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In the Spotlight

September 15, 2000

Liposuction: A Procedure To Improve Body Contour (Part 1)


By Michael McLaughlin, MD
PersonalMD.com Medical Contributor

Part 1 of 2

Sometimes even exercise and a healthy diet won't take away the excess area of fat. Don't worry; you're not alone with this problem. In 1998, more people turned up for liposuction, as more than 170,000 procedures were performed in the U. S. alone. Maybe it's time for you to learn more about liposuction.

Liposuction or suction assisted lipectomy is a technique to remove deposits of excess fat from specific areas of the body. Many areas can be treated, most commonly the chin, neck, abdomen, hips and thighs. The goal of liposuction is to improve body contour, not to produce weight loss.

Healthy people with relatively normal weight but with pockets of excess fat in particular areas are the best candidates for liposuction. Having a firm, elastic skin that will reshape to the body's new contours will usually provide a better result. Liposuction alone will not improve the dimpled skin known as cellulite.

The media has prominently portrayed the risk of serious complications resulting from liposuction procedures in recent years. Problems such as blood clots, injury to vital structures, respiratory distress and even deaths have been reported. Although such problems are rare, they remind potential patients that liposuction is an operation that can have serious complications. Liposuction is a generally safe procedure when well-selected patients have the surgery done in a safe and reputed setting by a qualified plastic surgeon.

Occasional problems with fluid accumulation, skin damage, pigmentation and contour irregularities can arise. These problems sometimes require a second procedure. Infection and excess fluid loss can also occur. Some numbness frequently occurs but most often resolves within three to six months.

People considering liposuction should do some background research on the operation and then seek out a qualified plastic surgeon. Only an experienced plastic surgeon can fully assess the patient's health, the location of the fat deposits and the skin tone to determine whether someone is a good candidate for surgery. Alternative body-contouring methods that may be more appropriate such as abdominoplasty ("tummy tuck") can also be discussed. The best options or combination of options should be always discussed with the surgeon. Patients should also reassess their own expectations and discuss them with the surgeon because they impact upon postoperative patient satisfaction.

Where a liposuction is performed is determined by many factors, including patient health issues and the type of anesthesia required. Some procedures can be done under local anesthesia with minimal patient discomfort and are usually safe in a office setting. The majority, however, require some form of sedation and occasionally general anesthesia. An outpatient setting such as an ambulatory surgery center can be ideal for such procedures. Patients are generally pleased with the convenience and reduced cost of such facilities. Overnight hospitalization is generally not necessary, except in cases where a large volume of fat is removed or in patients with additional medical concerns.

Liposuction usually takes between one and two hours, but can vary widely depending on the areas and amounts to be suctioned. The incision sites and areas to be treated are marked pre-operatively. Incisions are made 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 vacuum. The surgeon manipulates the cannula within the fat layers under the skin, breaking up the fat and suctioning it out. Usually multiple incisions are used for suction of the fat from each area.

During the operation, patients lose fluid in an amount determined by the total aspirated volume of the fat and the technique used. It's crucial that this fluid be replaced to prevent dehydration. Fluids are administered intravenously in the operating room and recovery room. Patients are asked to continue drinking fluids even during the post-operative period.

Most of the patients are very satisfied with the final results of their liposuction, as they feel more comfortable in a wider variety of clothes and more at ease with their bodies.


Click here to read Part 2




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