All about Liposuction
Before anything, you need to know that liposuction is a COSMETIC surgery.
When one suffers from localized accumulation of fat in one of their body parts and has not been able to control the accumulation in that area with losing weight and exercising then they are a candidate for liposuction surgery. If you want to improve the shape of a particular body part that contains fat, you are also a liposuction candidate, for instance, there is a lady who doesn’t have a high amount of fat in her flanks and waist but would very much like to have an hourglass figure.
Excess and localized fat in parts like the neck, chest area, arms, abdomen, back, buttocks, hips, thighs, inner knee, calves, and ankles. Of course, this is different in men and women. For example, women tend to store fat in the thighs and flanks, and men in the abdomen. Type of fat also differs in different parts of the body. For example, the neck, unlike most parts of the body that has white fat, contains brown fat.
An individual with localized obesity in one or more of the above-mentioned body parts can remove this fat with liposuction. In fact, liposuction is not a replacement for Bariatric surgery. Bariatric surgeries help you lose weight, but liposuction is for removing fat from your body and will not have much impact on your weight.
Liposuction has several different techniques, there are many weird names for this surgery, far more than its number of actual methods. Most of which are for business purposes and are solely created to attract patients or to talk surgeons into buying medical equipment.
To avoid confusion over various names, you need to know what liposuction exactly is. Liposuction is a method by which a plastic surgeon, inserts a tube called cannula, looking like a big syringe, into adipose tissue after making very small incisions in the area where the fat is accumulated, and by moving it around it removes fat from your body through a sucker attached to the tube.
Imagine that you want to clean the dirt inside a tent with a vacuum cleaner without having to enter it. To do this, you make a small hole in the tent, insert the suction tube, turn on the sweeper, and by moving the tube around you can get the job done.
A plastic surgeon does the same thing during liposuction surgery. S/he Inserts the cannula into subcutaneous fat and skillfully removes them from your body through the suction.
So why are there different methods for this surgery and what are the differences?
In 1926, Charles Dujarier, a French surgeon, performed liposuction for the first time (which sadly did not go well for mademoiselle Geoffre), but in fact, this method was revolutionized years after. In the 80s, Jeffrey Klein and Patrick Lillis were able to greatly ameliorate the procedure. They invented the tumescent liposuction method.
Tumescent is a solution containing salt water that is just like an IV fluid and some lidocaine as a topical anesthetic and some epinephrine that causes contraction in muscle tissues and blood vessels. By injecting this solution into the area where liposuction is to be done, the surgeon is performing IV therapy, relieving the pain for hours after the surgery with local anesthesia, and also causing muscle tissues and blood vessels to separate from the fat and decreasing the probability of them being damaged.
Thus, in Tumescent liposuction, compared with traditional liposuction, patient loses less blood and the risk of cannula damaging non-fat tissues, or more importantly, muscles, is much less. In this method, the surgeon removes the fat using cannula and suction after injecting tumescent solution, and with that being said, about 80% of the injected fluid goes out of your system. The remaining 20% is usually excreted by the urinary system within 24 hours. For an area like the abdomen, about three 2-3-millimeter holes and about 2 hours of time are enough. Tumescent liposuction is commonly used for “abdominal liposuction.”
But in a more modern way known as liposuction laser, the fat is melted by the laser beam first and then removed out of the body. This method is also very safe, since the laser only affects the adipose tissue. However, the melted fat cannot be transferred to other parts of the body (for Brazilian butt lift for instance).
In another method known as Vaser lipo, also called Lipomatic in Iran, cannula is much more delicate and breaks the fat cells using ultrasound, and with cannula’s vibration, the fat is suctioned very accurately and delicately. In this method, the suctioned fat is completely unharmed and transferable. This method is usually used for “neck liposuction”.
If you’re thinking “Which liposuction technique is best for me?” The answer is that your surgeon chooses one of these methods depending on your body and your conditions and surgeries you may have during a liposuction. However, no need to be worried, because each of these methods is so up-to-date and accurate that, if it’s done by a skilled and experienced plastic surgeon, the risks will be very low and there’ll be no harmful effects.
As much as a liposuction will be less risky if done by a skilled surgeon, it can lead to very serious side effects such as fat embolism, which is fatal, if performed by an unskilled and inexperienced doctor.
We explained liposuction’s capabilities. Now it is time to tell you what it CANNOT do.
- Liposuction cannot cause weight loss, it only saves you from accumulated fat.
- Liposuction cannot remove cellulite dimples caused by obesity in areas like the hips, thighs, torso and abdomen.
- Liposuction cannot remove stretch marks nor can it remove saggy or excess skin.
To deal with this issue, you should combine tummy tuck with liposuction.
In general, liposuction is recommended for people with BMI below 35. People with large amounts of fat, for example in the abdomen, will have loose abdominal skin after the procedure, and will have to go for a tummy tuck Surgery to fix it. But if the fat isn’t that bulgy and the skin has a good elasticity, then there is no need for another surgery because your skin slowly returns to its place.
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Usually liposuction is not recommended for people with BMI above 34. But this is not very accurate, to be more precise, you can ask your consultants at TehranMT.com by telling them your height, weight, age, gender and the area that needs liposuction.
TehranMT.com works with highly skilled and experienced surgeons who have more than a thousand successful experience in this surgery (not to mention what technique they use for lipo).
The amount of postoperative care usually depends on the area and the amount of removed fat. But most people can return to their jobs in 2-3 days and start normal activities in 2 weeks. Surgical wounds need special care for up to 72 hours after liposuction which your surgeon will inform you about.
After the procedure, you will need to wear compression garment for at least 3 weeks, but it may go up to 6 weeks depending on the liposuction area. This piece of clothing will be of great help in relieving the pain during the first days and, in the long run, reduces swellings. Most patients who have worn compression garment for only a few weeks, prefer to wear it for about 6 months.
Swellings caused by liposuction usually will be greatly reduced in the first 48 hours, but some of them won’t go away for weeks. In fact, you will see the desired results of your surgery after A FEW MONTHS in your body.
For information regarding liposuction and liposuction cost in Iran, see this article.