Liposuction or suction lipectomy is a very popular procedure to remove fat from unwanted areas. These include the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks, and neck.
Over the years, many refinements have been added to the procedure. These new techniques include ultrasound-assisted lipoplasty (UAL), power-assisted liposuction, SmartLipo (the tumescent technique), and the super-wet technique. The newer techniques allow better definition of the areas where liposuction is performed and at the same allows the surgeon to reduce the swelling and bruising after the surgery.
Keep in mind that liposuction works best if you have localized areas of fat deposits which are stubborn and fail to disappear after exercises. Liposuction cannot help reduce weight.
If there is any excess skin, it is common to add a surgical removal of the skin along with the liposuction. The younger the patient the better the elasticity and lesser is the need to excise the skin.
Am I a Candidate?
You are a good candidate if you have localized fat collection but not obese. If you do not exercise and your Body Mass Index (BMI, a combination of height and weight measurements) is above 35, you will not benefit from liposuction.
To calculate your BMI, visit the National Institutes of Health website. If your BMI is above 35, please reduce your weight either by using a diet and exercise regimen or by having a gastric bypass for BMI > 40. It is best to have a BMI of < 30 to get the best results from a liposuction.
The following information will help answer your questions. There might be more questions that were not answered but please do not hesitate to schedule a one-on-one consultation with Dr. Panchal at one of our Oklahoma City area offices by calling Genesis Plastic Surgery & Medical Spa at 405-340-9949 today.
Are There Different Types of Lipo?
Liposuction essentially removes fat. In the past, traditional liposuction was performed by using a blunt cannula (tube) to rupture the fat cells and then suck the fat out. This was laborious and was associated with blood loss and a longer recovery period.
At present, there are a variety of ways fat can be destroyed prior to its removal. Power Assisted Liposuction (PAL) uses a vibrating cannula to rupture the fat cells. VASER uses an ultrasonic energy to rupture or break the fat cells. Both these techniques are useful for removing a large quantity of fat. Laser liposuction using a SMART or SLIM lipo uses a laser energy to melt the fat cells with the heat generated from the laser. It is useful for removing a small quantity of fat.
And, now we are introducing a brand new technique of performing liposuction using HydraSolve.
Derived from precision eye surgery, HydraSolve® utilizes warmed and low pressurized saline solution and a specially designed cannula employing Tissue Liquefaction Technology (TLT) to simultaneously liquefy and remove fat without damage to other vital tissues.
Get the latest on liposuction by visiting our blog.
Will the Removed Fat Come Back?
You will still have plenty of fat cells still left in your body. If you continue to eat unhealthy and not exercise you will gain weight and lose the contours that you and your surgeon worked so hard to attain. Liposuction alone is not an effective way to lose weight.
Do I Need a Tummy Tuck?
If you have lose skin and sagging of your skin over your tummy, you will need a tummy tuck.
Can You Reuse My Fat?
Yes, we can filter the fat, “purify” it and re-inject it in different parts of your body. Currently, fat augmentation is performed to enhance and reshape your buttock.
Can I Get Rid of My Cellulite with Liposuction?
Yes, you can improve some cellulite if it localized at a particular location, but generalized cellulite is difficult to correct with just liposuction.
How Much Fat Can You Take Out?
Commonly, 3-5 liters of fat is removed. Removal of larger quantities of fat is associated with a higher risk of complications. It is therefore not wise to have liposuction all over your body.
Where on My Body Can I Have Lipo?
Under the chin, arms, outer chest, upper back, lower back, tummy, love handles, hips, thighs, ankles.
Plan for Your Surgery
During your initial consultation, Dr. Panchal will examine the areas where you want to have liposuction performed. He will also discuss with you where the liposuction will be performed, the location of the small incisions and the final outcome that can be expected.
The total amount of liposuction that can be done will be estimated so that you know that liposuction can be done safely for you. I will also discuss which the best method of liposuction is and finally what will be the best combination for you.
The procedure will be performed in an outpatient surgery center. If a large amount of liposuction is performed or if it is combined with a procedure it may require an overnight stay at the medical center.
