Suction assisted Lipectomy is defined as an aesthetic procedure that removes stubborn subcutaneous fatty tissue from the human body in an attempt to bring the body into conformity with current perceptions of attractiveness. The unsightly distribution of body fat is usually due to an inborn tendency for unequal deposition of fat with overabundance in one area and absence in others. Liposuction removes fat cells permanently. It slims and reshapes specific areas of the body, improving your body contours and proportions and ultimately your self image.Common areas for excess fat deposits include; the hips, tummy, arms, thighs, neck, loins, inner side of the knees and the ankles.
Fat cells are believed not to be regenerated in adult life: Liposuction can however permanently reshape body contours where excess fat deposits create areas that are disproportionately large in an otherwise balanced figure.
It is important to understand that liposuction is not a treatment for obesity or a substitute for proper diet and exercise. The amount of fat that can be removed from a localised area of the body is limited by what is considered safe (maximum of 4-4.5 litres) and a natural limitation when no further fat can be removed. Therefore it may not be possible to safely slim down an area as much as you might wish in one session. Further treatments may be carried out in the same area after six months. Where the skin is inelastic and loose, Liposuction will tend to leave the skin more lax and it may be recommended that a skin excision be carried out to correct this, either at the same time as the liposuction, or as a second procedure.
Please also note that dimples and wrinkles of the skin, sometimes called cellulite will not be improved by liposuction.
Types of Liposuction
Liposuction is essentially removal of fat by suctioning it below the skin through small incisions and using a cannula and a high powered suction device.
SAL :Suction assisted Lipoplasty is the traditional method where saline is used in a tumescent or super wet technique for infiltration prior to suctioning with specially designed hollow cannulas of different sizes.
PAL : Power assisted Liposuction. An electrically or pneumatically oscillating cannula helps in liposuction of fatty areas.
UAL : Ultrasonic assisted Liposuction is used to liquefy excess fat prior to suctioning with the help of ultrasonic sound waves. Benefits of Ultrasonic Liposuction are that there is minimal injury to nerves and blood vessels, and therefore the procedure is relatively bloodless as well as painless.. The main advantage of this is in that large amounts of fat can be safely removed in one session with minimal blood loss. Post op bruising and numbness is minimized and post operative recovery is also faster.
LASER LIPOLYSIS :Laser Lipo acts by 3 modes of action. It selectively ruptures fat cells causing liquefaction, it coagulates bloodvessels leading to minimized blood loss and also causes collagen retraction of overlying skin providing the much needed tightening of overlying skin. However Laser Lipolysis is ideal for treating small areas. Post op recovery is faster.
Am I the Ideal Candidate for Liposuction ?
- Adults of any age within 30% of their ideal weight and with firm elastic skin and good muscle tone are good candidates for Liposuction.
- They must be in good health without any serious medical conditions that may impair healing.
- Non-smokers fare better.
- Individuals with positive outlook and specific goals in mind for body contouring.
- Special considerations may be given to those with high blood pressure, diabetes, heart disease and previous surgery to the treatment areas.
The First Consultation
A consultation with your Aesthetic surgeon is the first step to learn how liposuction can improve body contours and get you close to your goals. You will be informed in detail about the various types of liposuction, the procedure which best suits you, your recovery and the likely outcome. Liposuction is tailored keeping in mind every individuals specific needs and goals. You should honestly share your expectation, fully disclose your health history, current medications, allergies and the use of drugs and smoking.
General Guidelines prior to Liposuction
- Detailed Abdominal/other part examination and measurements
- Pre-Operative Photographs for medical record keeping
- Obtain laboratory testing or a medical evaluation
- Pre-operative Anaesthetic assessment for fitness for surgery
- Sign an informed Consent Form
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they increase risk of bleeding.
- Maintain a stable weight for 2 months prior to the date of surgery.
Liposuction is normally carried out in a major hospital setting under general anaesthesia as a day case although some cases of multiple site liposuction may require overnight stay. Rarely small areas can be treated under local anaesthetic alone.
The technique involves inserting a cannula through a small incision in hidden skin creases. The cannula is attached to a strong vacuum pump which is drawn back and forth within the area of excess fat. The process removes tunnels of fat from the deep and superficial fatty layer leaving the small blood vessels and nerves intact. The skin is then allowed to retract.
Initial healing includes swelling numbness bruising and discomfort in the first few days after the operation. Light painkillers can take care of most of the discomfort. Most patients can return to light work in 2 days. You will be asked to return to meet me onapproximately the 3rd and 7th days after surgery for reassessment. It is recommended to wear a snug pressure garment around the treated area for 6-8 weeks after the operation. This is used to reduce bruising and swelling and helps the skin to adhere to underlying structures uniformly. It can be taken off while you bathe, etc. Once the wounds have healed you will be encouraged to have the suctioned area massaged. This helps to reduce the post operative swelling quickly.
Some bruising of the treated area is expected and usually lasts for 3 weeks. Post operative swelling usually resolves completely in 2-4 months time.
Is my liposuction successful ?
Successful liposuction is measured in inches rather than in pounds. As the human body does not form new fat cells after puberty, once the fat cells are removed they are gone forever. The fulfillment you feel from the initial results of liposuction should continue so long as you maintain your weight and practice a healthy lifestyle that includes good dietary habits and regular physical activity.