20121004
Surgery of the knee artrósica: justification and possibilities
surgical options are in relation with the evolutionary moment of the disease artrósica and with the elements of mechanical overload preexisting or developed during the evolution: axial primitive Diversions Reversibilidad of the cartilaginous injury macrocospic Disappearance of cartilaginous fabric Attends of secondary deformations to the process artrósico Degree of global destruction of the joint The first situations can be treated by interventions considered like prophylactic. When already irreversible injuries exist in the cartilage, in moderate degree, palliative interventions can be applied. Finally, when the cartilaginous fabric has disappeared and the desestructuración is important with associate deformities, is necessary to resort to radical interventions since they are the implants protésicos. The ideal attitude would be to manage to avoid, medically, the deterioration of the cartilage (1-3) but this not always is possible so, overcome the phase of condroma faded, and come the phase opened (fisuración, ulceration, disappearance completes), the cartilaginous fabric is irrecoverable (4). For this motive, between others, a high percentage of knees artrósicas, in any of his varieties. It ends up by being feeder industries of replacement for artroplastia total of knee though, during the evolutionary period, other treatments have been applied to them medicoquirúrgicos palliative.
The Surgery Bariátrica
The surgery bariátrica is a tool that is in use as treatment for the severe or morbid obesity. They are surgical procedures, which serve to handle the disorders of excessive supply. The surgery bariátrica is considered to be a part of a therapeutic strategy. This one includes food changes (quality - quantity of show restraint and habits of conduct) and I increase in the physical activity. Hereby it achieves that the patient consumes minor quantities of food on having restricted the size of the stomach and / or the absorption of the food. This surgery brings the patient near to his ideal weight, improves and even it can treat the diseases associated with the obesity.
With the surgery two aims are chased: the first one, the loss of weight, and the second one, the improvement of the problems of health related to the obesity. It must not be considered " Cosmetic surgery ó Cosmetic " since the end of this surgery is to make lose weight to avoid the complications of the obesity. The aesthetic benefits are important but they are secondary ends in this surgery. A surgical suitable result does not guarantee the favorable long-term forecast, since the surgery only is a prop of the treatment. The success takes root in the form in which the patient learns "to "use" correctly the type of intervention that has been practised him.
The patient who enters to the Program of Obesity and Mini Invasive Surgery, must have the safety of the need of a deep and permanent change as well as acquire the commitment to modify his quality it would feed and to increase the energetic expense across the practice of physical activity to achieve the loss of the oily unnecessary mass and to manage to increase the muscular mass
Synovial cyst (ganglion)
What is it?
Ganglion cysts are lumps (lumps) very common, sometimes grow in the hand and wrist. The cysts are usually found on the back of the wrist on the palm side of it or the last joint of a finger (mucous cyst). It is also often found in the base of a finger. Ganglion cysts usually from nearby joints or tendinous sheaths. No specific cause for occurrence thereof. These cysts can be painful, especially when they first appear and with constant or strenuous use of the hand. Ganglia often change in size, so it can grow or disappear completely and spontaneously without treatment.
Treatment
Treatment of a ganglion cyst may just be watching any changes. However, if the cyst is painful, limits activity, or its appearance is unacceptable to the patient, other treatment may be recommended.
Treatment may include removal of the fluid from the cyst with a needle and / or the use of a splint or brace to prevent movement. If these nonsurgical treatments fail, your hand surgeon may recommend surgery to remove the cyst.
The goal of surgery is to remove the origin of the cyst. This may require the removal of a portion of the joint capsule or tendon sheath near the ganglion. If the ganglion is removed from the wrist splint can be recommended for the postoperative period. Some patients may experience pain, discomfort and swelling at the site of surgery for some time. In some patients this period is longer than others, but full activity can be resumed once comfort permits. Often require rehabilitation after surgery.
Although surgery offers good results in extracting ganglia, these cysts may recur with some frequency even after surgery.
Ganglion cysts are lumps (lumps) very common, sometimes grow in the hand and wrist. The cysts are usually found on the back of the wrist on the palm side of it or the last joint of a finger (mucous cyst). It is also often found in the base of a finger. Ganglion cysts usually from nearby joints or tendinous sheaths. No specific cause for occurrence thereof. These cysts can be painful, especially when they first appear and with constant or strenuous use of the hand. Ganglia often change in size, so it can grow or disappear completely and spontaneously without treatment.
