Добро пожаловать в клинику Эвита: 10 лет опыта!
Клиника совершенствования контуров тела
+82 02 549 1575 evitaclinic@gmail.com
Evita Clinic | Arm Liposuction Review

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Patient Experience at Evita Clinic

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We understand how stressful it can be to even plan a surgery. Let alone having the surgery on a country far from home. One can get really anxious not to mention tired from fasting and travelling.

Here at Evita Clinic, we always make sure that our patients are greeted warmly to at least help them feel at ease. Feeling nervous is normal. All we can do is to assure our patients that  THEY ARE NOT ALONE. WE WILL ALWAYS BE THERE FOR THEM until their full recovery.

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Thank you for this Review.

We are happy that you are satisfied with the services we provided and the results of your surgery.

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Thank You!

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We Appreciate Your Presents

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Evita Family had a week of Vacation last month. We were welcomed with these beautifully-wrapped presents when we came back. There was no name so, we were just guessing who it is from. A week after, an old patient paid us a surprised visit. We were happy to see them again. And even happier to see their lovely transformation since they had their surgery!

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We are always excited when patients re-visit. It gives us a different level of joy when patients are very satisfied with their results and overall experience  that they would recommend us to their family and friends. An old patient came back for another surgery. This time he did not come alone 🙂 And he brought us these lovely bags. Thank you!

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Patients see how busy we are and wonder if we ever have time to eat. They get worried and would bring us food. WE APPRECIATE YOUR CONCERN. But don’t worry, at the end of the day, when surgeries went well and patients go back safe, all feeling of tiredness just goes away. Seeing our patients smile makes it all worth it! Thank you.

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We are lucky to have such sweet patients. Again, YOU DON’T HAVE TO BRING US ANY PRESENTS. Your smile and after-surgery glow  is perfect enough for us. But, Thank You Very Much!

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Evita Clinic Liposuction Review

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Thank You for this Review

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More than the pleasant words, what makes us all very happy is when patients smile after the surgery and see the satisfaction in their eyes.

Patients come in for consultation with  surgeries they want to be done in mind. We either agree to  it or suggest an option for them.

We perform a thorough physical assessment, listen to their concerns and needs and recommend surgeries and treatments which we think can give best results to our patients.  Of course, the final decision is theirs. But it is always better to provide them with alternatives and explain to them why.

← Click left side image to check the reviews in Whatclinic.com 

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Management of Keloids & Hypertropic Scars

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The appearance of thick, wide and raised scars could possibly happen on your incision area months after surgery. These scars are either Kelloids or Hypertrophic Scars.

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There are many factors that could lead to the appearance of these kinds of scars. One must understand that factors like genetics, skin type and previous history of formation of Hypertrophic scars and Keloids are natural and unmodifiable.

Keloids usually develops after the healing of incision or skin injury. It is the result of overgrowth of scar tissues. It is characterized by raised scar that grows much larger than the original would or incision. The color could go from white, red to the color of your skin.

Hypertrophic scar is the most common among the two. It is not harmful to one’s health but it can be bothersome.  People receive treatments mostly for cosmetic reasons. It is characterized by thick and raised scar that does not go beyond the original scar.

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Check the images below to see the difference between Hypertropic Scar and Keloid.

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”no” hundred_percent_height=”no” hundred_percent_height_scroll=”no” hundred_percent_height_center_content=”yes” equal_height_columns=”no” menu_anchor=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ video_mp4=”” video_webm=”” video_ogv=”” video_url=”” video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” video_preview_image=”” border_size=”” border_color=”” border_style=”solid” margin_top=”” margin_bottom=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=””][fusion_builder_row][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_imageframe image_id=”8250″ max_width=”” style_type=”none” stylecolor=”” hover_type=”none” bordersize=”3″ bordercolor=”#78838c” borderradius=”” align=”none” lightbox=”no” gallery_id=”” lightbox_image=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]https://evitaclinic.com/wp-content/uploads/2018/05/Keloid.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_imageframe image_id=”8248″ max_width=”” style_type=”none” stylecolor=”” hover_type=”none” bordersize=”3″ bordercolor=”#78838c” borderradius=”” align=”none” lightbox=”no” gallery_id=”” lightbox_image=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]https://evitaclinic.com/wp-content/uploads/2018/05/Abdominal_scar-400×272.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” class=”” id=””]

Hypertropic scars usually heal on its own overtime. Keloids, on the other hand, can continue to grow. More often than not, keloids need treatment to effectively shrunk it or remove it.

