(Lipoplasty or Lipo or Suction-Assisted Lipectomy (SAL)
Liposuction is the cosmetic surgery operation that removes the localized fat deposits that don’t subside with diet and exercise. The main goal is not the weight loss, but the permanent change of body shape. The ideal candidates for this procedure are those with normal weight and good skin elasticity. There no age restrictions. Any age can be appropriate for liposuction (from 16-76 years old).

How Is Liposuction Performed?
Before starting liposuction, the surgeon makes an injection (tumescent technique) with saline solution containing a local anesthetic and adrenaline. This helps in the quicker and easier suction of adipocytes as well as in much less blood loss (due to vasoconstriction that is caused by adrenaline), thus allowing the removal of a larger quantity of fat with safety and less bruises postoperatively. Afterwards, the fat is sucked through thin cannulas with 4.2 mm in diameter.

Are There Incisions After a Liposuction?
There are 1-2 holes with 2-3 mm in diameter per area, which after a few months are not visible. In the dark skin types, hyperpigmentation may appear on the incisions that can persist for a longer time.

What Type of Anesthesia is Used for Liposuction?
A liposuction procedure is usually performed under local anesthesia in combination with sedation (in 90% of the cases). In small areas, the local anesthesia is sufficient.

Has Laser Assisted Lipoplasty (LAL) Advantages?
The world experience about laser-assisted lipoplasty hasn’t been shown to be more effective than the traditional liposuction and is usually associated with a greater surgical time, is more expensive, can cause problems in the kidneys and liver by the release of free fatty acids that are produced by the destruction of fat cells. Also, several cases have been reported burns and damages to the surrounding tissues. We believe that in the future, when this technology will improve and proven under real and not directed studies that there will be significant advantages and fewer complications and then we will begin to use it to our patients.

How Long Does a Liposuction Surgery Last?
It depends on the body areas, from 20 minutes up to 2.5 hours.

How Much Weight Loss Is Achieved After a Liposuction?
There will be a small difference in weight (this depends on the fat volume that will be removed). In the first few days after liposuction, there will be an increase of the weight due to the fluid retention (e.g. in a liposuction of 2 liters fat, there is a difference in weight about 1-1.5 kg).

Is Liposuction A Painful Procedure?
No, it’s not a painful procedure. There is not severe pain. With the administration of oral analgesics during the first few days after liposuction surgery, the patient feels a sense of numbness and stretching (pulling) in the operated area as after intense exercise, which gradually subsides after 4 to 5 days.

How Long Will The Patient Need to Stay in the Hospital After a Liposuction?
The patient usually returns home in 3-4 hours after surgery.

Does The Fat Come Back After Liposuction?
No. Due to the fact that the number of fat cells (adipocytes) per body area is constant, the fat cells (adipocytes) that are removed don’t come back. Only in the case of an increased caloric intake as the fat cells (adipocytes) act as fat deposits, someone can gain weight as well as in the body areas that have undergone liposuction, but because the number of cells is reduced there may not be much difference. In contrast, the body areas that have not undergone liposuction will be affected more.

What Are The Postoperative Care Instructions After Liposuction?
There are small waterproof pads in the areas of the incisions so that the patient can take a shower one day after the surgery. Immediately after surgery, he/she wears an elastic compression garment for a month that he/she must take it off only for taking a bath or going to toilet.

How Long Does It Take To See Final Results After Liposuction?
About six months. The bruises usually subside in 10-14 days while the sense of numbness in the skin gradually subsides in a few weeks.

When Will The Patient Be Able to Return to Work - Everyday Activities?
The patients can return to work in 24-48 hours after surgery (depending on how many areas have undergone liposuction and the fat volume that has been removed). The exercise is allowed 1 month after surgery and swimming is allowed 3 weeks after surgery.