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| Li Ling Seah
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| | Questions answered: 3, Questions asked: 1 | Sample translations submitted: 1 | English to Chinese: 6 tips to get the most out of your liposuction surgery | Source text - English
If you’re reading this, odds are you’re considering or probably well on your way to making up your mind to undergo one of the most popular procedures known in cosmetic surgery today – liposuction.
A surgical procedure designed to strategically remove fat deposits around the abdomen, arms, back, buttocks, calves, face, hips, neck, and thighs via a fine tube known as a cannula, liposuction was originally invented some time in the early 70s.
Today, liposuction procedures globally accounts for a significant and growing portion of a plastic surgeon’s work. In Britain, the British Association of Aesthetic Plastic Surgeons (BAAPS) reported that their members conducted nearly 4,000 liposuction procedures in 2006, a 90 percent increase from the previous year. In the United States, liposuction was the most performed procedure ever in 2005, accounting for 324,000 cases alone, according to the American Society of Plastic Surgeons (ASPS). In Malaysia, it’s one of the top five most asked for procedures next to double eyelid surgery and nose augmentation.
“Liposuction is a very common procedure in my practice. It is one of the three most sought after procedures by my patients,” says Malaysian plastic surgeon Dr. Heng Kien Seng. “There are usually more than five enquiries per week on liposuction. As our population gets more affluent and better fed, we will tend to see more people coming forth with weight problems.”
With advances in medical technology and surgical techniques today, liposuction is a relatively safe procedure though as with any form of surgery, it has its attendant risks. Like how a runner has to train and prepare for a marathon, someone who wants to take that big step and undergo liposuction has to undergo the same amount of preparation to get the best outcome from their liposuction procedure. Dr. Heng shares the following tips.
1- Pick The Right Surgeon
With the same reasons that you wouldn’t trust a fishmonger to tune and overhaul your car, you don’t want to put your life in the hands of someone that may not be qualified to perform liposuction.
Before you opt for the procedure, you should do your homework and create a list of the surgeons that are qualified and have the training to conduct your procedure. In Malaysia, you should be looking at a certified member of the Malaysian Association of Plastic, Aesthetic and Craniomaxillofacial Surgeons (MAPACS), which you can verify at their website at www.mapacs.com or at the Malaysian National Specialist’s Registrar at www.nsr.org.my/azhome.jsp. In Singapore, you should check out the Ministry of Health’s registrar of specialists at http://www.smc.gov.sg/PRSCPDS/scripts/profSearch/profframe.jsp.
For other countries, you should check with the relevant government health body that will maintain a register of certified surgeons. This ensures that the listed surgeons are trained to a certain standard and have the necessary experience to perform your surgery. Once you’ve shortlisted the surgeons you want to visit, you should arrange for a personal consultation.
“Insist on a personal consultation with the surgeon – not through a middleman. In this regard, patient-surgeon rapport is crucial. It’s highly important that you are comfortable and confident that the surgeon can do a good job. That surgeon should be knowledgeable about the procedure that he/she is about to perform.
“During the consultation, take down notes and ask questions. Your surgeon should be able to answer you confidently and to your satisfaction but not oversell their skills and experience,” says Dr. Heng.
Most times, a one-on-one with a plastic surgeon involves a small consultation fee, but it is worth it. During consultation, they’ll explain what they can do for you, their experience with the procedure, expected outcomes as well as field any other questions you have regarding the procedure.
While all surgeons are trained to a certain standard, some may have performed more liposuction cases than others – it’s within your rights to ask how many prior procedures they’ve performed, what results were achieved and what you can expect from your surgery. You may also request testimonials from previous patients and always ask to see ‘before’ and ‘after’ pictures of cases the surgeon has done before.
At this juncture, you may have to choose between several surgeons. “When selecting a surgeon, price should not be the most important determining factor. Skill and experience carry a premium and in the unlikely case there are complications or uneven results, it will be even more expensive to fix what went wrong. Mistakes and revision surgery are difficult and in most cases, are difficult to rectify and you may not get the results you want. In many cases, it may even be irreversible,” advises Dr. Heng.
2- Have Realistic Expectations
You should have realistic expectations of what liposuction can achieve. The ideal patient is someone who has firm elastic skin, is normal to slightly overweight and looking to trim off a few stubborn bits of fat that resist exercise and dieting. The ideal patient should also have started and is maintaining a healthy diet and exercise regimen. Liposuction is not weight loss surgery. It cannot be prescribed for morbidly obese individuals, as there are finite limits to the amounts of fat that can be safely removed from the body. Also, patients who have a large amount of lax skin may not be viable candidates for liposuction. Other procedures are required to first address that issue.
Morbidly obese individuals should instead undergo a weight loss programme and/or see bariatric surgery options such as installing a Bariatric Intragastric Balloon (BIB) or a Lapband to achieve sufficient weight loss before even considering liposuction. While new surgical techniques have appeared such as VASER® assisted high definition LipoSculpture that can potentially give you a six-pack surgically, these options are still limited to relatively fit individuals.
It’s important to note that liposuction cannot perform miracles. “We simply cannot turn someone who may be an excessively overweight mother of five with lax abdomen skin into a supermodel overnight,” notes Dr. Heng.
3- What Goes Out can Come Back (In)
It’s six months down the line. The swelling’s gone down and the scars have faded. You can finally wear your skinny jeans that you thought would never see light again. People start noticing you now. You feel fabulous. Now that you look good, you’re thinking twice about that gruelling gym subscription; you’ve gotten where you wanted to – why suffer even more? You’re sitting down for drinks with your best gal pals and tucked between the pages of that menu is a sinful double chocolate mud cake that screams at you with a siren call promising sweet chocolate death. You lick your lips. You hem and haw. You vacillate…and give in to the Dark Side. After all, you can do bop into the surgeon and do it all over again right? Wrong.
When surgeons conduct liposuction, they permanently suck out and remove fat cells. The good news is that we have a pre-set limit of fat cells in life. Once the surgeon removes those fat cells, they don’t come back again. Ever. “The number of fat cells we have in our bodies becomes stable once we reach adulthood,” says Dr. Heng. “Once we have conducted liposuction in an area, fat will be less likely to accumulate there again since the number of fat cells have been reduced.”
Having had liposuction doesn’t mean an open license to binge and eat everything in sight. Dr. Heng says, “In many cases, it is unlikely that an area that has had liposuction will experience weight gain over other areas in the body but the area can still become fat again if the patient doesn’t have self control and watch their weight. While the remaining number of fat cells is reduced, the remaining fat cells can grow larger and the patient will end up back at square one.”
Liposuction can help to give you a leg up to a better, healthier you. It only makes sense for you to stay that way and maintain a decent weight management programme of dieting and exercise to ensure you keep the benefits for life.
4- Watch What You Eat (Before and After!)
Most Malaysians take herbal health supplements in one form or the other be it in the form of your handy vitamin supplement or even through your daily meals such as a giant helping of freshly chopped garlic with a serving of bak kut teh, or even that bowl of health boosting ginseng soup.
While many herbs have medicinal benefits, these benefits can possibly cause complications during your upcoming procedure – for e.g. they can make you bleed more during surgery, make your blood have difficulty clotting or interfere with other medications used during the procedure.
In addition, non-herbal medications can also promote more bleeding during the procedure, such as aspirin, paracetemol or ibuprofen. Ideally, you should make out a list of whatever herbal or health supplements and medication you take on a regular basis or better yet, show the packaging to your surgeon. Many multivitamin supplements may not completely list out their contents on the label and to play safe, should be avoided for a said duration before surgery. A thorough surgeon will list out what should be avoided for consumption before and after your procedure
“Ideally, there are a list of herbs, supplements or medication a patient should stop consuming at least two weeks before the procedure, as they can result in complications during surgery,” advices Dr. Heng.
According to Dr. Heng, some of these include, Echinacea, garlic, ginko biloba, ginseng, St. John’s wort, valerian, kava, ephedra, vitamin E supplements, aspirin, and ibuprofen to name a few.
The mentioned herbs and compounds discourage blood from clotting and this promotes prolonged bleeding, bruises and swelling after the procedure. Some of these herbs and drugs may also interfere with the anaesthesia during the procedure and increase the duration of the anaesthesia. In effect, it may knock the patient out longer than expected. “Added up, it delays recovery,” says Dr. Heng.
5- Get Off the Pill!
