Peggy kuhne

THE OPERATION 
Suction assisted removal of undesirable localized fat deposits.

INDICATION
Diet resistant, unsightly redundant fat tissue in the average weight patient. The most frequently treated anatomical regions are the thighs, hips, abdomen, knees and chin.

COUNTER INDICATIONS
To obtain a good result, one of the most important factors is the resilience of the skin which makes it shrink back smoothly onto the new contour. A tired distended skin will not be taut after the volume reduction. 

SURGERY (USUALLY AS OUT-PATIENT)
With specially designed suction cannulas of various calibers, the redundant subcutaneous fat is vacuumed.

OPERATION TIME: 1-2 hours
SCARS: 4–6 mm long in remote areas close to the region to be suctioned.
ANESTHESIA: local or light general      

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hematoma.
Irregular surface.

POSTOPERATIVE CARE
Pressure garment has to be worn during some weeks.
Suture removal after approx. 1 week.
Professional activity resumed after 2–7 days.

THE OPERATION
This procedure is designed to flattern the abdomen by removing excess skin and fat, tightening the muscles of the abdominal wall. Tummy tucks can dramatically reduce the appearance of a protruding abdomen.

INDICATION
Abdominal skin redundancy after weight loss or pregnancy.

COUNTER INDICATIONS
Short time plans for further pregnancy.
Heavy smoking

SURGERY (RARELY AS OUT-PATIENT)
Low transverse incision from one hip bone to the other, along the pubic hair border in a lazy W pattern. Through this approach, the entire abdominal skin including its fat is undermined towards, the thoracic cage and liberated from the navel that remains in place. All the tissue is then pulled taught and its redundancy resected. Through a buttonhole incision, the navel is brought to the surface and sutured in place. The skin border is sutured in several layers to the skin margins of the transverse incision. If necessary, the abdominal muscles are tightened and the waist fat is suctioned. In minor skin redundancies, a limited abdominoplasty without navel repositioning can be performed.

OPERATION TIME: 2-3 hours
Anesthesia general or local anesthesia with twilight premedication.
Scars transverse in the lower abdomen-

POSSIBLE COMPLICATIONS, UNDERSIRABLE RESULTS
Hematoma, Skin slough
Seroma accumulation under the skin that has to be evacuated.
Diminished skin sensitivity for several weeks is normal.

POSTOPERATIVE CARE
Drain removal after24 to 48 hours.
Elastic girdle for several weeks.
Suture removal after some 2 weeks.
Resume work after 2-3 weeks.