Fat deposits can stubbornly remain long after you have achieved your preferred weight and size. When diet and exercise lose their effectiveness, patients turn to liposuction to remove unwanted fat deposits. The modern era of liposuction plastic surgery started in 1980 when Swiss and French physicians first presented their techniques of “lipolysis.” Viewed from the current perspective, the description of their procedures was revolutionary, but primitive by today’s standards.
Liposuction or Lipoplasty has progressed significantly in the last decade. Today, the cannulas (tubes) used are much smaller, and energy-assisted technology makes the process of fat removal and skin tightening more effective. The tumescent technique uses a fluid that can not only numb the tissue but reduces bleeding. Liposuction can remove excess fat on your abdomen, hips, buttocks, thighs, knees, upper arms and face and other areas on the body.
It should be noted that there is no ideal method for liposuction. Almost on a monthly basis, a new “revolutionary” technique is introduced through the media. Despite these procedures needing years to objectively analyze the new instrumentation and publish these results, newer innovations have made the results more predictable and consistent.
Treatment is designed to remove stubborn fat creating smooth curves and a better-defined physique. Liposuction is not intended to alleviate obesity but improve upon patients’ natural body contours. Ideally, the patient should have a stable weight for months before surgery. Patients with high BMIs should seek dietary consultation and weight management before liposuction is considered. Patients should also have elastic skin to easily adjust to your body’s new contour. If you have loose or stretched skin caused by aging, weight loss, or pregnancy, additional treatment may be necessary to create ideal results. If you are good physical condition and follow a healthy diet and exercise regimen, you can achieve your cosmetic goals with fat removal surgery.
Liposuction is usually performed as an outpatient procedure using local anesthesia with sedation or a light general anesthetic if multiple areas are to be treated. The amount of fat that may be removed varies from patient to patient. This is based on the height and weight of the patient, and the relative health of each patient. Massive amounts of fat should not be removed at one time; the “insult” to the patient is too much. The amount of fat that is removed during liposuction may range up to 5 or 6 liters.
We administer an intravenous sedation or general anaesthesia and very small incisions are made, and the cannula is inserted and attached to the liposuction device, which removes the fatty tissue. The incisions can usually be placed in easily hidden locations.
After the appropriate time in our recovery room, you can go home with the help of a friend or family member. You should not drive for 24 hours, due to the effects of the anesthesia.
Some bruising, swelling, and discomfort are expected after surgery. Swelling is usually the last side effect to go away completely. The scars will improve over time, and we will give you instructions to speed their healing and optimize their quality.
As in any operation, there are complications related to surgery. Generally, the risk of infection, bleeding and unsightly scars is minimal. The revision rate for these procedures is significantly under 5% of patients. In general, the larger the liposuction the more the possibility of revision exists.
The objective of the surgery is to define the body's natural contours without excessive or sagging skin.
We will prescribe pain medication for any discomfort experienced after the anaesthesia wears off. The pain level from surgery has been described as a profound Charlie horse, or a number 2 on the pain scale. This is caused by the cannula touching the muscles below which results in pain equivalent to a very prolonged workout in the gym. This subsides after 24 to 48 hours. Most of our patients report returning to work within 3 to 5 days.