Many people suffer from unwanted fat deposits and dream of perfect body shape.
The extra fat reserves can arise for a variety of reasons and, once they are there, then they are difficult or impossible to get rid of, and some people just think, “the belly fat has gone, the cost does not matter”.
From experience, we know that the decision to liposuction on the stomach is usually preceded by a long process of decision-making.
Note: Before deciding on a surgical procedure, another appointment with detailed information is required.
In order to minimize risks for you, it is also necessary to have an operation and anesthesia examination carried out by an internal medicine specialist approx. 3 weeks before each intervention.
As a result, any risk factors can be identified in advance and treated if necessary.
How can liposuction help? Many stubborn fat pads do not want to melt despite regular exercise and a healthy diet. The fat pads, commonly found on the upper arms, stomach, thighs, rider’s trousers, hips, knees and chin, withstand all workout methods and diets.
Not a few people have the unloved fat pads removed by liposuction, finally and permanently. In the following article we answer the most common questions about liposuction and explain the most popular methods.
1. What is a liposuction?
As you get older, the fat deposits shift a bit in different places, and more fatty tissue accumulates especially around the center of the body. This mostly genetic system is called fat distribution disorder because these body regions have bulky fat deposits.
In women, pregnancy can leave unwanted fat deposits. Depending on their genetic predisposition, fat deposits can reach bulky proportions, which can only be limited by dieting and exercise.
In general, it is the subcutaneous fatty tissue, which is quite unimpressed by sports activities and even radical diets. This fat is just under the skin and above the abdominal muscle.
The liposuction is just meant for such type of fat deposition. It is one of the most performed procedures in plastic surgery to remove the deposits and gives you an improved, slimmer-looking body shape.
However, liposuction does not aim to overcome general obesity. Therefore, people who are seriously overweight are generally advised against liposuction.
In the procedure of liposuction special suction cannulas are inserted under the skin and fat cells are permanently removed by aspiration with a medical vacuum pump. As a rule, the procedure can be performed on an outpatient basis and is completely painless during the treatment.
Since the fat cells are permanently eliminated, the liposuction guarantees a long-term effect and thus a huge improvement in the physical well-being of the patients.
With today’s medical advances, there are a variety of ways to eliminate excess fat. This allows each patient to tailor their individual needs with a suitable treatment method.
2. Which methods and variants of liposuction are there?
Nowadays, you can find several variants in order to be able to carry out the process of liposuction. The surgery can be performed on a hospital, day clinic or outpatient basis and is performed in general anesthesia, local anesthesia or tumescent anesthesia with or without twilight sleep. Here are the most commonly used methods:
The basic method of Liposuction
In the widespread basic method, a fluid mixture is injected into the affected area. This ensures that the vessels contract in the treated area and the fat can be sucked off more easily. In addition, the fluid has a hemostatic and anesthetic effect, so that the patient feels no pain. The fat is then sucked off by a vacuum pump.
The tumescent method
In the Tumescent Method, a large amount of saline is injected under pressure into the fatty tissue with a local anesthetic, which “floats” the affected part of the body. The fat cells absorb themselves with the mixture solution and can be sucked off after a short time by fine suction cannulas and a vacuum pump.
Liposuction with the water jet method
Water jet assisted liposuction, WJM for short, is a comparatively gentle and safe method. Using a computer-controlled water jet containing sprayed local anesthetic and adrenaline, the fatty tissue is dissolved in a single treatment step and removed together with the solution.
The fact that the affected areas do not swell due to large amounts of fluid, the treating Plastic Surgeon recognizes the body contours very well and this allows a very fine modeling. The surrounding connective tissue, the blood vessels and the nerves remain intact. Therefore, the pain after surgery is very low and is compared by patients with a slight muscle soreness.
3. General and Intervention-specific risks
Basically, most operations are done without issues. Each surgery is performed with the utmost care of the attending surgeon. Nevertheless, no doctor can guarantee absolute risk-freeness and complications can occur with every procedure.
Like any surgical procedure, Liposuction brings with it risks and side effects. Especially in cosmetic surgery, there are always complications that can not be avoided. So before you take the step, you should also be sufficiently informed about those points that count as side effects:
- fat necrosis
- Deepening of the butt-fold
- fat embolism
- Veins / spider veins
- Injury of internal organs
- skin imperfections and soft tissue damage
- Circulatory disorders
- Allergies or intolerance reactions
4. What you need to know before liposuction?
If you have decided to implement a liposuction, a detailed examination will be performed and a blood count will be taken.
