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Here are the legs! How plastic surgery corrects the shape of the legs

Photo: 123RF/legion-media.ru, Collage: 7Days.ru

Excess weight is not always distributed proportionally. Sometimes it settles in separate places, from where it can be especially difficult to expel it. It is because of this that such zones are called problem areas. For many women, this is the legs.

How to make legs slim, said Amjad Al-Yousef, plastic, maxillofacial surgeon, founder of the Damas Medical Center for Innovative Medicine.



Amjad Al Yousef

In the case of voluminous hips, the problem is eliminated with the help of liposuction. A plastic surgeon works to reduce the volume of the thigh in a circle, the subcutaneous fat layer is removed, after which the skin contracts and, as a result, the volume of the thigh decreases.

It often happens that the problem of poor hip contour is not excess fat, but excess skin. This usually happens after a strong weight loss, when there is sagging skin in the thigh area. In this case, according to the expert, one has to resort to tightening this zone.

When lifting the thigh, the incision is of two types: either from the knee to the groin along the inner surface of the thigh, or the second option – along the inguinal fold. Sometimes you have to use a combined operation, using both options at the same time.

Thus, there are only two ways to correct the imperfections of the legs, which consist in the excess volume of the hips and knees: volume reduction in a circle or in parts (liposuction), as well as skin tightening, also in a circle or in parts.



Leg liposuction

Photo: 123RF/legion-media.ru

Why are we talking about plastic at all, and not about sports or diets, we asked the doctor.


Amjad Al Youssef replied: “Often, sports contribute to an increase in the volume of muscle mass of genetically voluminous legs. In such people, everything below the belt is increased in volume. That is, they need to reduce the fat layer in order to reduce the volume of the lower leg, thighs, riding breeches. However, even if such people follow a strict diet and exercise hard, the volume of their problem areas will still remain large, due to the fact that this person is genetically disposed to fullness in the lower part of the body.


In this case, the patient can be offered liposuction of the legs, and then, as a fixation and maintenance of the effect, diet and sports.


“But it is important to consider that such people need to choose only cardio loads for burning fat, and strength training in their case should be minimized,” the doctor recommends.


There is another, directly opposite problem. Even in a person with normal and overweight, sometimes the legs remain unnecessarily thin. What to do in this case?


“If the hips are thin and need to be enlarged, I would advise resorting to sports,” says the expert. “The increase in the hips will occur naturally and due to a set of muscle mass.”


It is quite possible to pump up the hips with the help of persistent strength training under the guidance of an experienced trainer, but if you need to eliminate a huge gap between the legs in the upper part, you will have to choose one of two things: either gain weight or resort to lipofilling.


“If a patient has fat deposited in the abdomen or sides, then you can take it from there and increase the hip area with this material,” says the surgeon. – Due to your own fat, you can also align the curvature of the legs. To do this, you need to inject fat into the curvature zone. There is another option – the use of implants.



Installation of a silicone implant to correct the shape of the shins

Photo: 123RF/legion-media.ru

If there are many options for correcting the shape of the hips, then in the case of correcting the shape of the legs, you don’t really have to choose. For this zone, there is only one option – this is the installation of a silicone implant. After all, pumping up thin calves, even while training hard in the gym, is almost impossible.

Previously, implants were mainly used to correct leg deformities after injuries and illnesses (for example, poliomyelitis). Today, they are widely used in aesthetic surgery to correct both false curvature (i.e., not associated with skeletal deformities) and curvature caused by small bony deformities.

Modern silicone implants have various shapes (asymmetric, symmetrical, etc.) and differ in volume. The gels in their composition have a viscous consistency and due to this, even with an injury, they do not leak out. High-quality silicone prostheses are very durable – they do not burst even under a load of 400 kilograms. In addition, the body additionally protects itself by forming a capsule of collagen fibers around the implant.

Biocompatible implants are rarely rejected by the body. However, according to the expert, it is important to consider that any foreign body in the human body can cause an unpredictable reaction. This is an autoimmune response of the body, which can lead to the fact that the implant simply does not take root in the body or is deformed in one area or another (including the lower leg).

Therefore, if you have decided on plastic surgery, you need to pass an autoimmune analysis that will help determine how your immune system reacts to a foreign body (there is an increased, there is a decreased reaction).

“There are no medical indications for installing implants in the lower leg,” says the doctor. – Such operations are done only for aesthetic purposes. The choice of implants depends on the width, length and curvature of the lower leg. All these parameters are taken into account in the dimensional grid of implants. The surgeon chooses them when communicating with the patient, depending on the wishes and results that the patient wants to achieve.”

Silicone “pillows” are inserted under the skin of the legs through a small incision in the popliteal fossa, so there are no scars after the intervention. The operation takes an hour and a half. Usually it is done under general anesthesia, and only for medical reasons – under local.

During the operation, the doctor forms a special bed – a pocket where the prosthesis is inserted. The location is chosen depending on the individual anatomy. But usually the prosthesis is placed under the muscle or a little deeper, because. if placed directly under the skin, the cosmetic effect will be worse.

This operation is not difficult, but painstaking. If the surgeon does not have sufficient knowledge or experience, he may touch the nerve bundle – in this case, the patient is threatened with lameness or loss of sensation in the lower leg. After the operation, the patient spends one to three days in the hospital. But within two weeks periodically comes for dressings.

The surgeon also prescribes antibiotics, anti-inflammatory suppositories and ointments. Two to three weeks you need to limit physical activity and wear special compression underwear. In rare cases, intermittent claudication may bother you for a couple of weeks after the operation – this prosthesis puts pressure on the nerve bundle, but within a month all discomfort should pass. A good implant will last 20 years or more. But you need to see a doctor once a year.

Contraindications for plasty with implants: age under 18, diabetes mellitus, inflammatory diseases, exacerbation of chronic diseases, oncology, varicose veins of the lower extremities.

“If, for example, varicose veins are detected, the patient will need to undergo a thorough examination, undergo an operation by a vascular surgeon to remove thrombosed (blocked) veins, and only after that can plastic surgery in the legs be started,” warns Amjad Al-Yousef.



Photo: 123RF/legion-media.ru

Until recently, surgeons often had to deal with the results of the “work” of unscrupulous doctors who used special injection gels (pharmacryl, interfal, etc.) for body plastic surgery. Such drugs are allowed to be used only in small quantities for contour plastics (for example, to correct the shape of the lips).

But, unfortunately, this prohibition has been violated in the past and plastic surgeons could observe the results of using gels injected into the chest or legs of patients.

Among the complications were: bluish spots, tuberosity, deformity of the legs, painful seals, and sometimes microbial infections. Also, the “post-gel syndrome” could be accompanied by various symptoms of intoxication: nausea, headache, etc.

It is almost impossible to bring this substance back, unlike the implant. And, by the way, doctors do not undertake to put a silicone prosthesis on patients who have previously been injected with a gel, because they do not take root. Fortunately, today such situations are a thing of the past.


Additional sources:


  1. Legs. Comparative analysis of volumetric parameters of the lower leg in the immediate and long-term period after contouring of the lower extremities.
  2. Legs. Determination of optimal aesthetic parameters of the lower extremities.


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By Yara

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