William Callaghan. MD (tumescent Surgery)
Liposuction, also known as lipoplasty, is a commonly performed cosmetic plastic surgery procedure that can reduce the appearance of unsightly bulges and help you attain a slimmer appearance. It is frequently performed on the abdomen, back and buttocks, but the technique can also be used on the thighs, knees, calves, upper arms, face, neck and other body areas.
Tumescent Liposuction — This procedure involves the use of a large amount of wetting solution. In fact, your surgeon may inject up to six times the amount of the volume of fat to be removed.
The best candidates are those who, despite exercise, are unable to melt the unwanted fat. Some of these individuals have congenital and hereditary distribution of fat that are difficult to remove with normal exercising and dietary changes.
Liposuction procedures can be performed on their own or in combination with other procedures, such as facelift, breast reduction and tummy tuck. Liposuction is not a weight loss procedure. The ideal candidate for liposuction is a healthy adult who is close to his or her ideal weight but is troubled by stubborn pockets of fat that fail to respond to diet and exercise.
As with all aesthetic surgical procedures a patient must select a surgeon certified by the American Board of Plastic Surgery, as this level of certification ensures that the surgeon has undergone extensive training and is highly esteemed by his or her colleagues.
There are several methods in performing liposuction. These are using the tumescent technique (filling the areas to be suctioned with a fluid containing a mixture of local anesthetic and epinephrine) and cannulas to remove the fat, laser liposuction, or ultra-sound liposuction. All have their advantages and disadvantages. Epinephrine constricts blood vessels to prevent bleeding, while local anesthetic helps to numb the area and increase your comfort.
Next, your surgeon will make small incisions in your skin and insert a narrow tube known as a cannula. By moving the tube back and forth, your surgeon will dislodge, break up and suction fat from beneath your skin.
All surgeries carry risks, including liposuction. Liposuction risks include anesthesia complications, infection and bleeding.
The length and comfort level of your recovery from liposuction will depend on several variables, including the number of treatment areas and their size, your general health, and whether the liposuction was performed on its own or in combination with other procedures. There is period of swelling which causes most of the pain and this may last from 1-3 weeks depending on the amount of liposuction performed. It is generally not recommended to have more than 5000cc removed at one setting. If so, the patient must stay overnight at a hospital setting and be monitored for fluid loss and blood loss. Deaths have occurred when doctors have been too cavalier in their approach.