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Liposuction is a surgical procedure that is done to remove fat deposits from underneath the skin. Common areas that are treated: the abdomen, buttocks, thighs, upper arms, chest and neck. (use medical graphic of body with labeled parts) The procedure is usually done as an outpatient under some combination of local anesthesia and/or sedation:. This means you are awake but relaxed and pain free. Depending on the number of areas to be treated and the specific technique selected, it may take from one to several hours. A small incision (cut) is made through the skin near the area of the fat deposit. Multiple incisions may be needed if a wide area or multiple areas are being done. A long hollow tube called a cannula will be inserted through this incision. Prior to inserting the cannula, the doctor may inject a solution of salt water that contains an anesthetic (numbing) medication and another medication to decrease bleeding. The cannula is then inserted and moved under the skin in a way to loosen the fat deposits so they may be suctioned out. Because a significant amount of body fluid is removed with the fat, an intravenous (through the veins) fluid line will be kept going during the procedure.
A recent technique called “ultrasound-assisted lipoplasty” uses a special cannula that liquefies the fat cells with ultrasonic energy. You should ask your doctor which technique he/she will use and how it will affect the type of anesthesia you will need and the length of the procedure.
Why is this procedure performed?
Liposuction is done to restore a more normal contour to the body. The procedure is sometimes described as body sculpting. It should be limited to fat deposits that are not responsive to diet and exercise. It is suggested that you should be within 20of your ideal body weight at the time of surgery. If you are planning to lose weight you should delay this procedure. This is not obesity surgery. The maximum amount of fat that can be removed is usually less than 10 pounds. The best results are achieved in people who still have firm and elastic skin. Although rare, there are risks and complications that can occur with liposuction. You should be aware that all the complications are increased if you are a smoker. You will need to quit smoking or at least avoid smoking for a month before and after surgery. If you have had prior surgeries near any of the areas to be treated, this may increase the risk of complications and you should discuss this with your doctor. Any history of heart disease, diabetes, bleeding problems or blood clots in your legs may make you more prone to post-operative problems and you should discuss these with your doctor. Finally, as with any cosmetic procedure it is important to have realistic expectations. The goals, limitations, and expectations of the procedure should be discussed openly and in detail with your doctor. Most insurance companies do not cover cosmetic surgery.
What should I expect during the post-operative period?
After surgery you should be able to go home but you will need someone to drive you. In the first few days after surgery it is common for the incisions to drain fluid and you will have to change dressings frequently. Fresh blood is not usual and if you have any bleeding you should call your doctor immediately. In some cases a small tube may have been placed through the skin to allow drainage. You will be limited to sponge baths until the drains and dressings are removed. After that you may take showers but no baths for 2 weeks. You may experience pain, burning, and numbness for a few days. Take pain medicine as prescribed by your doctor. You may notice a certain amount of bruising and swelling. The bruising will disappear gradually over 1 to 2 weeks. Some swelling may last for up to 6 months. If you have skin sutures they will be removed in 7 to 10 days. You should be able to be up and moving around the house the day after surgery but avoid any strenuous activity for about 1
Identify the anatomy and explain the physiology of the breast on diagrams and sonograms.
Describe and demonstrate the protocol for sonographic scanning of the breast, including the clock and quadrant methods, and targeted examinations based on mammographic findings.
Describe the various diagnostic pathways that may lead to a sonographic breast examination, and explain how the ultrasound findings are correlated with other imaging modalities.
Identify and describe sonographic images of benign and malignant features and common breast pathologies.
Explain biopsy techniques for breast tumors.
Define and use related medical terminology.
Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference
Genital warts are soft growths that appear on the genitals. Genital warts are a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). These skin growths can cause pain, discomfort, and itching. They are especially dangerous for women because some types of HPV can also cause cancer of the cervix and vulva.
Rhinoplasty enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose. Rhinoplasty surgery can change: Nose size in relation to facial balance Nose width at the bridge or in the size and position of the nostrils Nose profile with visible humps or depressions on the bridge Nasal tip that is enlarged or bulbous, drooping, upturned or hooked Nostrils that are large, wide, or upturned Nasal asymmetry If you desire a more symmetrical nose, keep in mind that everyone’s face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.
One of a series of films we produced to help patients, their families and carers learn more about some of the most common tests and procedures used to diagnose and treat blood diseases. Patients who have previously undergone these tests helped us to design the videos. Each film clearly explains what the procedure involves and addresses common issues and concerns including: Why your doctor recommended this procedure What you need to do to prepare What you can expect during the procedure What you need to do afterwards Not every patient will be referred for all of these tests and practice may differ slightly depending on where you are treated.
What Causes TMD? We don’t know what causes TMD. Dentists believe symptoms arise from problems with the muscles of your jaw or with the parts of the joint itself. Injury to your jaw, the joint, or the muscles of your head and neck -- like from a heavy blow or whiplash -- can lead to TMD. Other causes include: Grinding or clenching your teeth, which puts a lot of pressure on the joint Movement of the soft cushion or disc between the ball and socket of the joint Arthritis in the joint Stress, which can cause you to tighten facial and jaw muscles or clench the teeth
Many people report that inversion table therapy is a great way to stretch muscles and ligaments, reduce muscle spasms, and improve circulation. Stretching stimulates the lymph glands to increase the flow of lymphatic fluids; part of the body's waste disposal system. Similarly, cellular health depends on good blood circulation to deliver nourishment and remove waste. Inversion table therapy also helps to relieve motion sickness and stress. In addition, the body becomes more aware of its spatial orientation and balance when the inner ear is stimulated during inversion. Plus, it is not necessary for the body to be positioned completely upside down to gain benefits from inversion therapy! Unlike antigravity boots used with an inversion rack, an adjustable inversion table offers the flexibility to choose the most comfortable angle. Dialogue with Your Doctor Like anything that can affect your health, talk to your doctor before you start using an inversion table. This is important because certain medications and health conditions may make using an inversion table unsafe. Your doctor may recommend against inversion table therapy if you have obesity, a detached retina, fracture, glaucoma, heart condition (circulatory problem), hernia, implanted device, middle ear or eye infection, osteoporosis, are pregnant, or have a spinal injury. There may be other medical conditions not listed that your doctor may view as a contraindication.
Hepatitis B is a serious liver infection caused by the hepatitis B virus (HBV). For some people, hepatitis B infection becomes chronic, meaning it lasts more than six months. Having chronic hepatitis B increases your risk of developing liver failure, liver cancer or cirrhosis — a condition that causes permanent scarring of the liver. Most people infected with hepatitis B as adults recover fully, even if their signs and symptoms are severe. Infants and children are more likely to develop a chronic hepatitis B infection. A vaccine can prevent hepatitis B, but there's no cure if you have it. If you're infected, taking certain precautions can help prevent spreading HBV to others.