Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
Cryoliposlysis is an alternative fat reduction treatment that does have FDA approval. This treatment uses cool temperatures to freeze stubborn fat cells without impacting the surrounding skin or muscle. As the cells crystalize, the body can expel them naturally over a period of several months. To perform this treatment, the doctor will apply cooling panels to the treatment area for about 40 minutes. Like most patients, you will likely find the session relaxing, and you can read or even nap as your fat cells are frozen away. You may enjoy optimal results after just one appointment, or you may benefit from multiple sessions. You should be aware, however, that this treatment is more suited to some areas of the body than others. Doctors typically use cryolipolysis to treat the abdomen, thighs, and hips.

Nonsurgical fat reduction treatments can also treat small pockets of fat, but be aware that RealSelf members give these procedures a lower Worth It Rating than they do liposuction. They usually require multiple treatments, over many months, to see a significant improvement—and the results are typically not as dramatic as those you’d get with lipo. After a nonsurgical fat reduction procedure, the body flushes out the damaged fat cells over time. Dr. Marosan also cations that “Patients who undergo nonsurgical fat reduction and then opt for liposuction surgery are more difficult to treat, due to the extensive internal scarring. In my practice, over 50% of my body sculpting patients had previous nonsurgical or surgical fat reduction, with suboptimal or poor results.”
In any case, you can probably find the average costs of all procedures in different cities right here on Realself. Plastic surgery fees vary a lot from surgeon to surgeon, from place to place, and country to country.But beware of choosing a surgeon solely on price. Make sure to do your research and make sure he or she is a board certified plastic surgeon.
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
Following liposuction, patients often experience some soreness and tenderness in the treatment area. This can usually be controlled with over-the-counter pain medication, and a physician may prescribe stronger medication, if needed. However, this discomfort is typically minimal, and patients can typically return to work about two days after their procedures. If they experience severe discomfort or if the soreness gets worse after several days, patients should alert their doctors.
Liposuction of the hips is generally successful in creating a more contoured figure. This type of liposuction is usually performed on women, as men are not as susceptible to retaining fat deposits in this area. Patients who undergo liposuction to improve the appearance of the hips may require additional procedures to attain the desired contour. The procedure is usually performed under general anesthesia. Liposuction of the hips may be performed with an extended tummy tuck.
Some doctors may use ultrasound waves to break down fat cells before suctioning them out. However, ultrasound technology can be an effective tool for fat reduction, even when it is not used in conjunction with liposuction. Your doctor will apply an ultrasound device to the treatment area, and the waves will gently break down the cells, allowing your body to rid itself of the fat over a period of time. Ultrasound fat reduction treatments, such as Liposonix®, typically take about an hour and involve no anesthesia or downtime. They can also boost collagen production and improve skin elasticity. However, these treatments typically do not result in as much fat removal as surgical liposuction.
First, a circumareolar incision is made to remove a doughnut-shaped area of skin from around the areola. This also allows the nipple-areola complex to be moved up significantly (potentially as much as 8 or 9 centimeters) without causing irregularities, and it leaves almost no visible scars. The skin is then separated from the breast tissue, and the inverted-T technique is used internally to shape and mold the breast tissue. Once your perky, better-defined breast is formed, the skin is redraped. To prolong and maintain your results, a mesh is added as an internal bra beneath the skin. This provides additional support to the breast tissue.

LipoSelection® : This specialized form of liposuction, developed by VASER®, emulsifies fat cells with ultrasound and breaks them up even further with the LipoSelection probe. The doctor can then easily remove the fat with liposuction tubes, leaving the surrounding blood vessels, nerves and other tissue virtually unaffected. This technique involves less discomfort and bruising than most other types of liposuction, but it does cost a bit more than other forms of manual liposuction.


First, a circumareolar incision is made to remove a doughnut-shaped area of skin from around the areola. This also allows the nipple-areola complex to be moved up significantly (potentially as much as 8 or 9 centimeters) without causing irregularities, and it leaves almost no visible scars. The skin is then separated from the breast tissue, and the inverted-T technique is used internally to shape and mold the breast tissue. Once your perky, better-defined breast is formed, the skin is redraped. To prolong and maintain your results, a mesh is added as an internal bra beneath the skin. This provides additional support to the breast tissue.

How it works: The uniquely designed applicator achieves precise tension reduction on the skin, (tension being the key cause of scarring), to gently hold both sides of your closed incision together. Clear video instructions make embrace® easy to apply, and gentle to remove. Even better, embrace® is water resistant, so you can shower and exercise. And each application lasts an average of 10 days, relieving you of a daily regimen.
As with any surgery, a breast lift involves incisions in the skin, it's more important that you focus your research in find a Board Certified Plastic Surgeon who specializes in this kind of procedures than try to refuse what is suggested, not all breast lifts are the same your scar will depend of what kind of technique we can perform according to your body including sagging, size, and shape. keep in mind It’s also important to avoid behaviors that can make breast lift scars worse. 
In 1977, Fisher and Fischer reviewed 245 cases with the planotome instrument for treating cellulite in the lateral trochanteric (hip-thigh) areas. There was a 4.9 per cent incidence of seromas, despite incision-wound suction catheters and compression dressings; 2.0 per cent of the cases presented pseudo-cyst formation that required removal of the capsule (cyst) through a wider incision (+ 5.0 mm) and the use of the panotome.[14][15]
Many patients are concerned about the potential risks involved in liposuction. The truth is, while liposuction can have adverse effects, the treatment is very safe when it is performed by a qualified plastic surgeon. Unfortunately, with the increasing popularity of the procedure, more and more doctors offer the procedure, and not all of them are experienced with this treatment. This is another reason that patients should take the time to find a highly qualified surgeon for their liposuction.
The surgeries that risk more significant scarring are the much more common vertical or “lollipop” lift and the inverted T or “anchor” lift, which feature two and three incisions respectively. As they are more invasive surgeries than a crescent lift, you can expect more extensive scarring, but as long as you and your surgeon can provide proper care and observation, these can fade and can be easily hidden while you’re waiting for them to fade.
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.
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