Aesthetic medicine and dermatology,  Surgery

Liposuction - answers to questions

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Liposuction, medically known as lipectomy, is a surgical procedure aimed at removing localized deposits of fat tissue that are difficult to reduce through diet and exercise. It was developed in the 1970s in Italy, and the procedure has evolved from primitive techniques to more sophisticated methods that include tumescent liposuction, ultrasonic liposuction (UAL), and laser-assisted liposuction (LAL). These modern techniques allow for more precise fat removal with minimal postoperative complications and faster recovery times, achieving more aesthetically pleasing and natural results.

Liposuction has become popular due to its ability to precisely shape the body, remove stubborn fat deposits that resist diet and exercise, and improve body contours. It is a preferred choice for those seeking aesthetic changes, as well as a functional intervention for medical conditions such as lipodystrophy. Its popularity arises from the quick results, ability to target specific areas, and generally safe profile when performed by qualified professionals. Additionally, advancements in technology have made the procedure less invasive with a shorter recovery period.

Types of liposuction

To accommodate the specific needs of patients and provide more precise results, there are various liposuction methods. Each technique uses different technologies or approaches to target and remove fat tissue, which can be beneficial depending on the type and location of fat deposits, skin texture, and the patient's overall goals. Often, multiple techniques are utilized in a single procedure, depending on the individual patient's needs. We will list the most commonly used technologies:

  • Tumescent liposuction -Tumescent liposuction is a popular liposuction method that involves injecting a large volume of tumescent solution into the treatment area before fat removal. This solution consists of a physiological saline solution, lidocaine (a local anesthetic), and epinephrine (which constricts blood vessels), minimizing bleeding and pain during and after the procedure. This approach makes the procedure safer, allows for better control during shaping, and reduces postoperative recovery time. Tumescent liposuction is considered the gold standard among liposuction techniques due to its effectiveness and relative safety.
  • Ultrasonic liposuction (UAL) -Ultrasonic liposuction (UAL) is an advanced technique that uses ultrasonic waves to target and break down fat cells before their removal. During the procedure, a special cannula (thin tube) emitting ultrasonic waves is inserted into the fat tissue. The ultrasound effectively breaks apart fat cells, making them easier to remove and reducing trauma to surrounding tissues. This method is particularly useful for removing densely packed fat deposits and is often utilized in areas such as the back, hips, and male breasts. UAL allows for more precise shaping with less bruising and faster recovery compared to traditional methods.
  • Laser liposuction -Laser liposuction, also known as laser-assisted lipolysis, uses laser energy to target and dissolve fat cells. During the procedure, thin optical fibers emitting lasers are inserted into the fat tissue, causing the fat cells to break down into liquid that can then be easily suctioned out. This method not only facilitates fat removal but also stimulates collagen production, leading to skin tightening. Benefits include precise targeting of fat deposits, faster recovery, and less damage to surrounding tissues.
  • VASER liposuction -VASER liposuction, known as ultrasound-assisted liposuction, uses ultrasonic waves to gently melt fat cells before their removal. In this procedure, a specially designed device emits ultrasonic vibrations that specifically target fat cells, preserving surrounding tissues, nerves, and blood vessels. This selectivity makes VASER less invasive and allows for more detailed body shaping with less pain and swelling during the postoperative period. VASER is particularly effective for fat removal from areas such as the abdomen, thighs, back, and arms.

Preparation for liposuction

Preparation for liposuction includes several important steps:

  1. Initial consultations - It is important to discuss your goals, medical history, and any potential risks with the surgeon. This conversation will also help determine the best liposuction method for you.
  2. Medical tests - Before surgery, blood tests, EKG, and sometimes ultrasound or CT scans are typically required to ensure you are in good health for the procedure.
  3. Diet and medications - You may need to adjust your diet and temporarily stop taking certain medications or supplements that can increase the risk of bleeding during surgery, such as aspirin or ibuprofen.

These preparations are crucial for a safe and successful outcome of the surgery.

Liposuction procedure

Liposuction is performed under local or general anesthesia, depending on the extent of the procedure. The process begins with making small incisions in the targeted area through which a cannula connected to a vacuum device is inserted. The surgeon then manipulates the cannula, breaking apart the fat cells which are then suctioned from the body. The process and its duration depend on the mentioned liposuction technologies, as well as the specific requirements of the patient. Generally, the procedure can last from one to several hours. Smaller procedures can be completed in about one hour, while more extensive surgeries involving multiple areas of the body might take several hours.

