Liposuction

This article was updated on February 5th, 2024 at 10:26 am

Liposuction is a type of fat removal procedure with surgical operation.

Liposuction can potential risks and can be a painful healing process and rarely have lethal complications. Therefore, you should think carefully before having this surgery.

It also has lots of benefits and it is a healthy solution for getting the body one may desire.

NOTE: The procedure is for the rapid removal of fat that does not respond to diet or exercise. Before considering liposuction as an option for weight control, the patient should consult with a doctor or weight control specialist about whether liposuction is the best option or consider non-surgical fat reduction treatments.

History

The concept of lipo was first introduced in the 1920s by French surgeon Charles Dujarier, but it didn’t gain popularity due to serious complications. In the 1970s, the foundations of modern liposuction were established with Dr. Giorgio Fischer performing some of the initial procedures. In 1987, Dr. Jeffrey Klein introduced the “Tumescent Technique”, making liposuction safer.

In the 1990s and 2000s, the procedure was further refined with new technologies, especially ultrasound and laser-assisted methods. Today, liposuction is a frequently performed procedure in plastic surgery.

fat layer in skin

Purpose of Liposuction

The primary purpose of lipo is body contouring, but its uses and methods of application can vary.

There are two main uses for liposuction:

  1. Cosmetic Liposuction: This is the most commonly known use of lipo. The procedure is performed to remove unwanted fat accumulation in specific areas and achieve more aesthetic body lines. For instance, it can be used to remove accumulated fat in areas such as the abdomen, waist, buttocks, legs, arms, and under the chin.
  2. Therapeutic Liposuction: This is performed to treat certain medical conditions. Examples include:
    • Lipedema: A medical condition characterized by abnormal fat accumulation, usually in the legs and sometimes in the arms. Liposuction can assist in removing this fat and contribute to alleviating symptoms.
    • Gynecomastia: Known as abnormal breast enlargement in men. Liposuction can help remove this excess fat.
    • Removal of lipomas: A lipoma is a benign fat tissue tumor. In some cases, lipo can be used to remove lipomas.

However, there are different methods and technologies for liposuction (e.g., ultrasound-assisted and laser-assisted etc.). The choice of which method to use depends on the patient’s needs, the expertise of the doctor, and the equipment used.

Liposuction Techniques

There are several techniques available, each with its unique benefits and  minimum risks.

The most common type of lipo surgery is Tumescent liposuction, which involves the injection of a saline solution into the targeted area.

Other types of lipo surgery include ultrasound assisted, laser assisted (vaser liposuction), and power assisted. These techniques use different technologies to break down the fat before it is suctioned out of the body. Each of these techniques has its unique ways of application and the choice of technique will depend on the individual patient’s needs and goals

Tumescent Liposuction

Tumescent liposuction is the most common type of liposuction procedure. It involves injecting a solution of saline, lidocaine (a local anesthetic), and epinephrine (a drug that constricts blood vessels) into the area being treated. This solution helps to numb the area, reduce bleeding, and make it easier to remove fat.

However, tumescent liposuction may not be suitable for everyone. It is typically used for smaller areas of fat, such as the chin, neck, and arms. For larger areas, such as the abdomen, hips, and thighs.

Ultrasonic Liposuction (Ultrasound Assisted)

Ultrasonic liposuction (UAL) is a surgical procedure used to remove excess fat from the body using ultrasound energy to break up fat cells before suctioning them out through a cannula (a small hollow tube). UAL is a variation of traditional lipo that uses a specialized tool called an ultrasound probe.

During the UAL procedure, the surgeon inserts the ultrasound probe into the targeted area of fat through a small incision. The fat cells are then more easily removed once the probe generates high-frequency sound waves that cause them to vibrate. A cannula is subsequently utilized to pull out the liquefied fat.

 The ultrasound energy can also stimulate the production of collagen, which can help tighten the skin in the treated area.

Power Assisted Liposuction

Power assisted liposuction (PAL) uses an oscillating cannula attached to a handpiece that moves back and forth to break up unwanted fat cells. The cannula is inserted through small incisions in the skin and is moved around to break up the fat cells before suctioning them out of the body. Unlike some other forms of liposuction, PAL does not use heat to break up the fat cells.

One of the benefits of PAL is that it allows for increased fat extraction with reduced tissue trauma and operator fatigue. Overall, power-assisted is a safe and effective way to remove unwanted fat from specific areas of the body.

Laser Liposuction

Laser liposuction is a popular type of liposuction surgery that uses laser energy to liquefy fat cells before they are removed from the body. 

This procedure is minimally invasive and can be performed on various parts of the body, including the abdomen, thighs, buttocks, and arms. During the procedure, a small incision is made in the skin, and a thin laser fiber is inserted through the incision. The laser energy is then focused on the targeted area, which breaks down the fat cells and liquefies them. The liquefied fat is then suctioned out of the body using a cannula.

