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Body Liposuction Liposuction is a technique in which very small incisions and thin metal suction tubes (cannulas) are used to remove the soft fatty tissue from underneath the skin. Liposuction is best used to removed disproportionate collections of fat, which create "bulges". Typical areas that respond well to liposuction are the lower abdominal wall, "love handles", and the lateral portion of the thighs, the so-called "saddlebags". Because liposuction removes only the fatty tissue under the skin, the skin over the area to be suctioned typically should be free of stretch marks, wrinkling, and not overly lax. After removal of the fatty tissue, the skin needs to "shrink" to the smaller contour. Some areas where skin is very lax do not respond very well to liposuction. Liposuction is an excellent tool for the "battle of the bulge". It is not a method of general weight loss, but patients who complain of resistant fatty bulges that just don't seem to go away no matter how much they try to lose weight, may respond well to liposuction. Liposuction can be |
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performed
with local anesthetic (tumescent technique) in which large volumes of
local anesthetic are instilled underneath the skin, not only to numb
the skin but to constrict blood vessels so that the fat can be removed
with very little bruising, bleeding, or irregularity. Larger volume liposuction
may require additional anesthesia ("wet" technique)
in which tumescent solution is still used, but because larger volumes
are being removed, general anesthesia is required as well. Liposuction can
be performed in multiple small sessions, or (within limits) areas can
be grouped together in larger volumes. |
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The following cases are examples of a small volume and larger volume liposuction done on an outpatient basis, with local (tumescent) anesthesia or with "wet" technique.
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Abdominoplasty or "tummy tuck" addresses three aspects of the abdomen, including: • skin • the fatty layer under the skin • the muscles of the abdominal wall In each patient, an evaluation is performed with the above factors in mind, and the procedure is tailored according to the needs of each individual patient. Typically, excess of skin, which includes wrinkling or hanging lax skin, is treated by removal of the skin. This can be done from the upper abdomen or the lower abdomen with scars being placed within the lines of clothing so that they are hidden in a bikini bathing suit or by undergarments. The fatty layer under the skin can be addressed either through direct removal of fat at the time of surgery or liposuction. If the muscles of the abdominal wall have been stretched out by pregnancy, these can be tightened up to create an "internal corset" to narrow the waistline and flatten the abdomen. Abdominoplasty is more frequent in women, but is also performed for men who have a fatty role of the lower abdomen. In the following examples you will find abdominoplasty performed primarily for wrinkling skin, for removal of a large amount of abdominal fat, or for repair of lax muscles of the abdominal wall. Abdominoplasty can vary from "mini" abdominoplasty, where primarily skin is removed, to "full" abdominoplasty, where skin is removed, fat is contoured, and the abdominal wall muscles are tightened up. Recovery times depend on the degree of surgery, usually varying from 2-4 weeks to return to work, and 4-6 weeks to return to strenuous exercise regimen.
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| Click here to view Before & After Photos | |||
Robert
J. Carpenter, MD
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