Liposuction

What is a liposuction?

Liposuction is one of the most commonly performed aesthetic procedures on both women and men across North America. It is a procedure that can be performed under local anaesthesia with extremely small and hidden incisions to remove excess fat and help sculpt the face and body.

What are the potential benefits of a liposuction?

Although there are many important health benefits to following a healthy diet and exercise regimen, many individuals experience frustration when their healthy lifestyle choices do not result in a lean, proportional physique, and they are still left with the troublesome aesthetic issue of localized fat deposits.

These stubborn fat pockets are often the result of one’s genetics, rather than poor nutritional choices or too little exercise, and often prove resistant to even the most rigorous exercise and strict dietary programs.

Fortunately, liposuction (also referred to as lipoplasty or liposculpture) is a surgical procedure that can address and correct this type of persistent fat pockets situated between the skin and muscle, thereby creating a more firm, toned, and sculpted physique.

What are the different liposuction options?

Liposuction can be performed in conjunction with other cosmetic surgery procedures (i.e. breast reduction or tummy tuck), or as an individual surgery. Although it can be an effective means of eliminating undesirable fat deposits, liposuction is not the best method to treat stretch marks or cellulite, and should not be undertaken in lieu of a healthy diet and regular exercise.  The most popular treatment locations for liposuction procedures include the following body areas:

  • Abdomen
  • Arms
  • Back
  • Buttocks
  • Chest
  • Chin
  • Flanks
  • Knees
  • Neck
  • Thighs
  • Waist

How does liposuction work?

Liposuction surgery is performed under general anaesthesia, local anaesthesia, or IV sedation, and the duration of the procedure (as well as the type of sedation) is dependent upon the degree of liposuction required, and whether or not other body contouring procedures are being performed at the same time.

Extremely small incisions ranging from 2-5 mm are performed in concealed areas (for example in the belly button for abdominal liposuction procedures). After that a fluid composed of different medications is injected in these holes to help the solid fat become liquid. Once the fat has liquefied, a blunt (non sharp) cannula in inserted under the skin and sucks the excess-undesired fat and helps reshape and restructure the face and body.

The tumescent liposuction technique is a popular surgical technique involving the injection of a large volume of diluted local anaesthesia and epinephrine into the subcutaneous fat, causing the area to become tumescent (swollen and firm), before removing the fat utilizing a surgical vacuum or syringe.

Different liposuction exists including smart lipo, ultrasound assisted lipo, and power assisted liposuction.

Smart liposuction utilizes the heat of a laser to melt the fat. This unfortunately can cause burns and seromas.

Ultrasound assisted liposuction utilizes the help of ultrasound waves directed at the surface of the skin to liquefy the fat underneath.

Power assisted liposuction uses the micromovements and vibrations of the cannula to help liquefy the fat, which helps minimize trauma to the fat pockets and surrounding tissue.

Fat injections have become a very popular and safe procedure in recent years. It involves the removal of fat though liposuction and injecting it back into the body in different areas such as the cheek, breasts, and butt.

Cheek fat injections help recreate a youthful appearance to the otherwise sagging aging face.

Breast fat injections can be a safe alternative to breast augmentation without the use of implants. Here, women can achieve bigger enhanced breasts and can even help with sagging by the injection of fat directly into the breast tissue.

Butt fat injections (Brazilian butt lift) is the procedure that is performed by injecting fat from a patient back directly into their butt helping create a desired shape and size without the use of implants.

Dr. Sinno has tremendous experience in liposuction and has helped thousands of patients get rid of their undesired fat. He has also helped many in obtaining the appearance of “chisel cut” abs by utilizing his lipostructure techniques.

How is the recovery after liposuction?

Following your liposuction procedure, the treated area will generally be wrapped firmly to reduce bruising and swelling, and you may be given support hose, a special girdle, or another type of compression garment to wear for up to 6 weeks. Post-surgical bruising, swelling, and fluid drainage is normal for the first 7-10 days, and you may be given antibiotics and pain medication to ameliorate any discomfort and prevent infection. Most patients find that they are able to return to work within a few days, and gradually resume normal activities when it is comfortable to do so. The enhanced contours of your new physique will be apparent after the post-surgical fluid retention and swelling subside. In order to preserve your liposuction results, you will be advised to avoid gaining a significant amount of weight, and to maintain a healthy lifestyle.

