What Is Liposuction:
Also known as suction-assisted lipectomy or lipoplasty, liposuction is a cosmetic surgical procedure in which fat is suctioned out of the body from specific areas of localized fat deposits. Liposuction is not considered “weight loss” surgery as its goal is to reshape and redefine the contours of the body in areas that are resistant to reducing via diet and exercise.
Who Is a Good Candidate:
Liposuction is of the most benefit to patients who are at or near their ideal weight (within 30%) but still have disproportionate localized deposits of fat that are resistant to the effects of exercise and dieting. The best candidates for liposuction are non-smokers who are generally in good health and who have a positive outlook and realistic expectations about the procedure's outcome.
An ideal liposuction candidate will also have good skin elasticity and muscle tone. In fact, if a patient has already lost a significant amount of weight and has a lot of loose hanging skin, liposuction may only worsen those problems.
What Liposuction Cannot Do:
Liposuction can’t take off that extra 50 pounds you’ve put on over the last 10 years. Generally, the amount of fat removed during a typical liposuction surgery ranges from 1 to 10 pounds. While larger amounts of fat can be removed, large volume liposuction is associated with increased safety risks, skin rippling, and contour irregularities.
Liposuction will usually not reduce cellulite. However, there are some newer treatments that show promise in this regard, such as SmartLipo, acoustic wave therapy, and the Rejuveskin procedure, any of which may be able to be performed as an adjunct to traditional liposuction.
Your surgeon will examine you and order pre-op lab tests to confirm your health status. This examination will include a full health history and most likely a detailed weight history. He or she may also require that you adjust, cease, or begin taking certain medications -- including avoiding aspirin, many anti-inflammatory drugs, and herbal supplements -- for 2 weeks prior to surgery.
Recovery & Downtime:
Most patients can return to non-strenuous work (desk jobs) after just 2 to 3 days. Strenuous work or exercise should not be resumed until at least 2 to 3 weeks have passed, depending on the extent of your procedure and which areas have been treated. As with all surgery, it is important to understand that these guidelines can vary widely based on a patient’s health, the techniques used, and other variables surrounding the surgery. Regardless, it is important to take care not to subject the incision sites to excessive force, abrasion, or motion during the healing period. Report any severe pain to your doctor.
Risks & Complications:
Risks and possible complications include:
- excessive bleeding or hematoma
- necrosis (tissue death)
- fat clots
- anesthesia risks
- persistent swelling or pain
- changes in skin sensation
- deep vein thrombosis
- cardiac and pulmonary complications
- damage to nerves, blood vessels, muscles and organs
- unfavorable scarring, skin discoloration, contour irregularities, sagging of the skin, or other unsatisfactory aesthetic results
- need for additional surgery
Call your surgeon immediately if chest pain, shortness of breath, unusual heartbeats or excessive bleeding occur after the surgery.
The average total cost of liposuction varies widely depending on the size and number of areas being treated, as well as the specific techniques used. The range per treated area is usually between $2,000 and 4,000, but it can be as wide as $1,500 to 7,500. The cost discrepancies have to do with the complexity of the procedure, your geographical area, and your surgeon’s skills, qualifications, and reputation. Some surgeons may even offer substantial discounts if multiple areas are done in the same surgery. Total costs include surgeon’s fee, anesthesia, facility and lab fees, medications, and compression garments.
Since many women look to liposuction as a way to balance out the proportions of the body, it is often done in conjunction with a breast augmentation or breast lift. Furthermore, for patients who also have loose skin in addition to excess fat in some areas, a tummy tuck or body lift procedure may be performed to enhance the patient’s overall result. For some, a breast reduction (via traditional techniques or via liposuction) may be chosen as well.
Seeing Your Results:
Post-op swelling and bruising can be significant with liposuction, so results can not be fully judged for a period of at least 1 to 3 months after surgery. While most bruising will fade within 2 to 4 weeks, some residual swelling may take as long as six months to resolve fully. Today’s liposuction normally involves the use of very small incisions, which usually fade over time to be virtually undetectable. The intended result of liposuction surgery is a more refined contour and better-balanced body proportions. For more information, please see “How Long Will the Results of My Liposuction Last?”
How Liposuction is Done:
- Pre-Op Preparations
The surgeon takes pre-op photos and marks targeted areas on the body while the patient is in a standing position. IV fluid lines will often be put in place to help regulate fluid levels during surgery. In addition, the patient may be placed on monitors to keep track of heart rate, blood pressure, and blood oxygen levels during the procedure.
- Anesthesia Is Administered
Medications are administered for your comfort during the procedure. Sometimes, a general anesthetic is used so that you will be asleep for the procedure. However, liposuction may also be performed using a combination of local anesthesia and intravenous sedation. Your surgeon will recommend the best choice for you.
- Incisions Are Made
Typically, liposuction incisions are very small (about 1/8- to 1/2-inch each) and your surgeon will take care to place the incisions where they will be well hidden in natural body creases whenever possible. Often, when treating larger areas, there are multiple incisions made for each treated area.
- The Fat is Prepared for Suctioning
There are a variety of techniques available to today’s plastic surgery patients, and I've detailed them for you in the following article: Today’s Options in Liposuction Techniques
- The Fat is Suctioned
Small hollow metal tubes, called cannulas, are inserted through the incisions. The cannulas are moved in a controlled back and forth motion to loosen and suction the fat, which is drained through the tubes into waiting receptacles.
- Incisions Are Closed
The incisions are closed with surgical sutures. In some cases, small tubes will be placed at incision sites to help drain excess fluid.
- Post-Op Care and Instructions
After surgery, you will be taken to a recovery area where you will likely be given a compression garment to wear to control swelling in the treated areas and help your skin conform to your new body shape. You will likely go home after a few hours, unless your surgeon determines that you need to stay in the facility overnight. When you do go home, arrange for someone to drive you to and from surgery and stay with you for at least 24 hours.
Liposuction, Consumer Information Sheet, American Society of Plastic Surgeons; http://www.plasticsurgery.org/patients_consumers/procedures/Lipoplasty.cfm
Liposuction (Lipoplasty), Consumer Information Sheet, American Society for Aesthetic and Plastic Surgery; http://www.surgery.org/public/procedures/liposuction