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    The following is a description of the classic liposuction method utilising the tumescent technique. To begin the operation a number of tiny incisions (about 3-4mm) are made in the skin in the areas to be treated. These slit incisions are made, when possible in inconspicuous places. Subsequently the areas are injected with the tumescent solution that’s allowed to diffuse and take effect (about 10-15mins) throughout the target fat. The solution will numb the areas as well as reduce bleeding by temporarily closing down the capillaries. The appropriate cannulaes are inserted into the fat, then through backward and forward stroking motions the fat is loosened and drawn off by a strong vacuum pump. Since the fat is removed by suctioning small “tunnels” through the fat, the skin remains intimately connected to the underlying muscles by multiple attachments called fibrous septa, it is this process and these structures, which assures that the skin will not hang in loose folds after Liposuction. The fat is removed by doing as little damage to the septa, which also contain blood vessels, nerves and lymph vessels. Patients lose some fluid along with the fat during liposuction, therefore during the procedure it is normal practise for the anaesthetist to give intravenous fluids to replace those lost in the cosmetic surgery.

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