Liposuction

Liposuction, also known as body contouring, is a surgical procedure where a specialized tool for suction known as cannula removes fat from areas on the body. While the surgery has other names, the process is always the same. There will be a small incision made in the area where fat has accumulated, the suction tool will be inserted, and fat will be collected. These areas can include your buttocks, thighs, hips, torso, arms, ankles, chest and back, and chin or neck. It is essential to know that it can also be used for breast reduction for those who find discomfort from the weight on their backs or the treatment of gynecomastia.  

NOTE: The procedure is for fast removal of fat that has not responded to diet or exercise. Before being considered as an option for weight control, the patient should consult with a doctor or a weight control specialist regarding if liposuction is the best alternative.

Liposuction in Turkey has been the most common body contouring method and globally renowned aesthetic surgery since the beginning of the 80s. This operation can be applied to anyone with BMI 25-31 and have a regional fat accumulation problem; this operation does not cause weight loss but removes excess body fat. In lipoplasty operations, patients must have good skin elasticity. This operation might not provide the desired results in older patients or patients with poor skin elasticity. Therefore, this operation is often combined with lifting operations in these types of patients. Another operation that can be applied with liposuction is fat injection. Collected fat tissues are injected into different parts of the body after special processing and this way both specific regional thinning and shaping in other parts can be achieved.

liposuction

What is the best way to prepare for liposuction surgery?

Talk with your doctor and make sure you explain all your medical history. Make sure you both understand the goals of the surgery and what to expect after it is done.

  • Stop smoking for at least 15 days.
  • The doctor might alter your diet.
  • Stop tacking blood thinners of similar medications for at least 15 to 21 days before the procedure.
  • Take all the required tests and make sure to consult with your doctor if any other observations are needed.
  • Acquiree medication and whatever comforts for home care.
  • Arrange for someone to drive you home and stay with you for at least two nights after the procedure.

Day of the procedure.

As you consult with your doctor before the procedure takes place, he will draw circles and lines on the body areas that are to be subjected to the procedure. It is normal to chart the journey, so photos of before and after are usually taken for comparison.

Some procedures require local or regional anesthesia. Others may require general anesthesia, which is where the doctors put you to sleep; the sedative is typically injected through IV to help the patient remain under the sedative’s effects. The medical team monitors blood pressure, oxygen, and other vitals through the procedure.

Depending on the surgery scale, you might be required to stay overnight in a hospital for observation. However, that is usually reserved for procedures that undergo general anesthesia. 

The actual preparation for the procedure depends on the approach or technique being used.

  • Tumescent liposuction: the standard for many years; this approach inserts a cocktail made of saltwater, anesthetic, and pain relief drug that aids with removing fat in the treated area. After a small cut, the cannula is inserted for the fat to be suctioned out.
    • PAL: Power- Assisted Liposuction: This technique uses a cannula in a back and forth motion (picture vacuuming a rug). This movement allows for faster collecting of fat and may result in less swelling. Your doctor might take this approach when there are large fat deposits to be removed.
    • LAL: Laser-assisted liposuction: A high-intensity laser brakes down fat as it is being suctioned out. The doctor inserts a fiber that emits a laser that warm-up and even emulsifies or melts the fat before being removed by the cannula.
    • UAL: Ultrasound-assisted Liposuction: This inserts a rod that shoots ultrasound to break down the fat cells for easier removal. It is sometimes used in conjunction with the traditional Tumescent liposuction.
    • VASER-Assisted: This is similar to the ultrasound, but the instrument is less traumatic to the skin and might aid in reducing the chances of skin related injuries.

Which regions are suitable for liposuction?

Liposuction is a regional thinning and body contouring operation and this method can be applied in almost all areas. This operation can be applied to double chin, neck, arm, breast, body, back, belly, thigh, hip, knee, lower leg, genitals, and ankles. According to statistic while women choose hips, belly, and butt; men choose waist, double chin, and belly liposuction.

Recovery Steps.

Some pain, bruising, and swelling is expected after a procedure like this. Follow your surgeons’ instructions regarding medication for pain control and antibiotics for a complete recovery. Once the process is done, the doctor may leave open incisions with temporary drains to promote drainage, and it is normal to wear a compression garment to help reduce swelling for a few days, maybe a few weeks.

NOTE: It may take a while before returning to regular duties like work and exercise.

Possible Complications.

