3D Liposuction - Liposculpture — Μιχάλης Κουτσούρης

3D Liposuction – Liposculpture 3D – Safelipo

3D Liposuction-Liposculpture (3D-SAFELIPO) is a revolutionary evolution in terms of Liposuction techniques, with which we are able to correct once and for all problems in the human body contour.

It is a BRAND-NEW TECHNIQUE, with no obvious incisions, just a slight nuisance and low risk, able to provide highly monitored, predictable, permanent and definite results.

The 3D Liposculpture (SAFELIPO)’s success has placed it amongst the most popular plastic surgery operations, since it allows our body contour to be reformed in a completely secure, effective and obvious way.

Namely, the 3D Liposculpture:

Contributes in removing the anti-aesthetical saddlebags and other local lipodystrophy points
Allows us to operate in asymmetrical, deformed or tissue-absent body areas by TRANSPLANTING there part of the excess fat we have removed from other areas during the operation and
More than ever, with this new 3D Liposculpture (SAFELIPO) technique we can correct iatrogenic malformations. In other words, we can correct failed incidents of Liposuction from any other doctors in the past where the conventional Liposuction method has been applied.

How is Liposuction performed? (conventional technique)

Liposuction is a very wise surgery choice and its philosophy is far from a simple suction of the excess fat.

In contrast to all the rest plastic surgery operations, lancet is not used (apart from the very beginning of the operation, so as to open tiny incisions) and no skin is removed along with the fat, thus no scars remain.

Liposuction is performed with fine surgery instruments, the Liposuction “cannulas” through very tiny incisions on the skin, using a special suction device.

The incisions, into which the cannulas are inserted, are placed in strategic spots next to localized fat deposits, whereas the decision of the incisions’ place is of utmost importance for the overall outcome of the operation.

In fact, we could call it a “blind” surgical treatment since there is no skin removed and the whole process is performed through tiny incisions on it.

Actually, the operation is not controlled by the eyes – but by the hands. It is an operation performed in space rather than the plane. This makes the whole procedure highly demanding, if we aim to an impeccable result.

What are the instruments used for Liposuction?

The surgery instruments used during the Liposuction consist of:

A suction device, which is a vacuum pump creating negative pressure and suctions fat through a tube and stores it in a special container and
a canula (i.e. a handle) of about 25-30 cm in length and 2,5-5 mm diameter which ends at a rigid tube.The Liposuction cannula tube is shut off on its edge, while there is one (or more than one incisions at a closer point. Through those incisions, when the Liposuction canula is attached to the suction device tube, then the body fat suction is performed.

Due to the fact that the edge of the canula’s metal nozzle is blind and the incisions from which fat is being removed are 1 or 2 cm closer, when the canula is inserted in the subcutaneous tissue, suctions fat without traumatizing at all any nerves or blood vessels, thus making it a completely safe surgery instruments.

How was Liposuction (conventional technique) performed in the previous years and what is the modern technique of the 3D Liposculpture?

It is worth mentioning that Liposuction is a delicate operation with several secrets and particularities.

Most Plastic Surgeons in the past, but also many of them even nowadays, only mind about removing the excess fat without paying attention to the final body contour. This, consequently, causes a lot of post-surgical complications and mediocre or low aesthetic results.

Surgeons practicing the conventional Liposuction technique make markings on a patient in an upright position and then operate in the prone or supine position.

The problem with this old Liposuction technique is that when the patient is in an upright position, every misshape can be clearly seen on his or her body (i.e. saddlebags, body girths, hollows, asymetries)

Nonetheless, when one lies down, the lipodystrophy areas of the body are pushed by the operating table and get deformed. As a result, the surgeon does not know how much fat he should remove and from which area.

Needless to say that when the patient is supine, sits on a fat area that we wish to remove, a thing that puts the safety of the result in danger.

In fact, due to the patient’s body position, the surgeon cannot know when to stop liposucting. Therefore, there are several incidents after liposuction with iatrogenic hollows or asymmetries in the areas where fat has been removed.