Recovery from the procedure and results of liposuction

During recovery after liposuction, patients can expect a certain level of discomfort, swelling, and bruising, which will decrease over a few days or weeks. It is recommended to wear a compression garment to support the treated area and reduce swelling. Additionally, it is important to maintain proper hygiene of the incision lines and avoid heavy physical activities immediately after liposuction. It is commonly advised to drink sufficient fluids and maintain a balanced diet, which can be supplemented as necessary. Of course, it is important to follow up with scheduled check-ups and maintain constant communication with the responsible medical staff. Most patients can return to lighter daily activities within a few days, but full recovery and return to more demanding activities can take several weeks. Final results of the procedure become visible after the swelling completely subsides, which may take several months.

Risks and possible complications of liposuction

Although liposuction is considered one of the safer surgical procedures, there are potential risks and complications that patients should take into account:

  • Infections: Although rare, it is possible for an infection to develop at the incision sites.
  • Seromas and swelling: Accumulation of serous fluid can occur in the treated area, sometimes requiring additional medical intervention.
  • Hematomas: Large bruises or internal bleeding can result from the surgical procedure.
  • Skin irregularities: Uneven fat removal can lead to irregularities or indentations in the skin.
  • Sensory changes: There may be temporary or permanent loss of sensation in the treated area due to damage to small nerve fibers.
  • Anesthesia-related complications: Severe allergic reactions or issues with the respiratory or cardiovascular systems can be associated with anesthesia.
Our expert answers whether you should be concerned about anesthesia


A detailed discussion of these risks with your doctor will help you make an informed decision about liposuction.

Frequently asked questions

Will I lose weight from liposuction?

Liposuction is a body contouring procedure used to remove localized fat deposits that are difficult to shed with proper diet and exercise. Liposuction itself is not intended as a weight loss method, and its primary goal is not to reduce body weight. It is important to have realistic expectations and an understanding of the procedure and potential outcomes. A qualified plastic surgeon will assess the suitability of liposuction during consultations and present the best options to achieve your desired results.

Can I undergo liposuction two or more times?

Yes, liposuction can be performed multiple times. However, it is essential to understand that liposuction is not a weight loss method and is intended for individuals who have reached a stable body mass and wish to remove isolated fat deposits.

Will I get stretch marks after liposuction?

In some cases, liposuction (specifically, rapid fat loss) can lead to excess skin on specific parts of the body. This is especially common for patients with reduced skin elasticity. Factors such as age, genetics, and overall skin health can affect the development of excess skin after liposuction.

Can liposuction remove stretch marks and excess skin?

Liposuction is not intended for the removal of stretch marks and/or excess skin.

Can liposuction cure diabetes?

Liposuction is primarily a cosmetic procedure and not therapeutic - it cannot cure diabetes or other metabolic diseases.

Is liposuction safe?

Like any surgical procedure, you must be aware of the possibility of complications and unwanted consequences. However, liposuction performed by certified professionals and plastic surgeons is considered a very safe procedure.

Can I get pregnant after liposuction?

Liposuction does not affect the reproductive system and carries no additional risks during pregnancy. However, liposuction is not recommended for pregnant women or those who plan to become pregnant soon - during pregnancy, the body undergoes significant changes, and the effects of liposuction could be negated.

Is liposuction considered a permanent solution for fat accumulation?

Liposuction is considered a permanent solution, but not an irreversible one, for fat accumulation. What does this mean? Liposuction mechanically removes fat cells from a specific area, but weight gain can restore the said tissue. Liposuction is not a method for quick weight loss and is recommended for individuals with stable body weight.

Conclusion

This article is intended to provide basic information about liposuction methods, the procedure, potential risks, and expected results of such interventions. Although liposuction is generally a very safe intervention, it is important that interested individuals are well informed about the indications, process, and risks of any surgical procedure. At Priska Med Clinic, we offer liposuction according to the most modern standards of the profession, and our experienced interdisciplinary team of experts guarantees the most pleasant possible recovery with top results.

If you are interested in liposuction or other interventions in the field of aesthetic plastic surgery, please contact us for FREE CONSULTATIONS:

📞 Call 099/444-3344

📧 Email at poliklinika@priska-med.com

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