What is Liposuction?

Liposuction is a cosmetic opera_on which can be combined with Brazilian butt lift surgeries as well. Fat accumulation in different parts of the body can occur as a result of bad nutritional habits, aging, genetics and many other factors. If you have a regular diet, exercise and have trouble losing weight in certain areas, liposuction may be a suitable option for you. Liposuction is not a weight loss method; it aims to improve and shape the current state of your body. This surgery can be applied to both men and women. Your surgeon will listen to your expectations after taking measurements of your body and will tell you whether liposuction surgery is a suitable for you or not. As in all kinds of operation, liposuction can only be considered suitable for individuals who do not have serious medical issues.

The process of absorbing the unwanted fat by a medical device that has a suction function through a special hollow cannula is called liposuction. It is applied under general anesthesia, so the patient does not feel anything. Sometimes the removal of very small amount of fats can be done under local anesthesia. Fat removal, also known as liposuction, means absorption of fats.

Lipo Shaping, Lipoline, Liposoft, Lipoplasty and Liposculpture have the same meaning as this operation. Apart from these, processes such as bodyshaping, bodycounturing and lipofilling can be performed together with the fat removal processes. All these operations have the same process: Liposuction. Fat removal is not a slimming operation. With the application where the excess fat is removed, the patient achieves a more fit look. The liposuction surgery, may not be suitable everyone. After the examinations and tests to be performed, the surgeon decides whether the patient will be suitable for the procedure or not. While thin cannulas penetrate to the body, a vacuum system with the feature of applying negative pressure is activated by removing the excess fat. The cannulas entering the body are hollow and have lots of tubular holes. Half-centimeter incisions are applied to the areas where the fat is targeted which will be sufficient for successful fat removal. With the help of the negative pressure system, the fatty tissue that disrupts the contour is successfully removed. The fat removal process should be carried out in a hygienic environment. In certain cases, the fatty tissues can be used to increase volume in different regions. This is called Brazilian Butt Lift (fat transfer from the fatty areas to the buttocks). 

Who Can Have Liposuction Surgery?

There is no restriction of gender for the fat removal process. It is a method applicable both to women and men. In terms of application, Liposuction is applied to men and women differently. Since the fats are stored in different regions in men and women, the areas to need to be treated are different. This is one of the most critical parts of the Liposuction process. The length of the cannula to be applied is decided according to the region where the fat will be removed.

The steps and the whole process is the same in all type of fat removal surgeries. Liposuction is an effective method to be used especially where the stubborn fat is mostly contained. It is not quite right to apply liposuction to the patients who have skin laxity. Also, Liposuction should not be applied to those who have diseases such as diabetes and high blood pressure and also who have delayed wound healing issues. At the same time, it is possible to combine the liposuction operation with other aesthetic procedures. It is frequently combined with abdominal stretching procedures like tummy tuck surgery.

Is Liposuction Harmful?

Liposuction is not considered as a risky procedure unless the patient has a serious illness such as heart disease, hypertension and diabetes. The risk of anesthesia is also low, as this surgery is generally applied to relatively young patients (under 45 years old) and around normal weight. (In some specific cases, anesthesia can cause dangerous issues as well) The occurrence of a serious risk would be fat embolism, which is often observed in overweight patients or patients with chronic diseases. On the contrary to these rare conditions, Liposuction surgery is not considered very risky.

A number of complications may occur after all operations, including cosmetic surgeries as well such as:

  • Complications related to the anesthesia procedure
  • Bleeding, hematoma (subcutaneous blood accumulation)
  • Infection
  • Complications that can be seen in patients with chronic heart, lung diseases, diabetes
  • Embolism (Fat embolism is a complication most often seen in long bone fractures)
  • Folds on the skin surface, irregulation
  • Looseness of the skin not getting enough self-recovery (It is a condition observed in the abdominal region, especially in post-menopausal women)
  • Skin loss due to insufficient functioning of the veins (It is very rare. Particularly in patients who smoke)
  • Loss of sensation in the skin (Generally temporary)
  • Skin burn (It is a rare complication due to the heat arising in ultrasonic liposuction)
  • Perforation of the abdominal wall (Especially women who have given birth, may occur during the fat removal process of the abdominal region in patients with hernia. Preoperative diagnosis of such patients is very important)

Recovery Process of Liposuction

The most important issue after the fat removal process is to ensure the tension of the fat removal area and to adjust the pressure to that area. In the case of fat removal from the abdomen and chest area in men, they should not sit and walk in a hunched position during the acute recovery period. In order to prevent the formation of folded adhesions, hunched si ng and walking positions are not recommended during the recovery period. After the procedure, the patient should try to sit upright and try lie on a flatbed for first 4 to 7 days. The corset that will be applied after the procedure should be used for 3 weeks minimum. The corset garment has a vital role in the recovery process. The corset provides healing by pressuring the liposuction applied area and it is a must-have during the healing process.

