Liposuction is now the most popular cosmetic surgical procedure in America. This should come as no surprise given the growing disillusionment with the “fad” diets that are presently available. If you are like most patients, you have tried one or ten of these “fad” diets with very little success. In addition, you have exercised to the limits of what your children and or schedule will allow.
What most people don’t realize, is that there are certain privileged areas of fat that are generally the first to develop and the last to go with diet and exercise alone. The most common areas include the lower belly (the pooch), the waist (love handles), and the hips (saddle-bags). Other areas include the chin and neck, the knees, and the inner thighs.
Recent advances in liposuction have led us to routinely perform what is referred to as the “Tumescent” technique often combined with the Ultrasound Assisted Liposuction Technique. The Ultrasonic Liposuction technique is a state of the art technique which uses ultrasonic energy to “melt” and liquefy the fat prior to its removal. The technique allows a more controlled removal of fat from affected areas. It is also thought to provide a more effective tightening of the overlying skin.
The Tumescent Technique refers to the delivery of highly dilute anesthetic and epinephrine-containing solutions into the treated areas before the liposuction begins. The technique allows the procedure to be performed with dramatically lower blood loss (therefore safer); and because the solution contains an anesthetic, discomfort after surgery is significantly reduced.
Most patients are back to work in 7 to 10 days. Bruising and swelling take 4 to 8 weeks to improve. An abdominal binder is required for 6 weeks. The first postoperative visit is a day after your procedure. Pain is moderate to severe in the first 2 to 3 days. Pain medications and antibiotics are prescribed. Exercise except for walking is discouraged for 6 weeks. Incisions are generally closed with absorbable sutures under the skin… there are no sutures to be removed. Contour irregularities should are the norm and should be expected. Numbness can last up to a year. The scars normally take about a year to mature.