Liposuction, also known as lipoplasty, liposuction, liposuction or liposuction, is based on the suction and discharge of excess fat units in various parts of your body (such as abdomen, hips, inner knees, waist, neck, face) with the help of special cannulas. The technique was defined in the early 1980s and started to be used widely in the 90s, and in the 2000s, it began to be practiced by experienced plastic surgeons in a completely established and faithful manner. It has been tried to attract the attention of patients by presenting liposuction under different names such as liposhaping and liposculpturing. All of these terms describe the standard liposuction process.
Liposuction is not a weight-loss formula. These localized fat deposits are unique to men and women and differ. In women, there is a disproportionate accumulation of excess fat in areas such as under the navel, on the sides, hips, inner thighs, and inside the knees. Males, on the other hand, have more male fat deposits in the belly and waist area (love handle) and breasts (gynecomastia). This unusual fat accumulation is often inherited and typically does not respond to diet and training. Liposuction is often the only way to get rid of them.
- Are you a good candidate for liposuction…?
• Abdomen and waist area
• Back area
• Hips, inner thigh, inner knee
• Calves and ankles
• Face, chin, neck
• Upper arms
• Breasts and around (underarm area)
• Breast (gynecomastia)
If one or more of the above-mentioned body parts have regional fat that distorts your body lines, you are a good candidate for liposuction.
Liposuction is a method that can be applied at all ages.
Liposuction can also be used to treat breast enlargement, sometimes called gynecomastia, which can be seen in both young and adult men.
- Pre-operative interview…
If you are considering liposuction surgery, the first thing you should do is to talk to an experienced plastic surgeon. In this meeting, your current complaints and post-operative expectations should be sincerely expressed.
At this meeting, your doctor will examine you. In this interview, you will be asked to specify the areas that you are uncomfortable with. Then your doctor will show you by marking the areas where liposuction should be applied. These regions will be decided by taking your opinion. Your current body structure will increase the elasticity of your skin and will share with you the fat measure and areas to be taken to achieve the best result. This is valuable for a successful liposuction.
In this meeting, your health status will definitely be questioned; Whether you have diseases such as diabetes, high blood pressure or heart disease will be paid for, and information will be obtained about the medications you regularly use. Your doctor will want to know about previous surgeries, your medical treatments, and the medications you are currently taking. It is very valuable for you to provide complete information. How much weight you currently weigh and whether you plan to gain or lose weight in the future will be factors that need to be evaluated for liposuction.
During the meeting, your doctor will inform you about the surgical technique, anesthesia, where the surgery will be performed and the preparations for the surgery. It will enlighten you about the expected risks and complications of the surgery. Before deciding on liposuction surgery, ask and answer all the questions in your mind about this issue. Ask them again whether you listen to them carefully or not. You can get information about the cost of the surgery at the meeting. After this meeting, you will be given time to make your own assessment.
When you decide to have surgery, you will be asked to have tests to prepare for the surgery. If the results of these examinations are within the normal limits, you will be evaluated as suitable for the surgery and the day and time of the surgery will be decided.
- How should I prepare for the surgery, should I pay attention to food?
Since aspirin and some anti-inflammatory drugs can increase bleeding, you should stop taking these drugs for a certain period of time before surgery. Your surgeon will give you additional information before surgery. Since fruits and vegetables such as almonds, apricots, strawberries, cherries, grapes, plums, garlic, tomatoes and cucumbers contain salicylate, which is the active ingredient of aspirin, it is recommended to consume less for 2 weeks before surgery. In addition to these, the consumption of herbal medicines and vitamins should be terminated.
- What will the surgery day be like?
After your hospitalization, you will be taken to your room. Your doctor will visit you in your room and plan the surgery. It marks the areas where fat will be removed with the previously agreed liposuction procedure. Afterwards, the anesthesiologist will inform you and ask questions about anesthesia. You will be given a sedative injection before going down to the operating room. This will reduce your excitement and anxiety that may occur due to the surgery, calm you and encourage you.
Anesthesia will be administered after landing in the operating room. Liposuction can be performed under local or general anesthesia. But it is often performed under general anesthesia. If general anesthesia will be applied, you will sleep during the entire operation. Your doctor will offer the most suitable option for you.
- How is liposuction done?
