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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。
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。”
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。
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I am a native Chinese speaker born and raised in Malaysia. I read, write, and speak fluently in Chinese (both traditional and simplified Chinese), English, and Malay. I am able to write effectively in these three languages and able to translate materials in any of these languages to the other.
I am reliable and accommodative and able to meet deadlines and ensure job quality under all circumstances.
In addition, I have been learning Japanese for three years and have passed the Japanese Language Proficiency Test (JLPT) N3 test in December 2015.
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