LIPOSUCTION

What is liposuction?

Liposuction is a surgical operation to remove fat from under the skin.  It is also called suction assisted lipectomy, liposculpture.

Is it right for you?

Liposuction is best for removing fat bulges (rather than for weight loss)
It is most helpful around the hips but is useful for breasts, abdomens, buttocks, thighs, backs, upper arms and necks

Medical considerations?

Illnesses       Discuss at consultation
Obesity        Lose weight before liposuction
Medication  Discuss all medication at your consultation including ‘the contraceptive pill’
                        Avoid aspirin and non steroidal anti-inflammatories eg ibuprofen for 10 days before                         surgery
Smoking    Stop smoking 4-6 weeks before surgery to reduce complications

The operation?

Anaesthetic        General anaesthetic
                             Local anaesthetic – for smaller areas
Duration              varies with number of areas and amount of fat removed
Incision / scar     Short 6mm (1/4 inch) incisions, usually 2 for each area treated

Your recovery?

Hospital stay    Either day case or stay one night after surgery
Drains                Usually not required.
Dressings           Tape over the wounds
Stitches              absorbable (dissolving) / under the skin  (do not need to be removed)
Garment            Compression garment is worn for 4 weeks after the operation
Return to work   office type work 1-2 days for small area / 1-2 weeks for larger area
                               4-6 weeks    More active work
Driving                Not for 48 hours following a general anaesthetic by law
                              Not for 1-2 weeks typically,  less for small areas
Gym / swimming After 4 weeks gentle exercise. After 8 weeks full work out

What are the risks?

Most people are pleased with the results of their surgery and do not suffer significant complications.  However, all operations carry risks.  Serious, including life threatening complications are very rare.  Complications can result in the need for further surgery.

General complications are those that may occur with any operation and include:
Complications of the anaesthetic.
Complications or the surgery including bleeding, infection, wound breakdown, slow healing, poor scarring (red, thick, lumpy or stretched scars. Keloid scars).
Reduced mobility following surgery increases the risk of clots in the legs (deep vein thrombosis).  Clots can move the lungs (pulmonary embolus) where a large clot can be fatal).

Special considerations for Liposuction:
Over or under treatment of the fatty area leaving a depression or residual buldge.
Irregularities of the skin in the treated area may occur.  This is especially true for skin which has reduced elasticity.  Liposuction does not treat excess skin.
Skin necrosis (death of skin in the treated area) is a very rare complication.
There is evidence that fat enters the blood stream during liposuction.  Where the volume of fat removed is modest there is little evidence this causes significant harm.

Your new look and expectations

Liposuction is very successful at smoothing our fatty bulges.  However, individual responses to liposuction vary and so results can not be guaranteed.
End result depends on elasticity of skin.  As skin is not removed the skin may be looser.