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Case Reports in Surgery and Invasive Procedures | Volume 3
Biomarkers
Plastic and Cosmetic Surgery
International Conference on
International Conference on
Joint Event
&
March 11-12, 2019 | London, UK
Giorgio Fisher from Italy was the 1st surgeon to perform
localized fat removal in 1974. Doctors Illuoz and Fournier
from France started modern liposuction in 1978. Dr. Klein from
USA changed history with his tumescent solution in 1985. In
1996 I started performing liposculpture under local anesthesia
to avoid risks related to general anesthesia. I have done 13181
cases since then. Before surgery patients get blood tests,
garment, pictures are taken, BMI, consents. Day of surgery: in
Miami and Caracas patients received oral sedation (midazolam
syrup). In Dubai I use I/V sedation (midazolam). Infiltration
solution that I use is in 1 liter of saline .9= 20cc of lidocaine
2% ( 400mg), 10cc. Sodium Bicarbonate 8.4% (84mg), 1cc
of adrenaline. I use what I call “safe zone” with this formula:
weight (Kg) X 55mg/Kg/400= Liters to infiltrate. For example
if patient weighs 80kg it will be 80 x 55=4400mg of lidocaine
max dose. If each litre has 400 mg of lidocaine this patient can
receive up to 11 litres. The most frequent area is abdomen,
waist, flanks, upper back (88%), thighs, arms, neck, knees (10%)
and others (2%). Fat transfer has increased from 15% (1996-
2006) to 85% (2006-2017). Most popular area to transfer fat=
Buttocks (83%), Face (12%), Hands (4%). ComplicationsMajor =
None. Wound infection = 0.03%. Hypercromia = 0.02%. Seroma
= 0.0075%.
I explain to my patient that I’ll do the 1st step (liposculpture)
but diet and exercise are very important in order to have a great
result. I have a wonderful team (anaesthesiologist, nutritionist,
nurses, therapists and patient coordinators). Take pictures
(“post-surgery amnesia”), keep patients inside the safe zone,
keep record of patient’s weight, I perform Lipo in a hospital and
in a day surgical center (fully accredited)
Speaker Biography
Luis M Ayala has an extensive experience in plastic surgery more than 27 years. He is from
Miami, USA, born in Venezuela and studied plastic, esthetics and reconstructive surgery
from 1991-1994 in Paris, France where he received a summa cum laude distinction. His
domain of expertise covers liposculpture using local anesthesia, facial, breast surgery,
hair transplant, Botox, fillers. For him plastic surgery is an art. In 1996 he started doing
liposculpture under local anesthesia in order to avoid risks related to general anesthesia.
More than 13,000 cases prove that is the way to go to be safe and get great results. He
works in Dubai UAE since 2017.
e:
Luis M Ayala
Fakih Medical Center, UAE
Liposculpture under local anesthesia, 21 years’ experience
Notes: