Liposuction (suction-assisted lipectomy-SAL), is a procedure which removes excess fat from specific areas of the body where they may be excessive, relative to those areas around them or to the general habitus of the patient. Liposuction can reduce the hips and thighs, flatten the abdomen or on occasions shape the calves and ankles. It can also be used to reduce or eliminate a double chin.
Things to consider before surgery:
Liposuction is NOT a procedure for weight loss and ideal patients are of relatively normal weight but have isolated excess areas of fat deposition. These localised areas typically do not respond to diet or exercise. If patients are not at their optimum body weight, they should be encouraged to achieve this prior to having the procedure in order to maximise the benefit and minimise the risks. Liposuction is not an effective treatment for cellulite. It is possible to undergo liposuction at almost any age, the loss of skin elasticity with raging reduces the ability of the skin to retract once excess fat has been removed. Liposuction can be performed on several areas of the body at the same time and is often combined with other cosmetic procedures such as breast augmentation, tummy tuck and facelift surgery.
In some cases a machine which emits high frequency sound waves (Ultrasound) is used to help break up the fat cells prior to removal (Ultrasound assisted lipectomy-UAL). At other times a machine which vibrates the liposuction cannulas is used to assist with breaking up the fat and reducing the time and effort required by the surgeon to perform the procedure (Power assisted lipectomy-PAL).
Whilst liposuction is often performed in doctor’s rooms under a local anaesthetic, this has been associated with major issues when large volumes of local anaesthetic have been used. Local anaesthetic rooms procedures are probably safe in some instances however, Mr Hanikeri only performs liposuction under a general anaesthetic. Fat is removed by inserting small, hollow tubes, called cannulas, through tiny incisions around the area to be addressed. These incisions are placed as inconspicuously as possible and are usually not visible in the long term. Plastic surgeons use various techniques to suction the various layers of fat from the areas being treated.
After surgery-what to expect:
Following surgery, patients may experience some swelling and mild to moderate discomfort, which is usually well controlled with oral medications. Patients should rest during this time and avoid excessive exertion. A compression garment should be worn continuously for the first 6 weeks or so after surgery.
The results from liposuction are permanent provided the patient maintains their weight. Significant risks from the procedure are uncommon. Patients should be able to return to work in a few days. Normal activities can usually be commenced within a week or two of surgery.
Risks of liposuction