The best way of intervention would be operating the patient in upright position so that we are able to see how the area looks like after liposuction. However, this cannot happen from an anesthesiologic perspective.

Nonetheless, what can be done (and this is what the 3D Liposculpture -3D SAFELIPO is for), is operating the patient lying on the operating table but having his body positioned in a way that it simulates upright position.

But, what exactly the revolutionary 3D Liposculpture – SAFELIPO is, that is being used nowadays?

The brand new 3D Liposuction technique is a form of three-dimensional Liposuction during which we get to fully control our body contour, since we have the ability of removing with precision the excess fat, as well as transfering / transplanting part of the fat we eliminated in atrophic areas with equally high precision.

With the new Liposurgery technique we operate the patient in lying down, yet in a position similar to the upright one, resulting in seing exactly the procedure and the result of the operation.

With the new Liposculpture technique we can operate and improve the skin’s flaccidity of the waist or perform a buttock lift, for instance – a thing that cannot be done with simple Liposuction.

For the new Liposculpture technique, it is of great importance to mark wisely all points where the Liposuction canula is going to be inserted and the areas from which fat will be removed. This way, we could succeed in a balanced and homogenous result, without any exaggerations or deficiencies and iatrogenic misshapes.

“After all, what is important in Liposculpture is not how much fat is going to be removed, but how much will be left.”

What kind of anesthesia is administrated during the 3D –3D Liposculpture (SAFELIPO)?

During the 3D Liposuction-Liposculpture, local anesthesia,mild narcosis, epidural or general anesthesia can be administrated.
The anesthesia is customized depending on the grade of the problem and level of topic lipodystrophy.

For a low-level lipodystrophy, for example, in the areas between the thighs and knees or in the lateral abdominal walls, we prefer to perform local anesthesia, alone or combined with mild narcosis. However, for cases with multiple lipodystrophy areas (such as buttocks, waist, belly, shins) we strongly recommend the option of epidural or general anesthesia for optimal operation control and maximum patient’s safety.

All four anesthesia methods mentioned above are extremely safe for the 3D SAFELIPO operation, given that they are being conducted in an appropriately destined surgery environment.

Which are exactly the 3 stages of the new 3D Liposuction-Liposculpture (3D-SAFELIPO)?

STAGE 1: The patient is examined in UPRIGHT POSITION so that we can clearly see where the excess fat is allocated and the area is marked by a special marker. Not only the area from which excess fat has to be removed is marked, but also the adjacent areas in which there is tissue deficiency. This has to be corrected adding / transplanting part of the extracted fat.

STAGE 2: the patient is subjected to anesthesia and is placed in RIGHT LATERAL DECUBITUS POSITION on the surgery table (like side-lying to sleep). NEITHER in the prone NOR in the supine position.

This body position is of utmost importance for the new Liposculpture technique.

Placing the patient in a lateral decubitus position, a special pillow is placed between the legs to aid in spinal alignment, and to remove pressure from the lower leg and bony prominences. This way, we succeed in simulating the lateral upright position and the patient, whilst being laid down, is treated like standing on his or her feet.

This is very important for the operation procedure because from the lateral decubitus position we are able to control with high precision the quantity and the position of the excess fat that will be suctioned with the surgery canula, but also the body areas that might be asymmetrical or hollowed and can be corrected by transplanting part of the body fat we have already suctioned. We could not attempt something like that if the patient was in prone or supine position.

The plastic surgeon during the Liposuction uses his left (usually) hand instead of his eyes, so as to be able to constantly check the tissue’s thickness and flatness which, combined with his vision and overall perception, can contribute in a well-executed and balanced result.

So the surgeon’s right hand handles the Liposuction canula removing excess fat, whereas his left one is responsible for the final result.

When the patient lies in the RIGHT LATERAL DECUBITUS POSITION on the surgery table, we can perform Liposuction in a totally controlled way all over the lateral side of the torso (i.e. from the calf to the armpit.

