Liposuction is cosmetic surgery‘s most misconceived procedure. Mr Shailesh Vadodaria discusses what it can really achieve, the equipment, and who makes a good patient Liposuctionis a technique that re-moves unwanted deposits of fat from specific areas of the body including under the chin. the upper arms. trunk. abdomen. Buttocks, hips and thighs. knees and occasionally the calves and ankles. Plastic surgeons also call liposuction lipoplasty or liposculpture. Liposuction is not a substitute for weight reduction but is a method for removing localised deposits of fatty tissue that do not respond to either diet or exercise. Liposuction may be performed as a primary procedure for body contouring or may be combined with other surgical techniques such as a facelift. an abdominoplastyor thigh lift.The aim of combining these procedures is to tighten loose skin and supporting structures. The best candidates for liposuction are individuals of relatively normal weight who have excess fat in a particular area. Having ﬁrm elastic skin will result in a better final contour after liposuction. Hanging skin will not reshape itself to the new contours and may require additional surgery for removal and tightening. Body contour irregularity due to structures other than fat cannot be improved by liposuction: on its own liposuction will not improve cellulite. Liposuction is not usually recommended for individuals with heart or lung disease. poor blood circulation or patients who have recently had surgery near the area to be suctioned. There are numerous ways to remove fat from underneath the skin. Basically. Fat cells are broken down by mechanical force, lasers, ultrasound energy or water jet.
- Suction-assisted liposuction (SAL is performed by inserting a cannula through a small incision. The cannula is passed back and forth through the fatty deposits and is attached to a vacuum pump that sucks out the fatty tissue.
- Energy-assisted liposuction techniques were developed to reduce tissue injury and downtime post-operatively. It has been claimed they improve soft-tissue tightening.
- Power assisted liposuction (PAL) advances SAL. adding vibrations to the cannula for a faster and smoother procedure. An objective of PAL is to reduce tissue trauma so that there is less post-operative swelling. pain and bruising.
- ln laser-assisted liposuction (Smart lipo). fat cells are blasted with a thin laser wire probe. The liqueﬁed fat is removed from the area by lymphatic and venous circulation and metabolised in the liver. If the volume of Iiposuction is large, it is removed by low suction-assisted liposuction. It is a good technique for small localised areas of fat deposits. such as the chin and upper arm.