Good skin tone is essential to a good outcome, since the skin needs to snap back into the body’s new contours once the fat is removed. “If a patient has good skin elasticity, they’re going to have a really good result,” says New York plastic surgeon Dr. John Mesa. “But if the patient has bad elasticity, like a woman who’s had multiple pregnancies and the skin on her belly is too stretched, the skin isn’t going to shrink—and you’ll be left with sagging” (unless lipo is paired with a tummy tuck).
Over time, these hidden scars often fade to thin, white lines when complete healing has taken place. Provided that you follow instructions for preparation and recovery, you should have a beautiful result from your breast lift surgery. Upon seeing their final result, women who have undergone breast lifts typically rate the experience as “well worthwhile”
Any licensed physician can perform liposuction, but it's usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors' professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.
There have been cases of children as young as 12 undergoing liposuction. While this is uncommon, there are rare instances in which a doctor may perform liposuction on a teen, especially after major weight loss that may have left one or two lingering bulges of fat. Generally, a doctor will assess a teenager's emotional maturity and self-esteem before agreeing to perform liposuction. The majority of these patients choose to have one problem area contoured to help with self-esteem issues. Some teens are affected by excess fat under the chin, in the calves, hips, or other areas, and it can be a source of embarrassment and ridicule among peers. In these cases, liposuction can eliminate this fat and produce a more sculpted, toned appearance.
Dr. George Marosan, a board-certified plastic surgeon in Bellevue, Washington, prefers VASER liposuction in most situations. “Fat comes out more easily with VASER—especially in men, where it’s more fibrous,” Dr. Marosan says. He also points out another great advantage of VASER lipo: While fat that’s liquified by laser lipo isn’t usable, fat broken up by VASER is still viable for transfer to the breasts, butt, or anywhere you want more fullness. “The VASER allows me to sculpt the body, revealing the underlying muscle and bony anatomy. This is an advanced technique that goes way beyond liposuction for fat removal only,” says Dr. Marosan.
You and your doctor will also discuss your medical history and lifestyle to determine your risk during liposuction surgery. You will be asked about the drugs you are currently taking (prescription, over the counter, recreational, or herbal supplements), whether or not you smoke or take oral contraceptives, and any medical conditions you may have. It is crucial that you are honest with your doctor about any drugs you are taking, as this can greatly affect the outcome of your surgery.
You’ll be in a recovery room immediately after surgery. When getting ready to leave, a nurse will go over instructions on how to care for the drainage tubes, antibiotic use, and other important information about post-surgical care. She will also discuss symptoms that are commonly felt after surgery as well as the types of complications that could result.
I personally think nurse-administered anesthesia is perfectly appropriate in many cases. In fact, a 2014 study by the Chochrane Collaboration research group concluded that it was "not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists." But if the patient is anxious about the procedure, or if the treatment scope is extensive, the extra cost of an anesthesiologist can be well worth the money. What I consider extensive liposuction can easily take up to 4 hours, so it would be reasonable to estimate that anesthesia administered by an anesthesiologist could cost about $2,000 in this scenario.
In many cases, liposuction is performed for purely cosmetic reasons. Our society values a lean, youthful body tone, and healthy living alone is often not enough to help us reach our goals. When the patient simply wishes to improve his or her appearance, the price will likely be paid out of pocket. Practices accept cash, checks, and credit cards, and often work with third-party financing companies. Some practices finance treatments themselves.
While cost is obviously an important consideration when it comes to liposuction, it is not the most important one. Patients should remember that their health and cosmetic satisfaction are ultimately the top priorities. Choosing an inexperienced doctor to save some money could cost far more in the long run if they require a corrective procedure or if they develop serious health complications.
The liposuction procedure can be performed using local or general anesthesia. The term anesthesia simply means "without pain," and the difference between local and general anesthesia is how much of the process you will be aware of. In most liposuction techniques, the process itself involves the injection of a numbing solution. With local anesthesia, your doctor will only numb the area of your body being targeted, and you will be conscious during the entire liposuction surgery. General anesthesia can be administered either as a gas or through a needle injection, and will put you to sleep for the duration of the operation. Once you awaken, you will still be numb in the area of the body that has been treated, and will feel little or no pain. At your initial consultation, you doctor will help you choose the right type
Abdominal Etching: This specialized form of liposuction is designed to enhance the abdominal muscles and give patients a desirable set of "six-pack abs." The surgeon will first outline the muscles and then the thin layer of fat that can obscure these muscles. He or she may use traditional, ultrasound, or laser assisted techniques to perform this minimal recovery treatment.
With fat grafting, a doctor can reduce the size of one area on the body and enhance another area at the same time. To perform this procedure, the cosmetic surgeon will perform liposuction on a common trouble spot, such as the abdomen, thighs, or upper arms. Then she will purify the fat cells, spinning them in a powerful centrifuge, to separate them from the surrounding fluid. Finally, she will inject these cells in another area of the body to give patients a fuller figure or reduce the signs of aging. Fat grafting can achieve a number of affects, including:
Surgeons who concentrate on one specific procedure are rare. In other words, you don't find many surgeons who perform breast augmentation, but not face lift surgery or liposuction. If you want liposuction, you should choose a surgeon who devotes a lot of their time to liposuction and body contouring. If the doctor is mainly a face lift surgeon, you might wonder if they are actually capable of providing the best results. Don't be afraid to ask a prospective surgeon how often they perform liposuction, how often they perform revisions for patients whose initial surgeries were performed by other doctors, and details about the surgeon's policy concerning surgery performed to correct his or her own work.
After liposuction, most doctors will require you to wear a compression garment or bandage over the treatment area. This garment will reduce post-surgical bleeding, minimize discomfort, and speed your recovery time. During open-drainage tumescent liposuction, your surgeon will leave the incisions open. Following this type of treatment, the garment will help the anesthetic fluid to leave your body more quickly. Following closed-drainage liposuction, in which the doctor will use sutures to close the incisions, the compression garment encourages your body to absorb the fluid more quickly for faster healing.
Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior.
Facial liposuction is most often performed with a micro-cannula using a tumescent technique. In some cases, liposuction of the chin, neck, and jowls, as well as other facial liposuction procedures, can have better results in these problem areas than other surgical techniques. Liposuction can also be more desirable because it minimizes scarring when compared to other type of facial enhancement. This treatment is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.
Among the benefits are an improved appearance, a reduction in the size of stretched areolae and more youthful, feminine proportions, which has the added benefit of helping bras and swimsuits fit more comfortably and attractively. The surgery ultimately hopes to make the breasts look better proportioned, after birth or simply to rectify the issues of aging.
Call your surgeon: If you have any concerns at all during your recovery and healing process, I’m always available to my patients during this time—I prefer you to call rather than worry about a symptom. I will explain what indicators to watch out for as you recover that might indicate infection or poor healing. I will be checking your progress regularly as well. Any top surgeon should be willing to be there for you during your recovery process.
If you have a significant amount of loose skin around your midsection, or if pregnancy, weight loss, and/or age has weakened your abdominal muscles, you may want to consider a tummy tuck. However, if you have healthy skin that adheres to the natural contours of your body, you are probably a better candidate for liposuction. Ultimately, the only way to determine the right procedure for you is to schedule an appointment with an experienced cosmetic surgeon.