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Liposuction
Liposuction, also known as lipoplasty or body contouring, is a surgical procedure in which suction technique is used for fat removal from specific areas of the body, like the stomach, hips, buttocks, thighs, neck, or arms. Liposuction also helps in shaping or contouring these areas.
Liposuction is not a procedure done for weight loss. It is most helpful for individuals having normal or slightly overweight bodies with pouches of fat that they cannot get rid of by diet and exercise.
Purpose: Liposuction is done in the following conditions:
- Normal weight or slightly overweight individuals in whom dietary changes and exercise fail to reduce fat from specific regions of the body
- People with firm, elastic skin who want to remove fat from certain areas of the body
- Gynecomastia (men with enlarged breasts)
- Breast reduction procedures
- Lipodystrophy (abnormal amount and distribution of fat in the body)
- Hereditary disorders in which a healthy diet and exercise have failed to eliminate the fat deposits
- Lipoma (a non-cancerous kind of slow-growing tumor)
- Physical examination: The doctor checks the physical health of the patient. The medical history and family history of the patient are also noted.
- Chest x-ray: This test helps the doctor to check the condition of the internal organs in the chest area, that is, the heart and lungs.
- Electrocardiogram (ECG): This test helps to record the electrical activity of the heart and diagnosis of any heart-related problems.
- Blood tests and urine tests: These tests help the doctor to check for any underlying medical diseases or infections.
Some liposuction procedures are performed under local anesthesia (the area of surgery is numbed), while other liposuction procedures may require general anesthesia (the patient is put to sleep during the procedure.
The procedure is performed using any one of the following techniques:
1. Traditional liposuction:
- Also known as tumescent or fluid injection liposuction, it is the most common type of liposuction.
- A few small incisions or cuts are made in the fat removal area and a fluid mixture consisting of a salt solution, local anesthesia, and epinephrine is injected through the incisions.
- This fluid prevents excessive loss of blood, bruising, and swelling.
- The surgeon then inserts a hollow, thin tube, known as a cannula, into the incisions and then pumps it back and forth in order to loosen and dislodge the fat cells.
- A small syringe or surgical vacuum is used for the removal of fat through the cannula.
2. Ultrasound-assisted liposuction:
- A few small incisions are made by the surgeon in the fat removal area.
- Ultrasonic vibrations are used to heat and break up the fat.
- These ultrasound vibrations are applied above the skin with an emitter device, or below the skin with a thin tube, known as an ultrasonic cannula.
- A small syringe or surgical vacuum is used to remove the fat through the cannula.
3. Laser-assisted liposuction:
- A few small incisions are made by the surgeon in the fat removal area.
- A fluid mixture consisting of a salt solution, local anesthetic, and epinephrine is injected through the incisions.
- The fluid prevents the excessive loss of blood, bruising, and swelling.
- A thin laser fiber is then inserted into the incisions to heat and loosen the fat.
- A small syringe or surgical vacuum is then used to remove the fat through the cannula.
There may be a few side effects of this surgery such as:
- Bruising and swelling
- Soreness and numbness
- Scarring may also occur at the site where the cannulas are inserted. The scars may fade away in a few weeks
- Loose, baggy skin- the skin usually tightens after the procedure in a few weeks time but it may remain loose in certain cases
- Irregular contours on the skin and uneven skin
- Pigmentation of the skin
The possible complications that could occur during the course of the treatment are as follows:
- Infection at the site of the access or puncture wound
- Allergic reaction to the medications and other products used during surgery
- Damage to internal organs by the cannula
- Fat clots or blood clots which could result in a pulmonary embolism or deep vein thrombosis
- Burns as a result of the ultrasound used in an ultrasound-assisted lipoplasty
- Fluid imbalance and fluid accumulation as a result of injecting a large amount of fluid (tumescent liposuction)
- It is normal to experience some pain, swelling, and bruising after the surgery.
- The doctor will recommend some pain-relieving medicines to relieve the pain and discomfort.
- The doctor may also recommend antibiotics to reduce the risk of infection.
- Most people have to stay in the hospital for an hour or two after the surgery and then go home.
- The incisions may be left open after the surgery and temporary drains may be placed to promote fluid drainage. These drains are later removed by the doctor.
- Avoid heavy lifting and strenuous activities for some weeks after the surgery.
- Complete recovery may take a couple of weeks to months.
- It may take up to a year for the swelling to subside fully.
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Liposuction
Liposuction, also known as lipoplasty or body contouring, is a surgical procedure in which suction technique is used for fat removal from specific areas of the body, like the stomach, hips, buttocks, thighs, neck, or arms. Liposuction also helps in shaping or contouring these areas.
Liposuction is not a procedure done for weight loss. It is most helpful for individuals having normal or slightly overweight bodies with pouches of fat that they cannot get rid of by diet and exercise.
