Liposuction is a popular cosmetic surgery procedure to eliminate excess fat deposits on the abdomen, flanks, thighs, and other areas of the body where diet and exercise on their own are just not sufficient. Liposuction is safe and has allowed patients to improve their figures, refine and rejuvenate their contours.


Good candidates are in good health, and close to his or her ideal body weight, just having deposits of fat that have not responded to diet or exercise. Men and women over the age of 18 who meet the necessary health qualifications may be great candidates for liposuction.

Pregnants, induviduals having health problems interfering with wound healing, use of blood-thinning medications that can not be stopped, allergy against local and anaesthetics. Patients suffering from serious medical conditions (such as diabetes and high blood pressure) or taking certain medications may not be good candidates for liposuction. They must consult with primary care physician and plastic surgeon to find out whether they are an appropriate candidate for this procedure. Because liposuction does not tighten skin, patients without good skin elasticity may have less aesthetically pleasing result. Stretch marks and cellulites can not be eliminated with liposuction. The candidacy must first be determined by a qualified plastic surgeon.

During the first consultation for liposuction surgery, you will discuss the entire procedure, risks and side effects, and all steps you need to take prior to the operation. Your doctor will give you details about the kind of anesthesia he or she will use, the type of facility where the liposuction procedure will take place, the costs involved, and any medications or supplies you will need to pick up before, will explain the types of liposuction, and together you can determine the optimal treatment for you. It is important to be as thorough as possible when explaining your objectives to your doctor, as this will help him or her create a treatment plan that is tailored specifically for you. Smooking, medications and over the counter drugs-supplements must be discussed.

There are different techniques used to eliminate fat. At your consultation, the doctor will help you choose the right one for your needs. Liposuction procedures are divided into two primary types: 
manual liposuction and laser liposuction. Manual liposuction is the classical type with canulla connected to a suction pump remowing the fat with vacuum. Using special fluid injections (a mixture of saline solution, lidocaine and epinephrine) to the target area before the suction. The fluid volume mau change in tumescent wet or super-wet techniques. Ultrasonic tech can help to increase the fat suctioned but the risk of burn injuries is higher. VASER decreases these risks. Advanced surgical lasers (Cool lipo, slim lipo, smart lipo etc.) can loosen fat cells and make them easier to remove, but they are more expensive than the manual techniques.

As the liposuction is not the way of loosing weight, its more effective for removal of pockets of fat in areas like the abdomen, flanks, hips, thighs... The skin quality and elasticity is the most important factor, an for a better result liposuction can be combined with other plastic surgery procedures such as abdominoplasty or bodylifts.

Liposuction to the hips is generally helpfull to create a better figure. Healing is good. The thighs have limitations for lymphatic healing resulting in elongated swelling after circumferential operation, and skin shinkage problems. Buttocks must be reshaped rather than reducing much as it may result in saggy and lumpy look. Liposuction to the breast is an importan part of male breast reduction but not that good for women. Neck and some parts of the face can be suctioned during the facelift surgery.

During the consultation, is important to discuss the reason, expectations, desired outcome, medical conditions, drug allergies, previous medical treatments, current medications, vitamins, herbal supplements, alcohol, smoking, drug use, and family history of previous medical problems. You will be asked about your general health status and any pre-existing health conditions or risk factors. Your surgeon will examine your skin quality of the target areas. 

Doctors often use liposuction in conjunction with other procedures to provide more comprehensive, pleasing results. If patients are looking for more dramatic enhancement, they should discuss these goals with their doctors at their initial consultation.

Getting prepared for the operation;
. Blood tests must be done
. Medications for chronic problems youre on should be estimated with your surgeon and your doctor dealing with.
. Smoking must be stopped.
. Aspirin and certain anti-inflammatory drugs that can increase bleeding should be avoided. 

Liposuction is preffered to be performed in a hospital. Anesthesia: General anesthesia, high epidural anesthesia or local anesthesia with intravenous sedation are the choices which you may decide with your doctor.

If you are undergoing general anesthesia, you should not eat or drink anything for at least six hours before surgery. This prevents you from becoming nauseous while you are sedated. When you arrive for liposuction surgery, you will be asked to sign consent forms indicating that you understand the risks, benefits, possible outcomes, and all liposuction alternatives prior to the procedure. Although the methods required to prepare for liposuction can vary doctor to doctor, your physician will likely draw on your skin to mark the areas to be treated, take "before" pictures to compare with your results after liposuction.

After administering anesthesia, small incisions will be done for injecting the solutions, in the area of the body where fat deposits will be removed. These incisions are usually quite small, 3-5mm appx. Then, with the help of a thin vacuum tube, called a cannula, through the incision and into the deep fat layer, your surgeon will move the cannula back and forth to break up the fat cells, and, with the help of an attached syringe or vacuum pump, suction them out. Because a significant amount of blood and other bodily fluids are removed along with the fat, you will receive replacement fluids intravenously during and after the liposuction procedure. Depending on the preference of your doctor, your incisions can either be closed with a few stitches or left open. Dressings will be applied and the garment will be worn. 

After the liposuction you will be taken to a recovery room to be closely monitored following surgery, and then transferred to your private room. If its a limited liposuction, you may go home after a few hours or if inot, youll stay at the hospital for the first night. Before leaving the hospital, you will be given specific information that includes how to care early after the surgery, medications to use and time for follow-up check. You will likely experience pain for a couple of days and soreness and swelling for a few weeks. Usually, this discomfort is minor and can be relieved with pain medication and moderate walking. In less than a week after liposuction, most patients are able to move and walk normally, even returning to work with minimal discomfort. Patients should take showers instead of baths for about a week after liposuction. During this time, swelling, bruising, and numbness will begin to decrease. In the first several days after tumescent liposuction, the anesthetic solution from surgery drains from the incisions. This drainage is to be expected. It actually facilitates healing and reduces recovery time. 

Be sure to follow all instructions carefully.Exercise and normal activity can resume at the direction of your plastic surgeon. Liposuction results are immediately visible, however needs time for the final result to appear. Over time, post-surgical swelling will subside and incision scars will fade. Satisfaction increases  as you heal after the surgery. In order to achieve optimal body contouring results, it is necessary that you follow post-operative instruction and do follow-up checks.


Cenk Tokat MD

Aesthetic Plastic Surgeon
90 232 4637505 Izmir Turkey