There are many different types of liposuction, but they all essentially perform the same function which is to remove fat cells using long instruments called cannulas through small sub centimeter incisions.

About Liposuction

plastic surgery lipoIn today’s day and age, we are all so busy and working so hard that we tend to not take the time to take care of our bodies as much as we probably should. Whether it be poor diet, lack of exercise, or bad genetics, we are all trying to lose those 10-20lbs. But no matter what we do, that stubborn fat just wont go. Diet after diet and workout craze after workout craze. Atkins, SouthBeach, p90X, CrossFit……sometimes they just cant get it done. That is where Liposuction comes into play. Liposuction can rid you of that stubborn, unwanted fat wherever it might be. As an outpatient procedure with minimal downtime, it might be the answer you have been looking for.

Ideal Candidates

The ideal candidate for liposuction is one in good health without significant medical problems. They should be have reasonable expectations of outcome and understand the potential risks and complications that may occur. They should be close to their ideal body weight in order to achieve the best possible results. Younger patients who have not experienced drastic changes in their weight are the ideal candidates.

Who is not a good candidate?

Patients who are trying to use liposuction as a means to lose weight, are not good candidates. Liposuction should really be called “LipoSculption” since it is meant to sculpt the body rather than help you lose 20lbs. Patients who are more than 30lbs overweight should consider a diet and exercise program first before considering liposuction. Otherwise, results will likely be less than ideal. Patients who have experienced massive weight loss and are left with excess loose skin are also not ideal candidates, as a surgical procedure to excise the skin is probably the appropriate operation.

Before & After Photos

Consultation

liposuctionDuring your consultation, you will meet with Dr. Arslanian and his staff and have the opportunity to discuss your individual situation as well as your concerns and aesthetic goals. Dr. Arslanian will will take a thorough history and perform a complete examination examining your areas of concern and assessing skin quality and amount of fat distribution. Photos will be taken to help Dr. Arslanian point out certain things and explain his approach to liposuction. If you are deemed a good candidate, he will discuss the various options for liposuction and make sure you are happy with your decision. He will also show you photos of other patients before and afters to give you a reasonable idea of expectations. After answering all your questions, you will then sit down with the surgical coordinator to discuss timing, pricing, and any other questions you might have.

Types of Liposuction:

Tumescent Liposuction:

This is probably the most common type of liposuction performed. In this technique, a tumescent fluid is first infiltrated into the planned areas of surgery. This fluid helps to constrict blood vessels to minimize blood loss and also creates separation between the skin and fat to allow for safe liposuction. The cannulas which perform the liposuction are operated by hand and physically remove the fat cells during the operation.

Ultrasonic Liposuction

This technique is often used on areas of scar tissue, previous liposuction, or trouble areas like the upper back and gynecomastia. Tumescent technique is performed, but before liposuction is done, an UltraSound Cannula is used to liquefy and break up the fat so that it is more easily removed with the liposuction cannula.

Power Assisted Liposuction:

This technique is identical to tumescent liposuction except the Cannula is mechanically powered which helps to increase the efficiency of the procedure especially in high volume liposuction cases

Laser Assisted:

Often termed SMART LIPO, this technique involves the use of a laser device to help melt the fat before suctioning it with the cannulas. Dr. Arslanian does not perform this procedure since it appears to be associated with more complications. If not performed properly, the laser can actually cause damage to the overlying skin which can lead to scarring, dimples and divets, and an overall likelihood of needing revision surgery in the future.

Liposuction Before and After

SAFE Liposuction

Dr. Arslanian believes in and utilizes the technique of SAFE liposuction. SAFE is an acronym that stands for: Separation Aspiration Fat Equalization. In this technique, no special lasers or devices are used, only commonsense and safe techniques. The first step involves using a “Basket” type cannula to pre-tunnel and SEPARATE the fat and skin layers. A standard liposuction cannula is then used to ASPIRATE the fat. Another “Basket” type cannula is then used, without suction, to EQUALIZE the FAT to prevent dimpling and contour irregularities. This allows the skin to lay back down on the tissue like a smooth blanket rather than a rocky bed with bumps and crevices. This is how Dr. Arslanian performs all of his cases in order to maximize the likelihood of a very excellent outcomes that patients will be satisfied with.

Fat Transfer

fat transfer buttocksSomething that has gained much more popularity over the years is the idea of fat transfer. In this technique, rather than throwing away the fat aspirated during liposuction, it can be harvested and used in your own body in areas where you might want some enhancement. The three most common areas patients choose to place the fat are: The breasts, the buttock, and the hips. These are three areas that many women want to be “accentuated”, and by transferring the fat you kill two birds with one stone. We remove the fat from your trouble areas and then enhance other areas, as if we were sculpting a work of art with clay. This technique has given a huge uptick in popularity to procedures such as the Brazilian Butt Lift, and Fat Transfer Breast Augmentation. If this is something you are interested, mention this during your consultation process and we can help decide if you are a good candidate.

Preparation

Prior to surgery you will be given instructions on the day, time and location of your procedure. You will be given your prescriptions that Dr. Arslanian prescribes, and all of your paperwork including consent forms will be signed. In some cases you may need to obtain medical clearance from your physician or specialist, and possibly meet with the anesthesiologist and undergo additional lab work depending on your medical issues and personal situation. Current smokers should quit prior to surgery to minimize the chances of complications and wound healing problems.

Procedure

The procedure will be performed as an outpatient in an accredited surgery center with a board certified anesthesiologist in the safest conditions possible. The surgery will be performed under general anesthesia to ensure you feel no pain or discomfort. Pre-operative markings will typically be made the morning of surgery.

After you are asleep, Dr. Arslanian will start by making his small incisions to gain access to the areas requiring treatment. A tumescent fluid will then be injected into the planned areas of liposuction. Dr. Arslanian will then utilize the above principles of SAFE Liposuction to remove fat from your unwanted areas. Depending on your situation, ultrasonic or power-assisted liposuction might also be utilized. The incisions will then be closed and you will be placed into a compression garment. You will be taken to the recovery room after awakening from anesthesia.

Recovery

You will be encouraged to walk to minimize swelling and chance of blood clots in the leg.

You will go home the same day of surgery and rest. You will need to wear a compression garment 23 hours a day for the first 4-6 weeks. This will help to minimize the swelling and speed up your recovery. After 6 weeks you will transition to a slightly less compressive garment, like “spanx”, in order to continue to maintain your healing process. Depending on your pain tolerance, some people might be back to work the next day, and others may need a week or so off of work to get back to full duty. Most patients are back to to full, normal activity by 4-6 weeks.

Results

Patients can expect most of the swelling to be resolved by 3 months, but 10-15% of the swelling can persist to 6 or even 12 months. The more you adhere to wearing your garment, the faster the recovery period should be. A common complication of liposuction is contour irregularity. This can happen if one area is liposuctioned more than an adjacent area, or if there is intense scarring in a particular location. Sometimes this is unavoidable. The good news is that the majority of the time, these things will improve and settle out on their own over the course of several months. In the rare occurrence that it does not, a second procedure may need to be performed to smooth out any irregularities.

Price

The cost of a liposuction procedure will depend on the number of locations and the sizes of the locations that are to be liposuctioned. It will also depend on any additional procedures that you may choose to have done at the time. We would be more than happy to give you a detailed customized quote when you schedule a consultation with Dr. Arslanian.