What is liposuction?
Liposuction is the removal of excess subcutaneous adipose tissue and the correction of body contours. Harmonious curves, a shapely figure, great spirits and self-confidence - that’s the effect of a liposuction procedure. Indications for liposuction - localized deposits of subcutaneous adipose tissue in any areas of the body “resistant” to exercise and dieting.
With the right approach to performing liposuction, the procedure can successfully correct a person’s figure - both among patients with localized fatty deposits who are at a normal weight and among those who are overweight. In our practice, we’ve frequently performed volumetric liposuction with the simultaneous removal of up to 12 liters of fat. Please note that at issue here are liters - not kilograms! But, this kind of operation is certainly an indicator of the professionalism of the surgeon - and a reflection of the caliber of the clinic where the operation is being performed. In order to perform such a volumetric liposuction, the surgeon must calculate everything precisely and carefully plan the operation:
- number of liposuction zones
- volume that must be removed in each specific area of the body
- factor in the density of the overlying skin (so it doesn’t sag after the operation)
- method of liposuction to be used on each area of the body
- correct tube size, etc.
But that’s not all! Also important are the standards of the clinic, and the teamwork of the various medical specialists involved: surgeon, anesthesiologist, physiotherapist helping the patient during the rehabilitation period
The effect after liposuction - namely a shapely figure and harmonious body curves - is permanent, provided the absence of hormonal changes (rapid weight gain or loss); however, even in these cases the fluid body contours remain.
How much does liposuction cost?
The cost of liposuction depends on the number of zones that need to be treated. 1 zone is about the size of the palm of your hand. It’s difficult to specify the cost of the operation without having seen the patient, since the abdominal area may equate to 4 zones, but for some people could be as much as 14. Everything depends on the individual patient’s proportions. Liposuction is also frequently accompanied by abdominoplasty (tummy-tuck).Types of modern liposuction:
Multilayer tumescent liposuction combined with ultrasound treatment - under the use of this method, the liposuction zone is injected with Klein solution. It turns the adipose tissue into an emulsion that can thereafter be easily removed using the usual method. It may be a labor-intensive process for the surgeon, but provides the patient with maximum comfort and reduces blood loss during the operation. Hypertumescent (tumescent) liposuction uses extremely fine needles with a diameter of up to 1 mm, which makes it possible to sculpt chiseled body contours with jeweler's precision, thereby guaranteeing that the patient won’t be disappointed with the results of the operation once they become visible.
GrandEffect liposuction (radio-frequency liposuction) - after the removal of a high volume of fatty deposits, an additional skin-lifting operation will likely be required. This entails not only extra costs, but also the appearance of scars. With GrandEffect liposuction, the adipose tissue is first broken down using radiowaves, then removed from under the skin through miniature incisions (2 mm). After the operation you’ll undergo another round of radiowave lifting, which encourages lifting of the skin and a reduction in skin tissue of from 30 to 60% within 3 months after the operation.
Types of classical liposuction:
- Vacuum liposuction, in which subcutaneous adipose tissue is broken down locally and removed through tiny incisions;
- Ultrasound liposuction, in which the adipose tissue is first broken down by ultrasound and then the resulting fatty emulsion is removed from under the skin using a vacuum;
- Radiowave liposuction, in which the adipose tissue is first broken down by radiowaves and then the resulting fatty emulsion is removed from under the skin. Aside from the breaking up of fatty deposits, it provides for effective lifting of the skin and a reduction of skin tissue of up to 60%. This solves one of the main problems of liposuction: flabbiness and sagging of the skin after the operation.
- Multilayer tumescent liposuction combined with ultrasound and radio-frequency liposuctions make it possible to achieve the best results in various scenarios of fatty deposits. In our view, the advantages of other types of liposuction (waterjet, electro-mechanical, laser, etc.) are dubious. Our clinic’s experience with performing liposuction is extensive (dating back to 1994). Liposuction operations are performed at our clinic by surgeons only, since this is the accepted industry standard. Surgical work involves the use of a set of tubes ranging from 1.2 to 3.7 mm in diameter, depending on the depth of the occurrence of fat and its thickness. These methods are described in detail in the "Guide to Plastic and Reconstructive Surgery" in the section devoted to liposuction, which was written by surgeons from our clinic.
The volume of fat to be removed may vary, depending on the particularities of the patient’s figure and amount of existing fat. Liposuction of the knees, "saddlebags," abdomen, abdominal flanks and arms most commonly involves the removal of 2-7 liters of fat. We recommend that our patients undergo a full course of rehabilitation procedures. Rehabilitation envisions: wearing compression undergarments for 3-4 weeks, pressure therapy in undergarments from day 3 post-op, and LPG on days 7-10 post-op. The choice of method depends on the individual particularities of each patient, as well as on the location of subcutaneous adipose tissue. The duration of liposuction is from 30 minutes to several hours.
Rehabilitation after liposuction
It all depends on the complexity and scope of the operation. If plastic surgery of the anterior abdominal wall involves minor liposuction and dermoplasty (the removal of excess skin), then you’ll probably be able to return to work in 7 days, while continuing to limit your physical exertion. If you’re having abdominoplasty (with suturing of the muscular tissue), then an important rule for you will be staying on bed-rest for 3 days after the operation. During this period of time, it is highly recommended to remain at the clinic as an in-patient.
The incisions are dressed and bandaged for the first two weeks after the operation, and physical exertion must be limited for 1.5-2 months in order to speed up the recovery process. It’s best to stay on bed-rest for 10-14 days after the operation. You can return to your daily activities in about 1-2 weeks. For a month, it’s not recommended to play sports or go to the solarium (banya). We recommend wearing special compression undergarments for at least a month following liposuction. The approximate result of the surgical procedure can be evaluated in 1.5 months, and the final result will be clearly visible in 4-6 months.
FAQ at the consultation
I exercise and diet, but my “saddlebags” just won’t disappear. Could liposuction help me?
Yes. Liposuction makes it possible to remove excess deposits of adipose tissue in places that “don’t react” to exercise and dieting. These include the face (cheeks, double-chin), neck, upper arms, lower back, buttocks, legs (hips, saddlebags, calves).
How long does the effect from liposuction last?
The effect after liposuction - namely a shapely figure and harmonious body curves - is permanent, provided the absence of hormonal changes (pregnancy, rapid weight gain or loss); however, even in these cases the fluid body contours remain.
If I get rid of excess fat in one place, won’t it just reappear in another?
No, deposits of subcutaneous adipose tissue depend on nutrition - not on the performance of a surgical procedure. If you maintain good nutritional habits after the removal of excess subcutaneous adipose tissue, your shapely figure will remain.
Can liposuction be performed on several areas of the body at the same time?
Yes, the number of areas and scope of the plastic surgery is determined by the surgeon.
More about liposuction
These operations are performed by highly-distinguished plastic surgeons, members of the International Society of Aesthetic Plastic Surgery (ISAPS) with more than 20 years of professional experience in this field.
Many surgeons remove no more than 5 liters of adipose tissue, while we can remove - such as with the use of modern vacuum liposuction - up to 12 liters of fat at once. The operation is followed by the prescribing of effective modern analgesics, plus reliable compression undergarments. Taken together, this lets our patients feel quite comfortable after discharge and resume their normal lifestyle. Of course, ladies who’ve had 12 liters of adipose tissue removed and those who’ve lost just 1-2 will feel quite different. But remember - at our clinic, no one’s planning to make a sick person out of a healthy one. That’s not in our common interests.