Objectives: How to perform full legs liposuction and reshaping. Careful examination of the patient and assessment of patient expectations. Technical particularities in this indication.
Introduction: When it comes to full leg reshaping, traditional liposuction with previous or constant infiltration is mandatory. Preoperative consultation is fundamental and a good selection of patients. The technique is adapted to the quantity of fat to remove, the quality of the skin, and patients expectations and diagnose an eventual lipoedema which needs particular post operative care. I don't dissociate the buttocks from the legs to preserve harmony.
Materials / method: Photos are taken without underwear and shown to the patient, who might not have noticed an asymmetry. Fatgrafting is often associated to reshape the buttocks, legs or breast. We always start in the prone position unless we plan buttocks lipofilling. Water Assisted Liposuction, HumanMed is breaking off fat lobules by constant simultaneous isotonic infiltration with adrenaline fat is collected, rinsed, concentrated, transferred in 10 ml syringes for lipofilling when needed.
Results: For skin quality, it is better to preserve some fat under the skin and aspirate only as much as the skin can tolerate. This avoid irregularities and adherences. If there is any doubt some fat can be left behind or regrafted. In some cases we plannify a second session. Total circular legs liposuction represents a large surface of the body and postoperative pain will be proportional. Ecchymosis and edema will take time to disappear. Patient is informed about the postoperative period, Corset and double stockings are worn. The final result will be obtained after one year for total reshaping.
Conclusion: Total lower extremities reshaping combining, liposuction and lipofilling is a challenging procedure, takes a long time to perform but give the patient functional and aesthetic body contouring improvement.
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