What is a super or megaliposuction and what is it for?
WHAT IS A SUPER LIPOSUCTION?
A super liposuction is an intervention that allows to extract a large volume of adipose tissue, that is, fat and especially the cells that deposit it. We talk about 10 kilos of fat in a single intervention (from 8 to 15 liters), that is, from 4 to 6 sizes of clothes.
I HAVE READ THAT IT IS VERY DANGEROUS AND NO ONE DOES IT?
You have to have a lot of experience and it is true that few surgeons have dedicated themselves to learning how to do it and get very good results with a minimum of risk, like any other liposuction or liposculpture operation.
ALWAYS, ALWAYS make sure that the surgeon who performs the liposuction is a plastic surgeon, not from other medical specialties or you can have serious problems. And that it is a center with EXPERIENCE. We have been doing this for 35 years.
ARE YOU THE ONLY ONE IN SPAIN?
I do not think so, because I have taught many surgeons who have come to learn my megaliposuction techniques during 25 years of work.
I have published incredible and unpublished results in scientific journals, but above all, I have made thousands of patients happy
Patients, yes, thousands. More than 2000 megaliposuctions during my 25 years of work as a plastic surgeon.
In fact, if you go to my office you can see the scars I have on my right arm of epicondylitis (tennis elbow) and epitrocleitis (golfer’s elbow), because of so much muscle overload of so many patients that I have intervened and thousands of kilos of fat that come to take out.
As an anecdote and in a true way, I can tell you that I have been able to fill a 6x12m and 1m deep pool with all the fat tissue I have taken out of these 2000 patients (20,000 kg). Surprising, right? but, totally true.
AS IT COUNTS, I WOULD LIKE IT TO DO IT NOW!
Thank you very much.
It is not an operation that can be done lightly. Many precautions must be taken so as not to take unnecessary risks and obtain a very good result.
It is true that liposuction, liposuction, lipolaser, etc. It has been evolving but the most important thing is to fall into the hands of a very good professional, honest, honest, with the desire to help the people who need it and thus be able to achieve what I have said before: downloading 4 to 6 sizes of clothing definitive and permanent form.
IS NOT IT BETTER TO DO DIET, SPORT AND CARE?
Of course yes. A healthy lifestyle and a favorable genetic inheritance is ideal, but unfortunately it can not always be achieved.
When a patient comes to my office to obtain a definitive result, the first thing I ask is her family history and that of the patient. And I assure you that 99% of patients have a genetic problem and / or a type of life that can not afford to lose weight.
99% have done diets, they have tried appliances, punctures, creams, everything and more, but they have not succeeded.
Sometimes the fat becomes encysted in such a way that if we do not extract the adipocytes (cells that contain the fat) it is impossible in any other way to achieve the desired body contour.
CAN YOU EXPLAIN ME MORE? I WOULD LIKE TO KNOW WHY SERIOUSLY AND TRUTHFUL
It is not easy to explain, but with some examples you will understand it better.
First: know that fat is not like oil. The fat is oil that is inside some balloons or cells called adipocytes.
They are like a bunch of grape
If a person inherits many adipocytes between skin and muscle has the misfortune that, however little they eat, these cells will pick up the fat and will become thick or fat (sorry for the adjective).
On the other hand, if you inherit a few adipocytes, no matter how much you eat, you will not get fat.
It is always like that.
Another example to understand it better:
If a person inherits many melanocytes in the dermis (skin) when sunbathing, it becomes easily brown. On the contrary, if another person inherits a few melanocytes under the skin for more hours than the sun goes down, it will turn red, burn or it will cost much more to get dark.
The same goes for food. We have to take care of ourselves, of course, but still there are those who care more and get fat without wishing. Why? Because he has more adipocytes. And what is the solution? Take them out. There is no other way. Everything else are things to waste time, patience, and get non-durable results.
I HEARD AND I HAVE SEEN AND HAVE TOLD ME THAT A NEW PRODUCT HAS COME A NEW MACHINE, A NEW METHOD, ETC ..
Yes, in agreement, every year, every season thousands of commercial companies take out new creams and new miraculous devices, but always, they are always “a lie”. Sorry to be so abrupt, but it’s the truth.
DEVICES THAT WILL NOT GIVE US THE DESIRED RESULTS
There are not and will not exist in many years miraculous devices that take out the adipocytes and those that have left have been withdrawn from the market because they are very dangerous. They give more problems than benefits. It is not so easy.
Adipocytes can not be removed without a good knowledge of how to extract them to obtain a definitive result.
I KNOW FRIENDS THAT HAVE BEEN MADE A LIPOSUCTION AND THEY HAVE REMAINED EQUAL
True, unfortunately it happens very often and I will explain why.
As I said earlier, fat cells (adipocytes) “grapes” can be thicker or thinner depending on whether we diet or not. But there will always be the same number of adipocytes that we have inherited.
If a patient goes below her weight, what happens is that we will extract a smaller amount of cells (adipocytes) and those that remain without extracting can be filled and the weight recovered.
This is the error that is commonly committed. That is, go to the surgeon and recommend a diet and then what can not be lost with the diet take it out with liposuction.
