Fat removal by suction was developed for people with isolated areas of excess bulge or generalized fullness of abdomen, hip or thighs. Ultrasonic and power-assisted liposuction have opened up new vistas for those suffering from fat accumulation in more difficult anatomic regions such as chest, flank and back, especially in men. The reduced ability to redeposit fat in a previous area of liposuction offers an additional side benefit. Following established safety parameters allows larger-volume fat obliteration with lower complication risks. Though dramatic changes occur within one month, shrinkage continues over the course of a year.
Liposuction sculpts the body by removing undesirable fat that has not responded to diet and exercise, from the abdomen, hips, buttocks, inner and outer thighs, knees, upper arms, and neck. Liposuction not only slims excess body areas but also helps to ensure that they will not accumulate new fatty deposits in the future.
The liposuction or liposculpture procedure begins with the injection of a solution of saline and adrenaline to act as a vehicle for fat removal. This is known as either tumescent of super-wet technique, depending on the ratio of fluid to fat planned for removal. Small incisions are placed inconspicuously allowing cannulas or small suction tube to be inserted. These are moved in a back and forth motion beneath the skin, breaking up the fatty layers while suctioning it out. Power assisted and ultrasonic liposuction equipment can also be utilized in certain circumstances. The liposuction or liposculpture procedures can last anywhere from one to five hours, depending on the amount of fat being removed.
After liposuction surgery, drainage tubes, compression garments and antibiotics may be needed to facilitate the healing process. Patients are encouraged to walk as soon as they are able, and many return to work within a few days. Strenuous activity should be avoided for about a month.