Treatment
Treatment of a ganglion cyst may just be watching any changes. However, if the cyst is painful, limits activity, or its appearance is unacceptable to the patient, other treatment may be recommended.
Treatment may include removal of the fluid from the cyst with a needle and / or the use of a splint or brace to prevent movement. If these nonsurgical treatments fail, your hand surgeon may recommend surgery to remove the cyst.
The goal of surgery is to remove the origin of the cyst. This may require the removal of a portion of the joint capsule or tendon sheath near the ganglion. If the ganglion is removed from the wrist splint can be recommended for the postoperative period. Some patients may experience pain, discomfort and swelling at the site of surgery for some time. In some patients this period is longer than others, but full activity can be resumed once comfort permits. Often require rehabilitation after surgery.
Although surgery offers good results in extracting ganglia, these cysts may recur with some frequency even after surgery.
Liposonic
The Liposonic is a generating equipment of utracavitación, a new technology that bases his therapeutic action on the application of ultrasonic waves of up to 30 Watts of power. These mechanical waves, by means of the differences of positive and negative pressure that compose them, create an innumerable quantity nanoburbujas, unlike the conventional ultrasound. These, they accumulate energy up to growing to a size where they become unstable, and implosionan in the cavities of the intermediate liquid inside the adipose panículo. The implosion of the nanoburbujas liberates a quantity of such clear energy, which creates a pressure on the membrana celular of the adiposito, liberating to the blood torrent the molecules of oily acids and glycerol that shape it. This allows that they should be metabolized and eliminated across the lymphatic system and the urinary tract. This process is cyclical, since the energy liberated by the implosion they generate shock waves, which new nanoburbujas create of it emptied, repeating the process as residual action, to diminishing intensity. This innovative treatment reducer of fat, it is a therapy of rapid loss of weight that effects to slant a device of ultrasonic liposuction called Liposonic, which offers the possibility of shaping the corporal contour with surprising results. This therapy is painless and is applied by means of ultrasounds from 3 to 10 Mhz, (low frequency) which issue a few waves that strike the oily cells (adipositos) that are deposited in the subcutaneous part of the body and are the causers of the formation of cellulite. This "liquefied" fat is eli mined by the lymphatic system and the urinary tract Is very advisable for those persons (men and women) that do not answer to other treatments and that present zones of very located fat. The therapy Liposonic can be applied in patients of both sexes, previous medical evaluation and clinical analyses (triglicéridos). The postoperatory recovery is rapid and the insuperable results. The use of a strip is advisable immediately after the treatment since as the loss of weight it is fast, she there will help that does not still have the skin sluggish.
New Lipoescultura
The lipoescultura laser is one more application of the technologies of liposuction or extraction focused of oily fabric of the body. The only difference that we might indicate between liposuction and lipoescultra laser is that the latter is in the habit of applying to him in more limited zones where major precision is needed in the control of the cannulas of extraction and it turns out vital that the brands of the procedure (incisions) are controlled and easily hidden. Of there that exist specific applications of a lipoescultura in corporal specially recommended zones: · facial Lipoescultura: treatment that consists of the elimination of fat lodged at the face and the neck. This operation allows a considerable reduction of the volume of these zones and the postsurgical recovery of the patient is almost immediate. · brachial Lipoescultura: this procedure is applied for the elimination of adipose excesses under the skin of the arms. Mixed technologies are used to obtain better results (ultrasound, electrical engine, etc.) and major precision. The small incisions of 4mm allow to return to the social life spent 48 hours. If the stretching arm is total, it will imply also the extirpation of the leather surplus of the area. · Lipoescultura of abdomen: in these cases also mixed technologies are in use for eliminating the adipose surplus located in the skin of the abdomen and it offers incredible results. The rehabilitation of the patient with this treatment is practically immediate. · Lipoescultura of buttocks: the cellulite is located principally in thighs, buttocks and knees. The precision lipoescultura makes possible the total elimination of these oily heaps with great facility and without complications. · Lipoescultura of legs: with mixed technologies of elimination, it is possible to apply Lipoescultura's treatment laser to recover thinner legs, contorneadas and young women. It has postoperatory shortly that allows to join to the labor life in 48-72 hours. Though the enumerated ones are the principal zones where these treatments are applied, they are not the only ones since the modern procedures have advanced in agreement with the great demand of this practice and it has managed to reduce both the times of intervention, and the own risks of an operation and the requirements post-qirúrgicos of rehabilitation. It is possible besides the fact that these treatments are applied in combination by others that optimize the results. But it is equally important to indicate that the lipoescultura laser is not one recovers for the obesity and for no motive he will have to be considered to be a substitute of food programs or of exercises. It is not also a question of a definitive solution since the patient will be able to put on weight or to slim with posteriority to the practice of a lipoescultura. The results and the duration of the same ones will depend to a great extent on the care on that it puts in supporting a harmonic figure with a balanced well diet and an important dose of physical activity.
