Liposuction is a cosmetic surgery employed to remove excess fat from body parts. It is also called lipoplasty, suction lipectomy, liposculpture or fat suction.

Generally the fat is removed from thighs, chin, buttocks, lovehandles (abdomen), breasts and stomach for women and chin, waist, breasts and buttocks for men.

This surgical procedure is not an alternative to exercise and dieting and should be used only to remove the stubborn fat that does not respond to exercises and diet.

Liposuction is not a weight loss method but a method to remove excess fat. 10-15 pounds of fat is removed generally. However, taking out of large amounts of fat can be dangerous at times.

There are many types of liposuction performed today like traditional liposuction, tumescent liposuction, ultrasound liposuction, superwet liposuction. All these methods employ a cannula (a blunt straw like tube) for suction of fat.

Saline water is injected into the space between muscle and fat to separate them. If the amount of saline water is less than the amount of fat to be removed it is called traditional liposuction.

If the saline water is 3 to 4 times the volume of fat to be removed it is called tumescent liposuction. Adding extra water assists the surgeon in moving the cannula back and forth to break up the fat cells. However excess water may affect the homeostasis of the body. In super wet liposuction the amount of saline water is the same as the amount of fat to be removed. This is the most popular surgical method used by surgeons.

In ultrasonic liposuction the fat is initially liquefied by ultrasound before being suctioned out. However, ultrasound methods are not popular as they sometime lead to necrosis (death of skin) and seromas (collection of yellow fluid in pockets).

In all types of liposuction either local anesthesia or general anesthesia is used. The usual anesthetic used is lidocaine. Epinephrine is also used in liposuction to reduce blood loss.

To perform liposuction the patient must be over 18 and in good health with elastic skin. If the skin is not sufficiently elastic the excess skin may have to be removed after liposuction. Generally the excess skin is removed from abdomen called abdominoplasty or tummy tuck. This leaves scar marks on the skin.

Diabetics and patients on antibiotics are advised not to undergo liposuction. Before operation the patient should not have taken any anticoagulants like warfarin, phenindione etc.

If general anesthesia is given the patient has to fast on the night before the operation. If local anesthesia is given there is no requirement of fasting. Smoking and drinking etc should be avoided.

The incisions are usually less than an inch. After operation the excess fluid takes days to weeks to drain out. During that time antibiotics and/or pain killers are prescribed.

Patient recovery varies from days to 2 months. As with all surgeries there are surgical risks in liposuction too. There are minor risk, up to 0.7%, of side effects like internal organs being scraped, seromas, necrosis, excessive bleeding etc.

Liposuction is not a weight loss method and the patient should expect realistic and not dramatic changes in appearance.

What Are the Most Common Reasons for Patient Dissatisfaction?



Less than desired results are a common complaint among patients who have had liposuction on multiple areas on the same day. This is because there is a limit to how much fat can be removed safely at one time. Surgeons who attempt to treat too many body areas on a single day are obliged to remove less fat from each individual area. Therefore, it is best to limit liposuction to one or two body areas during the same surgery.



Skin irregularities or lack of smoothness can be a complaint. Smooth results that look natural are of great importance. Cannulas (the metal wands that are used to suction fat from beneath the skin) that have a relatively large diameter tend to produce results with more irregularities than do smaller cannulas. Smooth results also depend on patient’s skin elasticity, the body area, and how meticulously patients massage the suctioned area following surgery.



Seven Steps to Achieving Satisfaction With Your Surgery



Do your research;


Ask questions;


Check the credentials of your doctor, and of the surgery facility;


Know your goals;


Have realistic expectations – no human being can attain “perfection;”


Follow your doctor’s instructions thoroughly;


Be patient during the healing process. You just had major surgery; and you didn’t buy a new body off the rack!



Dr. Younai is a Board Certified Plastic Surgeon with formal training in Plastic & Reconstructive Surgery, as well as General Surgery at some of the most prestigious university residencies in the United States. As a cosmetic plastic surgeon he has had ample experience in performing Liposuction, Liposculpture, fat grafting, injection, buttock augmentation, and revision liposuction surgery. At the California Center for Plastic Surgery Dr. Younai will review your treatment options for Liposuction and body contouring, including pros and cons of each procedure, potential risks and complications, recovery course, pre and post operative instructions, and esthetic outcomes. There are also many before-and-after pictures and high resolution images of liposuction of abdomen, flanks, back, face, neck, chest, thighs, buttock, and calves available in our photo gallery.



Dr Younai is a board certified plastic surgeon in Beverly Hills. To learn more about liposuction call 818.386.1222

Liposuction is one of the most famous cosmetic surgery in the UK and the USA today. It is also referred to as lipectomy or liposculpture. It involves the removal of body fat from particular parts of the body surgically. It is most effective on people who are not far from achieving their perfect size. A person who is on a constant exercise regime, watches the diet and has a fairly stretching skin. Liposuction should only work on one or two stubborn fat deposits. It is supposed to add on to your efforts of achieving that perfect sexy look. Many types of liposuction procedures exist but the basic one requires anesthetic. Power vacuum in a hollow tube is passed back and forth over the stubborn fat deposit .