Liposuction is based on the absorption of fat with the help of cannulas by entering through small incisions. The cannula is connected by a plastic tube to a device that creates a vacuum at a pressure of approximately 760 mmHg. This pressure allows the oil to become liquid and be absorbed. The incisions made for the entry points of the cannulas are smaller than 1 cm and are made within the skin folds and natural body lines as much as possible. By entering through these incisions, a special liquid is given to the area to be liposuctioned and a delay is expected (15-20 minutes). This solution facilitates the breakdown of fat and prevents bleeding by constricting small blood vessels. Then, with the help of cannulas connected to the vacuum device, the planned amount of fat is sucked and removed. It is very valuable that the fat measure to be taken is stable in a successful liposuction. In the end, the amount of fat remaining in the body is also valuable. Therefore, the basic principle in order not to encounter the problem in liposuction applications is “it is important not how much fat you take, but what you leave”. When this basic principle is in the mind of the surgeon, a proportional and problem-free liposuction can be performed. After the liposuction process is completed, a special corset is worn and the surgery is terminated.
- What are the differences in the middle of common liposuction techniques?
In ultrasound assisted liposuction (UAL), it is based on the principle of dissolving the fat by giving ultrasonic power to the adipose tissue and pulling it out with the standard liposuction technique. The technique, which started to be used in Europe in the 1990s, started to be used in the USA in 1997, but due to the high complication risk (Maxwell GP. Ultrasound-assisted lipoplasty: a clinical study of 250 consecutive patients. Plastic Reconstr. Surg. 101:-189-202,1998), its use is American. decreased by liposuction surgeons. The ultrasonic liposuction device, called the third generation Vaser Liposelection device, has been developed. It is reported that while the Vaser device breaks down the fat tissues with ultrasound waves, the borders and veins are less damaged.
Laser liposuction devices called Slimlipo or Smart lipo have been developed in recent years. In this system, laser light of different wavelengths is used to cut the membranes of the fat cells and liquefy the fat. When this technique is performed in small areas, it is expected that this liquid will not be absorbed by the body. However, in large or large areas, the standard liposuction technique of liquefied fat content with laser light should be drawn.
Although both Ultrasonic and Laser liposuction have some smoothing advantages, standard liposuction is required when applied to large areas. The advantages, advantages and disadvantages of these techniques over each other are debatable.
For this reason, as Dr Yves-Gerard Illouz, the pioneer of the Liposuction technique, wrote, “New does not mean more adequate, standard or classic does not mean worthless”. Each technique has advantages and disadvantages. Considering these, we believe that you can reach the healthiest decision in the meeting with your doctor.
- First days after surgery…
After you wake up completely from the operation, you will be taken to your room. Here you will be followed up and the necessary antibiotics and painkillers will be administered. A few hours after the surgery, you can take watery food beforehand. You can then get out of bed for short periods. Depending on the situation, you can be discharged from the hospital the same day or the next day. Depending on your body structure, you will notice the positive change in body boundaries quickly after the surgery. After a few days, you can move more freely. You should avoid exerting great force, bending over and lifting heavy loads. Spending the first few days by resting will help the recovery period to be completed quickly. You will be asked to wear your corset regularly, this will both reduce edema and pain and contribute to the state of your body. However, there will be edema, ie swelling, in the areas where liposuction is applied. This swelling is maximized on the first 3rd day and starts to decrease rapidly after that. You realize that you are more beautiful every day. When the basic principles of liposuction are followed, bruising is rarely encountered. Even if there is a bruise, it may take 1 week or ten days to pass. Everyone’s beautification process differs personally and the duration may vary depending on this. If you have pain, using the painkillers written for you will help you relieve your pain.
The dressings on your cannula entry points can be renewed 2 or 3 days after the operation. After this time, you are allowed to take a shower.
- When will I be able to return to my normal activities?
You can return to work in just a few days. In many instances, you can return to most of your usual activities within a week or two and then start some workouts. The duration of the beautification depends on the size of the surgery.
- When will the results of liposuction appear and when will the swelling disappear?
Depending on your body structure, you will quickly notice the positive change in body lines and thinning after the surgery. However, there will be edema, ie swelling, in the areas where liposuction is applied. This swelling is maximized on the first 3rd day and starts to decrease rapidly after that. As a rule, 50% of the edema that occurs in all liposuction techniques disappears in the first month, 25% in the 2nd month and the remaining 25% in the 3rd month. The final result occurs in 3 months. In this process, one should be patient and pay attention to diet and sports. After liposuction surgery, at least 3 months should be waited for the second liposuction.
- How long will these results last?
The results of liposuction surgery are long-term and permanent as long as you maintain your post-operative weight. After liposuction surgery, stable nutrition and sports will help you maintain your new form. Therefore, your new way of life will contribute to your healthy and long life.
- Continuing your conversations with your plastic surgeon…
Your doctor will recommend that you come to regular inspections in order to make periodic inspections during and after the recovery period and to see the long-term results of the surgery. These discussions are valuable in the prevention and resolution of issues you may encounter during and after the recovery period. If you have questions and worries in the post-operative period, or if you need more information, do not hesitate to make an appointment with your doctor. Your doctor will support and assist you at every step.