Liposuction (lipoplasty or suction lipectomy) is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. The past decade has seen many refinements to the procedure, and today,

a number of new techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique and the super-wet technique, are providing selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin. While there are a number of liposuction techniques available, do not let the options overwhelm you. Dr. Frost will assist you in determining the best approach to drive the strongest results.

Liposuction carries greater risk and may not be appropriate for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation or those who have recently had surgery near the area to be contoured.

 

The Procedure
A cosmetic procedure to improve your body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Liposuction be performed using the tumescent technique, in which targeted fat cells are infused with a saline-containing solution before liposuction to reduce post-operative bruising and swelling. (A local anesthetic accompanies the tumescent technique.) Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves and ankles.

For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new technique in which an ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned.

Traditional liposuction takes one to two hours or more to perform, but UAL can reduce the surgery time by 20 to 40 percent. Liposuction is accompanied by local, epidural or general anesthesia, and is usually performed on an outpatient basis. Extensive procedures may require a short inpatient stay.

 
Preparing for Surgery
You will be provided with specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins, iron tablets and medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed. Though it is rarely necessary, your doctor may recommend that you have blood drawn ahead of time in case it is needed during surgery. You should arrange for someone to drive you home after the surgery and to help you out for the next couple of days, if needed.
 
The Side Effects
• Temporary bruising
• Swelling
• Numbness
• Soreness
• Burning sensation
• Temporary fluid drainage from incision sites (with tumescent procedure)
• Larger incisions (with UAL procedure)
 
Possible Risks
• Asymmetry
• Rippling or bagginess of skin
• Pigmentation changes
• Skin injury
• Fluid retention
• Excessive fluid loss leading to shock
• Infection
• Thermal burn injury caused by the heat from the ultrasound device (with UAL procedure)
 
After Your Liposuction
DIET
Take it slow and easy with diet. Start with clear liquids and simply advance as tolerated. It is normal to have some nausea from anesthetics and pain medication but by taking it easy, this should resolve quickly.
 
ACTIVITY
Take it easy for a day or two. Walking is good. Your activity is really only limited by discomfort. You may walk, run or do most any exercise you can tolerate. Don’t swim for a week or two to keep the incisions from soaking in water.
 
PAIN
There is discomfort after any surgery. Most patients describe the sensation after liposuction as “bruised”. The goal of pain medication is to prevent¬ pain so don’t wait until you are really hurting to take your medication. Follow the instructions for your prescription and we think you will get the best relief possible. Narcotics can cause constipation so drink plenty of water, eat fruit and use an over the counter laxative if needed. You may switch to an over the counter pain medication any time you choose.
 
DRESSINGS & BATHING
Bathing is limited mostly by the compression. Wear the garment day and night until instructed that it can be removed. Sponge bathe. Some people prefer to shower with the garment on and dry with a hair dryer. Do whatever is most comfortable for you but don’t remove the garment.
 
RESULTS
Don’t try to judge results yet. You will be swollen and bruised. You should be able to see most of your results in a month or so but some swelling will probably last 3 months or more.
 

QUESTIONS
Our goal is for you to be informed so if you have a question, please call our office at 850.474.8333

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