The 3D-SAFELIPO is very different compared to the conventional one. This is because in the latter, the doctor begins liposuction after performing local anesthesia on the area.

However, when it comes to the 3D-SAFELIPO new technique, before starting liposuction we utilise a specially designed canula with which we inicially liquify the subcutaneous fat and then separate skin from the adipose tissue. Right after, fat is aspired using the typical canula and the liposuction is completed with the creation of a homogenous blanket with the aid of a special canula so as to avoid any bumps, hollows and fat residues (fat equalization).

STAGE 3: The patient continues in the right lateral decubitus position. After Liposuction of the lateral body surface comes TRANSPLANTATION OF A PART OF THE REMOVED FAT towards any atrophic spot (in the buttocs or wherever it is needed).

Practically, part of the fat suctioned from the “saddlebags” or other areas of local lipodystrophy, is stored in a sterilized container and subsequently, after it is centrifuged, it is then transferred in a concentrated formthrough super-fine cannulas (of diameter just 1,5-3mm).

With those cannulas we can transplant fat in body areas that are deprived of it or in parts we wish to point a person’s femininity, by improving the natural curves.

Once Liposculpture has finished on the RIGHT LATERAL SIDE, the patient is positioned the other way round, in LEFT LATERAL DECUBITUS POSITION where we get to operate on the left side of the body and in the end the patient is positioned in the supine position (face up), where we get to rectify the belly area, the inner thighs and knees.

With the new Liposculpture technique the patient actually is altered 3 positions on the surgery table:

RIGHT LATERAL SIDE
LEFT LATERAL SIDE
SUPINE POSITION (face up)

Most probably, this is the only way for a completely safe and controlled aesthetic result.

With the new 3D Liposuction-Liposculpture technique we are able to perform a Buttock lift or augmentation?

Absolutely. The new Liposculpture technique is indeed innovative because not only can we give volume but also lift the buttocks. This can be attained in two ways:

1. Transplanting fat in specific areas in the gluteous. Usually we inject 130-250 ml of pure fat in the upper outer quadrant of either buttock, thus curves are improved and gluteus looks rounder. Also, if 500-800ml of pure fat is injected in deeper points of the gluteus, we can achieve in augmenting its volume and its projection.

2. Putting a special elastic tape on the gluteus laterals able to pull the area’s skin upwards and backwards. This way, it can be re-positioned.

Due to the fact that after liposuctioning the gluteus laterals, we have set the adipose tissue free from the deeper tissues, we can lift the buttocks from 2 to 7 cm. This can be achieved because the skin that has been released from the liposuction is attracted by this special tape and finally stabilizes in a new position 3-7 cm higher.

The elastic tapes remain in this position for 4 days so the skin “sticks” on this new position and the result of the buttocks’ lift is permanent.

What should we do right after the 3D Liposuction-Liposculpture?

After the operation, the patient wears an elastic corset to take hold of the buttocks in their new lifted position and protects the area from a possible swelling. It is a special liposuction corset designed so as to allow all kinds of activity.

The special elastic tapes of buttocks lift are removed within 4 days whereas the corset has to be worn by the patient for 10 consecutive days and then, one more month without wearing it at night.

The patient can leave the clinic and go home with instructions right after the surgery when we correct small areas of lipodystrophy (usually with local anesthesia).

Nevertheless, in cases of high grade of lipodystrophy and several areas operated, then the patient has to remain in the clinic for 24 hours.

What should we do for the next few hours after the 3D Liposurgery-Liposculpture?

A swelling is formed post-surgically both in the surgured area and in the area we have transplanted it, which more often than not, lingers for a couple of weeks.

This post-surgical swelling is due to lymphatic disorder caused by the minor injuries of the area’s lymphocytes and recede gradually as the lymphocytes start automatically reparing themselves within a few weeks after the surgery.

In order to accelerate the swelling’s elimination and assure maximum homogenity of the adiposal tissue, we recommend applying LASER SMOOTHSHAPES.

