- 1 Description
- 2 Surgery Options
- 3 Before & After Photos
- 4 Indications
- 5 Evaluation
- 6 Options
- 7 Procedure Details
- 8 Recovery
- 9 Frequently Asked questions (FAQs)
- 9.1 How is liposuction performed?
- 9.2 What can I expect during my liposuction consultation?
- 9.3 Are the results of liposuction permanent?
- 9.4 What should I do to prepare for liposuction?
- 9.5 How long does the liposuction procedure take?
- 9.6 What type of anesthesia is used during a liposuction procedure?
- 9.7 Is there another way to get rid of my fat deposits?
- 9.8 Will I be able to return home on the same day as my liposuction?
- 9.9 What are the risks of liposuction?
- 9.10 Will liposuction help my cellulite?
- 9.11 Following my liposuction procedure, when can I return to work?
- 9.12 What areas of the body can be treated with liposuction?
- 9.13 What type of liposuction is the best?
- 9.14 Will I have scars following my liposuction?
- 9.15 How old does a person have to be to have liposuction?
Liposuction, also known as lipoplasty or liposculpture, is a surgical procedure that can slim and reshape specific regions of the body by eliminating excess fat deposits, thereby improving the patient’s body contours and proportions*. Since its introduction in 1974, liposuction has become the most popular cosmetic surgical procedure on both a national and international level. Over the past decade, significant advances have been made in the field of liposuction surgery, making it a much safer procedure that produces dramatic results with fewer side effects or discomfort*.
Many patients who seek out liposuction surgery are in good health and have a relatively high level of fitness; however, these patients still suffer from localized fat deposits and disproportionate body contours as a result of family genetics, as opposed to insufficient weight control or fitness.
*Results May Vary
Liposuction surgery can be used to treat persistent fat pockets in various regions of the body, including*:
- Abdomen and waist
- Thighs, hips and buttocks
- Arms, neck and back
- Inner knee
- Cheeks and chin
- Calves and ankles
Liposuction can be performed alone, or in conjunction with another plastic surgery procedures, such as a facelift, breast reduction, or a tummy tuck. Liposuction should not be considered a treatment for obesity, or as a substitution for regular exercise and a healthy diet. It is also not an ideal treatment for cellulite, the dimpled skin that sometimes appears on a patient’s hips, thighs, and buttocks. Although it is not a cure for obesity, liposuction does help patients who are left with sagging folds of fat and skin after losing significant amounts of weight*. As with all of the cosmetic surgical procedures he performs, Dr. Gabbay is committed to customizing a treatment plan to meet your specific needs, utilizing state-of-the-art technology to ensure optimal results*.
Liposuction may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital. If your liposuction is performed on an outpatient basis, you will need to arrange for someone to drive you to and from surgery, and to stay with you for at least the first night after your procedure.
Liposuction patients receive intravenous sedation or general anesthesia, depending on their particular surgical case. Liposuction surgery is performed using small, inconspicuous incisions. Fatty tissues is dislodged and then suctioned out of the body using a surgical vacuum or syringe.
Improvements to the contour of your body will be apparent when the swelling and fluid retention subside*. Most patients will observe 80% of their results 1 month after surgery, but the final results often take 4 to 6 months*. By continuing practices of healthy diet and fitness, the loss of excess fatty tissue after a liposuction procedure can be maintain for a very long time*. However, substantial weight gain after your surgery can negatively impact your liposuction results. If you would like more information about liposuction surgery, please contact Gabbay Plastic Surgery and we will be happy to answer any and all of your questions, and to schedule an initial, complimentary consultation with Dr. Gabbay. You may also click the link below to read a more in-depth description of the liposuction procedure.
Before & After Photos
*Results May Vary
Unfortunately, when we lose weight, we cannot select which parts of our body we would like to lose the weight from, and trying to use exercise and diet to eliminate isolated pockets of stubborn fat is a frustrating and nearly impossible endeavor. Fortunately, liposuction surgery is a relatively simple procedure that can remove fatty deposits, thereby improving your overall physique*. Liposuction is best suited for moderately overweight individuals seeking to slim and contour specific regions of their body—it is not an ideal procedure for severely overweight individuals, nor does it address problems of intra-abdominal fat (fat inside the abdomen) or excess loose skin*. There is no technical age limit for liposuction although older patients typically suffer from decreased skin elasticity and therefore they may not achieve optimal results.
