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Fat removal procedures are used mostly in cosmetic surgery with the intention of removing unwanted adipose tissue.The procedure may be invasive, as with liposuction, [1] or noninvasive using laser therapy, radiofrequency, ultrasound or cold (cryoablation or cryolipolysis) to reduce fat, sometimes in combination with injections.
It can be combined with liposuction to help tighten and smooth over the new contours after removal of excess fat. Resurfacing can be ablative, which vaporizes tissue and creates wounds, or non-ablative which keeps the skin intact. Laser resurfacing is usually done with a 2940 nm Er:YAG laser or a 10,600 nm CO 2 laser.
Referred to as Smart Lipo, this technique uses laser technology to coagulate and tighten the skin and boost collagen performance. [31] Uses include "cankles", debulking surgery for elephantiasis nostras [32] and lipedema. [33]
By manipulating skin cooling during treatment, RF can also be used for heating and reduction of fat. Currently, the most common uses of RF-based devices are to noninvasively manage and treat skin tightening of lax skin (including sagging jowls, abdomen, thighs, and arms), as well as wrinkle reduction, cellulite improvement, and body contouring. [7]
Non-surgical procedures can target specific depths of facial structures and treat localized facial concerns such as wrinkles, skin laxity, hyperpigmentation and scars. Surgical (invasive) facial rejuvenation procedures can include a brow lift (forehead lift), eye lift ( blepharoplasty ), facelift (rhytidectomy), chin lift and neck lift .
For skin grafts, the newly grafted skin is fragile to damage. Slight bleeding may occur, which can be managed by removing serosanguineous material or necrotic debris using hydrogen peroxide. If eschar is present which affects the grafted skin, debridement should only be done when the area of necrosis is clearly defined. [31]
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