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Liposuction

May 24, 2017

Added By :
Dr Faizal Ali

Liposuction is a procedure where fat is removed from certain parts of the body (abdomen, thighs, flanks, arms etc) using a cannula via small incisions. It is also known as lipoplasty, liposuction fat or suction lipectomy. This procedure is best indicated in areas where there are localised deposits of fat that is resistant to exercise and diet. In patients where in those areas there is excess skin as well as fat, they might require skin excision as well (tummy tuck, arm or thigh lift). Liposuction is a procedure to contour the shape of the body, it is not a weight loss procedure. It cannot substitute for a good exercise and sensible diet regime. There are variants of liposuction such as ultrasound liposuction, laser liposuction and water jet liposuction. The removed material can be used as fat injection in other areas of the body. Liposuction can be performed under local anaesthesia to treat small areas or more commonly general anaesthesia. Pre-operative planning includes drawing the areas that will be treated and giving antibiotic.

 

A tumescent fluid is infiltrated into the areas through a small cannula. This fluid contains a local anaesthesia for pain relief, adrenaline which helps minimise bleeding and a steroid to decrease swelling and oedema. The fat is removed using cannula of various sizes that is connected to a suction pump and collector. Small incisions (1.0cm) are made around the areas to be treated to insert the cannulas. Depending on the number of areas to be treated, liposuction can take anywhere from 1 hour to several hours. After the procedure, the small incisions are sutured and the patient will be put in a garment. 

 

As with any surgical procedure there are possible risk and complications from liposuction. Although uncommon, possible complications include unevenness (dimpling of the skin), asymmetry, bleeding into the wound, nerve damage and wound infection. Patients who are considering liposuction need to be in reasonable good health and for smokers they need to have stopped smoking for about 6 weeks.