Indications:

  • Correction of aging changes of a face, hands, etc.
  • Correction of a chin or cheek bone shape.
  • Change of a lips shape.
  • Change of a shank shape
  • Correction of a buttock shape.
  • Breast plastics.
  • Change of a body contour, for example, in case of an unattractive hips shape or post-op or post-trauma defects.

Contra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

Lipofilling procedure

The surgery is made in two steps:

  • Extraction of fat tissue (liposuction).
  • Insertion of received material in a pre-defined area.

Let’s have a closer look at these steps. Transplantation material is extracted from the area with the greatest fat accumulation area – it might be a belly, hips, thighs area. A local anesthesia is used to extract a minimum, more seldom, moderate volume of fat tissue. A phlebonarcosis is used for extracting a great amount of material.

A surgeon performs liposuction through small incisions with special cannulas from 2.5 to 4.5 mm in diameter. There are no visible marks left on the patient’s skin, only a small scar in an anatomic fold. They use ultrasound, electric influence or special solutions to make fat cells (lipocytes) separate better. The main point is to keep the transplanted cells vital. The extracted lipocytes undergo a special treatment, get cleaned of blood components, destroyed cells, medical additives, etc., as only vital cells can be used for a successful surgery.

During the second step the extracted material is inserted layer by layer into pre-defined areas – it might be inserted into the subcutaneous tissue or in some cases – into muscles. While a doctor uses special manual actions to relocate and evenly distribute fat cells in the hypodermis. At the final stage an elastic bandage is applied to the operated area to prevent severe swelling, besides, this bandage helps to keep the skin in tonus, prevents excess skin creation in case if a large volume of fat tissue was removed.

Post-op rehabilitation

A patient can experience intense swelling, moderate pains in the operated area than might intensify when moving, bruises, weakness, etc. The peak of disturbing symptoms is on the 3-rd-4th day after the surgery. These symptoms will pass away over time, the skin will get smoother and flatter. The final results can be rated no sooner than in 3 months after the surgery, that’s when it’s clear what part of the transplanted adipocytes has assimilated.

Complications

Asymmetric shapes and forms of the operated areas can be among possible complications after the lipofilling procedure, which might be caused by uneven survival of the transplanted tissue. A second surgery might be performed in case of a dramatic asymmetry.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)
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Address: Minsk, Moskvina str., 4