Liposuction

Liposuction in India is a popular surgical procedure for removing fat from particular areas of the body. If you are considering liposuction surgery its very important for you to know if you will be suitably benefitted by this surgery.
There are three main categories of people who seek best liposuction surgeon India

Contrary to common perception these are the best candidates for liposuction.

Ideal candidates for liposuction in India:

• Men and women of normal weight who mainly want to improve their body shape and contours.
• People with fat deposits that are “trouble areas”, where exercise and diet seem not to have any effect, like love handles, abdomen, hips, arms.
• People with good elasticity in their skin, so when the fat is removed, they will achieve a smooth appearance.

Safety: Safe
Results: Permanent

Those who are 10 to 50 percent above their normal weight, with fat everywhere but relatively excessive in one or two body parts like hips, abdomen, thighs. These body parts can be selectively liposuctioned to bring in harmony with rest of the body.
These people seek liposuction because they are unable to get back in shape with their diet and exercise or they have a short-term slimming target in a few months for some important event.

Safety:
Liposuction of fat from one or two areas at a time with limited fat removal is safe.

Results:
Results will need to be maintained. If the basic reason for weight gains like unhealthy diet and sedentary lifestyle remain then the fat is bound to reaccumulate. Results are long lasting and can even improve if a person adopts a healthy lifestyle.

Those who are 30 to 100 percent or more above their ideal body weight are not good candidates for liposuction. These people have bulges everywhere, and sometimes they suffer from obesity-related conditions like high blood pressure, diabetes, and hypercholesterolemia. They want liposuction for weight reduction. This group does not benefit from liposuction even though liposuction is possible.
Safety:
Liposuction is not meant for losing weight from the overall body. Expecting to lose more than 6 to 7 kgs of weight by liposuction can be risky.
Results:
Poor, because the limited amount of fat that can be removed in one sitting will not give a satisfactory look. Unless they change their lifestyle drastically fat will come back.

• Anaesthesia: General / Local
• Surgery Time: 1-3 hours
• Hospital Stay: Discharge same day or next day
• Stitches: Usually none
• Recovery: Walking and dinner same day. Recovery depends on how much fat was removed and from which part
  • Self Care: Getting dressed, combing hair, eating: Day of surgery
  • Preparing tea, heating food: Next day
  • Work: Cooking, dusting, light household work: 1 week
  • Driving, desk job: 1 week
• How is it Done: Areas of fat deposits are marked. After giving anaesthesia, those a few 3 to 4 mm size cuts are made around the area, and tumescent fluid is injected into the fat through the holes. Later with hollow metal cannulas (tubes) with holes near the tip are passed through the same holes into the fat (Under the skin and over the muscle). The cannulas are attached to a liposuction vacuum machine through a plastic tube. Due to the powerful suction of the machine and to and fro movement of the cannula, fat is broken down into small pieces and is sucked out into the jar attached to the machine in liquid form.

STEP ONE: CONSULTATION
During the consultation, you can talk to Dr Priti about the parts of your body you want to be liposuctioned. If you want many areas of the body to be treated, then she can help you select 2 to 3 most important areas that can be treated in one sitting and you can have the rest of the areas done in another sitting. You can also find out how much fat can be removed in one sitting.

You can see the representative clinical pictures of patients to satisfy yourself about the procedure and ask any questions regarding the results, and possible risks of the surgery.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications. It is important for you to provide complete information. You will be asked about your lifestyle and pattern of weight gain/loss.

Routine diagnostic tests to assess your fitness for surgery and anaesthesia will be ordered.

STEP TWO: PREOPERATIVE EVALUATION
Once you have decided to undergo liposuction surgery, you will be evaluated for your fitness for anaesthesia and surgery by Dr Priti or if necessary by the anaesthesiologist. Your diagnostic test reports will be studied. Dr Priti will examine you taking measurements and clinical photographs for your medical record.

You will sign the consent forms and will be given detailed preoperative instructions in writing.

STEP THREE: SURGERY
You report at the hospital on the morning of surgery. Before taking you inside operation room part to be liposuctioned will be marked with you standing to shape them to the desired size. The operation is under general or local anaesthesia or a combination of two, and it is a pain-free.

STEP FOUR: AFTER SURGERY
After surgery, there will be gauze padding and compression garment on the operated part. You can drink water after 4 hours and have some snacks afterwards if you had general anaesthesia and sooner in case of local anaesthesia. You walk and have normal dinner on the same evening.

STEP FIVE: RECOVERY
You will need some assistance initially. Many people light work in a week’s time. By the end of one month usually, you are feeling quite normal and ready to resume all normal activities.