What is the ultracavitación?
The cavitación is a physical phenomenon based on the effect of the ultrasounds in liquids, which there provokes the creation repeated of microbubbles of emptiness of great size, due to the rapid oscillation of changes of pressure.
Using the creation and implosion of bubbles of ultracavitación, we generate fields of pressure and sufficient density to break the membrane of the adipocito and there are liberated the fats that these were containing. These fats will be evacuated by lymphatic and venous routes, since the cavitación provokes physical changes in them and does them hidrosolubles, by what they will be eliminated finally by the urine.
Using the creation and implosion of bubbles of ultracavitación, we generate fields of pressure and sufficient density to break the membrane of the adipocito and there are liberated the fats that these were containing. These fats will be evacuated by lymphatic and venous routes, since the cavitación provokes physical changes in them and does them hidrosolubles, by what they will be eliminated finally by the urine.
Liposuction Technology
The liposuction is the surgical technology that withdraws fat of the body by means of the aspiration of fat. By means of suction across cannulas or thin pipes, leaving minimal scars of not more than 3 mm of length. In general this aspiration of fat is realized in specific sites like abdomen, "rabbits", thighs, neck, hips, etc. Though it improves dramatically the abdominal contour, eliminating oily warehouses, it does not improve the flacidez of the skin, the cellulite, the strias or the muscular incompetence of the abdominal wall.
The ideal paciete is the one who has a normal or slightly increased weight, in whom the skin does not have problems of elasticity, without cellulite and with specific problems of contour as the patient of the photos 3 and 4, in her the result is going to be ideal. In patients with cellulite like the patient of the photos 5 and 6, the contour is going to improve significantly, but the cellulite does not. These results alone can be obtained by liposuction so in these sites (rabbits and back goes down) there is an accumulation a special so called fat " dun fat ", which only disappears when the patient this one in a condition of advanced malnutrition. The results of this surgery depend among other things on the produced site, for example: when the satisfaction of the patients treats itself about conventional liposuction of "rabbits" it is 100 %, in case of the abdominal liposuction the satisfaction of the patients is 85 %, or in case of liposuction in high back of 70 % and fall of 90 %.
One speaks of lipoescultura when there is modified the corporal contour of a widespread way combining liposuction and lipoinyección (injection of the fat that was extracted). For example liposuction of hips, abdomen and thighs, with lipoinyección of this fat in the buttocks. In average he is going to remain a 50 % of the fat that is injected, but the change is going to be very important.
In general if there is going to be done the liposuction of small areas the local anesthesia is preferred. If it goes away there is necessary to withdraw a great quantity of fat in different sites of the body the general anesthesia is preferable.
Different types of liposuction exist as deep, superficial, tumescente, ultrasonic, vasser, laser etc., which are indicated in agreement to every case especially and it is not possible to say that the one is better than other one. Due to the fact that one withdraws the fat between the muscle and the skin stays an empty space that is necessary to eliminate. Because of it it is necessary that the patient goes out of surgery with a strip that has been done on measures before the surgery. The advisable thing is to use this strip 24 hours a day during 30 days after the surgery.
After the surgery it hopes that the patient has swelling, slight pain, and bruises. The 1 º day will eliminate acúmulos bloody being able to stain his sheets; this is normal do not feel anguish. The adolorimiento is transitory and yields easily with the common analgesics, the bruises and the edema improve in 90 % to 15 days of the surgery.
The recovery of the patient after the liposuction is very rapid, 95 % of the patients patient can return to the work to 3-5 days of the surgery. The use of swimming pool must be avoided the first 2 weeks since it favors the infection. The sport and activities of physical exercise it will be able to realize again about 3 a.m., 4 weeks after the surgery.
During the process of cicatrization encontraran in the site of the surgery small nodules unlasted ("turupes") and sensation of drowsiness that they will eliminate in 2 or 4 months. The majority of the times is important the application of massage for personnel qualified to attack areas of fibrosis that they present. Once obtain a new appearance his abdominal contour will be able to illuminate better his clothes, the result is excellent and is kept for a long period of time since the elegant record-books and suitable exercises are had.