After 25 years of clinical studies, medical professionals have determined that liposuction can make dramatic improvements anywhere on the body where pockets of localized fat exist, including the*:
- Upper Arms
- Love Handles
- Inner knees
Liposuction will not change the way your skin looks so the ideal candidate should have good skin tone and elasticity and you should be at a stable weight with minimal fluctuations. Many patients elect to undergo liposuction as a complementary treatment with additional body sculpting procedures such as: abdominoplasty (tummy tuck), thigh lift, facelift, body lift, arm lift, butt lift and/or breast reduction.
To be a good candidate for liposuction, you must understand that the goal is improvement, not perfection, and maintaining realistic expectations will make the procedure much more rewarding and reduce your chances of disappointment.
Liposuction is contraindicated for individuals suffering from:
- Blood clots
- Restricted blood flow
- Fluctuations in weight
- A history of poor wound healing
- Cardiac problems
- Bleeding disorders
- Pulmonary disease
To ensure a safe procedure you will be required to stop smoking at least two weeks before and after surgery, and will need to stop taking any blood thinning or anti-inflammatory drugs, as these medications can increase the risk of bleeding.
If you are interested in learning more about liposuction surgery, please call Gabbay Plastic Surgery and let us schedule your personal consultation with Dr. Gabbay. During your meeting, Dr. Gabbay will discuss your overall expectations (including your ideal weight) to determine whether liposuction can help you fulfill your aesthetic goals*. You should come to your consultation prepared to discuss your medical history (including any past surgeries), present medical conditions, allergies, and medications. It is imperative that you are honest and provide complete information, as numerous medical conditions can potentially increase the risks and complications associated with surgery. If Dr. Gabbay feels you are a good candidate for liposuction, he will explain the different techniques, costs and potential side effects before scheduling your procedure. When choosing Dr. Gabbay, you can be assured that you are in the hands of a surgeon who has undergone extensive training and is highly esteemed by his colleagues and patients alike.
*Results May Vary
The different variations of liposuction procedures include:
- Tumescent Liposuction: The tumescent liposuction technique has revolutionized liposuction by making it safer and more comfortable*. The tumescent liposuction procedure uses a large amount of tumescent wetting solution, which contains a local anesthetic, salt water and adrenaline to shrink blood vessels minimizing blood loss in the fat to be extracted*. Dr. Gabbay will infuse the wetting solution into the fatty layer of your skin before using a cannula to vacuum out the fatty deposits.
- Ultrasound-Assisted Liposuction: Ultrasound-assisted liposuction uses ultrasonic energy (sound waves) to break down fat cells before they are removed through liposuction. When performing this procedure, Dr. Gabbay will use a small probe that emits ultrasonic energy to emulsify the fat cells prior to their removal. The probes used in ultrasound-assisted liposuction vary in diameter and the most recent (third-generation probes) are smaller than previous devices thus requiring smaller incisions, less trauma and faster healing times.
- Water-Assisted Liposuction: Water-assisted liposuction uses pulsating jets of water to wash away and remove unwanted fat cells. For patients who could benefit from a secondary procedure involving the injection of harvested fat cells in other areas of their body (to plump up lost volume in the hands, face, or breast), water-assisted liposuction is an excellent choice because it leaves the harvested fat cells intact and available for reinjection*.
- Laser-Assisted Liposuction: Laser–assisted liposuction was first introduced in 2007 with the SmartLipo procedure, and is one of the most commonly performed cosmetic surgery procedures in the United States and around the world. During this procedure, Dr. Gabbay will use laser energy to heat and soften fat cells in order to make them easier to remove. The laser energy also stimulates collagen production, which tightens your skin, thereby rejuvenating the condition of your skin in the treated area*.
- Standard Liposuction: Standard liposuction (suction assisted lipoplasty—SAL) is one of the most common types of liposuction, and involves the aspiration of fat via a pump that generates a vacuum. When a motor is used on the cannula (causing it to vacillate back and forth) this is referred to as power assisted liposuction (PAL).