It is very annoying to do your best to attain the best sexy look but you are seeing no results. You go on diet and run all the time but you are still your fat self. Do not give up since their is still hope of looking great. What about when you lose weight in the wrong places? It does not make sense to you. You still want your hips intact but you want to shed off the flesh around your waist. The pages of flesh in the middle section makes you feel bad about yourself. The pot belly makes you particular in your choice of clothes. Relax, liposuction will work on those stubborn areas of the body which are rebellious to a healthy diet.



Liposuction removes the bulky cells hence making the body surface become slimmer. Think of maintaining the sexy look forever. It is regarded as permanent because their is a possibility that even in the future it will not allow any accumulation of fat. Liposuction only removes the subcutaneous fat so it can’t be trusted with the deep fat. Abdominal fat in men is deep in to the abdomen therefore it cannot be melt away by liposuction. You should organize a consultation with your cosmetic surgeon to brief you on medical repercussions of liposuction. People with chronic medical conditions should avoid this cosmetic surgery. The area to be treated should be well antagonized and you should as well let them know your medical history. Hernia is a point of concern since it might burst during the surgery.



Not all body parts are ideal for liposuction. It gives best results of a sexy look if it is done around the hips, abdomen and also around the neck area. You can also try it on contour deformities in the buttocks. If the fat is deposited behind the abdomen muscle, it is deep fat therefore liposuction will not improve the situation much. Only if the fat is stored in a subcutaneous layer. Cellulite which is dimpling of the buttocks and thighs will not be treated by liposuction. It is caused by fibrous bundles of connective tissue in the area. I have seen this questions in many social dating forums that is why i want you to understand that dimples are not caused by unequal distribution of fat. It is a band of connective fibrous tissue.

The term “body contouring” has been use in Plastic Surgery to refer to procedures designed to improve the general appearance of the body shape. Traditionally body contouring has been used to describe breast augmentation, tummy tuck, thigh and buttock lift and arm lift and other surgical procedures.



With the advent and popularization of liposuction, the term body sculpting or liposculpture was used to describe the use of liposuction to improve body contour with the use of liposuction as opposed to surgical procedures which required skin removal.



While I have been reluctant to use the term sculpture to describe some of the results achieved with traditional liposuction, the results I am achieving with the new Aspire® SlimLipo® laser liposuction unit are truly refined and worthy of the use of the term laser body sculpting.



Notice in the pictures below the appearance of the “six pack” area of the abdomen of the patient. Using the SlimLipo® procedure I was able to melt fat and tighten skin so that the contour of the abdominal muscles is clearly seen after the procedure. This type of result was impossible using traditional liposuction and or abdominoplasty surgery. The term laser body sculpting certainly is appropriate in this case.





I am achieving truly remarkable laser body sculpting results with the new Slimlipo® laser fat melting, skin tightening laser liposuction unit. Laser body sculpting is possible on the neck, waist, abdomen, thighs, hips, buttocks, arms, and other body areas where excess fat and or loose skin is troubling you. We are just beginning to appreciate the many uses and benefits of this exciting new laser liposuction and skin tightening technology.



Dr. Seckel



Concord, Massachusetts



Boston, Massachusetts

VASER (http://divinecosmeticsurgery.com/bodysurgery.html

Vaser or Vibration amplification through Sound Emission and Resonance, as it may be called after expanding it, is an exciting new technology in the field of body contouring done surgically. It takes liposuction assisted body contouring to new heights. Previously difficult to imagine kind of weight losses and inch losses can be given with excellent intrinsic skin retraction which occurs, promises to help a far greater percentage of patients than could be usefully operated earlier by conventional liposuction

Surgical liposuction has seen the advent of Laser liposuction, which till today maintains a controversial understanding and effectiveness among plastic surgeon circles. Initially the ultra sound based liposuction procedures were pretty ineffective. However the newer 3rd generation devices have shown excellent initial results. 

The Basic Principle

Ultrasound energy delivered internally through a specially liposuction probe, is directed into areas of concern. The low frequency ultrasound breaks down the fat cells, emulsifying it, into a liquid form. It may take upto minutes to work on the entire abdomen, and another 20 minutes to work on the entire thigh. Now using any liposuction canula, the emulsified fat is then suctioned off. The ease of liposuction is phenomenal. As the emulsified fat just pours through into the suction device. Since the energy is also delivered superficially, there is excellent skin retraction, hitherto not seen previously. It is foreseeable to see a scarless breast reduction in the not so far future with this technology. Upto 15 litres of fat or even more may be suctioned in one sitting itself
Potential uses
1 Breast reduction
2 Liposuction over abdomen, thighs, waist, buttocks etc
3 Facial liposculpture
4 Buttocks and thighs, which were difficult to operate earlier, now can be easily tackled with Vaser
5 Borderline cases of abdominoplasties may be tackled with Vaser, and the consequent skin retraction may allow the surgeon to avoid an abdominoplasty

Problems
Unlike a conventional liposuction, the patient needs hospital stay for 2-3 days. There is significant paraesthesia for a period of almost 6 weeks, and it is very important to forewarn the patient about this. There is a greater period of rest required, due to more tissue reaction and swelling. There is a longer complete recovery period, with almost 3 months for the final result.