Suction-assisted lipectomy -also known as liposuction, fat suction, or
suction lipectomy- is a technique to remove fat deposits from specific
areas of the body, including the chin, neck, and cheeks; the upper arms
and above the breasts; the abdomen, buttocks, hips, and thighs; and the
knees, calves, and ankles. Liposuction is not a substitute for weight
reduction, but a method of removing localized fat that doesn't respond
to dieting and exercise.
Suction-assisted lipectomy may be performed in my office, in a
outpatient surgery center, or at the hospital. It's usually done on an
outpatient basis. Extensive procedures may require a hospital stay
procedure is not too extensive liposuction can be performed under local
anesthesia, which numbs the area, combined with a sedative to make you
drowsy. You'll be awake but relaxed, and will feel minimal discomfort.
When liposuction is performed in larger areas or to treat several sites,
you'll probably have general anesthesia. In that case, you'll sleep
through the operation.
Suction-assisted lipectomy usually takes an hour or two, but the time
required may vary considerably- from thirty minutes to several hours,
depending on the amount of work you're having done.
begin the procedure the area to be treated is infiltrated with large
amounts of a saline, xilocaine, epinephrine and bicarbonate. This is
known as tumescent technique and it helps to avoid bleeding as much as
possible. A small incision is made, to allow the insertion of a hollow
tube called a cannula. The opposite end of the cannula is attached to a
machine that creates a strong vacuum. The surgeon manipulates the
cannula deep within the fat layers under the skin, breaking up the fat
and suctioning it out. Sometimes additional incisions are needed to
remove all areas of fat.
you've had local anesthesia, you'll feel some vibration and friction
during the procedure. You may also feel a stinging sensation as the
cannula moves closer to the muscle.
surgery, an elastic dressing, girdle, or body stocking must be worn over
the treated area to control swelling and bleeding, and to help your skin
shrink to fit your new contour. You may need to wear this garment
continuously for a month.
expect to look or feel great right after surgery. You'll even be heavier
for a while, because of the extra fluids you've been given. The
suctioned areas will be swollen and bruised, and you may feel a burning
sensation. The pain can be controlled with medications , though you may
still feel stiff and sore for a few days. You may temporarily lose all
feeling in the suctioned area; don't worry-it will return.
not unusual to feel depressed in the days or weeks following surgery.
Try to keep in mind that this is normal and will subside as you begin to
look and feel better.
stitches will be removed in five to ten days or dissolve, and you should
be back at work 2 - 3 days, or as much as two weeks after your surgery.
When you resume activity depends on the extent of your procedure and
how you feel .
most of the swelling and discoloration will be gone a month or two after
surgery, some swelling can remain for six months or more.
Suction-assisted lipectomy is a highly effective technique for giving
you a new body contour with very little scarring. The results are
permanent, providing you eat sensibly and exercise regularly. If you do
gain weight, you'll probably gain it more uniformly throughout your
body, not just in the former "bulges."
patients are very satisfied with the results of their liposuction-they
feel more comfortable in a wide variety of clothes, and more at ease
with their bodies. As long as your expectations are realistic, you
should be happy with your new shape.
Liposuction is normally safe, nevertheless, in rare instances the
procedure may cause severe trauma, infection, fluid accumulation,
rippling or bagginess of the skin over the treated area and pigmentation
changes (such as brown spots) that may become permanent if exposed to
the sun. Asymmetry (uneven contour or shape) sometimes requires a second
surgery the patient must stay at least 10 days in Costa Rica.
I recommend the Las Cumbres
Inn where you will receive personal attention, required medication and
transportation to and from surgery. I visit my patients at Las Cumbres
frequently following surgery to check on your recovery.