The exact details of your liposuction procedure will vary, depending upon the specific technique that is utilized. Procedural details for the most common liposuction techniques are as follows:
- Suction Assisted Liposuction (SAL)/Traditional Liposuction: prior to your procedure, Dr. Gabbay will mark the areas on your body that need to be treated and will administer your anesthesia. Dr. Gabbay will then inject a wetting (tumescent) solution consisting of saline, epinephrine and a local anesthetic into the treatment areas (saline is a mixture of salt and water used to help soften the fat for easier removal; epinephrine constricts blood vessels to prevent bleeding; and a local anesthetic helps to numb the area and decrease discomfort)*. He will make small incisions and insert a narrow tube (cannula), gently moving it back and forth to dislodge the fat. He will then suction the fat from beneath your skin by means of a vacuum pump or a suction syringe. The entire procedure can take from 1-4 hours, depending on the amount of fat to be removed*.
- Ultrasound-Assisted Liposuction: Ultrasound-assisted liposuction can be performed using local anesthesia, general anesthesia, or an epidural. The treatment area will be infused with a tumescent fluid and a small probe will be inserted through incisions in the skin. The probe emits ultrasound energy to break down the fat, emulsifying it into a more liquid state prior to its removal. This method results in minimal trauma to the surrounding tissues and a faster recovery period*.
- Water-Assisted Liposuction: The water-assisted liposuction system uses water to help loosen fat cells from connective tissue before the fat cells are removed. Typically, this procedure is performed on an outpatient basis under general, intravenous (IV) sedation, or local anesthesia, depending on the body areas to be treated and Dr. Gabbay’s recommendations. Pain-relieving lidocaine is also added to the water to help minimize discomfort. The procedure may take 1-3 hours to perform, depending on the size of the area being treated, and total recovery times vary, but many patients have no discomfort after a few days*.
- Laser-Assisted Liposuction: Laser-assisted liposuction is typically performed on an outpatient basis under local anesthesia or IV sedation, depending on the amount of fat to be removed. As with traditional liposuction, fluid is first injected under the skin in the area where fat is to be removed, and lasers are then utilized to heat the fat, softening it so it is easier to remove. The fat is suctioned from the body through cannulas (thin tubes) inserted through small incisions in the skin. In addition to softening the fat, the laser energy heats skin cells, stimulating the production of collagen and improving your skin’s appearance*.
*Results May Vary
When your liposuction procedure is completed, you will be taken into a recovery area and will be given a compression garment to help your skin conform to its new shape. You may experience some post-procedural soreness and any discomfort, which can be controlled with pain medication*. After your observation period, you will be permitted to go home with a family member or friend and should have someone to assist you as home for at least 48 hours after your procedure.
The first few days, you should rest quietly and elevate the treated body part if possible. You will experience varying degrees of swelling and bruising, which should subside within 7-10 days*. Stitches are usually removed within a week of surgery, and straining, bending, or lifting should be avoided during the early postoperative period. Most patients are able to resume their normal routine within ten days or less; however, the exact length of the post-procedural recovery period varies greatly among patients, and depends upon the number of areas treated and the unique healing capacity of each patient’s body*.
Although rare, potential liposuction complications may include: adverse reaction to anesthesia, infection, hematoma (bleeding), uneven body contours, sagging skin, blood or fluid collection under the skin, temporary nerve irritation or numbness, chronic pain, rapid or irregular heartbeat, and shortness of breath*. Following Dr. Gabbay’s pre- and post-operative instructions will help to ensure a safe and successful surgical outcome*.
Frequently Asked questions (FAQs)
How is liposuction performed?
Liposuction is performed through small incisions that are strategically placed in the treatment area; and through the incisions a fluid (consisting of salt water, local anesthetic, and an agent that controls bleeding) will be injected to enhance fat extraction and control blood loss. One of many techniques may be used to extract the fat, and once the treatment is complete, a compression garment should be worn to enhance a smooth skin surface.
What can I expect during my liposuction consultation?
During your consultation with Dr. Gabbay, he will ask you about your expectations and overall goals regarding your body image. He will inquire if your weight is stable, and he will evaluate the areas you are concerned about; the amount of fat in the potential treatment areas, the degree of your skin laxity, and the quality of your skin, because all of these factors affect the outcome of liposuction. He will ask you in detail about your general health, and it is very important that you are open and honest with your answers, to achieve the safest and best possible outcome. If it is determined that you are a candidate for liposuction, you will have the opportunity to view before and after pictures of patients who have undergone liposuction at Gabbay Plastic Surgery, and Dr. Gabbay will discuss the details of liposuction thoroughly. This will be your opportunity to ask any questions you may have and Dr. Gabbay believes that open communication is crucial for developing a good doctor/patient relationship.
