High Definition Liposuction

• DO NOT SMOKE for two weeks before and two weeks after surgery. Smoking reduces blood circulation, slows down healing, and increases complications.
• DO NOT TAKE ASPIRIN or products containing aspirin or anti-inflammatories such as Brufen, Cataflam, and Ponstan for two weeks before or following your scheduled surgery. These medications affect your blood’s ability to clot and increase your tendency to bleed during surgery or the postoperative period. If you need to take a mild painkiller, you can take paracetamol.
• DO NOT TAKE DIETARY SUPPLEMENTS for two weeks before and after surgery. These include vitamins, ginger, ginkgo Biloba, garlic, ginseng, and fish oils. They may increase your risk of bleeding and bruising during and following surgery.
• DO NOT DRINK ALCOHOL for five days before surgery. Alcohol may increase your risk of complications as well as bruising.
• IF YOU DEVELOP A COLD, COLD SORE, FEVER, OR ANY OTHER ILLNESS BEFORE SURGERY, PLEASE NOTIFY US.

Day Before and the day of surgery

• Would you mind showering using only anti-bacterial soap? Males receiving abdominal or flank treatment may prefer to shave the treatment area; females receiving abdominal or thigh treatment may prefer to shave pubic areas below the hairline.
• Wear comfortable, dark, loose-fitting clothing on the day of surgery, including a shirt that buttons up the front. Wear nothing that you must put on over your head. Slip-on shoes are recommended for maximum postoperative comfort. We suggest you safeguard your car seat and bedding with a protective cover as there will be some fluid leakage following surgery.
• Leave jeweler and valuable at home. Do not wear wigs, hairpins, or hairpieces.
• Avoid wearing makeup, facial, and body moisturizers.
• SURGERY TIMES ARE ESTIMATES ONLY. You could be at the clinic longer than indicated.
• ARRANGE FOR A DRIVER TO AND FROM SURGERY. We cannot discharge you to a taxi. Put a pillow and blanket in the car for the trip home.
• HAVE A LIGHT BREAKFAST on the morning of surgery.

