Liposuction, also known as lipoplasty or liposculpture, is surgical removal of excess fat tissues by the use of small metal cannulas. It is the most commonly performed cosmetic surgery procedure in the world.
What are the indications for liposuction?
Liposuction works best for treating localized fat deposits like Abdomen, Hips, Thighs, Buttocks, Waist, Back, Cheek, Jowls and Neck, Arms, Upper Torso, etc. that do not respond to traditional diet and exercise. The treated areas will usually retain the new contours. Large volume of fat removal will also help reduce weight of the person with proper dietary care.
If the fat is removed, will it return?
Most of the fat cells are situated under the skin. The total number of fat cells present in a person’s body usually does not increase in number after the age of 18 years. In general, after reaching maturity the total number of fat cells in the body will not increase. Fat cells that are removed through liposuction or other techniques will not be replaced by other fat cells. So Therefore, the fat cells that are removed, are removed permanently.
The results of liposuction can be permanent, provides you eat sensibly and exercise regularly. If you gain weight, you will gain it more uniformly throughout your body and not just in the former “Bulges”.
What are the common sequelae of liposuction?
The common sequelae include contour irregularities, numbness, swelling & discoloration, which occur routinely in almost all patients who undergo liposuction. However, they usually resolve spontaneously or with minimal treatment such as massage & Pressure garment.
How much fat can be removed?
Usually up to 10% of total body weight, deposited extra subcutaneous fat can be removed safely in a single sitting from different parts of body.
What is the postoperative care required?
No special care is required but one needs to wear pressure garment for at least 3-6 months.
What is “wetting solution”? Why do we use it?
Wetting solution is the delivery of subcutaneous saline injection into the subcutaneous fat before liposuction. It has an advantage of allowing fat suction with minimal effort & blood loss.
Does the excessive skin need to be excised after removal of fat by liposuction?
In general, despite large amounts of fat being removed, skin has good elasticity and will give no laxity. However, in patients with inelastic skin or in older patients, the skin may not redrape and skin removal may be needed. (Tummy tuck / Abdominoplasty)
What is tummy – tuck or abdominoplasty?
Tummy Tuck is a procedure to remove the excess sagging abdominal skin along with tightening of the abdominal wall muscles to restore the tone.
When do you need tummy tuck?
This operation is helpful especially for women with lax abdominal skin after pregnancy, aging or after excessive weight loss or following bariatric surgery.
If some one has a combination of excessive fat and loose skin, tummy tuck can be combined with liposuction (excess fat removal).
What do you do in tummy tuck?
It takes approximately 2 to 4 hours for this surgery and it requires general anaesthesia. The usual hospital stay is 2 to 5 days depending upon the individual’s response to the surgery.
During this process of lifting the abdominal skin from the muscles, the umbilicus is relocated and excess sagging skin excised. Stitch line come as a fine line horizontally. Stitches are under the skin and absorbable and strengthen with tapes and no need of stitch removal. The final scar is hidden in undergarments.
Sometimes, abdominoplasty is combined with liposuction (fat suctioning) for abdomen contouring.
How is post op recovery?
Usually, the patient can resume routine work in 2 to 4 weeks, whilst strenuous and sports activity should be postponed till the 6th to 8th week, the scars fade and flatten by 3 months to 2 years.
Smoking and consuming alcohol must be totally stopped two weeks before the operation, as they impair wound healing
What is body contouring surgery?
Body contouring surgery is removal of excess sagging fat and skin following major weight loss to improve the shape of the underlying support tissue and to give more natural appearance with smoother contours.
Why do you need body contouring surgery?
Although massive weight loss has several benefits, but after weight reduction surgery, or any substantial amount of weight loss, the skin and soft tissues often lack the elasticity to conform to the reduced body size, so excess sagging skin and fat need to be redraped.
What are the types of Body contouring surgery?
Facelift: sagging of the mid-face, jowls, and neck
Breast lift: sagging, flattened breasts
Tummy tuck: apron of excess skin hanging over the abdomen
Lower body lifts: sagging of the abdomen, buttocks, groin and outer thighs
Medial thigh lift: sagging of the inner, outer and mid thigh
Brachioplasty (arm lift): sagging of the upper arms
A buttock lift (also known as belt lipectomy) improves and/or removes excess, sagging buttock and thigh skin that has developed as a result of weight loss, aging and gravity, or genetics. By raising and tightening the skin over the buttocks, a buttock lift makes the buttocks appear less saggy, dimpled or wrinkled.
A buttock lift procedure lasts between 1 and 2 hours, depending on the nature of the procedure.
• Before the surgeon starts the buttock lift procedure he will carefully mark the skin that needs to be removed.
• Then ,he surgeon makes an ellipsoidal shaped incision so that the excess skin can be removed.
• The saggy skin is carefully detached from the underlying layers of muscle and fat.
• The skin is lifted, the excess skin and fat is removed.
• The underlying tissue is stitched in layers with dissolvable thread.
• The skin is carefully stitched with non-dissolving thread.
• Sometimes drains are inserted to allow any fluid to escape from the wound.
• The drains are removed after a few days.
After the operation the incisions are covered with a dressing. You will be dressed in special elasticated trousers, for which you were previously measured. Then you are taken to the recovery room with heart monitoring equipment. An hour later you can usually be transferred to your private room.
What is Body Lift?
A body lift improves the shape and tone of the underlying tissue that supports skin and fat. Excess sagging skin and fat are removed and the procedure(s) can improve a dimpled, irregular skin surface.
A body lift may include these areas
• Abdominal area - locally or extending around the sides and into the lower back area
• Thigh - the inner, outer or posterior thigh, or the thigh's circumference
Aging, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the abdomen, buttocks and thighs.
Unfortunately, many people who lose massive amounts of weight, whether through diet and exercise or bariatric surgery, are left with sagging skin and stubborn deposits of fat on various parts of their bodies, especially around the midsection. This can make it difficult for them to embrace their new bodies and find clothes that fit properly, as well as making them more vulnerable to skin infections and causing self-consciousness and general discomfort. Fortunately, plastic surgery offers a highly effective solution in the form of body lift surgery.
Body lift is an impactful effective plastic surgery procedure for patients with excess skin, fat, and other tissues that linger after substantial weight loss. Depending on the location of the surplus skin, patients may choose to undergo either an upper, mid, or lower body lift. For patients with significant amounts of excess skin throughout the midsection, lower body, and extremities, a combination of these techniques called full or total body lift may be the best option.