Logically it is easier to extract 2 liters than 10 liters of fatty tissue. But if we only extract the 2 liters that we see after the diet, 80% of subcutaneous adipocytes will remain, we have only extracted 20% of them and will not easily notice the result because 80% will regain fat, since these cells have this Fat pickup function.
On the contrary, when a patient comes to my office I always explain and advise her, or rather, I demand that she come over her weight. In this way all the adipocytes that you have are full of fat and instead of extracting 20% of them I extract 80% or 100% of them.
The intervention is more expensive, more difficult and you have to know very well how to do it so as not to take risks, that is, to have a lot of experience in megaliposcucciones. But the result is always infinitely superior and above all, definitive.
This is the most important premise to achieve success in the result.
I’ve been treating patients for the first time for years but I also treat previous liposuction with bad results.
When I explain my technique forced them to get fat before the operation and are very surprised.
But that’s the way it is, and whenever they’ve believed me and I’ve operated on them, they tell me that liposuction has really had nothing to do with the liposuction performed before me.
It is not magic or put me medals. I’ve also screwed up with my first liposuction, but I’ve realized over the years that we were completely wrong. And experience has confirmed it. You can see cases like these.
LOGICAL AND FREQUENTLY ASKED QUESTION: BUT DR. SANZA, WHAT WILL HAPPEN TO THE SKIN? IF YOU TAKE SO MUCH, WILL YOU HANG ME?
Well, I’ll tell you, the more fat we extract, the thinner we leave the skin, the better it retracts.
It seems a lie, right?
Well, it’s like that.
The weight of the fatty tissue causes the flaccidity of most patients. On the contrary, if we leave too few adipocytes, this skin retracts as after a pregnancy.
Obviously the preoperative exploration is very important, because not always all the skins will retract 100% after a megaliposuction.
With the first visit I can already tell and talk to the patient about, if her skin is going to look good, or, on the contrary, she will need a posterior stretch in some cases. The power of retraction of the skin is much greater than we think, when things are done very well without leaving grooves or sinkholes, of course.
BEFORE/AFTER OPERATION PHOTOS
The cases in these top photos speak for themselves, they are not photoshopped.
I have no interest in deceiving anyone, on the contrary, in helping the most and in an honest, safe and real way.
Unfortunately it is not cheap and it is not covered by any insurance company or social security.
They are operations of 3 or 6 hours, with a stay of one to three days of admission and with the possibility of having to pay blood previously reserved.
All this makes the price can not be exact. It varies a lot in each patient, not because of the amount of fatty tissue to be extracted but by the areas to be treated. It is more economical and simple to remove 15 Kilos of fat from one abdomen and back than 7 Kilos from full legs.
Many times a very localized obesity involves extracting very pure fatty tissue, that is, not bloody, and in 2 hours to be able to remove 15 Kilos of fat quietly without risks of bleeding and one day of stay. The price is more economical than a liposculpture of several parts of the body that may bleed a little, but, a little here and a little there, may require more postoperative days and have to pay for blood that can be lost underneath. the skin, in the form of bruises, or bruises. In these cases the cost will be higher.
Thus, the prices oscillate a lot, but in a rough way we can say that it can cost, all included, from 5,000 to 10,000 €.
REALLY IS THERE ANY OTHER SOLUTION THAT GOES THROUGH THE OPERATING ROOM?
Believe me, if I had, I would not publish this article.
Of course there are many ways to improve the body contour or lose weight, and if you get it I am the happiest person on the planet.
I advise you to try diet, exercise, take care of yourself, but do not lose money in miraculous treatments or miraculous devices because, believe me, they do not exist.
One more example and I finish: When I studied medicine more than 30 years ago, we all said that in a few years the needles would stop to have to draw blood. Such a simple thing, not to hurt the patient.
It’s been 30 years and we’re still the same. When we request an analytical, nobody draws the blood without a needle.
There are no devices that analyze our blood if we do not extract it with a needle. Such a simple thing, right? Well, imagine removing the fatty tissue that is much more bulky as it can extend from the neck to the ankles.
Medicine advances, of course, but not as much as the media makes us believe. And especially when it comes to “beauty”, not “health”, where there are many economic interests.
“Beauty” I put it in quotation marks because for me it is not only beauty but above all health. And when I talk about health, it’s mental health, rather than physical health, which is also mental health.
I always say that, if aesthetic surgery does not exist, which is considered by the vast majority of the population of “banal”, there would be many more disorders, not only physical health, but psychological self-esteem, depression, phobias, etc.
Of my 7500 operated patients, maybe 100 are not happy with the result achieved, I accept it, but 7400 are, and of these, half of them, some 3000 patients, have not only managed to remove a physical defect but have succeeded psychologically a lot. plus.
And megaliposuction is, really, one of the most grateful operations for patients who could not dress as they wanted or look in the mirror every day as they wanted, even making every effort to get it. And it is more, sometimes with rebound effect both mentally and physically.
By this I do not mean that everyone should undergo mega-surgery, far from it. Only those people who do care or bother their body contour and can not improve it in any traditional way, or with miraculous devices.