Liposuction - what it is, what it treats, variations and particular cases

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Liposuction, also known as aspiration-assisted lipectomy, is the most effective method of body reshaping for both men and women. This intervention removes fat from certain areas of the body that could not be corrected by diet or exercise.

The intervention is a benefit for people who are at/close to their ideal weight but still have disproportionately localized fat deposits that cannot be eliminated through a healthy lifestyle. However, it is important to note that this operation aims to reshape and redefine the contour of the body, not to produce a big reduction of body weight as there is a maximum safety limit of the amount of fat that can be removed. At the same time, liposuction itself will not always and completely reduce the cellulite appearance; there are specific treatments, used as an adjunct to traditional liposuction, to obtain the most complete results.

What does liposuction treat?

By liposuction, one can intervene on: the ankles, the inner area of the knee, thighs (inner and outer area), hips and buttocks, abdomen and waist, chest area, arms, cheeks, chin, and neck.

This can be done alone and/or in conjunction with other cosmetic surgery procedures.

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Preoperatory preparations (doctor's archive)

Complementary procedures

Many people use liposuction as a way of body reshaping. Thus, this intervention is often performed in conjunction with other cosmetic surgery – e.g.: breast augmentation or lipofilling.

When it comes to patients with weakened skin, liposuction may be accompanied by a tummy tuck or radiofrequency procedure, which improves the final result.

How does the procedure work?

The procedure can take place under local or general anesthesia and is followed by the hospitalization of 24-48 hours. After discharge, a few days of antibiotic, anti-inflammatory, supportive and anticoagulant treatment are required. The operation itself takes between 1-3 hours.

At its basics, there are punctiform incisions, of a few millimeters, which allow the penetration of metal probes, called cannulas. The cannulas are moved in a controlled back and forth motion. They aspirate the fat, thus removing it from the body. The incisions are closed with surgical sutures and will heal well, remaining hidden in the natural folds of the skin.

Postoperative recovery

After the operation, it is necessary to wear a compressive dressing for a period of three weeks and antithrombotic compression stockings, respectively, at least during the period of bed rest and until the resumption of activity.

After two weeks, it is recommended to schedule a light massage, lymphatic stimulation of the liposuction areas. Bruising can persist for up to 3-4 weeks, accompanied by local edema that recovers spontaneously during this time. The final result will be visible after about 3 months. Meantime, there will take place a gradual decrease in body weight and the size of the liposuction areas, respectively.

It is recommended to avoid exposure to ultraviolet rays for at least 6 months after surgery.

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Liposuction simulation (doctor's archive)

Liposuction - particular cases

Radiofrequency liposuction

Radiofrequency assisted liposuction (also known as RFAL or BodyTite and FaceTite) is a procedure that uses thermal energy to produce skin tightening, but also to remove unwanted fat. The use of radiofrequency waves can complement traditional liposuction techniques, dissolving fat and facilitating the production of elastin and collagen.

Liposuction over the thighs

The thigh area is one of the most common areas where liposuction is used. However, due to the excessive amount of fat, the procedure requires special technologies, in addition to the usual methods.

The procedure begins by injecting a solution of an analgesic and hemostatic mixture (to prevent pain), a quantity of saline and epinephrine, to produce the contraction of blood vessels in that area. Subsequently, fine incisions are made. Afterward, takes place the introduction of a suction device at the level of adipose tissue between the muscles and the skin.

To maintain results, the patient must adopt a healthy lifestyle – a proper diet and regular exercise.

Cervical liposuction

Cervical liposuction is the surgical procedure that corrects the volume of the neck – increased due to the accumulation of excess adipose tissue, double or triple chin, sharp grooves in the nose, large cheekbones, or asymmetrical mandibular line.

Following this intervention, the skin acquires a rested appearance, while the face gains better symmetry. The success of the procedure is due to the elastic skin and good muscle tone. The results persist well over time if the patient gives special care to the treated areas. It is recommended for both women and men.

Liposuction is a cosmetic surgery procedure designed to retouch the shape of the body in order to restore balance and increase self-esteem. Before any decision, it is recommended to schedule an informative consultation when the most appropriate solutions for the desired results will be established, together with the cosmetic surgeon.

Updated: 2020-12-11

Author

Aesthetic plastic surgery specialist, OMINI Clinic founder, in Iasi. His specialities are breast implants and rhinoplasty, However, in the last few years, he dedicates to body remodeling through liposuction, also with larger surgeries combined with tummy tucks or lipofilling.

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