Liposuction

Enhancing your appearance with liposuction
What to expect during your consultation
Preparing for surgery
Procedural Steps
Important facts about the safety and risks of liposuction
My recovery
The results will be long-lasting
Words to know
   

Also known as lipoplasty, liposuction slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image.

Enhancing your appearance with liposuction

       
 

Despite good health and a reasonable level of fitness, some people may still have a body with disproportionate contours due to localized fat deposits. These areas may be due to family traits rather than a lack of weight control or fitness.

Liposuction slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image.
  Beautiful after Liposuction
       

Liposuction techniques may be used to reduce localized fat deposits of the:

 

Thighs

 

Hips and buttocks

 

Abdomen and waist

 

Upper arms

  Back
 

Inner knee

 

Chest area

 

Cheeks, chin and neck

 

Calves and ankles

In some cases, liposuction is performed alone, in other cases it is used with plastic surgery procedures such as a facelift, breast reduction or a tummy tuck.

What it won’t do:

Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite, the dimpled skin that typically appears on the thighs, hips and buttocks, or loose saggy skin.

 
What to expect during your consultation
success and safety of your liposuction procedure depends very much on your complete candidness during your consultation. Dr. Vartany will ask you a number of questions about your health, desires and lifestyle.

Be prepared to discuss:

  Why you want the surgery, your expectations and desired outcome
 

Medical conditions, drug allergies and medical treatments

  Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
 

Previous surgeries

Dr. Vartany will also:

Woman in Hat
 
Evaluate your general health status and any pre-existing health conditions or risk factors
 

Take photographs for your medical record

 

Discuss your options and recommend a course of treatment

 

Discuss likely outcomes of liposuction and any risks or potential complications

 

Preparing for surgery

Prior to surgery, you may be asked to:

 

Get lab testing or a medical evaluation

 

Take certain medications or adjust your current medications

  Stop smoking well in advance of surgery
 

Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Special instructions you receive will cover:
 

What to do on the day of surgery

 

The use of anesthesia during your liposuction

  Post-operative care and follow-up

Dr. Vartany will also discuss where your procedure will be performed. Liposuction may be performed in an outpatient surgical center, a hospital or the office.

 

Procedural Steps:

What happens during liposuction?

Step 1 - Anesthesia

Medications are administered for your comfort during the surgical procedures. The choices include sedation and general anesthesia. Dr. Vartany will recommend the best choice for you depending on the amount and location of liposuction.

Step 2 – The incisions

Liposuction is performed through small, inconspicuous incisions.

First, sterile liquid solution is infused to reduce bleeding and trauma. Then a thin hollow tube, or cannula, is inserted through these incisions to loosen excess fat using a controlled back and forth motion.

The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula.
Problem areas that can be addressed with liposuction:
       
  Rear problems, before Rear problems, after  
       
  Torso problems, before Torso problems, after  
       
  Pelvic problems, before Pelvic problems, after  
       
  Lip problems, before Lip problems, after  
       

Step 3 – See the results

Your improved body contour will be apparent when the swelling and fluid retention commonly experienced following liposuction subside.

With continued practices of healthy diet and fitness, the loss of excess fatty tissue should be permanently maintained. However, substantial weight gain can alter an otherwise permanent result.

Important facts about the safety and risks of liposuction

         
 

 

The decision to have liposuction is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Dr. Vartany will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

 

 
         

Possible risks of liposuction include:

 

Uneven contours

 

Rippling or loose skin

 

Skin or nerve damage

 

Irregular pigmentation

 

Infection

 

Fat clots

 

Blood clots

 

Excessive fluid loss or fluid accumulation

 

Unfavorable scarring

 

Anesthesia risks

 

Bleeding (hematoma)

 

Change in skin sensation

 

Skin discoloration or swelling

  Asymmetry
 

Pain, which may persist

 

Damage to deeper structures such as nerves, blood vessels, muscles, lungs, and abdominal organs

  Poor wound healing
 

Persistent swelling in the legs

 

Deep vein thrombosis, cardiac and pulmonary complications

 

Possibility of revisional surgery

Is it right for me?

If you are bothered by excess fat deposits - located anywhere on your body - that don’t respond to diet or exercise, liposuction may be right for you.

Ideal candidates for liposuction are:

 

within 30% of their ideal weight who have firm, elastic skin and good muscle tone

 

Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing

  Non-smokers
 

Individuals with a positive outlook and specific goals in mind for body contouring

 
My recovery
Once your procedure is completed, a compression garment or elastic bandages will cover treatment areas. These help to control swelling and compress the skin to your new body contours, and you will wear them for three weeks after your procedure.

When you go home

If you experience shortness of breath, chest pains, or unusual heart beats, call Dr. Vartany immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
 
The results will be long-lasting
         
 

It may take several months for the swelling to fully dissipate. As it does, your new contours and enhanced self-image should continue to develop.

The fulfillment you feel from the initial results of liposuction should continue as long as you control your weight and maintain a healthy lifestyle.

A significant weight gain can reverse your results. Following liposuction, your slimmer and better-proportioned body should more accurately reflect the healthy and active life you lead.

   
         
Words to know
 

Breast reduction: Also known as reduction mammaplasty, reduction of breast size by surgery.

 

Cannula: A thin, hollow tube used during liposuction to loosen excess fat.

 

General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.

 

Hematoma: Blood pooling beneath the skin.

 

Intravenous sedation: Sedatives administered by injection into a vein to help you relax.

 

Lipoplasty: Another term for liposuction. Liposuction: Also called lipoplasty or suction lipectomy, this procedure vacuums out fat from beneath the skin’s surface to reduce fullness.

  Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
 

Suction lipectomy: Another term for liposuction.

 

Sutures: Stitches used by surgeons to hold skin and tissue together.

  Tumescent or super-wet liposuction: Involves an infusion of saline solution with adrenaline and possibly anesthetic prior to removal of excess fat.
  Tummy tuck: A surgical procedure, also known as abdominoplasty, to correct the apron of excess skin hanging over your abdomen.
   

 

 
Excerpted from the ASPS/ASAPS Patient Education Brochures
 
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DR. VARTANY
Dr. Vartany grew up in Boston, Massachusttes. Hi attanded High School in Exeter New hampshire and complited his
 
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