Liposuction, or Lipoplasty, slims and reshapes specific areas of the body by removing excess fat deposits, along with enhancing your body contours and proportion. Many people of normal weight have localized fat deposits causing disproportionate body contours. Many times this is hereditary and not a weight control issue.
Liposuction techniques may be used to reduce localized fat deposits of the:
- Hips and Buttocks
- Abdomen and Waist
- Upper Arms
- Inner Knee
- Chest Area
- Cheeks, Chin and Neck
- Calves and Ankles
About the Procedure
Despite good health and a reasonable level of fitness, some people may still have a body with disproportionate contours due to localized fat deposits. These areas may be due to family traits rather than a lack of weight control or fitness.
Liposuction slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image.
In some cases, liposuction is performed alone, in other cases it is used with plastic surgery procedures such as a facelift, breast reduction or a tummy tuck.
What it won’t do: Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite, the dimpled skin that typically appears on the thighs, hips and buttocks, or loose, saggy skin.
Your consultation is your time to ask the doctor about the procedure you’re considering, how he thinks it will work for you and any concerns you may have. We suggest you come prepared with your questions on paper so you’re sure not to forget to ask the questions that are important to you.
Questions to consider:
- What is the simplest and safest surgery to help me achieve my goals?
- How is the surgery performed?
- What is the expected length of operation?
- Are other options available?
- What results can I expect, and how long do the typical results last?
- Where will scars be located, and how noticeable will they be?
- Will scars fade over time, and how long will this take?
When you arrive at the office, you will be asked to fill out a few pieces of paperwork. It is very important when asked about medications to put down all medications you take, including any supplements or aspirin-type regimens, since these items can impact your blood clotting and pressure. In addition, you need to be truthful about your use of tobacco and alcohol since this will affect your recovery and incision healing.
Before you see the doctor, a nurse or nurse practitioner will do an initial exam. You may be able to get a number of your questions answered while with the nurse.
Your surgeon will discuss several factors regarding surgery during your initial consultation, including your procedure, location, anesthesia and recovery. In addition, the surgeon will inquire about your concerns, priorities and motivations for pursuing surgery, as well as your fears.
The doctors are sure to address reasonable expectations for the outcome of your desired procedure, and they should explain what is possible and what is not possible.
After your consultation with the physician, you will meet with the practice manager to discuss procedure costs.
There are a number of things to do prior to your procedure that will make your recovery as smooth as possible and ease your pre-procedure anxiety.
Your surgeon will give you instructions on what medications to stop taking and when prior to your surgery to prevent any unwanted side effects. Medications you shouldn’t take up to two weeks prior to your surgery include, but are not limited to, aspirin and products containing aspirin, alcohol and herbal supplements. Your surgeon may advise you to take Arnica Montana, Bromelain or vitamins A or K for swelling, bruising and to promote general healing.
It is important to remember to only take a supplement or herbal remedy if your surgeon advises it.
During Your Procedure
Anesthesia: Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
The Incision: Liposuction is performed through small, inconspicuous incisions.
First, sterile liquid solution is infused to reduce bleeding and trauma. Then a thin hollow tube, or cannula, is inserted through these incisions to loosen excess fat using a controlled back and forth motion.
The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula.
Problem areas that can be addressed with liposuction:
Results: Your improved body contour will be apparent when the swelling and fluid retention commonly experienced following liposuction subside.
With continued practices of healthy diet and fitness, the loss of excess fatty tissue should be long-lasting. However, substantial weight gain can alter your result.
Once your procedure is completed, a compression garment or elastic bandages may cover treatment areas. These help to control swelling and compress the skin to your new body contours.
In addition, small temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluid.
Recovery is an important part of any surgery, and you must take the doctor’s orders to heart if you want to heal as quickly as possible.
You will be given specific instructions that may include: how to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in overall health, and when to follow up with your plastic surgeon.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery? When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
It is important to note: Secondary procedures may sometimes be recommended to reduce excess skin. Special considerations are needed when large amounts – usually more than 5 liters of fat – are suctioned.
Risks are associated with every surgical procedure. Feel free to bring up any questions you may have about the risks involved with your surgeon. Risks include:
- Uneven contours
- Rippling or loose skin
- Skin or nerve damage
- Irregular pigmentation
- Fat clots
- Blood clots
- Excessive fluid loss or fluid accumulation
- Unfavorable scarring
- Thermal burn or heat injury from ultrasound with the ultrasound-assisted lipoplasty technique
- Anesthesia risks
- Bleeding (hematoma)
- Change in skin sensation
- Skin discoloration or swelling
- Pain, which may persist
- Damage to deeper structures such as nerves, blood vessels, muscles, lungs, and abdominal organs
- Poor wound healing
- Persistent swelling in the legs
- Deep vein thrombosis, cardiac and pulmonary complications
- Possibility of revisional surgery