Liposuction / Lipoplasty

Some people have localized fat deposits that create disproportionate contours, in spite of good health and a reasonable level of fitness. Genetics may be a cause rather than poor weight control or fitness.

Liposuction slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion. Often a part of an overall body contouring plan, it achieves best results in those who are within 10%-15% of their ideal weight.

Liposuction is used for regions where fat is blocked, such as "saddle bags" and "love handles," areas that cannot be well controlled by diet and exercise. Fat cells in such areas are considered blocked, because they are highly resistant to being broken down for energy. A person has to lose six pounds of normal fat to lose one pound of blocked fat; often, no matter how hard one tries, abnormal bulges remain.

When controlling fat by diet has failed, liposuction can reduce localized fat deposits in these problem areas:
  • Thighs
  • Hips and buttocks
  • Abdomen and waist
  • Upper arms
  • Back
  • Inner knee
  • Chest area
  • Cheeks, chin and neck
  • Calves and ankles

When considering liposuction, it is wise to take action quickly. The longer skin remains stretched out, the less able it will be to tighten spontaneously after liposuction.

How it's done: Liposuction, whether performed as a stand-alone procedure or as part of body contouring, is the most popular aesthetic procedure done today. In addition to the traditional technique — using a hollow tube to suction excess fat deposits through tiny incisions — there are these variations:
  • The tumescent or super-wet technique requires an infusion of saline solution with adrenaline and possibly anesthetic prior to removal of fat
  • The ultrasound-assisted method liquefies excess fat before surgical suctioning

Liposuction incisions are usually less than " long and disappear over time. Recent advances in the technology, including minimally invasive methods, allow the surgeon to sculpt and contour abnormal fat deposits without leaving telltale grooves, a technique referred to as liposculpture. Tiny instruments permit close contouring immediately below the skin's surface, so the surgeon can create an ideal figure.

Results: Swelling should subside, bruising should fade and initial results may appear in 2-4 weeks. It takes up to twelve weeks for the skin to shrink completely and the liposuctioned area to reach its final form. In younger women who are neither extremely overweight nor post-partum, spontaneous skin tightening is generally very good. Older patients or others with significant extra skin might need a skin-tightening procedure, which can be done at the same time the fat is suctioned. Significant weight gain can cause recurrence of fatty deposits.

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