Suction assisted lipectomy or liposuction is one of the most popular means of body contouring techniques in cosmetic surgery. This method removes fat pockets that one is not able to remove after performing vigorous exercise or dieting. So, liposuction helps to achieve desired body shape by removing fat deposits that are present between the muscle and skin. This body contouring procedure permanently removes fatty tissues and the results are everlasting if the patient maintains his/her weight.
Ideal candidates for liposuction surgery
Note: It is not a treatment for obesity and does not help to remove stretch marks and cellulite. One must also remember that if someone puts on weight after the procedure, then the results are not long-lasting.
The Techniques used for Liposuction
For liposuction surgery in Delhi at Aestiva Clinic we have a number of important modifications to the standard suction-assisted liposuction available such as UAL (ultrasound-assisted liposuction), PAL (power-assisted liposuction), VASER, and laser-assisted liposuction.
1. UAL (Ultrasound-Assisted Liposuction)
In this technique, the fat is liquefied before removal by targeting the fat cells with the ultrasound waves. So, this method uses sound energy waves that rupture the fat cells walls, and then the liquefied fat is suctioned out. It allows more precise removal of fat deposits and increases skin contraction.
2. Power-Assisted Liposuction (PAL)
In this method, a special cannula that creates tiny and rapid vibrations is used to break the fat cells, and remove this fat out of the patient's body. This procedure helps the surgeon to control the liposuction process, and this helps them to perform the fat removal procedure precisely. This technique helps the surgeon to remove more fat in a short period of time and helps achieve better results, and faster recovery. The specialized cannula used in this procedure allows smaller incision and vibrating tips of the PAL make this procedure safe because of its precise and smaller motions. This allows the surgeon to target only the specific area and does not cause any damage to the surrounding body tissues.
3. VASER (Vibration Amplification of Sound Energy at Resonance) liposuction
This is a new generation liposuction technique that crafts and reshapes the body according to one's dream and desire. It uses ultrasound energy to melt the fat cells, and then a thin tube cannula is used to remove the fat. This process is effective in removing larger volumes and denser minimal fat. The method uses a less aggressive approach, hence, the recovery is faster. During the treatment, tumescent liquid is injected into the body area. The vibration loosens the fat cells and emulsifies the tumescent liquid that is injected into the target area. As a result, the emulsification process starts, and with the help of a small cannula, the liquid and fat cells are removed. The saline used in this process causes less bruising, bleeding, and protects the other body tissues.
4. Laser-Assisted Liposuction
This technique combines adipocyte disruption with laser and then removal of the dissolved fat with the help of cannula. In this method, the tumescent liquid is injected in the target area, and in the next step, a laser fiber is placed beneath the skin that helps to melt the fat, and then suction cannula removes this melted fat. Thus, the method is gentle compared to the traditional liposuction method, and usually, there is less swelling and bruising with laser-assisted liposuction. The heat delivered by the laser also stimulates the creation of new collagen and helps to make the skin smoother and tightened.
Prior to liposuction, a preoperative marking is done while the patient is in an erect position. In patients undergoing total body liposuction or contouring, marking can be done one day prior. Areas to be suctioned are marked with a circle.
Small volume liposuction can be done under local anaesthesia with mild sedation. Large volume liposuction requires general anaesthesia.
The procedure involves injecting anaesthetic solutions into the body to facilitate fat removal and decrease post-op pain.
Special cannulas are used to aspirate the fat from the problem areas via small incisions.
The fat cells are removed permanently by liposuction procedure, but one can gain back weight as the new fat cells can accumulate in the body areas. Hence, after the surgery, one must include lean protein, vegetables, fruits, juices, and low-fat dairy products in their food and must exercise regularly.
Post Operative Care
Dr. Mrinalini Sharma, a liposuction surgeon in Delhi at Aestiva Clinic suggests her patients to wear a compression garment post procedure, which is customized as per the area. Patients can be discharged on the same day and can return to normal activities within a week. Light exercises are allowed after a few weeks. Postoperative swelling and bruising occurs and subsides over a week to a fortnight. The final aesthetic result will be visible within a few months.
Can liposuction be used to treat obesity ?
An obese patient looking for weight loss is not an ideal candidate for liposuction. Essentially, liposuction is best suited for people who are within the healthy BMI range but have certain problem areas like the abdomen, arms, or thighs not responding to diet and exercise.
When can I return to work?
A period of 3 -4 days is required before one can resume working. A compression garment is to be worn during a period of at least 6 weeks post the procedure. This helps in tightening the skin and creating a better definition of a post surgery. Patients should abstain from smoking and alcohol after surgery to hasten to heal. A period of 6 weeks is recommended before resuming weight training and other strenuous activities.
What does ‘realistic expectations’ mean?
In the case of liposuction, there are certain factors which a patient must understand before opting for the surgery such as:
- Liposuction is a body contouring procedure and not a weight loss procedure. As the fat is removed there will be some reduction in weight but the main aim of this surgery is to provide better shape/contouring to a specific body part. Hence, the success of the surgery must not be measured through the amount of weight lost.
- The amount of fat to be removed from a particular area depends on various factors including the surgeon's assessment of the patient's health and the realistic goals of the patient associated with the surgery.
- The longevity of the results is entirely dependant on how a person leads their life post liposuction. Maintaining a healthy lifestyle (a balanced diet and regular exercise) can help in maintaining the results of liposuction lifelong.
What is the best procedure for abdominal fat - liposuction or tummy tuck?
Both of these surgeries are performed for different purposes. If we talk about abdominal fat, liposuction alone will be enough if the person has good skin elasticity. On the other hand, if a person has accumulated abdominal fat and has a hanging tummy a surgeon will recommend tummy tuck surgery. So, in a tummy tuck surgery the plastic surgeons remove fat, excess skin and also tighten the abdominal muscles if required. Most women required tummy tuck surgery after childbirth.