This is a Laser that has been designed for cellulite treatment. However it is beneficial after a Liposculpture, given that it can rapidly eliminate the lymphoid swelling, smoothens the surgured area and amends to a great extent the cellulite statuswhich usually co-exists with local lipodystrophy.

Usually, two sessions per week for three to four weeks’ time are enough, depending on the surgered area.

Otherwise, the elimination of the swelling could be achieved by having lymphatic massage 2-3 times per week for about 3-5 weeks.

Either with the Laser Smoothshapes or with regular lymphatic massage, the post-Liposculpture recovery time is really spectacular.

How will the areas in which we have performed 3D Liposuction-Liposculpture look like post-surgically? Is there any possibility of pain?

When we operate under local anesthesia or mild narcosis and we rectify small areas od local lipodystrophy, then the surgery area usually shows signs of numbness, dysaesthesia and a mild swelling (bump) and in rare occasions might it be annoying of painful. Usually, there is no need for painkillers.

When we perform big 3D Liposurgery-Liposculpture operations and rectify large torso areas (Full Body Liposculpture), then we usually experience a slightly more intense swelling as well as bruising on the surgery spots, which seem to recede relatively fast within 7 to 10 days.

Due to the fact that we intervene in in several positions and practically perform a radical body reconstruction, there is a possibility of a more intense annoying or even mild pain on the surgery area for the first 1-2 days when it comes to large 3D SAFELIPO. However, the pain can be relieved by painkillers.

The annoying or pain is completely relieved after the third to fifth day, so we stop painkillers and the only possible thing for the patient to feel could be a numbness or dysaesthesia that might last from about three to six weeks.

We have to bear in mind that even right after the operation, when a patient is immobile, he or she feels no pain at all. When moving, he or she might feel annoying or mild pain, fully controllable with simple painkillers.

When am I going to be able to return to my activities after a 3D Liposuction-Liposculpture?

When we perform a limited range 3D Liposuction-Liposculpture the rehabilitation is much faster and almost without any discomfort.

This means that when we perform a 3D Liposuction on the “saddlebags” only or just on the belly or knees, arms, calves etc, the patient wears the special corset and does not stay hospitalized at all, being able to go back to his work after 2 or 3 days. This means that one is usually operated on Friday and is able to go to work on Monday without any problem. Also, after 6 days somebody can go back to gym, too.

When we perform LARGE SCALE 3D Liposuction-Liposculpture surgergies, the rehabilitation period is a little more extended.

The patient wears the special corset after the surgery, stays overnight hospitalized and goes back to his house the very next day.

It is highly recommended to mobilize as soon as possible post-surgically. As for the bruises and swellings, 5 to 7 days are required for them to recede.

Usually, after 5 to 7 days one can go back to his or her work and after 15days, take up gym again.

What happens to the fat we transplant during the 3D Liposuction/Liposculpture(3D-SAFELIPO)?

We have to bear in mind that the adipose is an extremely valuable tissue and as such, never goes wasted during the 3D Liposuction-Liposculture, in contradiction to the conventional Liposuction technique.

The adipose tissue has proven to be a highly dymnamic one, given that:

Ι. It can be easily removed with Liposuction from the areas it is in excess and be used as a transplant filling and restoring another body area with deficit.

ΙΙ. It is rich in stem cells. Stem cells are omnipotent, primitive cells with regenerative and extremely reconstructive properties.

ΙΙΙ. It is a tissue that is not supplied by blood by itself, thus is extremely sensitive when being transferred and requires special handling.

Add to this the fact that the fat we transplant during the 3D Liposucction-Liposculpture needs special treatment. This is because after the transplant an average of 50-70% of the transplanted fat is absorbed and body discards that in 2-3 month’s time.

For that reason, the transplanted quantity should always be two or three times the quantity needed to give a desired result.

Can we transplat fat to tissue remains after injuries, burns or after oncological surgeries?

Of course we can. One of the revolutionary 3D Liposuction-Liposculpture applications is that we can take advantage of the undesirable excess fat and use it – apart from Cosmetic Surgery – in Reconstructive Surgery, as well.

