Liposuction Surgery Information

  • Posted on: 8 December 2017
  • By: khelms

Liposuction surgery is one of the more popular procedures done to date.  Localized fat collections may be removed safely by many different types of liposuction procedures.  All of the invasive liposuction procedures are safe in trained hands and are basically equally effective. 

What Is Tumescent Liposuction?

Tumescent liposuction describes how the fat to be removed is prepared before it is removed by the surgeon. The area with the fat to be removed is first injected with a dilute solution of a vasoconstrictor, (Epinephrine), to diminish bleeding combined with a local anesthetic to diminish pain.  This tumescent fluid may be used with all liposuction techniques and is a part of almost all liposuction procedures done to date.

What Is Power-assisted Liposuction? And Laser-assisted Liposuction or (Smartlipo®)?

The many types of liposuction techniques available can create some confusion.  Patients may ask what is laser assisted liposuction; and what is power assisted liposuction.  Is one better than the other?  What are the advantages or disadvantages of the different machines?  Assisted liposuction uses a hand piece that moves the cannula back and forth as it is passed through the fat.  Its advantage is directed to the surgeon.  It is portrayed to be easier on the surgeon which limits the surgeon’s fatigue.  Laser assisted liposuction (smart lipo) makes the same claims.  It uses the power concentrated in a laser beam to remove fat.  There is no scientific evidence that any liposuction procedure is more effective than another.  The type of liposuction done by any individual surgeon is usually based on ease of use by that surgeon.

Does Liposuction Surgery Leave a Bad Scar(S)?

All liposuction procedures are done through small stab incisions.  The size of the scar is dependent on the size of the cannula used i.e. smaller cannula leave smaller scars.  We use cannulas that are 3.7mm or smaller.  Stab incisions are placed whenever possible in inconspicuous locations and they are usually quite difficult to see once healed and matured over the following 6-8 months.

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Liposuction Pain Post Operation

Pain from liposuction is variable but is in most patients not problematic. Unlike operations involving muscles, for instance tummy tucks, liposuction stays in the fat layer and therefore is not usually painful for very long.  Most patients require pain meds for a couple of days, then discomfort is often described as soreness, like after intense exercise sessions.  This soreness, which can last some weeks, is usually managed with over the counter pain medications.  A few patients that have more post operative pain are usually experiencing muscle spasms from the muscles deep to the area suctioned.  This often responds to anti-spasmodic medicines.

How Succesful Are Liposuction Surgeries?

Liposuction Surgery Information

Liposuction is quite effective and can show dramatic results. As with all cosmetic surgical procedures, better results begin with your surgeon picking good candidates for the operation.  Patients with localized fat i.e. love handles, saddle bags, and muffin tops have fat sequestered in deeper locations relative to the skin’s surface.  Localized suction results typically are better than liposuction of fat just beneath the skin.  The fat that you can pinch between your fingers is subcutaneous fat.  It gets larger or smaller with weight fluctuations and the results will fluctuate with your weight.  The best results are obtained in patients with localized fat, who have the procedures done at a stable weight that they maintain over time after the procedure is completed. 

Does Loosing Weight Look Better and More Natural or Is Liposuction a Better Alternative?

Patients who claim that they will diet or exercise post procedure rarely do so and within a couple of years, their weight goes up, although the changed contour from localized liposuction will often remain stable. We often are asked if weight loss is better than liposuction or if modifying weight before surgery is helpful.  Your body has two types of fat.  The deep fat compartments are diet resistant.  These fat compartments are found where there are localized bulges, such as the flank (muffin top), trochanter (saddle bag), lower abdomen, and upper, inner thighs.  These bulges retain their contour even with weight loss. 

Your body has two types of fat.  The deep fat compartments are diet resistant.  These fat compartments are found where there are localized bulges, such as the flank (muffin top), trochanter (saddle bag), lower abdomen, and upper, inner thighs.  These bulges retain their contour even with weight loss.

The good thing is that once removed, it rarely returns.  The second type of fat is that found as a single, continuous sheet just under the skin.  This fat pinches between the fingers when the skin is pinched together.  These fat cells get larger or smaller as your weight fluctuates.  Liposuction of this layer is notorious for recurring when you put on weight.  

Weight loss from dieting tends to diminish the size of the fat cells in the layer of fat just under the skin.  It is a slower process and skin contraction may be better than with liposuction of this same area.  Provided your weight remains stable, weight loss by dieting is better than liposuction again unless we are referring to localized fat.  Localized fat is diet resistant and better suited for removal by liposuction. 

Consultations with surgeons well versed in the nuances of liposuction can give you a realistic plan to address all areas of concern.  Some areas may be best suited for weight loss; others liposuction; or a combination of liposuction and skin resection.  This approach can help you avoid wasting time and effort on modalities that would not be effective.