The types of surgery for lipedema! Renuvion? Laser? Bodytite? cruroplasty Take the lipedema self-assessment questionnaire: https://bio.amato.io/auto Discover Dr. Fernando Amato's channel: https://www.youtube.com/channel/UCJ_9… Check out the channel's exclusive playlist just for Plastic Surgery: https://youtube.com/playlist?list=PLg… Follow Dr. Fernando on Instagram: @meu.plastico.pro Visit Dr. Fernando's Website: www.plastico.pro Watch the featured video on the CHANNEL now: https://bio.amato.io/indicado Watch this video on how to care for a drain in the postoperative period: https://www.youtube.com/watch?v=mnGmQ… Also watch this video about Hematoma: https://www.youtube.com/watch?v=xY6sN… https://www.youtube.com/watch?v=56AaG… #institutoamato #Cirurgiaplastica #lipoaspiração #Protesedemama #abdominoplastia

What are the types of surgery
to treat Lipedema?

Almost everyone already knows from the internet and
social media that the surgical treatment

for Lipedema is
liposuction, but is it really

only liposuction? Liposuction is an
old, minimally invasive technique for the

mechanical removal of body fat,
removal of superficial body fat. In

Lipedema, it is performed with a tumescent technique,
that is, a lot of liquid is injected, saline

solution with adrenaline and anesthetic.

This liquid helps to
loosen the fat better,

it causes vasoconstriction in the vessels, both
to reduce bleeding and ends up protecting them.

And some auxiliary device is almost always used,
such as vibration assistance, like

vibrolipo, there's vibrofit.

The advantage of these devices is that they help to
loosen these fibroses, and eliminate the need for extensive arm movement in

liposuction, unlike classic liposuction,
which facilitates certain surgeon positions,

especially when approaching the leg, where it's
harder to find a position.

There are some cannulas that can
provide better performance than traditional ones,

but it can depend on the
experience of the team, and that is really

important. There can be several access points
on the skin, on the leg, which can be useful;

these are the small incisions we use to
introduce the cannula and perform liposuction, and

this will depend on the location of the fat.

But surgical treatment
is not always this!

If they haven't told you, it's not just liposuction.

Patients with very advanced
Lipedema

have a lot of excess skin and may
need a dermolipectomy which is

that resection of skin, skin and fat,
dermolipectomy, we resect the skin in a block

with Lipedema. In the thighs,

we call it cruroplasty and in the arm
brachioplasty, and it may still be necessary

in other body regions, such as
the leg. In this surgery, it is even possible to

resect Lipedema nodules
which are fat balls.

Often these balls are hardened
in their center with necrosis, a

calcification. In some cases with little
excess skin, sometimes we even use

laser, some type of laser to associate with the
procedure, with 980 being the most commonly used

frequency.

But due to its 980 characteristic, it destroys more
fat, causing lipolysis, we aspirate and

we can still achieve a certain
skin retraction.

We end up using it on the
medial thigh and arm.

There is also the 1210 laser
which can also be used;

it doesn't destroy fat, it just loosens
the fat, it's less destructive, but it also allows

this aspiration of fat
after the laser has been applied. Both lasers

are options to cause this local stimulation
of collagen, improving skin laxity,

improving local skin quality,
reducing that skin flaccidity.

There are others like devices such as Renuvion,
which is a plasma jet, and Bodytite, which are also

alternatives for skin retraction and
cause local collagen biostimulation.

However, as it is an inflammatory disease,
all these options must be evaluated and used

with great caution, as the mechanism of collagen
stimulation involves a local inflammatory process.

Which could even be a risk in a theoretically
inflamed patient to trigger Lipedema.

When we use these devices, we end up
observing how we removed the diseased fat, it doesn't stimulate, but we have to

always evaluate the location and
sometimes, for example, using an extremely aggressive device,

for example, in the leg, in the more distal
part of the leg, this could even damage the lymphatic vessels

and impair lymphatic return,
causing more edema in the leg. A leg that

did not have Lymphedema, had Lipedema,
can evolve with Lymphedema,

if it has these lesions of the lymphatic
vessels. So, if you liked this video,

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