Liposuction is a very common, popular procedure. It is designed for the permanent removal of fatty tissue. It is an elective procedure that allows the cosmetic surgeon to remove undesirable, subcutaneous fat in isolated areas that do not respond to diet and exercise. These areas include the face and neck, upper arms, flanks, abdomen, buttocks, hips, thighs, knees, calves and ankles. Liposuction is not a technique for treating obesity. Liposuction is not a substitute for weight reduction, but a method for removing localized deposits of fatty tissue that do not respond to diet or exercise. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated. The procedure can be repeated, if necessary. To maintain the safety of the procedure, there is a limit on how much can be done at one time.

A variety of factors can affect the results: Physical condition, genetic makeup, diet, exercise, smoking, alcohol intake, and skin elasticity. Liposuction may be performed as a primary procedure for body contouring or may be combined with other surgical techniques such as a facelift or abdominoplasty to tighten loose skin and the supporting structures. The best candidates for liposuction are individuals of relatively normal weight who have excess fat in particular body areas.

Suction-assisted lipectomy surgery is performed by using a hollow metal surgical instrument known as a cannula that is inserted through small skin incision(s) and is passed back and forth through the area of fatty tissue. Liposuction may be performed under local, intravenous (twilight) or general anesthesia. The Tumescent liposuction technique involves the infiltration of a very dilute anesthetic solution under the skin into the fatty tissue before it is removed. This technique can reduce the discomfort at the time of surgery, as well as reduce postoperative bruising. Afterward, compression garments are worn for support, to control swelling and promote healing. Patients usually return to work after 3 to 7 days depending on the surgical procedure performed.

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