Going back to daily life varies according to the application area. When liposuction is applied to the abdominal area, it can take up to 4 to 7 days. If the abdomen and legs are combined, it would be around 7 to 10 days. As you one can understand, the recovery periods are similar to each other, but they can have different durations.

After the corset is removed, bruises can occur in the area. This is normal and common. These bruises can disappear between 7 and 10 days or can take longer depending on each specific patient. In the first 7 to 10 days after the procedure, a darker bruised look may appear, it fades away in time. After these healing process is completed, the patient will get a more fit look. In some cases, numbness can be observed in the applied areas. The reason for this condition is edema in the body and will disappear over time. In order to ease the pain that will arise after the procedure, the painkillers recommended by the surgeon should be used. After the procedure, you can take a shower with warm water from the 3rd post op date. Swimming, tanning and other active sports, where the abdominal area is used, varies between from 1 to 2 months. Slow cardio exercises are allowed from the second week post surgery. You can fly back home 5-7 days after the surgery.

Liposuction Techiques

Liposuction surgery can be performed under local anesthesia for minor areas. However, for larger areas, general anesthesia is more suitable for the patient’s comfort. Generally ‘tumescent’ liposuction technique is preferred.

Nowadays, there are different liposuction techniques are used:

Classic Vacuum Assisted Liposuction

This technique is the most preferred and ideal technique in young patients with good skin quality. In the first step, holes smaller than 1 cm are created, and in the second step, the fat in the desired area is sucked out through cannulas from these holes. The distance between the incision and the removal of the fat area should be appropriate, it is preferred to create incisions from areas such as bikini area where the incisions can be hidden.

Laser Assisted Liposuction

This technique consists of 4 steps. Step 1 and step 3 are exactly the same as conventional vacuum-assisted liposuction. In the second step of this technique, the fats are melted with laser energy. In its third step, it is sucked out with classical vacuum-assisted liposuction. In its last and most important step, laser is used to tighten the skin and subcutaneous tissues. 

Ultrasound Assisted Liposuction

This technique consists of 3 steps. In the second step, the fats are melted with ultrasound energy. In the last step, it is sucked out with vacuum assisted liposuction system. 

Vaser Liposuction

In Vaser liposuction system, ultrasound energy is used. The fat cells are separated from the other vascular and connective tissue cells by shaking, then it is aspirated. Standard application may be preferred for removing the fatty tissues that are broken down. In Vaser liposuction, because ultrasound energy separates the cells, it can draw more amount of fat, causing less damage to other structures. It is known that this is more effective for some level of laxity in the skin, and helps healing the skin better. The biggest advantage of Vaser liposuction method is, it provides convenience to the doctor, and more fat removal. There is also information that it helps tightening the skin a little better because it helps repairing collagen production. After the operation, corset is provided and and massage treatment can also be adviced 1-2 weeks after surgery.

Liposuction for Men

The number of men who are considering having liposuction performed is increasing rapidly. Liposuction is the second most common plastic surgery performed for men after rhinoplasty surgery. Men usually want to get rid of the fat in the abdominal area. In males, it is most commonly seen around the navel hole and on both sides of the waist called flanks. After the belly fats are removed, a remarkable improvement is achieved in this belly region. Secondly, Gynecomastia can be performed where the male breast has excess fat. This excess fat may be caused by hormonal factors or medication that were used. While the mammary gland tissue can be surgically removed, the remaining fatty tissue of the breast can be removed by the liposuction method. 

It is also known that post-operative skin laxity adaptation is better in men and the probability of irregularities in skin is less, since male skin is thicker than female skin.

Liposuction in different parts of body: Liposuction areas for men and women can differ. However, in order to get rid of the excess fat in the hip area, it is more logical to have liposuction after having perfoming hip exercises with the help of a fitness coach. Abdominal exercises will also prepare the belly area for fat removal (liposuction).

  • Hips – Abdomen and waist(belly)
  • Inner and outer thighs
  • Inner knees
  • Neck
  • Arms
  • Jowl 
  • Chest (Male) 

There are other areas in the body where liposuction is either rarely or never applied by the surgeon:

  • Calves 
  • Gluteal region (butts) (It may be preferred if there is excessive protrusion and asymmetry in the gluteal region)