Even before the procedure you should pay attention to a healthy and balanced diet. This also implies the renunciation of alcohol and nicotine.
Blood-thinning medication should be discontinued two weeks before the operation, as the hemostasis could be negatively affected. Two weeks before surgery, all vaccinations are also advised against.
Many “harmless” flu and painkillers cause blood thinning, as they contain acetylsalicylic acid or acetylsalicylate. Medication containing acetylsalicylic acid (eg Aspirin®, Aspro®, Ascorbisal®, Duan®, Thomapyrin®, etc.) must be discontinued at least 2 weeks before surgery as a single tablet can have a very negative effect on your haemostasis.
If in doubt, consult with your surgeon, family doctor or internist.
Important medications (eg thyroid hormone pills, antihypertensive medications, heart remedies, etc.) may also be taken with a sip of water on the day of the operation .
Your doctor will then discuss with you which medicines should be discontinued, changed in dose or replaced by others for how long before and after the procedure.
Food and Drinks Warnings
On the day before the operation, when performing general anesthesia, do not eat foods that are difficult to digest (fatty) .
If the operation takes place in the morning, it must not be drunk or eaten after waking up. If the surgery takes place in the afternoon, a light breakfast is allowed.
At least 6 hours before the scheduled surgery, however, nothing more may be eaten or drunk.
If the surgery is performed under local anesthesia , you can also take light food before surgery. Even clear liquids such as water or tea can be taken. Alcohol consumption is prohibited on the day of the operation.
Please do not use oily shower or bath products on the day of the operation , but normal soap or shower gel will be fine.
If necessary, a shave in the area of the operating area is necessary, but this must be done immediately before the operation. Your doctor will discuss the exact procedure with you.
In general, for hygienic reasons, on the day of surgery you should not apply make-up, face, eyes and body cream.
Important: Due to the risk of burns during hemostasis, any body piercing and metal jewelry must be removed for the duration of the operation .
5. What do you have to consider after liposuction?
The success of an operation requires compliance with the physician’s instructions and the assistance of the patient. Depending on the area being treated, you should wear a special compression bandage for a few weeks to promote firming of the skin.
Showering and bathing is only allowed after removing the suture material. In the first 4-8 weeks avoid any kind of heat like hot baths, sauna, infrared cabin, solarium, sunbaths etc.
In order to ensure wound healing, please note that the dressing is a protection for your wound, and this should not be changed by friction, displacement or the like.
The wound may also have been glued together with suture plaster (Steristrips) to avoid tension on the wound edges. Your doctor will tell you how to change the bandage at home if necessary.
The truth is that Swelling and bruising may occur after liposuction, but experience has shown that these disappear within a few weeks. During this time please refrain from strenuous exercise, sports, sauna and sunbathing.
Medicines should only be taken after consultation with your doctor. If you need to take any medication, regardless of your surgery, it is necessary to discuss this with your doctor and, if necessary, to change the dosage.
Do not take any anticoagulant medication (eg Marcumar®, Sintrom®, etc.) or blood-thinning medications (eg ThromboAss®, Plavix®, etc.) for 2 weeks after the operation and no flu and pain medication containing acetylsalicylic acid (eg Aspirin®, Aspro®, Ascorbisal®, Duan®, Thomapyrin®, etc.). If in doubt, consult with your surgeon.
Goals and Benefits of Liposuction
First and foremost, you want to create new joy of life with this process, because it was often lost by the dissatisfaction with itself. The aim is therefore to permanently remove excess fat deposits or at least to reduce it.
Hereby, almost all body parts can be adjusted, and the extracted areas harmonize usually in an aesthetic manner with the adjacent body regions.
The upper limit to the amount of fat that can be sucked off is 5 liters, depending on your physique. The final result can be assessed after 2 – 3 months.
Most patients are very satisfied with the result, but a guarantee for a satisfactory surgical result can not be given even if surgery is successful.
Remember : A liposuction is not the savior. Alone It is not enough to bring your own body into the desired aesthetic form. It is by no means a simplified method for weight reduction! In addition, the Surgery is highly not recommended for strongly overweight people.