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Here are the ways to manage these types of scars:

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1.Steroid Injection

This is the first line of treatment for keloids and hypertrophic scars. This is done once every 3 weeks. This treatment would often respond immediately to hypertropic scars. For keloids, it would require a repeat treatment but still with high rate of recurrence.

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Silicone Sheet and Gel

Silicone sheets are soft, self-adhesive sheet that can be applied on the scar. It can help reduce the thickness of the scar and scar color. It should be worn at least 12 Hours a day. This will reduce collagen production resulting to flatter scar. Applying silicone sheets can also prevent the area from bacterial invasion that can induce excessive production of collagen. And this serves very useful in reducing the itchiness and discomfort associated with the scar.

Silicone gel is a recent treatment and serves as a more effective alternative to Silicone sheets. It works 24hours a day and dries easily after 4-5minutes. The advantage of using this treatment is that it is easy to use and it proves to be effective even for children and with persons who has sensitive skin.  This is especially convenient for bigger and regular scars that don’t fit on sheets.

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Medication

The following are prescribed to help treat Keloids and Hypertropic scars:

  • Rizaben Capsule
  • Accolate Tab
  • Sinech Capsule

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Radiation Therapy and Surgical Removal

These procedures are considered the last treatment and most effective plan for reducing resistant keloids.  It can greatly improve the appearance of the scar but it will not entirely remove it. The rate of recurrence is still high especially for keloid-prone patients.

The procedure will only take 10-30minutes depending on the size. This is done through Local Anesthesia.

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What is Visceral Obesity?

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Obesity is the origin of the disease. It is also one of the big troubles of modern people who lack time to exercise.

There are also kinds of obesity. The fat in the body can be divided into subcutaneous fat and visceral fat depending on where in the body. Subcutaneous fat obesity is usually distributed in the thighs and buttocks, while visceral fat refers to the state of fat between the abdominal organs. It is known that visceral fat is not good for health. Statistically, the more visceral fat is found, the more complications such as diabetes, heart disease and hypertension are found. Why is visceral fat more harmful than subcutaneous fat?

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As visceral fat increases, insulin in the blood becomes more and more, so it causes diabetes, hypertension and the disease like metabolic syndrome. As a result, arteriosclerosis can lead to cardiovascular and cerebrovascular diseases, which shortens the life expectancy.

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In addition, there are many blood vessels in the place where visceral fat is inserted, and the visceral fat that is generated causes injury to the blood vessels, causing inflammation of the blood vessels. The toxin that causes this inflammation flows around the blood. Therefore, people with a lot of fat in the intestines are more likely to suffer from diseases like stroke and myocardial infarction than people who do not have it.

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According to recent research, visceral fat is the cause of various cancers such as colon, liver, and breast cancer. Because visceral fat secretes a number of specific proteins that turn healthy cells into cancerous cells. It is known that the abundance of visceral fat promotes the tumor formation promoting function of the tissue. Visceral fat may also cause fatty liver. This fatty liver can lead to liver cancer through fatty liver and liver hardening.

So why does harmful visceral fat occur?

First, alcohol is the cause. When alcohol enters our body, our body sends a danger signal. By doing so, it will act to accumulate the calories from the visceral fat.

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It is also the cause of wrong eating habits. Fatty foods, fried foods, carbohydrate foods, and too salty and sweet foods accumulate fat. It is not good because it interferes with blood circulation. Instead of these stimulating foods, you should develop your diet to eat lots of vegetables. Vegetables contain lots of dietary fiber. This helps to dissolve, absorb and release fat.

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It is also caused by lack of exercise. Fat that has been consumed extensively must be decomposed through exercise. However, when the exercise is insufficient, the fat accumulates continuously. As a result, visceral fat is created.