Small volume liposuction can be performed under local anesthesia but moderate to large volumes of liposuction need to be performed under general anesthesia.
It is difficult to predict the time required to perform this surgery. Small area liposuction can be performed in an hour but a longer time is needed when three to five areas undergo liposuction.
The techniques vary depending on what is the best procedure for you. A small incision is made and fluid is injected into the site undergoing liposuction. This fluid makes it easier to remove the fat and at the same time reduces the amount of bleeding and bruising.
A tumescent technique or a super wet technique will be used for injecting the amount of fluid. After waiting for five minutes, a very small cannula measuring 3-4 mm (size of a pencil) will be inserted and connected to a strong medical suction. The cannula is moved back and for the till all the fat has been taken out.
Sometimes a mechanical vibrating cannula is used and sometimes an ultrasonic probe is used to help the process of removal of the fat. Once the necessary amount of contouring is done the very small incisions are closed and pressure garment is applied.
What Makes Dr. Panchal Different?
Dr. Panchal uses the Power Assisted Liposuction® (PAL) technique to perform large volume liposuction. This unique and latest technique allows him to use a liposuction cannula (hollow tube) to vibrate very rapidly. The MicroAire Power Assisted Lipoplasty Device uses a 2-mm reciprocating movement at 4000 cycles per minute to facilitate the movement of the cannula in tissue. This vibrating movement allows the fat cells to break very easily making it easier for the fat to be removed.
Power Assisted Liposuction allows larger quantity of fat to be removed quickly making your surgery quicker and causes less mechanical trauma and bruising to the surrounding tissue.
After liposuction, many surgeons leave a tummy that looks flat and has no contours. A youthful tummy always has some areas that are convex (bulging) and some areas that are concave (hollow). Typically the area around the upper part of belly button is hollow but the area under the belly protrudes just a little. There is often a line that runs from the rib cage to the belly button further enhancing the shape of abs. If you want, Dr. Panchal can also create the appearance of well defined abs on your tummy too.
Dr Panchal strives very hard to give you a very natural look. He uses very special cannulas to prevent rippling in your skin which can occur after liposuction.
Many women look great from the front after liposuction but, unfortunately, when they look in the mirror or try to wear designer jeans with a low cut, they find that the fat still bulges from the lower back (muffin top). Dr. Panchal turns you on your tummy and on your sides during the surgery so he can specifically address the fat in this area. This creates a concave contour of the lower back and not only highlights your waist but also further enhances the projection of your buttock.
You not only look great from the front but from the back too. Say goodbye to folds in your back under your bra.
And that’s not all. Most surgeons will discard the fat that has been removed from liposuction. Dr. Panchal can re-inject the clean and purified fat back into areas where you lack. The commonest area to re-inject is into your outer and central buttocks to further enhance your shape.
Risk of the Surgery
Liposuction is a very safe surgery if it is performed by a trained surgeon and if the volume of the liposuction is kept below 5-6 liters. Large volume liposuction can produce excessive movement of fluid and can create complications from fluid overload.
At Genesis Plastic Surgery, we keep the extent of liposuction less than six liters and therefore keep the risk of complications to a minimum. Some patients may notice some irregularity in their skin surface and some may have some temporary swelling. The swelling generally disappears in a few weeks but some areas may be stubborn and last for three months.
Getting Back to Normal
Healing progresses slowly and your patience will be essential. There will some firmness at the site of liposuction that will gradually soften and feel normal. Generally patients can go back to work within a few days if liposuction is very limited but it may take a few weeks if the areas are extensive or if you have had some additional surgery in association with the liposuction.
The stitches will dissolve in 10 days to two weeks. There will be some fluid drainage form the site of the incision at for the first one to two days. I will be monitoring you closely and will be available if you have any questions or concerns.
Your New Look
Once the swelling subsides you will notice the difference in the shape of your body. With every passing week you will continue to see the change until three to six months after surgery. You will look in the mirror and think, “I'm glad I did it."
Maintain a good healthy diet and continue to exercise so that you can continue to enjoy the result of the liposuction for a long time.