Introduction

What is a Liposuction?

Liposuction is a surgical procedure to remove excess fat deposits from specific areas of the body to improve your body contours and proportion.  Liposuction can be performed alone or along with other plastic surgery procedures, such as a Tummy Tuck, Belt Lipectomy or both Arm and Thigh Lift.

Which areas of the body can liposuction treat?

  • Thighs
  • Hips and buttocks
  • Abdomen and waist
  • Upper arms
  • Back
  • Inner knee
  • Chest area
  • Cheeks, chin and neck

 

What liposuction can’t do:

  • Liposuction is not a treatment for improper diet but to decrease and remove fat in specific areas of the body
  • Liposuction is an effective treatment for cellulite and dimpled skin in some areas but not to improve the stretch mark.

Preparation

How should I prepare for Liposuction surgery?

  • Consult with the plastic surgeon about the surgery including the steps, techniques, incision, operating hours, results, risks, complications and recovery recommendation. 
  • Evaluate your general health status by Internist such as; blood test, chest X-ray, ECG based on the hospital safety policy
  • Continue taking the current medications for whom has an underlying disease
  • Cease smoking at least 2 – 4 weeks prior surgery
  • Stop taking Aspirin and Inflammatory medication including the herbal supplements which can easily cause the bleeding tendency at least 2 weeks prior surgery or according to the physician advice.

Process

What are the steps of a Liposuction surgery?

1. Anesthesia
2. Liposuction is performed through small, inconspicuous incisions.

3. Inject an anesthetic containing adrenaline to constrict the blood supply
4. Then, Ultrasound probes will be inserted into the skin through a small incision to break up the fatty tissue.
5. Suction of the fatty tissue after break up
6. Examine the result after liposuction.  Surgical  drain tubes may be required  in some cases.
7. Wound Suturing
8. Wrap around the incisions with the elastic bandage

Indication

Who is a good candidate for Liposuction surgery?

  • Healthy and not pregnant 
  • Not happy own body after pregnancy due to weight gain 
  • Adults who have good skin elastic and good muscle tone
  • Adults who try to achieve the goal weight and diet control but fat excess still remain in some areas due to fat accumulation 
  • Realistic expectations

What Liposuction cannot do?:

  • Liposuction is not a treatment to lose weight or a substitute for proper diet and exercise. 
  • It cannot reduce excess skin but the skin may tighten due to good elasticity.
  • It cannot prevent fat accumulation in the future, Therefore, after liposuction, patients should consume a balanced diet, maintain weight control and proper exercise to prevent further recurrent of fat accumulation.

Result

Results after surgery :

  • At the beginning period after surgery, the incision will be swollen. It generally takes up to 2-3 weeks and will be fully recovered in 1-2 years after surgery.
  • The Liposuction area will be more firm and contour but it takes time until the skin shrinks. 
  • The scar is visible after surgery. The scar may be good or bad depending on the heredity and after wound care. Normally the scar will be steady as a result in 1-2 years after surgery.
  • In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
  • Following your physician’s instructions is essential to the success of your surgery.

Recovery

Recovery:

  • Surgeons will cover the incision with elastic bandage including the surgical drain tube from the liposuction area.
  • An appointment will be made for the  removal of the external stitches 7-10 days after surgery.
  • Usually patients can return to work within 2-6 weeks after surgery.

Post-op care

How to take care of yourself after surgery?

Swelling and Bruising: 

  • Bruising and swelling will occur within 48-72 hours after surgery. The third day is usually the worst and then it will gradually get better after day 4. 
  • Bruising will be better after 4 days and will fade away within 21days.
  • Swelling will subside quite quick in the first 2-3 weeks and then gradually subside up to 3-6 months. 
  • Cold compress with a cold pack or a bag of ice is needed in the first 3 days. It will help to reduce swelling and bruising.

Pain and Medication:

  • The most painful moment is right after surgery and the first day. In some patients, it will take some time until all the pain is gone. 
  • Surgeons recommend taking pain killers only when you are in pain. Do not take it more than 6 times per day. 
  • There is some side effect such as nausea or dizzy
  • If there is some rash or itchy occurrence after taking medication, the patient must inform the surgeon immediately.

 Medication Dosage:

  • The antibiotic medication needs to be taken until it is finished. 
  • Any underlying condition and medication needs to be informed and adjusted by a surgeon or medical doctor both before and after surgery. 
  • Do not take Aspirin or any medication in Aspirin group, Vitamin E, Herbs, or any supplements at least 2 weeks before and after surgery. It can cause bleeding and bruising.

Smoking and Drinking:

  • Cease smoking 4 weeks prior and 4 weeks post surgery as the Nicotine causes the delayed wound healing. 
  • Stop drinking 2-4 weeks prior and 2-4 weeks post surgery.

Sleeping:

  • Get enough sleep and rest after surgery.
  • Sleep on your back position.

Wound care:

  • Before the surgeon removes surgical drain tubes, patients can take a sponge bath.
  • After the surgeon removes surgical drain tubes, surgeons will put waterproof dressing so you can have a quick shower. 
  • Remove waterproof dressing within 48 hours after discharge from hospital.
  • Check waterproof dressing, make sure it is clean and dry all the time.
  • Do not touch the wound directly after removing waterproof dressing.
  • Use wooden cotton buds with normal saline to clean the wound and apply antibiotic cream twice a day. 
  • Surgeon will remove stitches in 7-10 days
  • If there is any sign of infection or complications, please inform surgeons immediately.
  • Scar cream, scar gel, or silicone sheet can be used 5-7 days after removing all stitches or as soon as the wound is recovered.

Compression Garment:    

  • You must wear garment support 24 hours for at least 1-2 months after surgery or as long as the surgeon recommends.

Exercise:

  • During the first 5 days after surgery, it is important to not engage in any activity which could elevate the blood pressure and possibly cause bruising or hematoma under the skin.
  • Avoid exercise at least 2 months after surgery. 
  • Only light exercise is recommended 6-8 weeks after surgery.
  • No weight lifting or lifting anything in first 6 weeks
  • Avoid hot tubs or saunas at least 6 months after surgery.
  • Do not participate in any contact sports for at least 6 months.

Risks

Risks and Complications:

General Risks & Complications:

  • Complications of general anesthesia
  • Infection
  • Bleeding 
  • Blood Collection
  • Deep Vein Thrombosis
  • Keloid scar
  • Poor wound healing
  • Pain

Risks and Complication of Liposuction:

  • Seroma      
  • Swollen and change of skin color
  • Necrosis and wound separation
  • Recurrent of excess skin and not firming skin of the area
  • Numbness at the point of liposuction
  • Chance of revision
  • Remains cellulite or dimpled skin
  • There may be injuries to blood vessels, nerves, muscles, lungs and internal organs.

Review

FAQs

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