We can inject fat right under the scar of an injury. It has been proven the stem cells, that are abundant in the adipose tissue, improve a lot the quality and composition of a scar by producing collagen.

Moreover, autologous fat injection constitutes a breakthrough therapy for burns. Fat is injected under the burned surface giving spectacular results on skin’s texture and composition.

When it comes to oncology surgery, congenital defects or after skin or soft tissue injuries (where there has been performed large tissue resection and a big deficit and asymetry has formed), fat transplantation therapy is nowadays one of the most advanced and safe restitution choices.

Some examples could be breast repair after a mastectomy, hypoplastic breasts therapy or relative body / torso anomalies’ therapy (i.e. Poland syndrome, facial hemiatrophy etc).

To whom is 3D Liposuction-Liposculpture addressed?

The surgery is suitable to everyone, men or women, first of all healthy, emotionally stable, with a normal Body Mass Index (BMI), suffering from persistant body fat accumulation (mosty local) in spite of their continuously exercising and following a balanced diet.

How much fat can we remove during Liposuction? Is there any restriction?

Yes. There is restriction. The more we expand on the areas of local lipodysrophy, and the more adipose tissue we remove, the higher the risk for major implications. Theoretically, a safe limit could be set at 3,5-4 liters of pure fat in a body of 60-70 kg.

Nevertheless, there are some surgeons that remove enormous quantities of fat, which means they reach 10-12 liters of fat on obese patients. Those are great amounts of fat which provoke high hemodynamic instability to the patient and hospitalization in the Intensive Care Unit is required, as it can be even dangerous to the patient’s life.

As Liposuction is a Cosmetic Surgery, it has to be a highly safe operation so the maximum quantity we can remove is 3,5-4 litres of pure fat.

Is there any possibility of implications or side effects after a Liposuction?

Liposuction is extremely safe when performed in an appropriate surgery environment from certified Plastic Surgeons and abides by the basic principles of the Plastic Surgery.

Generally speaking, implications or mishaps are rare even in heavy liposuctions.

Namely, as a possible mishap we could concider:
the seroma formation, meaning the accumulation of serum in the liposuctioned area as a result of a lymphatic disorder, which can be removed with drainage. What is more, there might appear a swelling or haematoma, which can immediately be alleviated by drainage and antibiotics respectively. The skin’s injury is very rare and is treated by local care.
Furthermore, post-surgically, numbness or hypoaesthesia might appear in the liposuctioned area, but this gradually recedes within the next few weeks.
Small asymmetries in the area usually can be rectified after 6months with local anesthesia.
Sweling or bruises might appear immediately post-surgically, but gradually disappear after the following 7-14 days.

Extremely rare Liposuction implications are Pulmonary and Fat Embolism. They are two rare phenomena wich occur at a ratio of 1 for 100.000 Liposuctions.

By using elastic tying of the feet, anticoagulation treatment, immediate mobilization of the patient and atraumatic surgical technique this ratio becomes even smaller than 1/100.000 and the operation is very safe (the percentage for someone to get involved in a traffic accident and get injured is 16/100.000). However, in case of pulmonary or fat embolism we perform respiratory support with high oxygen pressure.

We should bear in mind that, as happens in most Plastic Surgery cases, 3-6 months are required for the final result of the 3D Liposuction-Liposculpture to be complete.

With this NEW PLASTIC SURGRY TECHNIQUE, after applying all prudential rules in a consistent way, the restoration of the local lipodystrophy is executed with great safety an the ratio of possible mishaps or implications is very low.

In which body areas should we perform 3D Liposuction-Liposculpture?

The primordial areas in which we can perform fat transplantation so as to rectify asymmetries are:

Chin / “double chin” on men and women
Buttocks, where we can succeed in augmenting their volume, lifting them and making them rounder
Calves, mostly on women with vague gastrocnemial muscle outline
Thorax, usually on men with Musculoskeletal problems
Nasomalar wrinkles, lips and cheekbones on the face of both men and women, as well as
Every other body area that –after an accident, injury, oncology treatments, hereditary (congenital malformations) – has tissue or soft tissues’ deprivation.

