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Liposuction

Liposuction, also known as suction assisted lipectomy, liposculpture, and fat suction, is a technique used to sculpt the body by removing unwanted fat deposits from specific areas of the body. These regions can include:
  • chin
  • neck
  • cheek
  • upper arms
  • breast region
  • abdomen
  • "love handles"
  • buttocks
  • hips
  • thighs
  • knees
  • calves
Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that do not respond to traditional weight loss methods.

The best candidates for liposuction are of relatively normal weight with firm elastic skin, but have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable, and realistic in your expectations. Most important, having firm, elastic skin will result in a better final contour. Your age is not a major consideration. However, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin. Hanging skin will not reshape to your body's new contours and may require an additional procedure to surgically remove the excess skin. Surgery that removes excess skin will leave visible scars.

Liposuction At A Glance:

Procedure: Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Can be performed using the tumescent technique, in which targeted fat cells are infused with saline containing solution with a local anesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.

For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new technique in which a ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned.
Length:
1 to 2 hours or more. UAL: 20-40 percent longer than traditional liposuction.
Anesthesia:
Local, epidural, or general.
In/Outpatient:
Usually outpatient. Extensive procedures may require short inpatient stay.
Side Effects:
Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent: Temporary fluid drainage from incision sites. UAL: Larger incisions for cannula.
Risks:
Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device.
Recovery:
Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more. Use of tumescent technique or UAL may decrease post-operative bruising and swelling.
Duration of Results:
Permanent, with sensible diet and exercise.
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