Are the results of liposuction permanent?
The fat cells that are removed by liposuction do not grow back, and as long you do not gain an excessive amount of weight, your shapely new figure will last a very long time.
What should I do to prepare for liposuction?
Once your liposuction procedure is scheduled at Gabbay Plastic Surgery, you should plan to have reliable and competent help to drive you home and stay with you, because you will need assistance in the early stages of your postoperative period. You should arrange to take time off from work and household chores during your recovery. For two weeks prior to your surgery, you should discontinue using products like aspirin, ibuprofen, Aleve, Advil, Motrin, and other blood thinners. You will receive thorough instructions from Dr. Gabbay, and following the guidelines will help you every step of the way during your entire liposuction procedure.
How long does the liposuction procedure take?
The amount of time your liposuction procedure takes will depend on the size and number of areas being treated. Most liposuction procedures are completed in 1-4 hours, and after your evaluation, Dr. Gabbay will be able to give you a more accurate estimate*.
What type of anesthesia is used during a liposuction procedure?
Generally, liposuction surgery is performed under general anesthesia although other methods are available depending on the extent of your procedure. Today, modern anesthesia medications wear off quickly so you will wake up promptly, without the side effects that existed in the past. Whatever anesthesia chosen, Dr. Gabbay ensures that you will be comfortable throughout your liposuction, enabling him to give you the best results possible.
Is there another way to get rid of my fat deposits?
The body fat of an adult tends to increase gradually and after the age of 30, an individual tends to add fat according to a genetically predetermined pattern. This type of fat distribution is often resistant to exercise and dieting. An example of genetically predetermined fat distribution, that is resistant to dieting and exercise, is the fat that appears on the abdomen and hips of a woman after pregnancy and menopause. For many people who have inherited the tendency to accumulate excessive fat, liposuction is the only realistic means of significantly changing the body’s shape*.
Will I be able to return home on the same day as my liposuction?
In most cases, patients are able to return home on the same day as their liposuction procedure, however, you will not be able to drive yourself home because of the anesthesia*.
What are the risks of liposuction?
As with any surgical procedure, liposuction is associated with certain common side effects such as swelling, bruising, and temporary numbness. Although irregularities of the skin are possible following liposuction, this side effect has minimized since smaller microcannulas are now available*. Because of the slow resolution of post liposuction swelling, the ultimate results following liposuction usually require 12-16 weeks to become fully apparent, although patients typically see dramatic improvements within 2-4 weeks*.
Will liposuction help my cellulite?
Although the results of liposuction are quite dramatic, it is not realistic to expect perfection, and it does not eliminate cellulite. Liposuction with the tumescent technique does reduce the degree of cellulite, but it typically does not eliminate it*.
Following my liposuction procedure, when can I return to work?
Most liposuction patients are able to return to work within one week, although in most cases, you will still experience some discomfort and you should avoid strenuous activity. You may resume exercise programs and sports activities in 4-6 weeks*.
What areas of the body can be treated with liposuction?
Liposuction can treat any part of the body that contains fat, and for women this is typically the neck, arms, stomach, knees, flanks, and the inner and outer thighs. Men generally choose liposuction for the abdomen, flanks, chest, back, and underneath the neck.
What type of liposuction is the best?
All of the liposuction techniques offer advantages and disadvantages. The use of specific liposuction equipment, used alone or in combination with other liposuction devices, will be individualized based on your individual needs, desires, and realistic expectations. At Gabbay Plastic Surgery, Dr. Gabbay will tailor your liposuction for the particular areas of your body that need improvement, with the best possible technique*.
Will I have scars following my liposuction?
Scars from liposuction are very minimal and Dr. Gabbay will place the small incisions in the most inconspicuous areas possible*. The placement of your incisions will be discussed and determined prior to your procedure.
How old does a person have to be to have liposuction?
Though there is controversy regarding an appropriate age, generally it is agreed that a person should be at least 18 years old, and have the maturity and motivation to lose weight through exercise and diet. Especially with a younger patient, Dr. Gabbay will make sure that they understand the serious risks of the surgery and every person will be evaluated on their individual suitability for liposuction.