is a surgical procedure that uses a suction technique to remove fat from specific areas of the body, such as the abdomen, hips, thighs, buttocks, arms or neck. Liposuction also shapes (contours) these areas. Other names for liposuction include lipoplasty and body contouring.
Liposuction isn't typically considered an overall weight-loss method or a weight-loss alternative. If you're overweight, you're likely to lose more weight through diet and exercise or through bariatric procedures such as gastric bypass surgery. In liposuction the cosmetic surgeon aims to remove around 8-10% of the body fat. After liposuction you can reduce more weight by eating right and doing regular exercise.
How Liposuction is Done
Liposuction Surgery Procedure - Infiltration of the fluids is performed in the areas to be liposuctioned. The benefits of this procedure are multifold. Some of the benefits are reduction in bleeding, fat loosening, better pain control, etc. Usually our doctor infiltrates the fluid in a 1:1 ratio with the amount of fat that is supposed to be aspirated. When aspiration is performed in this ratio, only pure fat is removed and not water mixed with fat. Therefore, an exact estimate of the aspirated fat can be obtained. After performing the surgery, it is essential to know the amount of fat that is left in the body rather than measuring the fat amount taken out.
After liposuction the skin moulds itself to the new contours of the treated areas. If you have good skin tone and elasticity, the skin is likely to appear smooth. If your skin is thin with poor elasticity then the skin in the area of liposuction may appear loose.
Types of Liposuction
Tumescent Liposuction - This is the most common type of liposuction. The surgeon injects a sterile solution — a mixture of salt water, which aids fat removal, an anesthetic (lidocaine) to relieve pain and a drug (epinephrine) that causes the blood vessels to constrict — into the area that's being treated. The fluid mixture causes the affected area to swell and stiffen. The surgeon then makes small cuts into your skin and inserts a thin tube called a cannula under your skin. The cannula is connected to a vacuum that suctions fat and fluids from your body. Your body fluid may be replenished through an intravenous (IV) line.
Ultrasound-Assisted Liposuction (UAL) - This type of liposuction is sometimes used in conjunction with traditional liposuction. During UAL, the surgeon inserts a metal rod that emits ultrasonic energy under your skin. This ruptures the fat-cell walls and breaks down the fat for easier removal. A new generation of UAL called VASER-assisted liposuction uses a device that may improve skin contouring and reduce the chance of skin injuries.
Laser-assisted Liposuction (LAL) - This technique uses high-intensity laser light to break down fat for removal. During LAL, the surgeon inserts a laser fiber through a small incision in the skin and emulsifies fat deposits. The fat is then removed via a cannula.
Power-assisted Liposuction (PAL) - This type of liposuction uses a cannula that moves in a rapid back-and-forth motion. This vibration allows the surgeon to pull out tough fat more easily and faster. PAL may sometimes cause less pain and swelling and can allow the surgeon to remove fat with more precision. Your surgeon may select this technique if large volumes of fat need to be removed or if you've had a previous liposuction procedure.
Results of Liposuction Surgery
During the procedure - Some liposuction procedures may require only local or regional anesthesia — anesthesia limited to a specific area of your body. Other procedures may require general anesthesia, which induces a temporary state of unconsciousness. You may be given a sedative, typically through an IV injection, to help you remain calm and relaxed. The procedure may last up to several hours, depending on the extent of fat removal.
After the procedure - Expect some pain, swelling and bruising after the procedure. Your surgeon may prescribe medication to help control the pain and antibiotics to reduce the risk of infection. After the procedure, the surgeon may leave your incisions open and place temporary drains to promote fluid drainage. You usually need to wear tight compression garments, which help reduce swelling, for a few weeks. You may need to wait a few days before returning to work and a few weeks before resuming your normal activities — including exercise.
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