Types:
There are different types of techniques used for liposuction, which include:
1. Tumescent technique:
- It involves injecting large amounts of medical solutions into a fatty area.
- The medical solution is generally a combination of medicines that are used to numb the area, prevent loss of blood, and shrink the capillaries.
- A tube is connected to a vacuum and inserted into the fat that needs treatment.
- This fat is now suctioned out.
2. Ultrasound-assisted lipoplasty:
A special tube producing ultrasound energy is used in this technique.
3. Power-assisted liposuction:
- This procedure involves the use of a tool, which is present at the end of a suction device.
- This tool cuts through the fat and makes fat removal easier.
4. Laser-assisted lipoplasty:
- A laser is used to heat the fat in this procedure.
- The use of laser makes removal of fat more efficient.
- This procedure leads to quicker healing and less bruising.
Symptoms
Purpose: Liposuction is done in the following conditions:
- Normal weight or slightly overweight individuals in whom dietary changes and exercise fail to reduce fat from specific regions of the body
- People with firm, elastic skin who want to remove fat from certain areas of the body
- Gynecomastia (men with enlarged breasts)
- Breast reduction procedures
- Lipodystrophy (abnormal amount and distribution of fat in the body)
- Hereditary disorders in which a healthy diet and exercise have failed to eliminate the fat deposits
- Lipoma (a non-cancerous kind of slow-growing tumor)
Diagnosis
- Physical examination: The doctor checks the physical health of the patient. The medical history and family history of the patient are also noted.
- Chest x-ray: This test helps the doctor to check the condition of the internal organs in the chest area, that is, the heart and lungs.
- Electrocardiogram (ECG): This test helps to record the electrical activity of the heart and diagnosis of any heart-related problems.
- Blood tests and urine tests: These tests help the doctor to check for any underlying medical diseases or infections.
Treatment
Some liposuction procedures are performed under local anesthesia (the area of surgery is numbed), while other liposuction procedures may require general anesthesia (the patient is put to sleep during the procedure.
The procedure is performed using any one of the following techniques:
1. Traditional liposuction:
- Also known as tumescent or fluid injection liposuction, it is the most common type of liposuction.
- A few small incisions or cuts are made in the fat removal area and a fluid mixture consisting of a salt solution, local anesthesia, and epinephrine is injected through the incisions.
- This fluid prevents excessive loss of blood, bruising, and swelling.
- The surgeon then inserts a hollow, thin tube, known as a cannula, into the incisions and then pumps it back and forth in order to loosen and dislodge the fat cells.
- A small syringe or surgical vacuum is used for the removal of fat through the cannula.
2. Ultrasound-assisted liposuction:
- A few small incisions are made by the surgeon in the fat removal area.
- Ultrasonic vibrations are used to heat and break up the fat.
- These ultrasound vibrations are applied above the skin with an emitter device, or below the skin with a thin tube, known as an ultrasonic cannula.
- A small syringe or surgical vacuum is used to remove the fat through the cannula.
3. Laser-assisted liposuction:
- A few small incisions are made by the surgeon in the fat removal area.
- A fluid mixture consisting of a salt solution, local anesthetic, and epinephrine is injected through the incisions.
- The fluid prevents the excessive loss of blood, bruising, and swelling.
- A thin laser fiber is then inserted into the incisions to heat and loosen the fat.
- A small syringe or surgical vacuum is then used to remove the fat through the cannula.
Risks
There may be a few side effects of this surgery such as:
- Bruising and swelling
- Soreness and numbness
- Scarring may also occur at the site where the cannulas are inserted. The scars may fade away in a few weeks
- Loose, baggy skin- the skin usually tightens after the procedure in a few weeks time but it may remain loose in certain cases
- Irregular contours on the skin and uneven skin
- Pigmentation of the skin
The possible complications that could occur during the course of the treatment are as follows:
- Infection at the site of the access or puncture wound
- Allergic reaction to the medications and other products used during surgery
- Damage to internal organs by the cannula
- Fat clots or blood clots which could result in a pulmonary embolism or deep vein thrombosis
- Burns as a result of the ultrasound used in an ultrasound-assisted lipoplasty
- Fluid imbalance and fluid accumulation as a result of injecting a large amount of fluid (tumescent liposuction)
After Procedure
- It is normal to experience some pain, swelling, and bruising after the surgery.
- The doctor will recommend some pain-relieving medicines to relieve the pain and discomfort.
- The doctor may also recommend antibiotics to reduce the risk of infection.
- Most people have to stay in the hospital for an hour or two after the surgery and then go home.
- The incisions may be left open after the surgery and temporary drains may be placed to promote fluid drainage. These drains are later removed by the doctor.
