In my clinic we have started a liposuction protocol addressed to post-menopausic women, since the fat tends to accumulate at the back and the flanks, making the waist lose shape.
When woman reaches the perimenopausic period, she suffers hormonal changes, based on the alteration in secretion of two hormones - mainly progesterone and estrogen. A part from all physical manifestations caused by these hormonal changes, the decrease of these hormonal levels causes a significant change in body fat distribution, in a way that this fat tends to accumulate in new areas, creating an androgenic fat distribution (masculine).
The main zones where the fat accumulates in a woman during this period of life are the back, flanks, preaxillary zone of the breast and inner aspect of the arms.
In these areas, applying conventional liposuction, small fat volume is aspirated it being very difficult as well. With the aid of powered liposuction an easy aspiration can be performed and the skin retracts very well.
The back zone
Liposuction is performed only in women requiring so. In post-menopausic women, due to body fat redistribution, this area usually requires treatment. We perform powered liposuction allowing fat aspiration with minimal bleeding and inducing more skin retraction. The final result is enhanced using superficial liposuction with very thin cannulas eliminating the remaining irregularities. From the incisions utilised to perform liposuction within the back, we also can reach the zone of the tail of the breast and aspirate the required volume.
Breast preaxillary zone
They are treated from back incisions with the same protocol. Usually, they are fat deposits that, forming a roll, are located beside and lateral to the fold occupying the lateral area towards the back.
Within the flanks of young woman no deposits are found since it corresponds to androgenic fat distribution. The deposit in this area in post-menopausic women represents a serious concern. Powered liposuction is applied obtaining good aesthetic outcome.
The liposuction of these characteristic zones in post-menopausic women associated with liposuction of classic zones allows the patient to recover a feminine and youthful shape. With powered liposuction assistance satisfactory outcomes are obtained.
Leg fat is different
The distribution and proportion of localised fat on female legs and ankles is genetically pre-determined. Women who have a disproportionate and displeasing distribution of fat on their legs often find that this fat is resistant to diet and exercise.
Leg fat is superficial
The fat on the legs and ankles is composed mainly of relatively superficial fat. There are no deep compartments of fat on the leg and ankles. Consequently, liposuction of the legs is necessarily done rather superficially and has an increased risk injury to the subdermal vascular plexus. Because of the effects of gravity, the veins in the legs and ankles are especially susceptible to the long-term effects of vascular injury.
The area behind the knee (popliteal fossa) contains important nerves and blood vessels that are vulnerable to injury by a liposuction cannula. Liposuction in this area should never be attempted.
Care after liposuction of the legs
After liposuction of the legs or ankles, persistent swelling of the ankles and feet can be an annoying problem without the use of the technique of “open drainage”. With open-drainage (incisions are not closed with stitches) post-operative swelling is minimal and resolves within a few days.
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