At what age can I go for liposuction surgery?

Usually 18 years. Old age is no bar if the patient is fit for surgery.

How is Liposuction surgery performed?

Areas of fat deposits are marked. After giving anaesthesia, a few 3-4 mm size cuts are made around the area, and tumescent fluid is injected into the fat through the holes. Later with hollow metal cannulas (tubes) with holes near the tip are passed through the same holes into the fat (under the skin and over the muscle). The cannulas are attached to a liposuction vacuum machine through a plastic tube. Due to the powerful suction of the machine and to and fro movement of the cannula, fat is broken down into small pieces and is sucked out into the jar attached to the machine in liquid form.

What parts of the body can be treated by Liposuction?

Commonly treated areas are:

• Cheeks, jowls and neck
• Upper arms
• Breast or chest areas
• Back
• Abdomen and waist
• Hips and buttocks
• Inner and outer thighs
• Inner knee
• Calves and ankles

How many areas of the body can be treated simultaneously?

Two or three areas can be combined safely provided the overall fat to be removed does not exceed the safe limits. Combining more areas proportionately increases the surgery time and overall recovery time. If the person is more than 8 kilos overweight, it makes sense to concentrate on one or two areas like abdomen and thighs for example, rather than to remove little from many areas.

What is the safe upper limit for fat removal by liposuction in one sitting?

ASAPS (American Society of Aesthetic Plastic Surgeons) and several other world authorities recommend fat removal equivalent to 5-8 percent of body weight as an upper limit. That means five kgs can be safely removed from a 60 kilos person and 8 kilos from a 100 kilos person.

Removal of more fat is occasionally done if the person is perfectly healthy and is willing to accept higher risk. This can be done only in a hospital with ultramodern support systems.

Liposuction of 500 ml or more fat is a major surgical procedure and is safe when done by a qualified person in a hospital with good anaesthetic and ICU facilities. In the absence of the abovementioned, even smaller liposuction can be risky.

Are there scars after liposuction surgery?

The small 3 to 4 mm cuts used for liposuction are made in hidden areas. Therefore scars are not a big concern. A spot like marks lightens with time.

I understand that every surgical procedure has risks, what are the possible risks of liposuction surgery?

Fat is superficial, and liposuction is relatively safe surgery. Bleeding, infection and reactions to anaesthesia are some risks common to all surgeries. Uncommonly there can be asymmetry, depressions, waviness, pigmentation prolonged numbness after surgery. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

Safety of liposuction is dependent on:

• The amount of fat Removed: Fat removal within 5-8 % of body weight in a single sitting is considered safe.
• Person’s Health: In people with diabetes/hypertension and other risk factors more precautions are required.
• Training of Surgeon: Qualified plastic surgeon trained in liposuction is recommended.
• Hospital Facilities: Complete monitoring is recommended. Larger the liposuction more the facilities needed, including ICU facility in the hospital.

How will I look and feel right after surgery?

Liposuctioned parts are covered in padding for two days. Liposuction holes are left open usually, and there is a discharge of bloodstained fluid which is soaked by padding. If needed you can change the padding. You will be wearing a stretchable tight garment on the operated part. Your dressings will be changed after two days in the doctor’s clinic. You can have a shower from the 4th day after surgery and can remove your dressings and wash your whole body. You will be given instructions about self-dressing at home after bath everyday. Initially, you will notice liposuctioned part to be swollen and sometimes with black and blue patches. The liposuctioned part may also feel numb and tender. You will wear a support garment for 4-6 weeks until the swelling and discoloration diminish. There are no stitches.

• Normal Food: Same day
• Dressing Change: After 48 hours
• Bath: 4th day
• Pain: 1 week (Relieved with Painkiller Medications)
• Self Dressing: For ten days
• Skin Discoloration: 2 -3 weeks
• Swelling: 1 month
• Tenderness: Mild for 1-2 months
• Support Garment: 6 weeks or more
• Numbness: weeks or months

What result can I expect after liposuction?

If you had any bulges showing through your clothes they flatten and your body looks streamlined. You can get a flat abdomen if your abdominal muscles are strong. You will loose inches at the liposuctioned part, and the rest of the body will remain the same. You also loose weight equivalent to or less than the amount of fat liposuctioned.

When can I see the final results?

Liposuction cuts are few and small and heal in a week, but internal healing after liposuction goes on for months. The fat that is broken and removed is gradually replaced with tough fibrous tissue which shrinks over next 3-6 months. The improvement in inches is nil in first two weeks, 30-40 percent in one month and 90 percent in 3 months and 100 percent in 6 months.

What changes can I expect in my body during healing period after liposuction?

• First 15 days: Tenderness, numbness, swelling, bruising and no significant improvement in your size. Soreness of muscles on movement.
• 15 days to 1 month: Clothes become looser, skin looks normal in colour, you can feel hardness and lumps if you press the liposuctioned part. Numbness persists. During this time you may feel occasional discomfort and pain, especially after exertion. You can take care of that by a painkiller pill and rest.
• 1 to 6 months: Numbness, hardness gradually returns to normal. Further reduction in inches and size up to 6 months provided you maintain a healthy lifestyle by regular moderate exercise and healthy diet.

What is the best time to buy new clothes after liposuction?

You should wait for at least six weeks.

Are there methods available to reduce the scarring?

Scars can be improved by anti-scar creams, gels prescribed by your doctor.

How long will the results last?

Results are permanent if you maintain your body weight by sensible lifestyle.

Click here to view the article on maintaining liposuction results.

How long do I need to see the doctor after Liposuction?

You will return to the clinic for follow-up care at prescribed intervals, usually two days, two weeks one month and three months later. At these visits, your progress will be evaluated, and minor problems are taken care of. You are not charged for follow-up visits after surgery till one year.

Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery or need additional information at a later time, you should contact Dr Priti.

I have heard about anti-cellulite creams/massages/machines/exercises/sauna belt that can remove localised fat from any body part. Do they work?

If they could work, no one would have opted for liposuction.

What is injection lipolysis? I have heard it can remove fat without surgery?

Injection lipolysis technique uses a chemical substance which can be injected into the fatty deposits and is said to dissolve fat. Only very small fatty deposits can be treated by this, and multiple sittings are required. This technique is not as popular as liposuction due to its limitations.

Can fat be removed without surgery by external application of ultrasound waves?

Such machines have recently come into the market, but their results are not proven. Multiple sittings are required.

What is Ultrasonic Liposuction?

Ultrasonic liposuction cannula emits ultrasound waves. Which helps in breaking down the fat. Currently, this equipment is out of vogue because of increased complications reported with its use.

What is Tumescent Liposuction?

In tumescent liposuction, a special fluid is injected into fat before sucking it out. Advantages are less bleeding and easier liposuction. It can also be used to give local anaesthesia. Modern liposuction always involves the injection of fluid before liposuction.

Are there any side effects of Liposuction that are seen later in life?

No.

Does Liposuction of abdomen cause problems with pregnancy in future?

No.

Does the fat come back after Liposuction?

Liposuction breaks the fatty tissue mechanically, which is taken out of the body and discarded. It will not come back if you maintain a healthy lifestyle.

I am 75 kgs, and I want to lose 15 kilos of weight. Can I have liposuction done?

Yes, you can have liposuction done but remember, liposuction is not a good option to loose all that weight. You can choose one or two areas and get 6-7 litres (kilos) of fat removed in one sitting. Then either you can take care of the remaining weight by diet control and exercise or can go for another sitting of liposuction after 2-3 months. If you are not able to follow a healthy lifestyle and that is the reason for your obesity, you will have to carefully consider the possibility of your weight coming back.

Is Liposuction a major surgery or minor?

Even though liposuction cuts are small and there are no stitches, liposuction is in every other way like any other major surgery. Removal of fat causes trauma to tissue under the skin in the area liposuctioned and that part takes the time to heal from inside. Liposuction is usually done under general anaesthesia. Even if liposuction is done under local anaesthesia it is not a minor surgery.

ARM LIPOSUCTION

My arms are disproportionately fat. I have tried arm exercises but could not reduce my arms. Can liposuction of arms help me? Will my arms become same as before if I put on weight later?

Exercising a certain body part will not remove the fat from that part. It just tones those muscles. If you lose weight by diet and exercise the fat will be lost uniformly from the body. If there is the relative excess of fat in your arm that excess is likely to persist. In fact, some of the lean people have fat arms. Excess fat can be removed through small concealed holes from your arms by liposuction under local or general anaesthesia. This will bring your arms in harmony with the rest of your body. After liposuction, if you put on weight at a later date the arms will not put on weight more than the rest of your body.

How much rest do I need after arms liposuction?

You can go home after surgery. You will have an elastic garment on your arms which you will have to wear for a month. It can be hidden inside long sleeves. You can join back work light in 4-7 days. Swelling disappears in 4-6 weeks. Arm exercises can be done after one month.

Is my arm skin going to sag after fat removal?

Skin quality can be assessed before surgery. If the skin has reasonably good tone, it will shrink. Special cannulas and techniques can be used to minimise the risk of sagging. If there is sagging and stretch marks already and if you are older with thinner skin, there is a chance of sagging. If sagging occurs, then three months after liposuction, excess skin can be removed through a cut in the armpit.