- Avoid heavy lifting and strenuous activities for some weeks after the surgery.
- Complete recovery may take a couple of weeks to months.
- It may take up to a year for the swelling to subside fully.
FAQ Section
Also known as lipo, lipoplasty, or body contouring, Liposuction is a type of plastic surgery procedure that removes extra fat from the body and is a fairly popular cosmetic surgery option. People get it to improve the shape or contours of their body by removing excess fat from areas such as the abdomen, thighs, hips, buttocks, arms, neck, or back. Usually, these are the people who tried diet and exercise yet can’t get rid of their fat deposits.
Tumescent liposuction (fluid injection) is the most common type of liposuction used for removing fats from the body. This type of liposuction involves injecting a large amount of medicated solution into the areas before the fat is removed, sometimes, the quantity of solution may be up to three times the amount of fat that is needed to be removed.
The super-wet technique is similar to tumescent liposuction, with the only difference that not as much fluid is used during the surgery and the amount of fluid injected is equal to the amount of fat to be removed. This type of liposuction takes less time.
Ultrasound-assisted liposuction (UAL) uses ultrasonic vibrations to turn fat cells into a liquid so that the cells can be vacuumed out using a vacuum tube. UAL can be done in two ways, external ) or internal. This technique may help remove fat from dense, fibrous areas of the body such as the enlarged male breast tissue.
Laser-assisted liposuction (LAL) uses laser energy to liquefy fat cells so that they can be vacuumed out through small tubes. Because the tube used during Laser-assisted liposuction is smaller than the ones used in traditional liposuction, surgeons prefer using LAL for confined areas such as the chin, jowls, and face.
Before the procedure begins, the patients are given anesthesia and depending on the degree of fat being removed and the type of liposuction being performed, anesthesia varies and may only be locally applied or general anesthesia can be used.
Once the anesthesia has taken effect, the procedure is performed using a suction device attached to a small, stainless steel instrument called a cannula. Through small incisions, the cannulas are inserted into fatty areas between skin and muscle where it removes excess fat either using a suction pump or a large syringe.
Liposuction requires going under anesthesia for the procedure. This means you won’t feel any pain during the liposuction surgery but will feel pain after the procedure. Recovery can also be painful.
In general, It takes around 1-2 weeks to recover from liposuction.
Liposuction isn’t a weight loss treatment. The procedure has serious risks and possible complications.
Risks during surgery:
- Puncture wounds or injuries to other organs
- Anesthesia complications
- Burns from equipment, such as ultrasound probes
- Shock
- Nerve damage
- Death
The risks after the procedure include:
- The blood clot in the lungs
- Too much fluid in the lungs
- Fat clots
- Infections
- Bleeding under the skin
- Fluid leaking under the skin
- Swelling
- Skin necrosis
- Heart and kidney problems
- Reactions to anesthesia and other medications
- Death
Risks during recovery:
- Problems with the shape or contours of the body
- Wavy, dimpled, or bumpy skin
- Numbness, bruising, pain, swelling, and soreness
- Infections
- Fluid imbalances
- Changes in skin sensation and feeling
- Skin color changes
- Scars
- Problems with healing
Yes, the results achieved with most types of liposuction can be permanent, but only if a relatively healthy lifestyle is maintained after the Lipo procedure.
To qualify for Liposuction, one should not have a lot of excess skin, should have good skin elasticity, good muscle tone, and he or she should be struggling with fat deposits that won’t go away with diet or exercise and in good physical shape and overall health (aren’t overweight or obese). People who don’t smoke are only considered for Liposuction.
There is no evidence to support that Liposuction has an effect on weight beyond a couple of months, and also it does not appear to affect obesity-related problems. So, it can be concluded that Liposuction doesn' necessarily improve your health.
The cost of Liposuction mainly depends on three factors. First, which area or body part has to be targeted for liposuction, second, the amount of fat that has to be removed and third, what technology is being used. It will cost you around INR 40000 to INR 300000 in India.
Liposuction is also known as lipoplasty and body contouring.
Liposuction is performed in the following cases:
- Normal weight or slightly overweight people in whom exercise and dietary changes have failed to reduce fat from specific areas of the body
- People with elastic, firm skin who wish to remove fat from certain parts of the body
- Gynecomastia (men having enlarged breasts)
- Breast reduction procedures
- Lipodystrophy (abnormal amount and/or distribution of fat tissue in the body)
- Hereditary disorder in which healthy diet and regular exercising fails to eliminate the fat deposits
- Lipoma (a non-cancerous type of slow-growing tumor that is made up of fat cells called adipocytes)
Liposuction should not be performed in the following conditions:
- Chronic or long-term smoking
- Age below 18 years
- Heart conditions
- Bleeding disorders
- Unhealed wounds
- Previous history of surgery
The different types of liposuction techniques include:
1. Tumescent technique:
This technique involves injecting a large quantity of a medical solutions into a fatty area.
