 months.

Botox can make you younger or it can kill you!

For more than 600 people in the EU in 2007 Botox had negative consequences, for the 28 even deadly. The European Medicines Agency (EMEA) confirmed that more than 600 people, who received botox, had a serious problem for the 28 patients the injections were lethal.

In 2007, the European Union sent a letter to health professionals in which they pointed to the risks associated with this toxin.

In 2008, the Food and Drug Administration (FDA), the American institution of medicine, noted that the use of Botox can be dangerous, even deadly, in the case of overdoses.

Botulinum toxin, which blocks the transmission of nerve stimulations and leads to paralysis of individual muscles, is used in the cosmetics industry and is injected for smoothing wrinkles and facial rejuvenation. Experts are pointing out that it is a toxic substance, forty times more toxic than cyanide.