Postoperative instructions

• IF YOU EXPERIENCE EXCESSIVE PAIN OR BLEEDING, FULLNESS OR SPREADING REDNESS IN TREATMENT AREAS, OR FEVER, PLEASE CALL US IMMEDIATELY
• DRIVING: A family member or friend must drive you home from your surgery (it is best to have them stay and assist you for the first 24–48 h). Please do not drive if you are taking the prescription pain medication Tramadol.
• COMPRESSION GARMENTS: If you had Liposculpture performed on your knees, thighs, hips, arms, or abdomen, You would put on a particular elastic-type garment at the end of surgery to provide comfort and support while helping your skin conform to your new body contour. The day following surgery, you may remove the garment once a day for laundering, sponge bathing, and bandage changing (if present). Continue wearing the garment 24 h a day for the first two weeks, followed by 12 h a day (remove at night) for the subsequent two weeks.
• BATHING OR SHOWERING: Sponge baths only for the first 72 h when removing the compression garment. After 72 h, you may take a shower or bath when the garment has been temporarily removed. Avoid Whirl Pools and hot tubs for at least one week (until the incision sites have healed).
• TREATMENT SITES: Please keep your dressings as clean and dry as possible, changing them daily if wet to help prevent infection. Do not apply heat or ice to the surgical areas. You should expect significant drainage (oozing) of blood-tinged anesthetic solution at the incision sites due to fluids injected during your procedure. Although the fluid may appear red, it is the most anesthetic solution and saline and only 1% blood. In general, the more drainage there is, the less bruising and swelling there will be. Many patients have found it helpful to use a shower curtain or other protective covering on their mattress for the first few days after their Liposculpture procedure. When your incisions stop draining, please clean with tap water and apply petroleum jelly to the incisions. Itching, pulling, pinching, hardness, tightness, and/or numbness sensations are normal. All should subside within 24 h to 1 week but sometimes can last for months. This is part of the healing process, and your patience is appreciated.
• ACTIVITY: Rest for the first 12 h. It is normal to experience light-headedness when rising or removing/changing your compression garments. Please have someone help you with this for the early few days after surgery. Take it easy for the first week, resuming regular activity as tolerated. You are experiencing more than mild swelling, and discomfort may indicate that you are overdoing it. Avoid strenuous activities, lifting over 10 Ibis, or aerobic exercise for 2–3 weeks. Protect incisions and any bruised areas from the sun until wholly healed; use SPF30 or higher for six months. Avoid tanning until the bruising has faded, which usually takes 10–14 days. If you like, feel free to treat yourself to a gentle massage during your postoperative course. Therapeutic massage is beneficial to speed the healing process. It may be done beginning two weeks after surgery, as often as every second day, and as hard as you can tolerate.
• DIET: If you experience any postoperative nausea, try carbonated drinks and dry crackers to settle your stomach. Take your postoperative medications with food to minimize irritation. If your stomach feels normal, start slowly with liquids and bland foods, progressing to soups, and finally, a healthy diet as tolerated. Drink plenty of clear fluids.
• ALCOHOL: As well as/In addition to refraining from drinking alcohol for at least five days before surgery, it is essential that you do not consume alcohol if you are taking over-the-counter or prescription pain medication following surgery as they may interact.
• SMOKING: We continue to stress the importance of not smoking. Smoking reduces blood circulation to skin and tissues and delays healing. Do not smoke at all during the first 14 days following the procedure.
• EXPECTATIONS: Remember, the goal of fat removal is not weight loss but for improved contour. Since the body retains fluids in response to surgery, you may notice a temporary weight gain, resolving over the first week. In addition, remember that for most people, the goal is a significant improvement, not perfection. Lower abdominal patients may experience significant swelling in the pubic area. Postoperative discomfort usually takes the form of deep muscle soreness and is typically improved over the following 2–7 days. Slight temperature elevation and flushing of the face, neck and upper chest could last 48 h. You may initially experience a mild depression that should begin lifting after the first week once you see the bruising and swelling fade. Menstrual irregularities (premature or delayed monthly onset) are a common side effect of surgery. If I treat treated areas on the thighs, you might have swelling in your calves and ankles for up to 3 weeks.
• Please take the antibiotics and pain medications as advised or prescribed by your doctor. If you have no allergies, you may start with regular paracetamol (1,000 mg every six h). If this does not relieve discomfort or pain, you can take the prescription pain medication in addition to the paracetamol. Do not take aspirin, Brufen, or Neurofen. If antibiotics are prescribed, you must complete the entire course.
• For maximum healing and optimal long-term results, you must follow the appointment schedule that is made following your surgery.

Fat transfer is a very effective means to fill in wrinkles and loss of tissue throughout the body and face. Fat transfers are done by “harvesting” fat from the abdomen or another part of the body, processing it to get viable fat cells, and then injecting it back into the desired location. Fat that is removed from one area of your body can be safely stored for several months. The advantage of fat transfers is that there is usually an unlimited source of fat, it’s one’s tissue, and it’s a reasonably reliable material. Some disadvantages are that the fat does reabsorb to some degree, and it may take a few procedures to get the results wanted.

Why do we treat cellulite from above the skin when the real problem lies beneath it? Ask Prof Moawad. After tumescent anesthesia is injected in the awake patient’s target areas of the awake patient Prof Moawad uses a unique power cannula that helps him to subcise the fibrous septa that dimple the skin’s surface precisely without suction of fat. By holding the cannula in place, making the powered stroke precisely cut these fibrous septa (subcise) underneath the skin.  This ensures higher fat survival and successful fat transfer afterward. The MSI results are excellent in treating cellulite and smoothing out the skin in combining these two procedures.  It is worth mentioning that this approach is offered to our patients as a standalone treatment or combined with liposuction or with monopolar radiofrequency skin tightening sessions afterward to achieve more skin tightening and a more fabulous smooth surface.