1. Who is a Good Candidate for Liposuction?
A good candidate for liposuction is defined as any person who has realistic expectations, is in good health and is likely to be happy with the results of liposuction. Although liposuction can often provide very substantial improvements, it is rare for liposuction results to be absolutely perfect. It is not realistic for a woman, who weighs 154 pounds (70 kg) at the time of liposuction, to expect that the removal of 2.2 pounds of fat will permit her to wear clothes that fit well when she weighed 130 pound (60 kg). The health of a prospective patient is a more important consideration than age or weight.
2. Who is Not a Good Candidate for Liposuction?
• If you are not healthy, you may be at greater risks for liposuction complications than a healthy person. For example, there is an increased risk of surgical complications associated with a past medical history of immunodeficiency disorders, cardiac arrhythmias, seizure disorders, excessive bleeding, or a significant history of blood clots in the legs or blood clots in the lungs.
• If you are taking certain drugs that may increase the risk of bleeding such as aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), or anticoagulants such as Coumadin (warfarin), then liposuction would not be safe. Therefore, to safe operation, you have to discontinue the drugs at least 1 week before surgery.
• If you are taking certain drugs that inhibit the metabolism of lidocaine, the local anesthetic used in the tumescent technique, then you might be at an increased risk of drug interactions, unless you can discontinue the drug(s) at least two weeks before surgery.
3. What are the most common reasons for patient dissatisfaction?
Insufficient improvement is a common complaint among patients who have had liposuction on multiple areas on the same day. If too many areas are treated on a single day, the relative improvement of each individual area might be less than if a surgery involving many areas were divided to two or more separate procedures. Irregularities or lack of smoothness is also a common complaint. Smooth results that look natural are of great importance. The use of liposuction cannulas that have a relatively large diameter tend to produce results with more irregularities less smoothness than do smaller liposuction cannulas.
4. Is liposuction a reasonable treatment for obesity?
Liposuction is not effective for people who are unable to lose weight by dieting and exercise. It is not safe to remove huge amounts of fat by liposuction. It is dangerous to remove more than 8 to 10 pounds of fat by liposuction in a single day. Thus, liposuction will not be of any significant benefit for an obese patient who believes that liposuction will aid in the effort to lose weight.
On the other hand, an overweight person whose weight has been stable for many years and has certain problem-areas of fat may be a good candidate for liposuction. Liposuction in an obese patient is reasonable when the goal is to improve a troublesome body contour area. It is not reasonable to use liposuction as a surgical technique for weight loss.
5. What is a successful liposuction surgery?
A liposuction surgery is a success when the patient is happy with the results. Our goal is to obtain an optimal aesthetic result rather than to maximize the amount of fat removed. One of the most common causes for disappointment is the removal of too much fat, which produces an abnormal or unusual appearance. The cosmetic success of a liposuction surgery is often the result of removing an amount of fat equivalent to less than a pound or two of butter from a woman’s saddlebag area or from a man’s love handle area. While this amount of fat is relatively small compared to a person’s total body weight, it does produce a dramatic change in the patient’s silhouette.
6. Does liposuction always remove cellulite?
Liposuction improves the silhouette of the body, but does not necessarily eliminate the pre-existing subtle “puckering” of the skin that is often referred to as “cellulite.” Liposuction does reduce the degree of cellulite to a minor degree but it is unlikely to produce a significant improvement or to completely eliminate cellulite.
7. Does liposuction produce permanent results?
After liposuction the body’s new shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back. As long as the patient does not gain excessive amounts of weight, the new, more pleasing silhouette is permanent. Of course after liposuction the clock keeps ticking, and advancing age will produce the usual changes in the shape of the body associated with the aging process. If a person gains weight after liposuction, she/he will not accumulate as much fat in the treated areas as would have happened if liposuction had not been done.
8. Does the fat come back in other spots after liposuction?
If a patient does not gain weight after liposuction, then fat does not accumulate in other areas of the body. However, if a patient gains a significant amount of weight, say more than 10 pounds (5 kg), after liposuction, then the fat must go somewhere. In fact, the fat accumulates in every area of the body in proportion to the amount of fat cells in each area. Areas where fat cells have been removed by liposuction will accumulate relatively little fat, while areas not treated by liposuction will collect relatively more fat. For example, if a woman gains weight after liposuction of her hips, outer thighs, and abdomen, then most of the fat will be deposited elsewhere such as the woman’s breasts, face, back and legs.
9. Does liposuction cause dimpling or indentations in the skin?
Dimpling and indentations in the skin is a known risk of liposuction. However skin irregularities are unusual in the hands of a skilled surgeon.The use of large diameter cannulas tends to increase the risk of irregularities, while the use of microcannulas (less than 2.8 mm in outside diameter) reduces this risk. The use of microcannulas and multiple adits (very tiny 1.5 mm round holes placed in the skin) allows the surgeon to make a criss-cross pattern of tiny tunnels throughout the fat which produces smoother liposuction results compared to using larger cannulas and only two or three entrance incisions. When large cannulas are used, any inadvertent passage of the cannula too close to the skin may leave a depression or furrow, whereas one pass too close to the skin with a microcannula will not leave a visible depression.
+ Dr. Sung’s Clinic offers you about 5 sessions of skin toning program to prevent dimpling or irregularities after the surgery.