For women using birth control pills, you’ll have to temporarily choose another alternative method of contraception before and after your liposuction surgery. The chemicals present in birth control pills can increase the risks of blood clots forming in the legs, which can travel in the veins into the lungs and create breathing problems. “Patients should temporarily discontinue usage at least three weeks before the procedure and two weeks after,” advises Dr. Heng.
6 -Lighting Up is a bad idea
Everyone knows that smoking is bad you, but did you know that your pack a day habit may actually jeopardise the outcome of your liposuction procedure? Smoking in any amount will introduce potential complications and lengthen recovery time. Even worse, second hand smoke from people that smoke around you can bring about the same negative effect.
The nicotine in cigarette smoke acts as a vasoconstrictant, constricting the blood vessels that move oxygen around the body. . “Heavy smokers may encounter possible breathing complications when under general anaesthesia. Ideally, patients should stop smoking two weeks before or more,” advises Dr. Heng.
This constriction of the blood vessels increases the workload on the body especially when undergoing anaesthesia during surgery and ultimately slows down the rate of recovery and healing. Areas that have been operated on may not heal as quickly as in a normal person. To avoid potential complications, it’s best that you stop smoking two to three weeks before and after your procedure. It takes a while for your body to clean out the gunk in your lungs.
If there’s a better time than ever to stop smoking, the time is especially before your surgery. Check with your surgeon for alternatives and ways to quit smoking, or at the very least, getting a rein on your habit to maximise the outcome of your procedure. For those who have loved ones or friends that smoke, it may be a good time to either send them off on a short holiday, or better yet, get them to stop smoking!
| Translation - Chinese
如果你正读着这篇报道，你可能正考虑，或很可能已经做了决定要进行现今最热门的整形手术 - 抽脂手术。
抽脂手术最早发明于1970年代初，这项外科手术透过一条称为真空抽吸流管的细管，策略性去除囤积在肚子、手臂、背部、臀部、小腿肚、脸、髋部、颈项和大腿处的脂肪。
今天，在全球，抽脂手术占了整形外科医生工作的一大部分，而且其数量正持续增长中。在英国，英国整形外科协会(British Association of Aesthetic Plastic Surgeons, BAAPS)的报告指出，其会员在2006年进行了接近4，000宗抽脂手术，与前一年相比，足足增加了90巴仙。在美国，根据美国整形外科医师协会，抽脂手术是2005年进行次数最多的手术，总共进行了324，000宗。在马来西亚，它是继双眼皮和隆鼻手术之后，最多人要求进行的首5种手术之一。
马来西亚整形外科医生Dr. Heng Kien Seng说：“抽脂手术是我常进行的一种手术，是最多病人想要做的首3种手术之一。”
“通常，每个星期我平均会接到5个有关抽脂手术的询问。由于我国人口越来越富裕，越吃越好，我们将会看到越来越多面对体重问题的人。”
随着医药科技和外科手术技术的进步，抽脂手术如今已是相对安全的手术；虽然如此，和所有手术一样，它也有附带的风险。就如为了马拉松比赛而受训及准备的赛跑运动员，想要向前跨一大步，动抽脂手术的人也需要做一样多的准备功夫，他们的抽脂手术才会获得最佳效果。Dr. Heng与大家分享以下窍门。
（一）选对外科医生
你不会相信一个鱼贩懂得检查和修理你的车子，同样的道理，你不会把你的生命交给一个不够资格进行抽脂手术的人手中。
在你选择动手术之前，应先做功课，列出一份有资格及受过专业训练为你动手术的外科医生的名单。在马来西亚，你应找被认证的马来西亚整形外科协会(Malaysian Association of Plastic, Aesthetic and Craniomaxillofacial Surgeons, MAPACS)会员，你可上他们的网页www.mapacs.com或马来西亚国家专科医生注册官网站www.nsr.org.my/azhome.jsp查证。在新加坡，你应上卫生部的专科医生注册官的网页http://www.smc.gov.sg/PRSCPDS/scripts/profSerach/profframe.jsp查核。
至于在其他国家，你应向该国相关的政府卫生机构查询，这些机构会有一份合格外科医生的名单。这是确保你所委托的外科医生受过一定水平的训练，并拥有必要的经验以进行你的手术。在选出你想要见的医生之后，你应安排亲自与医生进行会诊。
Dr. Heng指出：“坚持亲自由医生会诊，不要通过中间人。在这一件事上，医生和病人之间的融洽关系是至关紧要的。医生应让你感到舒服，也让你有信心他能胜任这份工作，这是非常重要的。该位医生应对他即将要动的手术有很丰富的知识。”
“在会诊过程中，请做笔记和问问题。你的医生理应可以自信地回答你的问题，并让你对他的答案感到满意，不过不是过度卖弄他们的技术和经验。”
大多数时候，病人需缴付小数额的诊费以与整形外科医生进行一对一的会诊，但这笔诊费是值得的。在会诊过程中，医生会解释他们可以为你做什么，他们进行相关手术的经验、预期成果，还有回答任何你对该项手术的其他疑问。
虽然所有外科医生都曾受过一定水平的专业训练，一些医生却可能比其他医生动过更多抽脂手术。你有权利询问，他们之前动过多少次这类手术，达到怎么样的效果，还有，你可以期待你的手术会有什么样的成果。你也可以要求看看医生曾诊治过的病人所写的推荐函，还有，无论何时，都要求看医生曾经进行过的手术‘之前’和‘之后’的照片。
到了这个阶段，你可能需要在几个外科医生中做出抉择了。Dr. Heng劝告说：“在挑选外科医生时，价钱不应是最重要的决定因素，技术和经验扮演着更重要的角色。此外，在一些特殊的个案中，会出现一些复杂的状况或有差异的结果，矫正错误的手术甚至更贵。矫正错误及二次手术是很高难度的，而且在大多数情况中，错误都难以修复，你也可能无法得到你想要的成果。也有很多个案甚至是无可挽回的。”
（二）抱持实在的期望
你应对抽脂手术可以达到的结果有实在的期望。抽脂手术的理想病人是拥有坚实有弹性皮肤的人，他们的体重介于正常到轻微超重，想要消掉身上一些顽固、无法通过运动和节食去除的多余脂肪。理想病人也应该已经开始，并维持健康的饮食及运动习惯。抽脂手术不是减轻体重的手术。它不是开给那些肥胖到近乎病态的人士的药方，因为可以安全地从人体移除的脂肪量是有一定限制的。此外，拥有大量松弛皮肤的病人可能不适合动抽脂手术，病人需先动其他手术来解决这个问题。
反之，在考虑动抽脂手术前，痴肥者应先进行减重计划，及/或考虑进行肥胖病学手术，诸如在身体内安装一个肥胖病学胃球(Bariatric Intragastric Balloon, BIB)或胃环(Lapband)，以减去足够多的体重。尽管出现了如VASER®辅助高清晰度脂肪雕塑(ASER® assisted high definition LipoSculpture)等的新手术科技，可透过手术让你获得六块腹肌，这种手术依然只适合相对强壮结实的人。
必须注意的是，抽脂手术不会制造奇迹。Dr. Heng表示：“我们不可能简单地在一夜之间，将一个生过5个孩子，严重超重且拥有松弛腹部皮肤的母亲，变成一个超模。”
（三）被丢弃的可能会回来
手术6个月后，隆起的部分变平坦了，疤痕也淡化了。你终于可以穿上那些你以为永不会再见天日的紧身牛仔裤。现在人们开始对你行注目礼，你感到棒极了。现在你有好身材，你重新思索还要不要上那累人的健身房；你已经得到你要的，为什么还要受这么多苦？你和最要好的女友们坐下喝饮料，菜单上邪恶的双重巧克力蛋糕向你呼喊，以甜蜜巧克力的诱惑向你召唤。你嗯嗯啊啊，踌躇再三。你动摇了...向黑暗的一方投诚。反正你可以再回去找整形医生，重新再来一次，对吗？
错了。
当医生动抽脂手术时，他们是永久性地抽吸和移除脂肪细胞的。好消息是我们一生中有一个预设的脂肪细胞的限度。一旦医生移除掉那些脂肪细胞，它们就不会再回来了。永远都不会回来。
Dr. Heng说：“我们体内的脂肪细胞的数量，在我们成年后就变稳定。”
“一旦我们在一个部位动了抽脂手术，脂肪就比较不会再在那个部位囤积，因为脂肪的数目已经减少。”
动了抽脂手术不是让你暴饮暴食的许可证，Dr. Heng说：“许多个案显示，与身体的其他部位相比，曾动过抽脂手术的部位不太可能恢复肥胖。不过如果病人没有自制及注意他们的体重，那个部位仍然可能再胖回去。虽然脂肪细胞的数量已经减少，剩下的脂肪细胞却可能变大，如此一来，病人最终又回到原点。”
抽脂手术可以助你一臂之力，让你获得一个更好的、更健康的自己。只有在你保持手术后健康苗条的身段，维持一个适当的包含节食与运动的体重管理计划，这个手术才有意义，并能确保你一辈子都能享受它带来的好处。
（四）注意（手术前后）你吃的东西
大多数马来西亚人都有服用某种草药保健品，或许是便利的维他命丸，或通过你的日常饮食诸如在吃肉骨茶的时候配上新鲜剁碎的大蒜，或一碗补身的人参汤。
虽然很多草药都对健康有帮助，这些好处却可能在你即将到来的手术中引发并发症，譬如，它们可能让你在手术时流更多的血，使你的血液难以凝结，或干扰手术时使用的其他药物。
此外，非草药类药物如阿司匹林、醋氨酚 (paracetemol)或异丁苯丙酸 (ibuprofen)，也会在手术时使病人流更多血。理想的做法是，列出一份你定期服用的草药或保健品和药物，或让你的手术医生看那些药品的包装袋，这样更好。不少多元维他命丸的标签上没有完整地列出它们的内含物，所以安全起见，应在手术前特定的一段时期内避免服用。一名严谨的外科医生会列出你在手术前和手术后应避免食用的东西。
Dr. Heng劝告说：“最理想的是，有一份清单列出在手术前至少两个星期的时间内，病人应停止服用的草药、保健品或药物，因为它们会在手术时引发一些并发症。”
据Dr. Heng所言，这些应避免的保健品或药物包括松果菊(Echinacea)、大蒜、白果(ginko biloba)、人参、贯叶连翘(St. John's wort)、缬草属植物(valerian)、卡法根(kava)、麻黄(ephedra)、维他命E、阿司匹林、异丁苯丙酸等。
上述草药及化合物会妨碍血液凝固，增加手术后长时间的失血、瘀伤及肿胀的可能性。这些草药和药物的其中一部分也会在手术时与麻醉剂产生作用，延长病人被麻醉的时间，也就是可能使病人陷入比预期中更长时间的昏睡。
Dr. Heng说：“总而言之，它延长康复的时间。”
（五）停止服用避孕丸！
对于服用避孕丸的女性，在抽脂手术之前及之后，你需暂时采用其他避孕方法。避孕丸内含的化学物质会增加在双腿形成血凝块的风险，这些血凝块会通过血管传到肺部，造成呼吸问题。Dr. Heng表示：“至少从手术前3个星期到手术后2个星期这段时期内，病人需暂时停止服用避孕丸。”
（六）抽烟不是件好事
每个人都知道抽烟对身体不好，可是你知不知道，抽烟习惯实际上会危及你的抽脂手术的成果？无论抽多少烟，都会引发一些潜在的并发症及拉长复原期。更糟的是，从你身边抽烟人士那里吸进的二手烟也会带来同样的负面效果。
香烟中的尼古丁扮演血管收缩剂的角色，会令在体内运送氧气的血管收缩。Dr. Heng指出：“烟瘾大的人在做全身麻醉时，可能会有呼吸方面的并发症。理想的情况是，病人应在两个星期或更早前就停止吸烟。”
血管的收缩会增加身体的工作量，尤其是在进行手术麻醉时，最终会延缓伤口的愈合及身体的康复，动手术的部位可能不会恢复得象普通人一样快。为了避免潜在的并发症，最好在手术前后2至3星期内不要吸烟，因为身体需要一些时间才能清除肺部内污秽的物质。
戒烟的最佳时机，莫过于你手术前那段时间。向你的手术医生查询，有什么戒烟的方法，或至少，控制你的习惯，好让你的手术达到最佳效果。至于那些拥有吸烟伴侣或朋友的人，或许这是个将他们送走，让他们度个短暂假期的好时机，抑或，更好的是，叫他们戒烟吧！
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Aug 14, 2009 |
The translation workplace 
Expertise