Liposuction (Fat Removal Surgery)
Information: Liposuction is an invasive procedure used to remove areas of fat that are resistant to diet and exercise. Thin tubes, called cannulas, are inserted into the body, dislodging fat cells and suctioning them out. Liposuction can be performed on various body parts, including the abdomen and waist, hips and thighs, and cheeks, chin, and neck. It's important to note that liposuction is intended to improve body contour and not to significantly reduce weight, cellulite, or sagging skin.
How does Liposuction Surgery work?
Special drawings are made by your plastic surgeon before surgery. This procedure is performed under local or general anaesthesia, which depends on the extent of the surgery. 3-5 mm incisions are opened on the right points of the liposuction areas and a special liquid solution is injected into the fat tissue to break the fat cells. Decomposed fat is liquefied by the solution. In this way, liposuction can be performed more comfortably without bleeding. Then, through a specially designed cannula connected to a vacuum pump, the liquefied fat is removed from different parts of the body. To prevent the appearance of the surgical incisions, the operation is performed on the areas under the body folds and underwear.
After the operation, a medical corset should be used for 4 weeks. And by drinking 2-3 litres of water per day, oedema (swelling) is eliminated from the body. Post-operative swelling and bruising will disappear within between 1-3 months. And it will take 3-6 months for the body to achieve its real form. Since fat cells are taken in this surgery, the fat cells in that area are reduced and if the patient gains weight after the operation again, the body will not be looking the same as before the surgery.
If you cannot get rid of some fatty areas despite sports and a healthy diet, or you cannot decrease the fat ratio, you are an eligible candidate for liposuction surgery.
Liposuction surgery is an operation that must be done according to the rules. If a person has high blood pressure, diabetes, heart disease, blood disease, or takes aspirin, liposuction might be a risky surgery.
A maximum of 4-5 litres of fat can be removed in one liposuction session. The removal of higher amounts of fat endangers health.
Before the Surgery:
Before the process, the fatty areas and body shape are examined and the details about the estimated result are discussed. You are informed before the procedure if this surgery is beneficial to lose weight. If there are major diseases in the patient's medical history or medicines that are constantly in use, please inform the doctor. After the necessary information and details of the healing process are discussed, the patient should avoid taking aspirin(anticoagulant meds) for 10 days before the surgery. Anticoagulants such as herbal teas, vitamin E and coenzyme Q should be avoided. The patient should be on an empty stomach for a while before the process. You will be informed about the duration.
The procedure is performed under general anaesthesia, sedation and local anaesthesia. The patient should have a shower one night before or on the day of the procedure. Before the procedure, the areas to be worked on and determined are drawn by your surgeon and some medicines are used to make you feel more comfortable.
During the procedure, a special liquid is injected into the areas where fat is to be removed. This fluid ensures the numbness of the surgical site, reduction in the amount of bleeding and, easier removal of the fat. The process is carried out with thin metal tubes and syringes or suction motor used to create a vacuum. The duration depends on the application area and the fat amount to be removed.
When the procedure is finished, you should wear special medical corset. This corset aims to reduce the swelling to form due to the procedure performed in a closed area and to enable the patient to be able to move more comfortably after the procedure.
Recovery Process After Liposuction
It is expected that leakage will occur in the areas where fat is removed for about 12-48 hours after the operation. These leakings gradually decrease and disappear after a while. During the first 48 hours after the procedure, fluid accumulation (oedema) occurs on the surgery areas and throughout the body. This situation is increasing gradually in 2 days and begins to decrease from the first week.
Therefore, Patients should be resting for the first 2-3 days. Especially for the first day, the feeling of fatigue and tiredness is normal for a few days. These complaints can be reduced by taking care of fluid intake.
After the procedure, especially a couple of weeks weight reduction should not be expected. Depending on the swelling and fluids present in the body, the weight may be as much as before, or even more. Antibiotics are used as a precaution against infection during and after the procedure. Vacuum fat removal is not a very painful procedure but the level of pain varies depending on the pain threshold of the person. It is mostly similar to pain after severe sports. In the first few days, patients might feel more pain, but it decreases in the following days.
From day 3 onwards, patients can walk around with a medical corset and return their daily tasks without being exhausted too much. You are allowed to have a shower with the corset on after the 2nd day; then the corset should be dried by the warm setting of the hairdryer.
It is useful to wear corset constantly in the first week. The corset is designed to enable the person to go to the toilet without removing the lower part. After the first week, the corset should be used for 4-5 weeks more on day time and it can be removed at nights. One week after the procedure, doing small exercises and long walks will be very useful. A little bit heavier sports are allowed in the following weeks. After the procedure for at least 6 weeks, sauna, solarium, steam bath and sunbath is NOT allowed. They lead to swelling of the healing tissues.
Usually, it takes more than 8 weeks for the swelling to disappear and for the body to have its final form after the surgery. If patients take care of their diet and support it with exercise, the result will be better.
Risks of liposuction:
Each surgical intervention involves risks to a certain extent. The main factor in the choice of surgical intervention is based on the comparison of risk and benefit. Although most patients do not experience these complications, you should discuss each with your plastic surgeon to understand the risks, complications and consequences.