What is arm lift?

An arm lift is sometimes needed for sagging arms after massive weight loss. Liposuction alone will not help because there is excess skin, which is removed through a cut in the armpit or down the arm.

THIGH LIPOSUCTION

I am slim, but my thighs have bulges that look awkward in jeans. Trousers that will fit around my thighs are too loose at my waist. I have tried everything else. Can liposuction remove the bulges permanently?

Yes, liposuction can remove those bulges and give you permanent results.

How much rest is required after thigh liposuction?

You can go home after surgery if the fat removal is limited. You will have an elastic garment on your thighs which you will have to wear for a month. It can be hidden inside trousers. You can join back work light in 4-7 days. Swelling disappears in 4-6 weeks. Leg exercises can be done after one month.

What is a thigh lift?

A thigh lift is sometimes needed for sagging thighs after massive weight loss. Liposuction alone will not help because there is excess skin. Thigh skin is lifted up and removed along with liposuction.

FACE AND NECK LIPOSUCTION

My lower face is heavy, and I have a double chin. I would like a well-defined jaw line. Can I get my face liposuctioned?

Yes, liposuction can help you achieve your goals without visible scars.If you are over 40 and have a lot of loose skin, you may require skin tightening as well facelift.

How much rest is required face/neck liposuction?

You can go home after surgery. You will have elastic chin strap which you will have to wear for a month. You can join back work light in 4 to 7 days. Swelling disappears in 4 to 6 weeks.

Are there any risks of liposuction of face/neck?

There is a very small risk of injury to certain branches of facial nerve resulting in temporary drooping of the lower lip. This is uncommon and usually temporary.

ABDOMEN LIPOSUCTION

I am 30 years old male. I exercise regularly but still can’t get rid of fat on abdomen and love handles. Can liposuction give me flat abdomen? Is it going to be permanent?

By liposuction, fat deposits can be removed, and if you continue to maintain your present lifestyle, the result will be permanent.

I have two children, and since then my tummy is bulging. I want to get back into shape. Can I have liposuction of tummy?

After childbirth usually, there are stretch marks and skin as well as the muscle of abdomen begin sagging. There is excess fat too which can be removed by liposuction. You will need to get the excess skin and muscle tightened by additional tummy tuck procedure if you want the best results.

Someone I know has had liposuction done, but still, he looks obese. Has liposuction failed?

If the very small amount of fat is removed from an obese body, the difference is unlikely to be noticeable. Also if the person’s lifestyle is unhealthy- no exercise, excess food, then he may not maintain results. All this can be assessed before surgery and removal of an appropriate amount of fat from the right places is very important.

I am 26 years old male, 5′ 8″ and weigh 110 kgs. I have been overweight since childhood, but only now I am feeling problems of knee joint pain. Recently I have developed high blood pressure also. I have been asked to lose weight, but I am not able to. I want to have liposuction done and remove 30 to 40 kilos of weight. Can it be done?

You are grossly overweight. Liposuction is not a method to lose weight. In your case even if 7-10 litres of fat can be removed from your abdomen in a sitting but then you will need 3-4 sittings. If you are not able to lose weight at all, then it is unlikely that you will be able to maintain the results of liposuction. With your sedentary lifestyle and inability to control diet, fat may come back. Any surgery (including liposuction) in obese people is associated with more than usual risk. The best option for you is to lose weight mostly by exercise and diet control and after you have lost at least 10 kilos then supplement it with one sitting of liposuction, followed be weight loss on your own again. Liposuction is not a shortcut to good health.

CHEST LIPOSUCTION

I am 22 years old male. My chest is very prominent (like females). Can liposuction remove all that fat? I have tried losing weight, but there was no reduction in my chest?

Your condition is called gynaecomastia where your breast gland is enlarged. Liposuction can partially reduce the chest, but usually, additional removal of the firm gland is required by gynaecomastia surgery.

BREAST LIPOSUCTION

I am 20 years old female. My breasts are too big. Can I reduce their size by liposuction?

Breasts are not pure fat. There is harder gland part also which can not come out in liquid form through liposuction cannulas. Therefore only small reduction is possible by liposuction. You should consider the option of breast reduction surgery.

After having two children, my breasts have become very small. I also have excess fat around my waist and thighs. Can I have liposuction done and have that fat injected into my breasts?

Liposuctioned fat can be injected elsewhere. Silicon Breast Implants are the most reliable and safe method of breast enlargement, and that is always the best option. The second option of fat injection is not very popular because all the fat that is injected does not survive and the ultimate size may be smaller than you need.