What is the liposuction?
A liposuction is a surgical operation that consists of eliminating fats absorbing them with a few small pipes.
To realize a liposuction correctly first the zones must be specified to treating noticing principally the zones in which it is necessary to absorb major quantity of fat, later the pipes of absorption are penetrated in different directions in order that the skin receives well his more limited new volume.
Once finished the absorption puts on one bandages for the regions where the pipes have been introduced so as to support the cutaneous tension of a vertical way to fight against adversities. These are of way summarized the principal phases to carry out a liposuction.
Types of liposuction
Sometimes we meet that exist different types of liposuctions, later we explain brief the principal types that exist:
* There is the traditional liposuction in which the professional breaks in a slight way capillaries extracting fat close to mixed blood, it is not sure to extract many quantity of blood for what we will fix a maximum of extraction in 2 liters of fat.
* The lipoescultura (in this link also we speak about her) extracts the fat that one finds immediately under the skin. This type of liposuction allows us a better managing of the region to treating since the skin shrinks much better.
* The ultrasonic liposuction (more information in this link) consists of applying an ultrasonic wave, East method allows to extract the fat with more facility.
These waves have some advantages with respect with the previous liposuctions as for example that does not break any cutaneous structure what leads that the loss of blood is minor and cutaneous treated regiones can be more extensive, also due to the fact that they do not touch arteries it is possible to carry out in zones as the back.
* Finally we are going to observe the type of three-dimensional liposuction that is a combination of the lipoescultura with the ultrasonic waves. In this case the ultrasonic waves take charge of the deep zones of the skin inhaling the skin of this region whereas the lipoescultura takes place in the surface of the skin extracting the fat near to the superficial dermis. It is necessary to indicate that the three-dimensional liposuction can transport some risks as allergies with the products used between others, these adversities they can excel doing a primary study of the patient.
ULTRACAVITACION (Liposuction without Surgeries)
It is a treatment indicated for those healthy persons who do not have hepatic or renal problems, which want to improve the aspect of his body without having to come to the surgery. It allows us to realize treatments of oily located warehouses and cellulite. Very adapted for abdomen, hips, cases, face hospitalizes of thighs and knees, arms and back …
It does not have any side effect, is not painful (only a certain heat is obvious in the treated zone) and does not need test of allergy. Only it is recommended to use before and after the treatment a lot of hydration.
The content of fat of these cells or triglicéridos they fragment in diglicéridos, being eliminated of natural form across the systems urinary and lymphatic.
The emission of ultrasounds to level of the external surface of the skin produces changes of pressure in the intermediate liquid of the oily fabric, generating microbubbles (cavities) that first implosionan and later they explode. This overpressure destroys the oily cells.
That is the liposuction
The liposuction is one the most practised cosmetic surgeries. The liposuction is the process of removing the fat in specific areas of our body across the suction of the fat. The most common liposuctions are:
*
Abdomen,
*
Hip,
*
Buttocks (behind)
*
Top torso.
Some persons use it in the face, the arms, and up to the knees. In Latin person America the liposuction is used in all the countries and is very popular.
The traditional liposuction uses an instrument that is inserted in the skin to suck the fat under local or general anesthesia. The extracted fat is placed in bottles or other containers or used for lipoinjertos in the same patient.
The liposuction touches neither the nerves nor the blood glasses. Depending on the area the procedure lasts from one to two hours for section. Usually it does not need hospitalization and the time of convalescence is one or two days before joining to the daily activities but the pain and discomforts last for two weeks or more.
The lipoescultura without surgery achieves thanks to an innovative technology that it allows to eliminate the warehouses of fat. The Ultracavitacion is a technology by means of focused ultrasound that destroys in selective form the adipose cells. In the Argentina, this technology - already spread in Europe and in Asia - is available for a few years, and already it has been used to treat hundreds of women and men who choose her because it is not invasive.
How is it the procedure?
Ultrasound focused on the zones is devoted at treating, provoking the lisis of the adipocitos, or oily cells. The system possesses a software that monitors real time the treated area, not to superpose shots. This way, the membrane of the adipose cells is destroyed in selective form without damaging the surrounding fabrics. Then, the oily acids are liberated to the way and metabolized across the liver.
What zones can treat?
