Suction-assisted
lipectomy – also known as liposuction, is a technique to remove
unwanted fat deposits from specific areas of the body, including the
chin, neck, and cheeks; the upper arms and above the breasts; the
abdomen, buttocks, hips, and thighs; and the knees, calves, and ankles.
Liposuction is a method of removing localized fat that doesn't respond
to dieting and exercise.
Suction-assisted lipectomy usually takes
an hour or two, but the time required may vary considerably – from
thirty minutes to several hours, depending on the area and amount
suctioned. Our board-certified anesthesiologists use the technique of
conscious sedation, allowing a safe and comfortable environment to
proceed with your surgery.
To begin the procedure, our surgeon makes
very small incisions; just large enough to allow the insertion of a
hollow tube called a cannula. The opposite end of the cannula is
attached to a machine that creates a strong vacuum. The surgeon
manipulates the cannula deep within the fat layers under the skin,
breaking up the fat and suctioning it out. Usually, only a few sutures
are needed to close the incision.
After the surgery, a snug elastic
dressing or body stocking must be worn over the treated area to control
swelling and to help your skin shrink to fit your new contour. You will
need to wear this garment continuously for two to three weeks, then just
in the daytime for a few weeks more, depending on your surgeon's
instructions.
Ultrasonic-assisted
lipoplasty, commonly
known as "UAL", is a relatively new liposuction technique that
uses sound waves to "liquefy" unwanted fat. UAL can be an
effective tool for removing fat from fibrous body areas, such as the
male breasts or the back, or for removing larger volumes of fat in a
single procedure. Often, traditional liposuction is performed with UAL
to help shape UAL-treated areas or to treat areas of the body not suited
for UAL, such as the neck and inner thighs.
To begin the procedure, salt water
containing local anesthesia and adrenaline is introduced into the area
to be treated. Then, a metal cannula connected to an ultrasound
generator is inserted beneath the skin through a small incision. The
ultrasonic energy causes the walls of the fat cells to break down,
allowing the fat to flow out of each cell. The "liquefied" fat
combines with the injected fluid to create an emulsion, which is removed
from the body by vacuum pressure.
After surgery, you will likely experience
some fluid drainage from the incisions. Again, to help control swelling,
you may be fitted with a snug elastic bandage or compression garment to
wear over the treated area. The bandage or garment is typically worn for
up to four weeks, to help your skin shrink to fit its new contour.
Traditional liposuction or
ultrasonic-assisted liposuction is a highly effective technique for
giving you a new body contour with very little scarring. The results can
be permanent, providing you eat sensibly and exercise regularly. Even if
you do gain weight, you probably gain it more uniformly throughout your
body, not just in the former "bulges".
You will see a noticeable difference in
the shape of your body quite soon after surgery. However, improvement
will become even more apparent after about six weeks, when most of the
swelling has subsided.
Most patients are very satisfied with the
results of their liposuction. They feel more comfortable in a wide
variety of clothes, and more at ease with their bodies. As long as your
expectations are realistic, you should be happy with your new shape.