15834 Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip

Name of the Procedure:

Excision of Excessive Skin and Subcutaneous Tissue (Lipectomy) of the Hip

Summary

This surgical procedure involves the removal of excess skin and fat from the hip area. It is commonly referred to as a lipectomy or skin excision surgery.

Purpose

This procedure addresses issues of excessive skin and fatty tissue around the hips, often resulting from significant weight loss. Goals include improving body contour, reducing skin irritation, and enhancing overall appearance and hygiene.

Indications

• Significant sagging or loose skin around the hips
• Post-weight loss skin redundancy
• Discomfort or skin conditions due to excessive skin
• Patients typically have a stable weight and are in good overall health

Preparation

• Patients may need to fast for several hours before the procedure.
• Medication adjustments may be necessary (e.g., avoiding blood thinners).
• Preoperative assessments often include blood tests and a physical examination.

Procedure Description

1. Anesthesia: The patient is given either general anesthesia or local anesthesia with sedation.
2. Incision: A carefully planned incision is made around the hip area.
3. Excision: Excess skin and subcutaneous fat are removed.
4. Suturing: The incisions are closed with sutures, and dressings are applied to protect the area.

Tools include surgical scalpels, sutures, and specialized instruments for tissue removal. General anesthesia or sedation ensures patient comfort throughout the surgery.

Duration

The procedure typically lasts between 2 to 4 hours, depending on the extent of the excess tissue.

Setting

The surgery is performed in a hospital or an accredited surgical center, often on an outpatient basis.

Personnel

• Lead Surgeon
• Surgical Assistants
• Anesthesiologist
• Operating Room Nurses

Risks and Complications

• Common: Bruising, swelling, and mild pain.
• Rare: Infection, bleeding, poor wound healing, scars, and asymmetry. Complications are managed with medications, wound care, and sometimes corrective surgery.

Benefits

Expected benefits include a more contoured hip area, improved skin condition, and enhanced self-confidence. Patients generally see results immediately, with improvements continuing as swelling subsides.

Recovery

• Post-procedure care includes prescribed pain management, wearing compression garments, and keeping the incision area clean.
• Recovery time is typically 2-4 weeks, with most activities resumed within 6 weeks.
• Follow-up appointments ensure proper healing and address any concerns.

Alternatives

• Non-surgical options like liposuction can reduce fat but won't remove excess skin.
• Pros: Less invasive than a full lipectomy.
• Cons: May not achieve the same level of contouring or skin tightening.

Patient Experience

Patients can expect to feel some discomfort and tightness in the hip area post-surgery. Pain is generally managed with prescribed medications. Mobility may be limited initially, requiring assistance and downtime, but gradually improves with adherence to recovery guidelines.