There are several types of laser-assisted available, including SmartLipo, SlimLipo, CoolLipo, LipoLite, LipoTherme, and LipoControl

Vaser Liposuction

Vaser liposuction, also known as Vaserlipo or Vaser Liposelection, is a type of plastic surgery in which the fat has been removed from certain parts of the body using ultrasound technology. Vaser stands for “Vibration Amplification of Sound Energy at Resonance.” Vaser lipo uses ultrasonic waves to target and break down fat cells while avoiding damage to the surrounding tissue, which is different from traditional Liposuction that uses manual force to remove fat cells.

Water Jet-Assisted Liposuction (WAL)

Water Jet Assisted Liposuction technique uses a fan-shaped water-jet to gently detach fat from the tissue structure before suctioning it out. It is a relatively new technique that has been gaining popularity in recent years due to its many benefits over traditional liposuction methods.

Addition information: The best technique for an individual should be decided by the surgeon after the examination and consultation for the specific person. Detailed planning and planning the process individually is very important. In this case trusting your doctor will be the best decision to make.

Vaser Liposuction

Body Areas Where Liposuction is Applied

Liposuction surgery is commonly performed in the following areas:

  1. Abdomen: This includes both the upper and lower abdomen, targeting belly fat for a flatter and more contoured midsection.
  2. Flanks: The procedure can address excess fat on the sides of the waist, helping to create a more streamlined waistline.
  3. Thighs: Inner and outer thighs are common areas for liposuction to improve thigh contours and reduce the appearance of “saddlebags.”
  4. Hips: Liposuction around the hip area can enhance overall body proportions by eliminating excess fat in this region.
  5. Buttocks: Liposuction can be performed on the buttocks to create a more lifted and defined appearance.
  6. Back: This includes the upper and lower back, helping to eliminate fat rolls and improve the overall shape of the back.
  7. Chest (Gynecomastia): In males, liposuction can treat gynecomastia, a condition characterized by excess fat in the chest area, resulting in a more masculine chest contour.
  8. Upper Arms: Liposuction can remove excess fat from the upper arms, commonly known as “bat wings,” to achieve slimmer arms.
  9. Chin and Neck: Also known as submental liposuction, this targets excess fat under the chin and along the jawline to enhance the profile.
  10. Calves and Ankles: In some cases, liposuction can be used to reduce fat in the calf and ankle areas for improved leg contours.

Potential Risks and Complications

Despite being a relatively safe procedure, liposuction carries few risks, just like any other surgical procedure. However, the risk of these complications can vary depending on several factors. 

Here are some of the factors that can affect the risk of liposuction:

  • Amount of fat to be removed: The more fat that needs to be removed, the higher the risk of complications. Large volume liposuction carries a higher risk of complications such as bleeding, fluid shifts, and changes in blood pressure.
  • Age: Older patients may have a higher risk of complications due to decreased skin elasticity and slower healing.
  • Medical history: Patients with a history of medical conditions such as heart disease, diabetes, or lung disease may have a higher risk of complications.
  • Body mass index (BMI): Patients with a higher BMI may have a higher risk of complications due to the increased amount of fat in the body.

The technique used: The choice of technique used for liposuction can also affect the risk of complications. For example, ultrasound-assisted liposuction (UAL) and laser-assisted liposuction (LAL) may carry a higher risk of burns and skin damage.

Some of the potential risks and complications of liposuction include:

 Side Effects

  • Bruising and swelling for a while 
  • Bleeding 
  • Infection
  • Fluid accumulation
  • Changes in skin sensation
  • Scarring
  • Contour irregularities

These risks are generally mild and can be managed with proper care and attention every surgery has a slim chance of complications.

Possible Complications

Complications specific to liposuction include:

ComplicationDescription


Contour irregularities


Your skin may appear bumpy, wavy, or withered due to uneven fat removal, poor skin elasticity, and unusual healing..


Deep vein thrombosis (DVT)


A blood clot that forms in a deep vein, usually in the legs. DVT can be life-threatening if it travels to the lungs.


Pulmonary embolism (PE)


A blood clot that travels to the lungs and blocks blood flow. PE is a rare but serious complication of liposuction.


Nerve damage


If nerves are damaged during the procedure, you may experience numbness, tingling, or other changes in sensation.


Organ perforation
If the cannula (the tube used to remove fat) punctures an organ, it can cause serious injury and require additional surgery.
PunctureThe cannula used to suction out the fat cells might accidentally pierce an organ and require immediate surgical repair.
Marks on SkinDue 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.
liposuction surgery

What is the best way to prepare for liposuction surgery?

To prepare for liposuction surgery most accurately, talk to your doctor and make sure you explain your entire 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. 

