If the treatment is biased to one of three,
obesity treatment is difficult to succeed. Even if you succeed in losing
weight, weight tends to be gained over and over again.
It is important to treat obesity with diet
and exercise as well as proper surgical treatment such as liposuction, gastrectomy
and abdominal plasty.
Gastrectomy is performed if the life is in
danger because of obesity and is rarely performed in Korea.
Liposuction and abdominal plasty are done
not for losing weight but for reshape figure. That is, it is for locally accumulated
fat and for sagging skin.
Liposuction is usually performed if the fat
is locally accumulated in specific areas of the body such as stomach, back,
legs, waist, arms, face, neck and other parts.
Liposuction does not reduce fat cells that
exist in this area; it reduces the actual number of fat cells. For this reason,
even if the patient gains weight again, the suctioned part will not get fat.
Although there currently are a variety of
liposuction surgical equipment, the important thing is the doctor's technique
Depending on the area, vibrating suction or
ultrasound can be used. Excessive suction may cause serious complications and
it limits its amount to 4l.
Depending on the area, sleeping anesthesia
or general anesthesia can be applied. The patient may leave on the day or stay
for a night.
It takes a week to go down swelling and the
patient can do a little bit of an exercise by then. It takes 2~3 weeks to get
back to normal sensation and to disappear bruise. The patient can do most of
normal activities by then. (Elastic underwear should be worn by this time.)
2. Abdominal plasty
Abdominal plasty is performed when there is
too much fat or too much sagging skin in the abdomen or protruding stomach due
to pregnant, aging or weakening muscle.
As shown in the picture, horizontal
incision is done at the very bottom of the abdomen. Skin and fat tissue are
lifted upward to ribs and then sagging abdominal muscle is narrowed and
contracted to pull it back to where it was after the reduction of residual fat
and skin. Belly button will be re-created and stitched.
The outer sides of pelvis can be suctioned
Postoperative swelling goes down after at
least 1 week after the surgery. It takes 2~3 weeks to do a normal activity
(elastic underwear should be worn by this time) and takes about 2 months to
disappear bruise and dull sensation.
The surgical scars star blur afterward and
it takes more than 1 year to be mostly faded. It does not go away completely.