Prashant Yadav, MCh

Hi there

There is no machine which can remove the glandular tissue completely . only effective and definite technique is removal through open excision only . as you have explained that only liposuction is done and no excision is done and you are feeling some hard lump behind the nipple it might be some glandular tissue which has not been removed
you can wait for few more months to get the final healing get over and if you still any lump behind the nipple then under local anesthesia it can be removed
regards

Hello david

theoretically YES , with any type of liposuction if xylocaine or lignocaine is used over the above recommended dose then lidocaine toxicity can develop which can have varied risk and complications . so the doctor with whom you have chosen your procedure must be trained and professional enough to take care of this . all qualified doctors follow the recommended dose and during liposuction procedure they use the calculated dose and keeping the safe level
plus if your doctor is trained in vaser liposuction i am sure he/she can take care of this whether the procedure is done in general or local anesthesia . there are lot of varied factors which surgeon will take in account like multiple body parts, duration of the procedure , amount of fat to be taken out etc which all depends on your body profile
second thing you asked about adrenaline . yes it is used in the recommended dosage for infiltration solution which is a key and first step of liposuction . when general anesthesia is used the lidocaine can be used in less quantity as pain during the procedure is taken by general anesthesia medication. so your operating surgeon will take care of this

the complications if performed by qualified doctor and trained in liposuction is rare and particualry lignocaine and adrenaline toxicity is very rare

so do not get fearful about this . these are rarest of rare complications

hope it will be useful to you and discuss with your surgeon again to make you calm and relax properly

thanks for sharing your details and photos of your concerned body part .
from your pictures and your main concern it appear that you have resistant fat deposit in the lower abdomen and flanks and lower abdomen . we can do entire circumference abdominal liposuction with vaser to give you a toned and athletic shape . vaser 4D lipo does very good skin retraction so no additional procedure like mini tummy tuck not required particularly for young person like you and no history of pregnancy
tummy tuck is not advised particularly for female who has not completed family .
so you can go for vaser hi def liposuction considering your goal and expectation . have a detailed consultation with your plastic surgeon and explain your goal and discuss in details
the splenectomy scar can be treated separately by scar excision and fractional co2 laser

there might be some stiffness, swelling  and unevenness initially . it will take around 6 months to get the final result. you need to wait for at least 3 more month to know the final outcome. after 6 months visit your doctor for final result assessment 

meanwhile kindly follow all the routine post surgical care instruction like massage, compression garment etc 

routine blood test which are required for vaser liposuction are 

HEMOGRAM

PT APTT

HIV HBSAG HCV

BLOOD SUGAR

RENAL FUNCTION TEST

LIVER FUNCTION TEST




 these test are usually required for performing surgery under local anesthesia with sedation or general anesthesia . it is always good the do these screening blood test before the surgery 

you can consult your doctor for further details