Liposuction though common place these days is still a surgery, and as such, carries risks, excessive bleeding, and a bad reaction to the anesthesia can complicate the procedure. Other possible complications include:

  • Fluid accumulation: Seromas or pockets of fluid can form under the dermis or skin; these are usually drained with a needle.
  • Numbness: The area affected by the surgery might swell and lose sensation resulting in a numbing sensation. Nerve irritation might also occur after the procedure.
  • Marks on Skin: Due to uneven removal, the skin may appear bumpy or withered after the procedure and may even result in the areas healing looking warped. These changes always have the possibility of being permanent so follow up with your doctor.
  • Infection: with the employment of broad antibiotics, sickness might rarely set. There is still a chance that it can turn from annoying to lethal; always consult with your doctor if you see any signs or infection.
  • Anesthetic: Lidocaine Toxicity is rare, and although considered generally safe, it can become severe and affect the heart and central nervous system.
  • Heart and organ problems: Organs like kidneys and others will be working overtime while trying to process all the liquids coming into your body through your bloodstream. These all take a toll and might lead to problems with the health.
  • Embolism: While the suctioning tool is being manipulated, there is a chance a piece of fat might break off and become trapped in a blood vessel or even travel to the lungs or brain. This is a dangerous situation and considered an emergency that must be attended to immediately. 
  • Puncture: The cannula used to suction out the fat cells might accidentally pierce an organ and require immediate surgical repair.

Swelling and Stitches.   

If the doctor leaves the incisions open for drainage, most patients can expect somewhere about 90 percent of the swelling to go down, and recovery is much faster. The doctor will decide when to remove the drains, it usually takes around four weeks. 

The doctor might also close the incisions with stitches; then, significant swelling may persist for about 8 to 12 weeks. As instructed by your doctor, the care of these incisions will probably include a prescribed cream to help with the swelling and keep the area clean of bacteria. 

Who can’t have liposuction?

People with an obesity problem, diabetes, heart problem, lung disease, under 18 years old, pregnant or breastfeeding cannot have liposuction.

Follow up.

Make sure you have consulted with your doctor regarding follow-up visitations. These vary from surgeon to surgeon; you might be back in two days or a week later. Always keep open communications with your doctor and inform him if you know pain or discomfort. All information is valuable, and your health must always come first.

Frequently Asked Questions

Is liposuction harmful?

If the patient does not have any heart, diabetes or another disease that could cause a problem during operation, has nearly normal weight and below 60 years old, the operation has no risk. Listening to doctor’s recommendations before and after the operation and following medical instructions play an important role to prevent risks.

liposuction surgery

Things you wonder about liposuction

When will the effects of the operation are visible?

After the operation, post-operative oedema and bruising is normal for few weeks. To realise operation results oedema and bruising should get healed. After the end of first month, effects are visible and effects are clearly visible and noticeable after second month.

Will there be fat accumulation after liposuction?

Lipoplasty permanently removes fat tissue. No matter what happens, fat tissue will not be produced in the operation region. However, excessive weight gaining might cause fat cells to produce. Therefore, eating and weight control are important after the operation.

Is it possible to remove visceral fat?

Liposuction is designed to remove fat cells under the skin. Visceral fat is dangerous and active fat that is stored in the stomach cavity. This fat is closed to important organs and can trigger hormones. Therefore, visceral fats cannot be removed with this operation. The only way to eliminate visceral fat is by eating healthy and following an exercise program.

Can I reduce cellulite with liposuction?

Cellulite and cracks do not develop with fat tissue. These problems are caused by skin elasticity and skin quality. Liposhaping removes some of the fat cells but they do not have any effect on skin elasticity.

Is it okay to get pregnant after liposuction? Does pregnancy affect results?

If the operation and pregnancy plan is close, postponing the operation after pregnancy is recommended. It is okay to get pregnant after 6 months. The pregnancy period does not permanently impact operating results. When pregnancy weight is gone, it is possible to go back to previous results.

I am breastfeeding and I want to have liposuction. Is it possible?

Since liposuction is a surgical operation, certain medications are given to the patient. This medication can transfer to breastmilk. Therefore, liposuction is strictly forbidden for the first 6 months of breastfeeding. If done after 6 months, the mother must stop breastfeeding for 1-2 days. Additionally, breastfeeding mothers might not produce milk after this operation. Pain after the operation might prevent mother to hold her baby. Due to all these possibilities, it is better to wait until the end of breastfeeding.

Does liposuction work for fat accumulation around the belly after giving birth?

Definitely. In these cases, this is the most suitable operation to ensure perfect belly contour.

Will liposuction define my abs?

You need to have a very low-fat level for abs. Although it is not possible to build muscle with liposuction, fat from this area can be removed and it will be easier to build abs with exercise.

Did you read this: What is Vaser Liposuction

December 7, 2020

Dr. Emre GÖNENÇ BAYGÖL

He was born in 1983 in Bandirma. He completed her primary education in Setbaşı Primary School and her secondary and high school education in Bursa Anatolian High School. In 2007, he graduated from Uludağ University Faculty of Medicine. In 2014,...
read more about: Dr. Emre GÖNENÇ BAYGÖL

E-mail | Twitter | Facebook