Incorrect diets can also cause visceral fat accumulation. A diet that is too starved is said to break down muscles and build up visceral fat. In the same way, if you eat too long or have irregular eating habits, you will accumulate more fat than people who regularly eat food.

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How do I know if my abdominal obesity is visceral fat or subcutaneous fat?

It is difficult to know whether it is subcutaneous or visceral fat because they located inside of our body. Since visceral fat is not visible from the outside, it can be confirmed by CT scan. However, because you need to invest money and time, you can find an easier way to use Inbody. Body shape and health status may vary depending on body fat and muscle, so it may be helpful to measure body composition using a tester like Inbody.

Inbody is based on the principle of microcurrent. Moisture flows through microcurrent and fat does not pass current well. Moisture, fat, protein, and minerals can be measured. The distribution of visceral fat is also known by using this fine electrical flow impedance. In Evita Clinic, we also have Inbody devices here, so you can simply make an appointment and visit us to check your body composition.

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If you do not have time, you can measure your waist circumference to see if you are visceral fat. If the circumference of the abdomen is more than 90 centimeters (about 35 inches) for men and 85 centimeters (about 33 inches) for women, it is likely that abdominal obesity, or visceral fat, is accumulated.

If visceral fat is already piled up, how can we get rid of it? Unfortunately, visceral fat is difficult to remove with liposuction. The fat removed during liposuction is subcutaneous fat. Visceral fat is located in the abdomen and is attached to the stomach organs, so suction surgery is impossible. Or omentectomy might be done to remove the visceral fat layer by performing only a part of the bariatric surgery which is a gastrectomy.

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The best way to remove visceral fat is diet and exercise. If you do not get obesity treatment by diet improvement and exercise, you may increase visceral obesity by compensatory.

For this reason, it is a good idea to exercise regularly so that you can break down fat. Walking, running, biking, swimming, fitness, yoga, aerobics, and much more do not matter, the most important thing is to keep at least 30 minutes a day. It is more important to select the kind of exercise that will make you feel fun, to be done steady.

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Regular eating habits are also important. As mentioned above, when we become binge, our body accumulates a lot of body fat. Avoiding binge eating and eating regularly is important.

Fried or fatty foods, especially carbohydrates such as bread, may interfere with blood circulation and accumulate fat. And the cooking method is also important. It is better to boil than to fry. You can consume less oil and salt.

As such, visceral obesity can be solved with diet improvement and regular exercise. On the other hand, if left untreated, it can be harmful to the body because it can cause various vascular diseases and cancer. It should also be remembered that the compensatory nature of visceral obesity may increase.

Do you also belong to the risk group of visceral fat? It is not too late. I hope you will be free from the risk of visceral fat by improving your lifestyle.

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When did liposuction begin? And what is a tumescent?

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Modern beauty standards are good body proportions and a slim body line. So many people are interested in liposuction. Not only the chubby but also the pretty slim people choose liposuction surgery for better, curved, slim body line. Did you know when this liposuction started? Liposuction has a history of about 100 years.

The first attempt at liposuction was initiated by French physician Charles Dujarier in the 1920s. He targeted the famous French female model. He scraped her fat out of her calves using primitive tools. Unfortunately, infection and necrosis have occurred. She eventually died and the liposuction surgery has not been done around the world for nearly 50 years.

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In 1974, the Italian gynecologist Giorgio Fischer created a new liposuction device. The device looked like a long, tubular shape. The device was similar to a curettage surgical instrument used in obstetrics and gynecology. There was a vibrating knife in the metal tube(cannula). After several incisions were made in the body, the device was inserted through it. The inserted device absorbed fat tissue after cutting. Once the fat tissue is destroyed, all of the destroyed fat tissue, body fluids, and other tissues, such as blood, have been moved through the rubber tube by vacuum principle. This was ultimately inhaled into the body.

However, it caused many side effects such as a large amount of bleeding, a permanent sensory abnormality, and an asymmetrical appearance. This is not a current surgical procedure, however, it is recognized as the beginning of liposuction.