Abdomen, waist, "knee-breeches", flanks, buttocks, thighs and back. The treatment is orientated to the reduction of located adiposities, or alterations of the corporal contour that are not eliminated by diet.
How many meetings it needs?
The treatment includes from 4 to 10 meetings, depending on every patient and zone to treating. For every application it is possible to diminish the corporal contour up to 6 cm in average. One recommends to practise a suitable diet and to realize gymnastics to be able to support in the time the obtained result.
Is it sure?
This technology is approved by the National Administration of Medicines, Food and Medical Technology and for the Administration of Food and Medicaments of Canada (FDA, for his initials in English), between other organisms of control.
When is not it recommended?
This one is not a treatment for the widespread obesity. It is not indicated for persons who should have hepatic disorders, elevation of the cholesterol and the triglicéridos in blood or alterations of the coagulation. Neither, for whom they have weakness or suffer such food disorders as anorexia or bulimia, or dismorfofobias - perception deformed of the physical aspect-.
Liposuction
The technologies of extraction of oily fabric accumulated in the body or liposuction constitute one of the major advances of the aesthetic medicine of the 20th century. Before, the only way of extracting the remaining fat was extirpating directly the adipose heaps, leaving big scars, and constituting major surgical risks.
Besides these treatments, it exists diverse types of liposuction that only they can be realized under the recommendation of qualified professionals who attend to the needs as well as to the possibilities of every patient, since the suitable information can avoid unwanted results.
Always previous studies must be realized to know the general condition of the patient and then to determine the procedure adapted for each one.
The most used methods are:
Liposuction tumescente (for injection of liquid): It is the most common type of treatment. It consists of the application of a great quantity of a mixture of local anesthesics and epinerina (that serves to reduce the bled one and the bruises) in the areas to extirpating. This procedure is in the habit of taking more time that the others.
Liposuction with humid technology: It is a procedure similar to the previous one but into that minor quantity of liquid is injected. This technology is more rapid but it is in the habit of needing that a general anesthesia is applied to the patient.
Liposuction represented by ultrasound: This technology began to be realized in The United States in 1996, and it consists of the liquefaction of the adipose cells from ultrasonic vibrations. The oily material goes on to a semiliquid and at the time condition is inhaled across a few special cannulas.
This procedure is very recommended when one tries to extract fat of fibrous or dense areas of the body, as the back or mammary fabric in the men.
Some disadvantages that it has are the possibility of cutaneous necrosis or burns being caused.
Liposuction represented by electrical engine: In this procedure there is in use an electrical engine that realizes on the cannula a movement of sway by means of which the adipose fabric is extirpated. It is in the habit of being little used by the difficulty of his sterilization and by his fragility
Liposuction for compressed or medicinal air: This one is the most new technology that is realized in this surgical procedure. Practically he does not carry risks for the patient, is of simple use and does not need maintenance. In addition, the recovery for the patient is in the habit of being more rapid than with other systems.
The process is clear of a pneumatic engine that it offers to the cannula sway, vibration and rotation, facilitating the process of aspiration of the emulsified fat.
The liposuction has gained followers' great quantity in the whole world, since it allows to solve in a little time aesthetic problems related to the fixation of adipose material in slightly suitable parts of the body.
Nevertheless, though it seems to be simple, it is not necessary to forget that it is a question of a surgical intervention, with all the benefits, risks and effects that it implies.
What is the liposuction?
A liposuction is a surgical operation that consists of eliminating fats absorbing them with a few small pipes.
To realize a liposuction correctly first the zones must be specified to treating noticing principally the zones in which it is necessary to absorb major quantity of fat, later the pipes of absorption are penetrated in different directions in order that the skin receives well his more limited new volume.
Once finished the absorption puts on one bandages for the regions where the pipes have been introduced so as to support the cutaneous tension of a vertical way to fight against adversities. These are of way summarized the principal phases to carry out a liposuction.
LIPOESCULTURA: ALL THE INFORMATION
Definition of lipoescultura
Treats itself about a procedure of the cosmetic surgery that it takes the body as a purpose "esculpir", to be able to give him a form mas stylized and attractive. It is very important to stress that the lipoescultura is not a method to go down weight, but rather it those rebellious zones shape and to eliminate that often neither with the daily exercise nor with the diets the possible one to eradicate of our body.
