Now among the most popular cosmetic surgery procedures, liposuction (also known as "lipoplasty" or "suction lipectomy") sculpts the body by removing undesirable fat from areas around the thighs, knees, buttocks, waist, hips, abdomen, chin, cheeks, neck and upper arms. Ultrasound-assisted liposuction (UAL), tumescent technique and the super-wet technique are among the various techniques used to provide precise results. Dr. Hoffman is one of the few plastic surgeons who is able to stand the patient up during the procedure to see the effects of gravity. With the patient in the standing position, precise contouring can take place.
We are proud to offer patients our extensive experience and expertise in liposuction, the single most popular cosmetic surgery procedure in the U.S. today. Liposuction sculpts the body by removing undesirable fat that has not responded to diet and exercise from the abdomen, waist, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Liposuction not only offers the opportunity to slim and contour chubby areas of the body; by removing the fat cells, it also ensures that these areas will not accumulate fatty deposits in the future.
Our doctor knows that all patients are different, both in their body shapes and in what they wish to achieve with liposuction. We take as much time as necessary during every pre-operative consultation to learn what each patient wants to liposuction to do for them, and to decide which technique is best. In this way, every one of our patients enjoys completely customized treatment designed with his or her specific goals in mind.
The liposuction procedure begins with the injection of a solution composed of saline (salt water), a local anesthetic called lidocaine, and a small amount of adrenaline to decrease bruising and bleeding. This is known as either the tumescent or super-wet technique, depending on the ratio of the fluid to the fatty tissue being removed.
Once this solution has been introduced into the area planned for liposuction treatment, the doctor proceeds with one of two different methods of liposuction currently approved by plastic surgeons: suction-assisted lipectomy (SAL) or ultrasonic-assisted lipectomy (UAL).
In both methods, a tiny incision is made in as inconspicuous a place as possible. In SAL, a cannula (small tube) is inserted and moved back and forth beneath the skin, breaking up the fat layer and suctioning it out. In UAL, ultrasonic energy is used to liquify the fat before it is suctioned out with a cannula.
The liposuction procedure may last from one to five hours, depending on the amount of fat being removed. The doctor will use either local anesthesia or general anesthesia, again depending on the size of the area(s) being treated as well as several other factors. We will discuss which method is best for you during your pre-operative consultation.
After liposuction surgery, drainage tubes, compression garments and antibiotics may be needed to facilitate the healing process. Patients are encouraged to walk as soon as they are able, and many return to work within a few days. Strenuous activity should be avoided for about a month.
Results are visible immediately, and improvement often continues as swelling subsides during the first three months.
We make sure that scars from the liposuction cannula insertion point are small and inconspicuous.
Risks are uncommon when the liposuction is performed by a qualified surgeon. Nevertheless, they do occur, and may include the following: