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Liposuction is one of the most common procedures performed every year in the USA. From 2019 to 2022, it was ranked as the top surgical cosmetic procedure nationwide. So, how does liposuction work? Dr. Elliot Heller from Allure Plastic Surgery explains, “Liposuction involves removing fat using a vacuum device, and nowadays, it’s often combined with laser technology.” Liposuction is great for sculpting your body and works well in combination with other procedures. It is effective for targeting stubborn areas of fat.
In this article, we are going to discuss how liposuction works. First, we will answer the main topic in short, and then we will go into the details.
Overview of the Liposuction Procedure
Liposuction is a surgical procedure defined by the removal of adipose tissue via suction. Various techniques exist; however, all involve the insertion of a cannula beneath the skin where fat deposits are prevalent.
This cannula, in conjunction with an injected solution, facilitates the disintegration and aspiration of adipose cells. The cannula is designed with a blunt tip to ensure that only the targeted adipose tissue is removed, preserving the integrity of nerves and other permanent structures.
Anesthesia is administered on the day of the procedure to ensure patient comfort. The type of anesthesia used—local, general, or tumescent—depends on the extent of the liposuction. The surgeon then marks the specific areas where fat removal will occur, ensuring precision and symmetry.
Small incisions, typically less than a centimeter, are made at the marked sites. These incisions are strategically placed to minimize visible scarring. Through these incisions, a cannula is inserted to break up and loosen the fat cells in the targeted areas. The fat is then suctioned out using a vacuum device attached to the cannula.
During the procedure, a tumescent solution is injected to minimize bleeding, provide anesthesia, and facilitate fat removal. Once the desired amount of fat is removed, the incisions are either closed with sutures or left open to drain. Post-operative care includes wearing compression garments, taking prescribed medications, and avoiding strenuous activities to ensure optimal healing.
Types of Liposuctions
Numerous acronyms and terminologies are used to describe the various types of liposuction, largely driven by the marketing strategies of service providers and the perception of liposuction as a cosmetic surgical procedure.
These distinctions are primarily based on the specific techniques employed. It is possible for practitioners to develop new methods tailored to particular criteria and subsequently assign a unique name to these techniques.
We are going to focus on the types based on the technology of liposuction being used.
Laser-Assisted Liposuction (LAL) – Smartlipo
This is one of the most talked about technologies out there. We have not found any conclusive evidence of this process being the best one. But the proposed advantages are-
- Helps tightening the connective tissue
- Helps tightening the skin
And here we are only talking about the areas where we do the procedure.
However, we do not always use this process because, in our clinic, we have not seen any significant differences, and there is not enough academic literature on it to justify the risks.The risks include burning under the skin, tissue damage, and other consequences.
Ultrasound-Assisted Liposuction (UAL) – VASER liposuction
This technology is particularly beneficial for new surgeons. Here’s a list of its advantages:
- It’s excellent for revision liposuction
- Easier for surgeons to operate
But it also has the risk of creating a thermal injury especially at access sites.
Traditional (Suction-Assisted) Liposuction (SAL)
This is the standard procedure for liposuction. Most board-certified plastic surgeons use this process, and it is also the safest and most efficient way to remove fat with minimal additional risk.
It involves administering anesthesia, making small incisions in the target area, and inserting a thin tube called a cannula. The surgeon then manually moves the cannula to break up fat cells, which are suctioned out using a vacuum device. Afterward, the incisions are closed or left open to drain, and the patient receives post-operative care instructions.
These are the primary types of liposuction, but several popular enhancements are also available. Those are-
- Tumescent Liposuction
- Power-Assisted Liposuction (PAL)
- Water-Assisted Liposuction (WAL)
- Micro-Air Power-Assisted Liposuction
Risks and Complications of Liposuction
While liposuction is generally safe when performed by a qualified surgeon, it carries potential risks and complications. Patients should be aware of these possibilities to make an informed decision. Here are some of the most common risks and complications associated with liposuction:
- Infection
- Bleeding
- Anesthesia risks (including allergic reactions and respiratory issues)
- Contour irregularities (uneven fat removal, asymmetry, and skin discoloration)
- Fluid accumulation (seroma)
- Numbness (temporary or permanent)
- Fat embolism (fat entering the bloodstream)
- Blood clots (deep vein thrombosis and pulmonary embolism)
- Allergic reactions (to medications or materials)
- Skin necrosis (death of skin cells)
- Persistent swelling and bruising
- Scarring
- Changes in skin sensation (increased or decreased sensitivity)
- Poor healing (delayed healing or wound complications)
Areas of Liposuction
Here are the details of some of the most popular areas for liposuction:
Abdomen and Flanks
This is one of the most common areas for liposuction. Patients often target this area to remove excess fat and achieve a slimmer waistline. The fat removed from the abdomen and flanks can sometimes be used for fat transfer procedures, such as breast or buttock enlargement.
Neck Area
Liposuction in the neck area helps contour the neck, improving the cervical angle (side view of the neck) and tightening the jawline. This procedure is often recommended to enhance the overall facial profile and create a more defined look.
Chest Area
Liposuction in the chest area is performed on both men and women. For women, it is commonly done on the sides of the breasts to reduce size or for breast reductions. For men, it can help with conditions like gynecomastia (excess male breast tissue) to achieve a more masculine chest contour.
Thighs
Liposuction can be performed on both the inner and outer thighs to create a more proportionate and slender leg appearance. It helps in reducing thigh circumference and improving the overall contour of the legs.
Upper Arms
Excess fat in the upper arms can be effectively removed through liposuction, resulting in a more toned and defined appearance. This area is often targeted to eliminate “bat wings” and improve arm contours.
Back
This is the most painful of them all. Liposuction on the back targets excess fat in areas like the upper back (near the bra line) and lower back. This helps in creating a smoother, more contoured back profile.
Hips
Liposuction in the hip area helps to eliminate stubborn fat deposits that contribute to a wider hip appearance. This can enhance the overall body contour and create a more balanced figure.
Buttocks
While not always for fat removal, liposuction around the buttocks can help in sculpting and enhancing the shape. In some cases, the fat can be used for fat transfer to augment the buttocks, commonly known as a Brazilian Butt Lift (BBL).
Calves and Ankles
Liposuction in these areas can help to slim down the lower legs, providing a more streamlined and proportionate appearance. This is particularly beneficial for individuals with disproportionate fat deposits in the calves and ankles.
Each of these areas can be treated with liposuction to help patients achieve their desired body shape and improve overall contour and proportion.
Who Is a Good Candidate for Liposuction?
Liposuction may not be the best solution for everyone. Below, we outline who might not be an ideal candidate-
- Someone who maintains a healthy diet and a healthy lifestyle is a good candidate for this procedure. Maybe someone has reached their weight loss goals but the fat in the stubborn areas are not going away.
- Someone who has a lot of loose skin should not get a liposuction. Liposuction can actually make loose skin worse. We see that mostly in the inner thighs and abdomen. You should consider a tummy tuck or other procedures like it before a liposuction.
What Steps to Take Before Liposuction?
First of all, you want to be as close to your goal weight as possible. A good diet, intermittent fasting, and other healthy lifestyle options need to be adopted. It’s important to maintain a stable weight for several months prior to the procedure.
Additionally, you may consult with your primary care physician to ensure you are in good health and fit for surgery. Discuss any medications, supplements, or medical conditions with your surgeon, as certain medications may need to be adjusted or paused before the procedure. Avoid smoking and alcohol, as they can interfere with the healing process.
Finally, set realistic expectations and discuss your goals and concerns thoroughly with your surgeon to ensure you understand the potential outcomes and limitations of the procedure.
How Much Is the Downtime After Receiving Liposuction?
Recovery time depends on the patient and the extent of the procedure. Full-body liposuction typically requires about two weeks of downtime, while a smaller, targeted area may only need three days.
Your hydration is also important. Staying hydrated can aid in quicker recovery. However, individuals with less body fat may experience a longer recovery period.
It is a painful process. So we would recommend you to take some time off after this even if you are feeling okay.
Final Words
As you can see, the process is straightforward when you’re in the hands of experienced professionals. And it is also one of the safest medical procedures.
To know more about it, you can always book an appointment with us. We will be more than happy to talk about your personal preferences. It will help you understand the best way to go for a liposuction.
Achieve Your Aesthetic Goals with Allure Plastic Surgery
At Allure Plastic Surgery, located in Manhattan and Staten Island, New York, we offer a comprehensive range of plastic surgery and aesthetic services. Our clinic offers exceptional results personalized to each patient’s unique needs and desires, ensuring a personalized experience that enhances your natural beauty.
Whether you’re considering a facelift, breast augmentation, or a non-surgical treatment like Botox or fillers, our state-of-the-art facilities and dedicated team provide a safe and comfortable environment. We are committed to helping you achieve your aesthetic goals with the highest standards of care and professionalism.
Disclaimer
This article is for educational purposes only and is not medical advice. Consult your physician for any medical concerns or before starting any treatment. Do not ignore professional medical advice due to information read here. The authors are not responsible for any outcomes from the use of this information.