What is the post-operative advice and care after liposuction?

Day Surgery

Liposuction surgery can range anywhere from 1-2 hours (depending on the site and amount of fat to be removed), after which, you may be released (depending on your medical condition and health state) to a friend or family member and may return home to continue your recovery.

Bandages

Dr. Sinno and his team will apply a special dressing and initial bandages that should be kept dry and clean for the first week. At that point the bandages will be removed and your post-operative state will be evaluated. Compressive garments will need to be worn for a minimal amount of 6 weeks after your liposuction procedure.

Because liposuction involves the injection of a special fluid that liquefies the fat to be able to suction it out, a lot of residual post-operative leakage from the incisions is to be expected. Sometimes the bandages can become too moist so they must be changed as needed.

Showers & Washing

The bandages are usually removed within a week after surgery. Dr. Sinno recommends that all bandages should remain dry and clean. Showers should be avoided, until authorized by Dr. Sinno. This is usually after all bandages are removed at the first postoperative visit. Until then, sponge baths are recommended.

We recommend using white unscented shampoo and soap, along with running water on the incisions after the bandages are removed and only when given medical authorization to do so.

Exercise

Dr. Sinno recommends that patients refrain from all activities that may increase their heart rate or blood pressure, including exercise, sexual activity, stressful situations, etc., for at least the first two weeks after your surgery.

However, it is recommended that patients walk and perform their usual activities within the limitation of the medical advice given and in tolerance to their comfort. No lifting of more than 10 lbs. (4.5 kg) is recommended for at least two weeks after surgery.

Sleeping on the surgical site directly should be avoided if possible for at least two weeks after your procedure.

– Driving

It is recommended that patients do not drive when taking narcotic pain medications and when wearing bulky dressings that may hinder their normal reflexes and reactivity.

General Healing

You may experience some swelling and bruising that will peak two to three days after your liposuction, and usually subsides within 2-6 weeks. Post-operative swelling, pain, bruising and duration may differ, depending on the patient and the extent of the liposuction performed.

– You can expect to be able to see visible aesthetic improvements in your surgical region after the post-surgical fluid retention and swelling subside. These results should continue to progress over the following weeks, as the incision site heals and the swelling decreases. Swelling can take six weeks to subside. Dr. Sinno advises his patients that the final results should be expected approximately one year following the procedure, at which point all scars and incisions should be mature.

What are the risks and potential complications of a liposuction procedure?

All medical and surgical procedures have inherent risks and potential complications that are associated with them. It is imperative that you understand the potential risks, complications and consequences that can arise after the medical or surgical procedure you undertake. This understanding will better allow you to be able to provide informed consent, based on the comparison to the potential benefit of the desired procedure.

 

Although the materialization of inherent risks is rare and developing complications is unlikely, these are real events that can occur. Dr. Sinno will help you to understand the risk/benefit profile of your desired procedure.

Additional Audio-visual and Reading Material

Please click here for an instructional video.

Please click here for further details on liposuction.

Before and After Gallery

Please Click here for representative examples of pre- and post-operative photos of patients from the website of the American Society of Plastic Surgeons (ASPS).

 

Disclaimer: before and after photos are only intended for informative purposes, do not constitute a guarantee for results and satisfaction, and are simply a representation of the result of the procedure. Written consents of patients have been obtained prior to the publishing of any such photos. Generally, the pre-operative photos are shown to the left and the post-operative photos are shown to the right.

Contact Dr. Sinno

Dr. Sinno and his well-trained Eternelle team have worked hard to create a welcoming and comforting environment.  They will take the time to thoroughly explain your liposuction procedure details and options. Your procedure will be uniquely customized to reflect your personal aesthetic goals. We look forward to providing you with a safe and comfortable experience, as well as delivering you the treatment that you deserve.

 

Do you have more questions? We are happy to answer them.  Please contact our office today to schedule your initial consultation with Dr. Sinno.

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