Liposuction is a safe and effective way to achieve the lean, sexy body that you desire. In addition, winter is often one of the best times to have liposuction! By having lipo performed during the winter months, you have time to recover and experience the incredible results by summer. Get ready for summer by contacting us today!
Read below for additional information regarding liposuction!
Lipouction - Background
Liposuction has undergone numerous changes over the decades. In the 1970’s and early 1980’s, physicians often performed “dry” liposuction. Instruments were used to break apart fat and remove it with a large cannula. At that time, no additional fluid, lidocaine, or epinephrine were used. Overall, this was quite unsafe and often resulted in poor aesthetic results.
In 1985, Dr. Jeffrey Klein, a board-certified dermatologist, used a solution of epinephrine and lidocaine diluted in saline to perform the first “wet” liposuction procedure. This mixture of sterile saline, lidocaine, and epinephrine later became known as “tumescent solution”. Hence, why surgeons commonly refer to this procedure as “tumescent liposuction”. Since the discovery of tumescent liposuction, the concentrations of lidocaine and epinephrine within sterile normal saline have been the topic of numerous academic studies and safe limits have been clearly delineated.
There has also been a myriad of liposuction techniques described. The most common methods of liposuction include traditional liposuction with simple cannulas, Power-Assisted Liposuction (PAL), laser-assisted liposuction (“Smart Lipo”), and ultrasound-assisted liposuction (“VASER Lipo”). Dr. Stephan uses the PAL system, which incorporates small rapid back-and-forth motions of the mechanical handset and a small cannula to break up and remove fat, while preserving adjacent small blood vessels. Smart Lipo and VASER Lipo systems have been shown in many academic studies to have no better results (but many more complications) than the method that Dr. Stephan uses.
What Happens During Liposuction Procedures?
The procedure starts by making small entry sites for the cannulas and then infiltrating tumescent solution into the fatty area of concern. Again, tumescent fluid is a dilute, safe solution that contains normal saline, lidocaine, and epinephrine. The epinephrine causes the very small blood vessels to constrict, which results in minimal bleeding during the operation and keeps most of the lidocaine in the area undergoing liposuction (which results in less pain). The amounts of lidocaine and epinephrine that Dr. Stephan administers are well within the safe threshold as determined by numerous academic studies. A period of time is allowed to pass for the epinephrine and lidocaine to take full effect. The fat is then removed via liposuction. If the fat is to be transferred to another part of the patient’s body, it is cleansed and prepared for safe transfer.
What Are Some Commonly Asked Questions About Liposuction?
Is this operation performed under general anesthesia?
In our surgical practice, liposuction is normally performed under general anesthesia. This is a very safe and comfortable manner to have this surgery performed. Even with lidocaine in the tumescent fluid, patients undergoing liposuction without general anesthesia are generally at least moderately uncomfortable. Anesthesia at our facility is only provided by Board-Certified Anesthesiologists, which sets our organization apart from many others.
Will this help me lose weight?
Any type of cosmetic surgery is intended to enhance the individual’s aesthetic appearance. None of these operations are indicated to help you lose weight. Liposuction is a great operation to contour the body but must not be thought of as a quick way to lose weight.
Will there be a scar?
Anytime that an incision is placed on the skin, a scar will form. However, we take great precautions to minimize and hide any potential scarring under the patients’ undergarments/swimwear.
Will I have drains after the surgery?
No, you should not need drains after liposuction.
Will sutures need to be removed after surgery?
Normally, all sutures are placed under the skin. Sutures usually do not need to be removed after the surgery.
How long will I be out of work?
Individuals who undergo liposuction normally return to work in one to two weeks (depending on the extent of liposuction performed). This also depends on the type of work that the individual performs.
How long before I can exercise?
Please take multiple short walks (i.e. around the house) as soon as you feel steady on your feet. This is imperative for the recovery process. You will be instructed to slowly increase your activity level with time. This will be further discussed during your postoperative appointments.
If I gain weight, will the fat “come back”?
Liposuction removes much of the external fat in the area. However, a small amount of fat cells will remain. The removed fat cells are gone forever; however, the remaining fat cells will enlarge if you gain weight.
Does someone have to stay with me after surgery?
Yes. A family member/friend must stay with you for at least the first 24 hours after surgery.
When will my swelling go down?
You will be swollen for up to one month postoperatively and continue to experience positive changes for up to six months after surgery. This swelling should not limit your ability to perform normal daily activities.