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What is liposuction?

Liposuction is the fat removal surgery. It is also the same surgery which is called lipoplasty, liposculpture and liposhaping operations that you hear in various sources. The procedure is to take the fat cells that we liquefy through hollow tubes (cannulae) by different methods (ultrasound, laser energy, tumescent fluid). The back of the cannula adheres to the device so that it is easier to take fats.

Liposuction is not an operation used in the treatment of obesity. So it is not a slimming surgery. It is a shaping surgery.

Who are suitable for liposuction?

Patients who have resistant regional fats no matter how much sports and diet are applied (such regions as abdomen, waist, basin, interior femur, arms, and double chin)

Who have good skin elasticity and who do not have stretch marks and sagging,

Who have lost all the excess weight they plan to do,

Who recognize their bodies well and who have realistic expectations, are suitable for this operation.

As to explain the last item, it is not possible to provide an excessively thin leg to a person if s/he has a thick leg. Because it is not only the fat tissue that makes the legs thick but also muscle and bone tissue. Liposuction only helps you to have a more shaped leg. Because liposuction is a contour correction surgery. You should not think that there will be a change in your leg thickness or hip width.

In which regions do we get good results with liposuction?

In women, we can get good results from the abdomen, waist, basin, upper and interior parts of the legs, inner knees and anterior upper parts of legs. It should be very careful when performing liposuction under the arms, knee-level leg, leg anterior and under the buttock. Because these regions can easily show the irregularities.

In men, liposuction is mostly performed on the abdomen and waist area. Fat tissue is more prominent around the navel and waist area in men. However, the intra-abdominal organ lubrication (especially in those consuming alcohol and carbohydrate foods) might be more significant. These people have a swollen waist. In order to receive a good result from liposuction, the subcutaneous fat tissue must be more, and we need to reduce the excess fat tissue. It will not be possible to take the fat under abdominal muscles. Diagnose and necessity should be determined properly.

What are the liposuction techniques? Is one technique superior to the other?

Different techniques can be used in the fat dissolving part, which is the first stage of liposuction surgery.

Ultrasonic liposuction:  The tubes we use for fat extraction have been developed to accommodate ultrasonic vibrations. These vibrations soften the fat cells and make the fat extraction easier.

Laser liposuction:  In this method, there is a laser at the end of the tubes. Fat cells are softened by this method. At the same time, the energy which is given close to the skin helps to tighten the skin.

Tumescent liposuction:  In this method, the liquid is given into the fat tissue and it gets softened, making the extraction easier. There are drugs in the fluid that prevent pain and reduce bleeding. It is one of the most preferred techniques.

No matter which method is used by your doctor, the most important thing is to perform the procedure with an appropriate surgical approach in order to achieve a smooth surface.

Should the surgery be absolutely performed under general anaesthesia?

Short-term general anaesthesia or sedation anaesthesia is appropriate for your and your doctor’s comfort. I usually prefer short-term general anaesthesia rather than local anaesthesia, because I can do my work comfortably as long as my patient is comfortable and relaxed.

When is the right time for this operation?

If you are able to lose weight by dieting, it is better to have your surgery after reaching your ideal weight. However, increased abdominal fat and waist circumference will increase insulin resistance, making it difficult to lose weight. You may have lost your motivation. In this case, you can undergo liposuction if you are not in the risky group for anaesthesia and surgery. It will also boost your motivation. If you do not endeavour to lose weight and if you do not want to do exercises and diet, do not have this operation. Achieving good results from liposuction depends on you besides your doctor.

You can get pregnant after liposuction, but gaining or losing excessive weight (over 20 kilos) during pregnancy helps you to keep your fit.

How is the post-operative period?

You come to your bed dressed in a corset. You may have a moderate pain in the first hours, but you can relax later. You do not have to stay in the hospital. You can be discharged after 6 hours.

It is enough to rest for 2 days after the operation. You can take a shower after the first dressing. Having been dried after having a shower, you have to wear your corset again. I recommend you wearing this corset for 6 weeks. You can take it out at night after 3 weeks.

Since the tissue fluid is accumulated in the liposuction area, you may seem not to get slimmed enough. Over time (average 6 months, sometimes 1 year) these swelling will decrease and you will see the result of liposuction clearly. Doing exercises (swimming, walking, Pilates) after the 3rd week allows swelling to disappear more quickly and increases the tightening effect on your skin. You may lose your sensation in the areas of the fat extraction, it is mostly recovered in the first months.