With buttocks liposurgery, lifting and roundness improvement of this body area is spectacular.

If I pay close attention to my diet and take up regular exercise, could I fix the problem of the “saddlebags” without the need of a 3D Liposuction-Liposculpture?

We have to bear in mind that we can lose weight or reduce our body fat when we go on a diet or exercise.

However, under no circumstances, can we get rid of the “torturing” saddlebags on the buttocks or belly with exercise or diet. As a matter of facts, this local lipodystrophy might get even worse after a fad diet or a big weight loss.

This means that instead of improving the area with the love handles after a weight loss, given that the entire torso becomes thinner; yet not equally. The problematic “saddlebags” area is even more obvious and the local fat accumulation deteriorates.

Liposuction is the only solution for local fat accumulation in an organism. It has been especially destined to provide us with a permanent and definite removal of the localized adipose tissue from unwanted areas such as:

Saddlebags
Inner Medial thigh
Inner Medial knee
Waist laterals
Belly
Calves
Arms
Double chin

The aim of the procedure is not an overall weight reduction – it is rather to tackle local lipodystrophy.

Apart from traditional Liposuction areas, can we perform Liposculpture on the arms or calves?

Yes we can. By Liposuctioning in the arms we can make them thinner and reduce their perimeter at the upper arms. Also, when Liposculpting in the calves, we can work in a way that they will look aesthetically better.

Nonetheless, we have to bear in mind, of course, that when it comes to Liposculpture in the armswe cannot make them much thinner because the skin might get loose.

Also, in the case of Calf Liposuction, we can achieve exceptional results as far as the gastrocnemial shape is concerned. Yet, there might appear a swelling that gradually recedes within 3 to 4 months.

I am 10-15 kg overweight. If I resort to Liposuction, will it help me lose this extra body weight?

Liposuction has nothing to do with weight loss. It is not destined to obese or overweight individuals, but it is rather designed to provide men and women suffering from local lipodystrophy (local fat storage) with a unique solution.

The most suitable candidates are people with a normal and healthy body mass index, which cannot improve or get rid of local lipodystrophy neither with exercise nor diet.

If one is way too far from the ideal body weight, has put great effort in losing weight and has seen no result, observes frequent fluctuations with many kilos each time, then he or she has to take under concideration other solutions, different from liposuction.

However, mildly overweight to slightly obese people can get helped by the 3D-SAFELIPO; not losing weight but better controlling the local lipodystrophy areas.

Is body fat the same all over our organism?

It is widely known that the adipose tissue that existis in the human body is either subcutaneous or intra-abdominal (i.e. inside the belly, in the form of perivisceral fat) and has two basic functions: storage and thermoregulation.

Concerning the subcutaneous layer, we can identify two kinds of adipose layer:

Brown Adipose Tissue – BAT
White Adipose tissue – WAT

Brown Fat is a thermoregulatory organ for human organism. It can be found under the skin, covers like a clot all deep tissues and plays a major role in homeostasis and bory thermoregulation. Brown Fat is not at all a storage tissue.

On the other hand, white fat is a useful storage organ, used for adipose tissue storage and has a certain tracking area depending on race and sex. For instance, the first area of fat storage for Mediterranean women is “saddlebags”, (i.e. the buttocks’ laterals), followed by “love handles” (i.e. the back laterals). On the contrary, northen races store fat mainly centrally, inside the belly, as περισπλαχνικό λίπος.

Why when I gain weight, the first areas that bulge are “saddlebags”, buttocks’ laterals and then anywhere else?

It is genetically predetermined where and when, in which positions and what succession will the excess adipose tissue follow.
In general, German or Swedish women are “apple” shaped, meaning that their fat is allocated mainly around the belly and rarely in the “saddlebags”. In contrast, Greek women and generally women coming from Mediterranean countries, tend to be “pear” shaped, meaning that their body fat is disproportionally distributed towards the white adipose tissue in the waist and buttocks’ laterals.

