Liposuction is a process by which fat is permanently removed through a suctioning process. It is not a substitute for weight loss but, rather, a method of reshaping and sculpturing the body’s contours.
These images are not intended to indicate or reflect likely results or outcomes for any other patient other than those displayed here. Every patient will have before and after results consistent with their individual and unique anatomy and physique.Therefore patients should not make decisions to have Cosmetic Surgery based solely on before and after images.
With advancing age the body tends to deposit fat into areas such as the “love handles”, abdomen, thighs, and under the chin. The flanks, lower abdomen and thighs become common targets in women; the abdomen flanks and chest in men. In an attempt to lose fat in these areas patients tend to also lose excessive fat of the face which causes an aged appearance. Young patients may have stubborn areas of fat which they are not able to lose with appropriate diet and exercise; in addition to patients with a genetic predisposition to deposit fat in specific areas of the body, such as circumferentially around the thighs and buttocks and the top of the back known as a “buffalo hump”.
The technique of Liposuction and Liposculpture is removal of pockets of fat by instruments know as cannulae under a vacuum. There are other variations of Liposuction using Ultrasound and even washing the fat with water; ultimately patients will still require the removal of the fat via a cannula. These other techniques will add more operating time. Both men and women choose to have liposuction and liposculpture; not as a means of weight loss but rather to remove those stubborn pockets of fat not responding to diet or exercise.
Today Liposuction and Liposculpture is a safer procedure; smaller micro cannulae are used with the use of tumescent fluid; there is much less trauma to tissues and recovery is improved and sculpturing areas is achieved with greater precision. An earlier approach, called the Dry Technique Liposuction is no longer considered safe. Today, the world-wide standard of care is the Tumescent Technique.
Tumescent fluid is a saline solution which includes lignocaine and adrenaline to help reduce pain and discomfort as well as bleeding; it also facilitates the ease by which fat is removed.
A general history and examination is taken and performed to exclude any underlying reasons or causes that may prevent you from having Liposuction. Patients will outline the areas that they feel require treatment and the end result that they expect to achieve. Dr. Bobby A. Kumar will formulate a plan and also advice about the limitations with regards to what can be achieved by Liposuction or Liposculpture. There are those patients who will require other procedures such as an Abdominoplasty or leg or arm reduction and lift, as Liposuction alone may not achieve the results they desire.
Patients should ensure that they have a good diet and exercise plan and that at the time of performing Liposuction they have achieved their ideal or stable body weight.
Large volume liposuction is limited by the degree to which their skin will retract and conform to the new sculptured body. Cellulite is also a difficult problem to treat and may involve liposuction of another area with fat injection and disruption of the cellulite bands to the affected areas.
Liposuction/Liposculpture can be performed under general anaesthesia or sedation anaesthesia. The procedure may take one hour or several hours depending on the number of areas being treated. Some patients may require overnight stay and recovery in hospital especially if having large volumes and multiple areas of liposuction. Dr. Bobby A. Kumar will place entry points for the microcannulae in sites which will have minimal scarring and remain hidden and result in a natural and aesthetic appearance.
Immediately following liposuction the areas operated on will have dressing applied and you will wake with a pressure garment in place. The garments are worn for a period of 6-12 weeks; this will vary dependant on areas treated, volume of liposuction and the quality of the skin to retract. Wearing the garments for as long as possible will help with recovery and improve the quality of the result.
Most patients will have bruising, swelling, numbness and discomfort or pain. There will be leaking fluid from the liposuction sites for several days, this is important as we do want the remaining tumescent fluid to be removed from the body. These symptoms will resolve with time; the patient will be prescribed antibiotics, anti inflammatories and analgesics. A return to normal activities will be dependent on the number of areas treated and volume of liposuction performed. Patients are encouraged to mobilise soon after the liposuction operation. It will help with reducing swelling and reduces the risks of clots from forming.
Patients are also encouraged to massage the areas treated by liposuction as this will help with persistent swelling and encourages healing and blood flow to the skin and tissues.
Complications of Liposuction
Common problems are Bleeding and bruising, haematoma, seromas, pain and redness. These problems will resolve with time. Occasionally there may be residual fat not adequately removed and infrequently irregularities may be apparent which will require secondary liposuction treatment.
Rare complications are blood clots causing deep vein thrombosis (DVT), Infection and loss of skin. These complications are extremely rare and are unforeseen events.