Price Lipoescultura
Generally, the costs of a lipoescultura variant notably, this is because it is necessary to to realize a previous diagnosis to know the quantity of adipose fabric to remove and the involved zones. For it to know all that costs a lipoescultura is advisable to visit the plastic surgeon, in the same way as hariamos for any other cosmetic surgery.
Lipoescultura And Beauty
Undoubtedly the purpose of this surgery is eminently aesthetic, for it always it is suitable to realize it for experienced surgeons who compromise neither our health nor our potential beauty. For it always as collection also it is suitable to request the professional or the Clinic him, photos of before and despues. Generally the zones mas awkward or rebellious to that the patients resort to the treatment of lipoescultura are: The abdomen, waist, flanks (comumente called ¨flotadores ¨), external face of thighs, face hospitalizes of thighs, hip " or knee-breeches ".
Also other zones exist: knees, ankles, arms, back, cheeks. The liposuction must be realized for plastic surgeons experienced on the procedure, to avoid aesthetic complications of nature and of health. It is very common to see lipoesculturas not very well realized that they can leave irregularities in the skin of the patient, bony "wells". Of all forms if the liposuction is realized by plastic surgeons by experience, the results are in the habit of being in the main successful and offer to the big patients satisfactions. Once taken the desición, the patient must carry out a series of examinations prequirurgicos to state that he is in conditions clinical of carrying out the lipoescultura.
Once in the operating room, the liposuction is generally realized by local anesthesia and a support or sedation so called neuroleptoanalgesia, which it does that the patient meets a degree of relatively important absence, like not to have to feel the effects of traumeticos of the intervention. The plastic surgeon works, first placing liquid of Klein, "to "soften" the adipose fabric to fat. Then, by means of cannulas of only millimeters of diameter connected to a special vacuum cleaner, the fat is removed, with ascending and descending movements. The quantity of fat that can extract to him for lipoesculpir a human body has a clinical limit that in no case must excel. This limit depends on every patient especially, for what it is necessary to have a professional consultation to know every case in especifíco not to suffer a possible decompensation during the intervention. Finished the lipoaspiraciçón, a few special strips are placed in the zones lipoaspiradas, that fulfill the function to compress laz zones and to avoid edemas like that and the separation of the fabric. Generally the mísmas are in use in uninterrupted form for approximately twenty days. After finished the lipoescultura, the patient will stay in observation a time deteminado, that generally goes from two to four hours. Always it is necessary to take antibiotics in preventive character after the surgery, since to be present from time to time at the controls port Surgical to correct any disadvantage in time, like this way also to realize the correct treatments of a lipoescultura, as any other surgery. .Es a surgical technology very spread and accepted inside the field of the plastic surgery, which allows to extract the adipose corporal fabric, of a very simple and fast way from the application of the effects of the beam laser. Procedure: The first thing that is done is to sedate the patient in 40 minutes. In this space the laser produces the "break" that allows the exit of the fat of the intercellular spaces towards the exterior. A bundle of light concentrated travels for the optical fiber towards the oily fabric transforming it into a thick substance (production of fototermólisis), Facilitating the suction across a few bombs connected to the cannulas of extraction. The bruises and hemorrhages turn out to be minimal, due to the fact that in the lipoescultura laser blood glasses are not extracted as in the traditional lipoescultura. The treatment indicates specially to persons that having a weight that does not overcome the limits of the normal thing, they do not manage to eliminate small zones of accumulated fat or cellulite somewhere of the body with physical exercise not with food diets. The people are in the habit of choosing this method because local anesthesia is in use, few blood gets lost very and the recovery is very brief (not more than 3 days after the operation). It is in use for reducing specially adiposities that center in the cérvico-facial zone, arms, abdomen, waist, hip and thighs.
It is counter
indicated only to cases of preexisting pathologies as renal insufficiency, cardiopathies, cancer, tumors and diabetes, between others. The lipoescultura laser is realized only by highly qualified professionals and in the centers of health due autiorizados. Before any surgery a series of studies must be realized as a detailed clinical evaluation of the patient and laborator analysis. In spite of the big achievements and advances of the lipoescultura, it is necessary to clarify that it is not possible to extract the totality of the corporal fat, since there exist small limits of adiposity that only trained well surgeons can determine, of between 300 and 500 grams. In addition, the forecasts of results to obtaining differentiate in agreement to different variables of every patient, as habits, contextura physics, age, etc. The results are immediate, but after 2 or 3 weeks of realized the treatment they improve considerably, since it is necessary to wait necessarily that the zone me deflate after the lipoescultura.
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