Recovery After Liposuction

Depending on the location and complexity of the procedure, liposuction could or might not necessitate a hospital stay.

While the recovery timeline and process can vary depending on the type of liposuction surgery, there are some general guidelines to keep in mind.

Immediately after the procedure, patients can expect to experience little pain and swelling. Pain medication may be prescribed to help manage any discomfort, and an elastic bandage may be worn to control swelling and compress the skin to the new body contours.

During the first 48 hours after the procedure, patients should expect a mild to moderate amount of pain.

After the first few days, patients may experience some bruising and soreness, but these symptoms should gradually improve over time. It is important to avoid strenuous activity or exercise for at least a few weeks after the procedure to allow the body to heal properly. Patients should also follow any specific aftercare instructions provided by their surgeon to ensure a smooth and successful recovery.

Overall, recovery after liposuction can take several weeks to several months, depending on the extent of the procedure and the individual’s healing process. While the recovery process may be uncomfortable at times, following proper aftercare instructions and taking care of oneself can help ensure a successful outcome.

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.

Cost of Liposuction in Turkey

The cost of all-inclusive liposuction in Turkey starts at $4000 on average. Price aries depending on various factors, such as the type of liposuction, the area of the body being treated, and the surgeon’s experience and reputation. It is important to choose a surgeon who provides personal care and trustworthiness between patient and surgeon is important for the mindset. Click here to get liposuction price from our consultant

Frequently Asked Questions Related to Liposuction

Who is a good candidate for liposuction?

Good candidates for liposuction are individuals who are close to their ideal body weight but have stubborn pockets of fat that are resistant to diet and exercise.

What areas of the body can be treated with liposuction?

Liposuction can be performed on many areas of the body, including the abdomen, thighs, hips, back, arms, and double chin.

Is liposuction a weight loss procedure?

No, liposuction is not a weight loss procedure. It is intended to remove small pockets of excess fat that are resistant to diet and exercise.

How long does it take to recover from liposuction?

Recovery time varies depending on the extent of the procedure and the areas of the body treated. Most patients can return to work within a few days and resume normal activities within a few weeks.

Are there any risks associated with liposuction?

Like any surgical procedure, liposuction carries some risks.Your surgeon will discuss these risks with you prior to the procedure.

How long do the results of liposuction last?

The results of liposuction are long-lasting, but it is important to maintain a healthy diet and exercise regimen to prevent new fat deposits from forming.

Can liposuction be combined with other procedures?

Yes, liposuction can be combined with other procedures.

How much does liposuction cost?

The cost of liposuction varies depending on the extent of the procedure and the areas of the body treated. The price will be provided to you with details during your consultation.

How painful is liposuction?

The amount of pain experienced can vary depending on several factors, including the extent of the liposuction, the individual’s pain threshold, and the surgical technique used. During the procedure, you will receive anesthesia, which can help minimize discomfort during the surgery itself. After the procedure, you will likely experience some pain and discomfort, which can range from mild to moderate. The amount of pain you experience will depend on the extent of the liposuction and your pain threshold.

Does liposuction leave scars?

The size and visibility of the scars will depend on the extent of the liposuction and the individual’s healing process. In most cases, liposuction incisions are small (less than half an inch), and they are usually placed in inconspicuous locations, such as natural skin creases or areas that can be covered by clothing. In addition, many plastic surgeons use advanced surgical techniques, such as tumescent liposuction or ultrasound-assisted liposuction, which can minimize the size of the incisions and reduce scarring.

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.

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.

Can I gain fat back after lipo?

Yes, it is possible to fat come back after liposuction. Liposuction removes fat cells from specific areas of the body, but it does not prevent the remaining fat cells from expanding if a person gains weight. If a person does not maintain a healthy lifestyle with proper diet and exercise, they may gain weight in other areas of their body, including the treated areas.

How much weight can lipo remove?

The amount of weight that can be removed through lipo varies depending on the individual’s body type, the amount of excess fat they have, and the areas being treated.

How does Liposuction affect metabolism?

May not provide significant metabolic benefits for patients. Studies indicate that liposuction does not improve most of the main metabolic risk factors linked to coronary heart disease (CHD) in the short or long term.

Conclusion

It is important to note that Lipo is not a weight-loss solution, and patients should maintain a healthy lifestyle after the procedure to avoid regaining the fat that was removed. As with any surgical procedure, there are few risks involved, and patients should carefully consider the potential benefits and drawbacks before making a decision. The risks are not that commonly seen if the surgeon is qualified and if the proper surgery is performed thus risks should not be afraid of.

Overall, liposuction surgery is a safe and effective way to contour the body and remove excess fat.

Source: https://scite.ai/reports/liposuction-principles-techniques-outcomes-dvlEpaEM

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, he completed his residency training in Plastic, Reconstructive and Aesthetic Surgery at Bezm-i Alem Vakif University.