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Since then, doctors are studying new techniques using different cannulas. In 1977, a plastic surgeon, Yves-Gerard Illouz, in France, devised a cannula with a blunt end. It was a very advanced vacuum liposuction. The use of a blunt cannula reduced bleeding during surgery and also reduced nerve and vascular damage. And it’s easier to handle fat tissue during surgery. Also, the recovery period after surgery is shorter, and the feeling of discomfort is reduced. The low blood loss was of great significance because bleeding sometimes required blood transfusion, shock, or death. However, these side effects have been reduced by decreasing blood loss.

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This period, the early liposuction, is called the Dry Technique. However, the French plastic surgeon Yves-Gerard Illouz started injecting saline into the fat tissue during surgery, and after that  doctors started injecting a lot of fluids. This fluid contained anesthetics such as epinephrine and lidocaine, which constrict the blood vessels. Soon this method will be called Wet Technique. However, this was followed by another side effect, sometimes with the use of an excessive amount of lidocaine anesthetics, resulted the patient deaths.

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In 1985, an American dermatologist, Jeffrey Klein, developed a tumescent liposuction, further improved liposuction method. This method adjusted the appropriate dose of epinephrine and lidocaine. And, it was a method to inject a large amount of saline containing sodium bicarbonate. This reduces bleeding during surgery and reduces bruising and pain, too. In addition, the fat and surrounding tissues can be swollen and enlarged, as if called, making liposuction easier. In this way, there is no tissue damage and bleeding is further reduced. In addition, it has the effect of making it easier to remove fat, so it is commonly called “Tumescent” which means it is hard.

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Particularly, in the tumescent technique, the method called Wet method or Superwet method of injecting 2 to 3 times more than fat tissue to remove the amount of injected liquid. This is the most commonly used liposuction method in the United States and worldwide. This is known as a safer technique. One of the major meaning of tumescent liposuction is that liposuction which has been done with general anesthesia in the past, has become possible under local anesthesia or sleep anesthesia. Liposuction with this tumscent solution has been used as standard anesthesia for modern liposuction because it has lowered the complication rate and also has excellent cosmetic results. We have been using liposuction technique in Evita Clinic for liposuction, gynecomastia, breast implant surgery and varicose vein surgery.

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Let’s look more closely at the somewhat unfamiliar name ‘tumescent’.

Tumescent is the name of the solution used during liposuction. As mentioned above, it refers to an expansion solution and anesthetic solution made to be able to inhale fat by local anesthesia or sleep anesthesia rather than general anesthesia. Lidocaine and prolocaine, commonly used as topical anesthetics, have the advantage that they are effective in short time, but they have a high uptake rate when used alone and are difficult to use in large quantities. However, when used in the form of a tumescent, absorption rate will be slow. Therefore, it can be safely used even if it uses more amount than existing local anesthetic.

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Tumescent is derived from the Latin Tumescere (To swell, meaning ‘swelling’) and is characterized by the swelling of the anesthetized area. The anesthetized area is prevented from bleeding by the contraction of blood vessel effect of epinephrine (adrenaline) contained in the tumescent solution. It also slows the absorption of lidocaine, an oil-soluble local anesthetic, to reduce toxicity and protect tissues, blood vessels and nerves.

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Tumescent, an anesthetic solution used during surgery, will remain in the body after surgery. For quick recovery after liposuction, it is recommended that this tumescent solution be discharged as quickly as possible out of your body. For this purpose, in Evita clinic we sometimes do not suture a part of the incision after surgery, so that the tumescent solution can be discharged quickly. We also want to increase the drainage and absorption effect by pressing the surgical site by wearing compression garment.

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During the day after surgery, the tumescent solution should flow out of the body naturally, and the tumescent solution is red color. This is because a small amount of blood is mixed with the tumescent solution and it is not pure blood, so do not be surprised. Rather, it means that the more the drainage is, the faster the recovery is, so it is better to move a lot and let the tumescent solution get out of your body while walking and moving.

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We searched about the history of liposuction and the anesthetic solution, tumescent. In particular, the tumescent solution is reddish, so many people mistake it for bleeding. In fact, it is not so. There may be some differences between what you already know and what you can see after surgery. Please contact us if you have any questions at any time since we communicate in real time through our website or e-mail to solve these questions.

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