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Liposuction (tumescent technique)

Liposuction is a common, and most popular procedure that allows the plastic surgeon to remove undesirable, subcutaneous fat through a small cannula.

Since its introduction in France in the early 1980's, there have been many refinements to the technique, including the use of thin cannulas with low pressure vaccuum, tumescent fluid, and the thinner, lighter post-operative garments.

These modifications have made the procedure safe, reliable and comfortable.

Surgical technique

  • Most cases are done under general anesthesia. However, small area in some cases can be treated with local anesthesia and sedation.
  • Only tiny incision not more than 0.5 cm is needed to reach all the areas to be treated.
  • The tumescent technique is used to expand the fat tissues with fluid designed to reduce blood loss and increase body-contouring precision.
  • The fat tissues are removed by using the small canulas, attaching to low vacuum and passing into the fatty areas through a tiny incision. This technique reduces the risk of rippling and dimpling. It also results in less post-operative swelling and discomfort.
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  • The procedure may take an hour or more depending upon the extent of the area being treated.
  • Postoperative pressure garments are applied to the treated area.
  • Note:   The best results with Liposuction occur in people with fat deposit at specific locations and with good elastic skin condition.

    Liposuction works best on the hips, buttocks, outer thighs ("saddle bags"), lower abdomen and waist.
    Patients with loose or sagging abdominal skin are not good candidates for Liposuction. They may need to undergo procedures such as Tummy tuck to remove the excess skin.

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    Recovery after liposuction

  • The day after surgery you should be up and walking around. Increase your activities daily until full activities are resumed at 2-4 weeks.
  • The first week you will experience some swelling, special garments will be provided to apply pressure following surgery. This minimizes swelling and provides support while healing.
  • You may experience bruising, numbness or burning sensation in the treated area. These symptoms are almost always temporary.
  • Possible complication

  • Asymmetry or contour irregularity or rippling:

    It can possibly occur if the procedure is done with the high pressure vaccuum especially in the superficial area. The refinement of technique using tumescent fluid with low pressure vaccuum significantly eliminates these undesirable outcomes.

  • Infection:

    Though they are rare, risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size that require longer operating times.
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