The medical solution is a combination of medications used to numb the area, shrink the capillaries, and prevent loss of blood.
A tube is then connected to a vacuum and inserted into the fat that needs to be treated.
The fat is now suctioned out.
2. Ultrasound-assisted lipoplasty:
This procedure involves the use of a special tube that produces ultrasound energy.
3. Laser-assisted lipoplasty:
Lasers help in liposuction by heating the fat to make fat removal more efficient.
This procedure causes less bruising and quicker healing.
4. Power-assisted liposuction:
A tool is present at the end of the suction device.
This tool helps in cutting through the fat, making fat removal easier.
The following diagnostic tests may be performed before liposuction:
- Physical examination: The doctor will check you physically. The medical history and family history of the patient are also noted.
- Chest x-ray: It helps the doctor to check the condition of the heart and lungs.
- Electrocardiogram (ECG): This test helps in measuring the electrical activity of the heart and helps the doctor to diagnose any heart-related problems.
- Blood tests and urine tests: These tests help the doctor to check for any underlying infection or medical condition.
The following preparation may be needed before a liposuction procedure:
- Inform the doctor of any medical illnesses that you may be having.
- Your doctor should be told about any medications, supplements, or herbs that you are taking.
- Inform the doctor about any allergies that you may be having.
- The doctor may recommend you to stop taking blood-thinners like aspirin and warfarin a few days before the procedure.
- Quit smoking at least two weeks before the procedure.
- You will be told to not eat or drink anything after midnight the day before the surgery.
Some liposuction procedures are performed under local anesthesia (the area of surgery is numbed), while other liposuction procedures may require general anesthesia (the patient is put to sleep during the procedure.
The procedure is performed using any one of the following techniques:
1. Traditional liposuction:
Also known as tumescent or fluid injection liposuction, it is the most common type of liposuction.
A few small incisions or cuts are made in the fat removal area and a fluid mixture consisting of a salt solution, local anesthesia, and epinephrine is injected through the incisions.
This fluid prevents excessive loss of blood, bruising, and swelling.
The surgeon then inserts a hollow, thin tube, known as a cannula, into the incisions and then pumps it back and forth in order to loosen and dislodge the fat cells.
A small syringe or surgical vacuum is used for the removal of fat through the cannula.
2. Ultrasound-assisted liposuction:
A few small incisions are made by the surgeon in the fat removal area.
Ultrasonic vibrations are used to heat and break up the fat.
These ultrasound vibrations are applied above the skin with an emitter device, or below the skin with a thin tube, known as an ultrasonic cannula.
A small syringe or surgical vacuum is used to remove the fat through the cannula.
3. Laser-assisted liposuction:
A few small incisions are made by the surgeon in the fat removal area.
A fluid mixture consisting of a salt solution, local anesthetic, and epinephrine is injected through the incisions.
The fluid prevents the excessive loss of blood, bruising, and swelling.
A thin laser fiber is then inserted into the incisions to heat and loosen the fat.
A small syringe or surgical vacuum is then used to remove the fat through the cannula.
The post-procedure steps following a liposuction surgery are:
- It is normal to have some pain, bruising, and swelling after the procedure.
- The doctor may prescribe some pain killers to relieve the pain and discomfort.
- The doctor may recommend antibiotics to reduce the chances of infection.
- Most people stay in the hospital for an hour or two after the procedure, after which the person can go home.
- The surgeon may leave the incisions open after the surgery and place temporary drains to promote the drainage of fluid. These drains are later removed by the doctor.
- Avoid heavy lifting and strenuous activities for a few weeks after the procedure.
- Complete recovery may take a few weeks to months, and it may take up to one year for the swelling to subside completely.
The various complications associated with a liposuction procedure are:
- Accumulation of fluid under the skin
- Skin contour irregularities
- Numbness
- Infection
- Puncture of an internal organ
- Kidney, heart, and lung disorders
- Fat embolism (a part of the loosened fat could break away and become trapped in a blood vessel, and then travel to the brain or gather in the lungs)
- Lidocaine (anesthetic) toxicity causing heart and central nervous system problems (problems in the brain and spinal cord)
Yes, liposuction surgery helps in permanently removing fat. Although fat cells that are removed during the procedure do not come back, the existing fat cells can grow and lead to weight gain. It is therefore important to follow a healthy diet and a regular exercise regimen to prevent weight gain.
Yes, the incisions or cuts that are made during the procedure leave behind scar marks.
It is normal to have some pain and discomfort following a liposuction procedure. The doctor will give you pain-relieving medications to control the pain and discomfort.
A plastic surgeon or cosmetic surgeon performs a liposuction procedure.