Liposuction is a procedure that can help sculpt the body by
removing unwanted fat from specific areas, including the abdomen, hips,
buttocks, thighs, knees, upper arms, chin, cheek and neck. During the past
decade liposuction, also known as "lipoplasty" or
"suction lipectomy" has benefited from several refinements. Today, a
number of new techniques, including ultrasound-assisted lipoplasty (UAL), the
tumescent technique, and the superwet technique, are helping many plastic
surgeons to provide selected patients with more precise results and quicker
recovery times.
Tumescent Liposuction
Men and women can accumulate excess fat that is not easily removed by exercise
and diet. Prior to the 1980's, extensive surgery was usually required to remove
stubborn fatty deposits. Treatment was often limited to a few areas of the
body, like the abdomen and buttocks. It involved significant risks and a long
recovery. Safe procedures for removal of fat from the face, arms, knees, and
thighs were not generally available.
What is
liposuction surgery?
In the early 1980's, surgeons pioneered liposuction techniques to remove
undesired fat from nearly all body areas including the face, neck, chin,
breast, abdomen, hips, flanks (love handles), back, inner and outer thighs,
buttocks, knees, calves, and ankles. Liposuction surgery also emerged as an effective treatment for certain non-cosmetic
conditions of fat accumulation, such as lipomas (benign fatty tumors) and
enlarged male and female breasts, as well as to decrease excessive sweating
under the arms.
What is tumescent
liposuction?
Developed by plastic surgeons in the mid 1980's, a major advancement called
tumescent liposuction completely changed surgical fat removal. This
breakthrough technique refers to filling the fatty layer of skin with a diluted
solution of local anesthesia and other medications prior to removing the excess
fat. Use of tumescent liposuction allows dermatologic surgeons to safely and
efficiently remove both deep and superficial excess layers of fat with little
discomfort, more rapid healing, and improved cosmetic results.
How is tumescent
liposuction performed?
The procedure involves injecting large volumes of a solution directly into the
areas of excessive fatty deposits. The diluted solution usually contains a
local anesthetic and a drug called epinephrine to shrink capillaries and
minimize blood loss. After a small incision is made in the skin, a small tube
(cannula) connected to a vacuum-like machine is inserted into the fatty layer.
Using back and forth movements, the fat is sucked through the tube into a
sterile collection system. An elastic compression garment is then worn to help
the skin contract and heal. The result is a sculpting of bulging areas into
more attractive contours.
What are the benefits of local tumescent
liposuction?
Tumescent liposuction using local anesthesia offers the benefits of fewer skin
irregularities, less bleeding, reduced bruising, and a faster recovery.
Tumescent liposuction is designed to be performed as an outpatient procedure.
Thus, the potential complications from general anesthesia and a costly hospital
stay can be avoided. In addition, since the patient is awake, he or she is able
to sit or stand during the procedure, allowing the surgeon to check the status
of the patient and progress of the contouring.
Why choose a
plastic surgeon for your liposuction surgery?
Plastic surgeons pioneered the tumescent technique of liposuction that uses
local anesthesia to ensure patient safety. They are trained and experienced in
the use of a wide range of surgical, cosmetic, reconstructive, and non-surgical
methods to repair and improve the function and appearance of skin anywhere on
the body. As skin surgery experts, they are uniquely qualified to treat the
fatty layer of skin and are among the Board-certified specialists trained in
liposuction during their residency programs.
When is
liposuction indicated?
Liposuction is most effective for removing localized fat deposits that do not
respond to diet or exercise. Liposuction is not intended as a substitute for
weight loss; rather, it is a contouring procedure. It is best utilized in a
program of exercise and optimal weight maintenance. The best results are
obtained in body areas where there is reasonable muscle tone, good skin
elasticity, and fat is not excessive. In cases where there is a significant
loss of tone and elasticity, the desired cosmetic results may require a
combination of both liposuction and surgical skin tightening to remove the
excessive loose tissue.
What happens prior
to surgery?
Before surgery, a complete medical history is taken and a physical examination
is conducted in order to evaluate the body's condition. During the
consultation, the plastic surgeon describes the procedure and what results
should be expected. The doctor may also review alternative treatment options
and will explain the possible risks and complications that may occur.
Photographs are frequently taken before and after surgery.
What happens after
surgery?
The local anesthesia injected into the tissue remains for about 24 hours
following liposuction surgery, greatly minimizing post-operative pain. After tumescent
liposuction, most patients are generally alert and able to function without the
nausea, grogginess, and the washed out feeling associated with general
anesthesia. In fact, patients are encouraged to walk immediately after surgery
to enhance the healing process. Patients can usually return to a desk-type job
within a few days. Physical exercise may be resumed three to seven days after
the procedure.
Is tumescent
liposuction safe?
Like all surgery, liposuction carries both benefits and risks. However, when
performed by a qualified plastic and aesthetic surgeon, tumescent liposuction
using local anesthesia is a remarkably safe procedure with few significant side
effects. Infrequent minor complications such as skin irregularity, lumpiness,
dimpling, loose skin, numbness, infections, and objectionable scarring (rare)
may occur and are usually easily corrected.
What is
power-assisted liposuction?
Power-assisted or powered tumescent liposuction is one of the newer advance in
fat removal by plastic surgeons. The "power" in the technique refers
to the advanced instruments used to perform the surgery. Traditional
liposuction is performed manually whereas power-assisted liposuction uses a
mechanical cannula that efficiently removes fatty tissue with increased
precision, less bruising and a faster healing time. According to medical
experts and patients alike, power-assisted liposuction is a gentler technique
than traditional liposuction and is preferred by patients. Your plastic surgeon
can advise you on the best methods to meet.
What is
water-assisted liposuction?
Water-assisted liposuction or the “Body jet” is a more advanced
technique wherein fat is aspirated using a gentle spray of water to dislodge
and remove fat at very low negative pressure suction. All major blood vessels,
nerves, collagen matrix are preserved ensuring faster recovery and lesser and
good body contour. Also, the aspirated fat can be utilised for various other
procedures like facial rejuvenation, breast augmentation, scar improvement and
stem cell harvest.
What is laser
assisted liposuction?
Laser-assisted liposuction is a procedure where a laser probe is
used to emulsify fat while bringing about a good collagen remodelling thus
resulting in adequate skin retraction. It is used for areas like arms and
stubborn areas like gynecomastia and double chin.