This practically means that if a Greek girl with “saddlebags” in the buttocks, gains a kilo, then she will find it hard to put her pair of trousers or skirt on for the next couple of day. This is because this one kilo will not be proportionally allocated to the entire body, but it will rather “linger” in the first lipo-storage option: the “saddlebags”.

Very simply put, our genes determine what shall be the first fat storage in our body and “where the fat from the French fries we ate yesterday” shall be directed.

If you belong to the Mediterranean race, then most of the calories stored in the body, first head to “saddlebags”, then in the belly and then all over the body.

If your body type belongs to the one of the Northen races, then your genes allocate fat more towards the belly and less towards the hips’ laterals.

Is the Liposculpture permanent? Is there ny case of fat regeneration in the area that had a few time ago been removed?

The result of the 3D Liposuction-Liposculpture is permanent. The explanation is relatively simple.

Let’s suppose a girl weights 60 kilos with 60 kilos localized fat in the “saddlebags”. If this woman gains 2 extra kilos, then the first 800-1000 gramms will be directed towards the body’s primary fat storageand the rest 1200-1000 gramms, are allocated to the rest of the body.

The adipose tissue consists of lipocells, which are storage cells for the food lipids. The number of lipocells remains stable for every body area. When someone gains weight, what happens is the already existing lipocells inflate, without rising their number at all. When the lipocells of a said area inflate and get filled with lipids, then the organism “sends” those food lipids to the immediate next fat storage. So, if a girl has 100.000 lipocells in her “saddlebags”, then when she gains 1 kg, the lipocells in the “saddlebags”will be inflated and when filled, the lipids will be directed to other body area for storage. No new cells shall be created.

Therefore, if 80.000 lipocells are removed from the organism (out of 100.000 that supposedly exist) the result will be permanent because only 20.00 will be left in the area of the buttocks. These, if one gains weight, do not multiply – they just get bigger in size, and this up to a certain degree.

If I resort to Liposuction, the result will be permanent. But, maybe, if I gain weight, will fat be stored in areas I do not wish to?

What an individual can accomplish with the aid of Liposuction is to correct in a permanent way an area of local fat storage. If the person that has been surgured gains –for instance- 10kg, then only a small percentage of this fat will be stored in the area from which we have previously removed the fat (while most of it would be directed there, prior to the surgery) and the rest of fat quantity will be proportionally distributed all over the body.

Simply put, if one gains 10 kilos prior to the Liposuction, 2 kilos head straight to the “saddlebags”, and 8kg to the rest of the body, after the Liposuction if someone gains 10kg, then 400-500 only will head to the thighs (there are no “saddlebags” after the Liposuction) and the rest 9,5 kilos will be proportionally distributed to the rest organism’s fat storages.

With 3D Liposculpture (SAFELIPO) all fat storages are permanently removed and, while lipids were previously stored in certain areas in the body with a particular order, after Liposuction the excess fat distribution is equivalent and symmetrical, meaning that we gain homogenous weight and not eclectically and focused.

When is the best moment to proceed to Liposuction?

The ideal moment to think about Liposuction is when local fat storage lingers and persists despite a stable body weight for at least 6 months.

On the contrary, if you are in a body weight reduction process, you had better wait until it is stable in desired levels, because if not, there is a possibility that you have a liposuction done that you don’t need.

On the other hand, if for any reason you are in a weight gain phase, first try to reach the desired levels for you and then, after having stabilized them for about 6 months, you can proceed to Liposuction. Otherwise, most probably Liposuction won’t resolve any problem.

What happens with face Liposculture?

There should be a special mention for Face Liposculpture. As mentioned, with regards to the face, Liposculpture can be used for the deep nasomalar wrinkles, for the cheeckbones’ bumping anf the toning of both the upper and lower lips.

We have to point out that by transplanting fat to various face positions, so as to reconstruct any atrophic or assymetrical areas, the result is very satisfactory and its duration is longer.

Yet, we should be aware that fat injections in the face hava a drawback of long rehabilitation period post-surgically (about 2 months) as well as a revision percentage, mainly due to the different absorbtion rate of the transplanted fat.

What about breast Liposculpture?

Regarding the fat transplantation in the breast, through which we try to increase the breast size or perform a breast restoration, usually after tumour surgeries, we have to mention that this is scientifically feasible. Yet, due to the particularity of the mammary gland as a tissue with high risk of tumor disease, breast augmentation should only be conducted by specialized clinics.

Given that during fat transplantation in the breast the mammary gland is injured, its clinical and mammographic image is affected after the Breast Augmentation Surgery.

On the other hand, among the transplanted lipocells there also exist some precursors named stem cells, which are polyvalent cells with dynamic – yet unknown evolution possibilities. Thus, a special surgeons team is required in order to perform fat transplant into safe areas inside the breast. Moreover, a highly expertise team of both radiologists and oncologists – breastologists is required, so as to assure an on-time diagnosis of a potential breast tumor after augmentation by liposculpture.

I have been informed about Laser, Ultrasonic or RF Liposuction. Are those technologies effective? Can they be applied to the NEW 3D Liposurgery – Liposculpture technique?

Laser, Ultrasound and Radiofrequencies are modern technologies with the aim to simplify the Liposuction surgery and make it easier. All 3 technologies are invasive, meaning they ARE NOT bloodless, they are performed in a medical environment and their goal is to liquidify the subcutaneous fat in order for it to be more easily removed from the body.

All Laser, Ultrasound and Radiofrequencies use special “needles” which are inserted under the skin (like Liposuction cannulas) and heat and “melt” the adipose tissue, making it more easier for it to be later on removed from the body through the Liposuction cannulas.

For small local lipodystrophy areas, those technologies provide us with a satisfactory solution. However, when it comes to large lipodystrophy areas, their application is very difficult and -more often than not- perilous, due to the fact that they heat and melt the adipose tissue. This way, they can potentially cause burn damages to the subcutis or to the epidermis if the “needle” tip accidentally touches the skin during the operation.

In such cases, some post-surgery contractile scars or discolorations mightappear on the skin due to the subcutaneous heating of the tissue. Those are permanent damages and – unfortunately- can be repaired very difficultly.

Laser, Ultrasound and Radiofrequencies CANNOT be applied with the NEW 3D Liposuction – Liposculture technique because beyond the fact that they can be harmful, causing burn damages to the subcutaneous tissues, they primarily destroy – melt a valuable and useful tissue: fat.

As we have already mentioned, a revolutionary improvement of the NEW 3D Liposuction – Liposurgery technique is FAT GRAFTING. Using the latter, we can correct contour issues; fill any post-injury, post-surgical hollowness, congenital defects etc. or restore failed cases of conventional Liposuction.

By heating fat (a technique employed bu the Laser, Ultrasound and Radiofrequencies), a great number of adipocytes “tear apart”, get decomposed and simply cannot be used for transplantation.

Overall, what is the difference between the conventional Liposuction and 3D Liposuction – Liposculture (3D-SAFELIPO)?

By the term “Liposuction” stands for the removal of subcutaneous fat from localized areas in the body, through tiny incisions on the body, without removing any skin. The surgery is performed using a suction device with the help of a fine metal tube (liposuction canula), connected with the suction device.

By the term 3D Liposuction – Liposculpture (3D-SAFELIPO), we mean the evolution of the Liposuction technique by which:

Placing the patient in a lateral position we get to eliminate the excess fat in a totally controlled way from localized body areas
We NEVER throw this fat away but
we rather process it and transfer (transplant) part of it, in other body areas with hollows, asymmetries, atrophies or, generally, tissue deficit. Such as the face, buttocks, calves etc
Special tape is utilized in particular positions, so as to achieve buttock lift.

With the NEW 3D Liposuction – Liposculpture (3D- SAFELIPO) TECHNIQUE, we assure maximum possible aesthetic restoration on human torso contour and shape, under: