Liposuction is a procedure that is used to remove localized fat by means of high-powered vacuum suctioning. This procedure was originally described in the early 1980s. I was fortunate enough to attend a seminar presented by a group of French surgeons to learn the technique, and at one time, I was the only person in the state of Indiana performing this procedure. Liposuction has evolved over the last 20 years with numerous refinements. Some of these include the use of smaller instrumentation, the additional of ultrasonic sound waves to break up the fat, and the use of laser, and technology such as liposuction in an attempt to improve overall results. Some of the newer procedures such as SmartLipo, have not been shown in any controlled studies to offer significant benefits over some of the older techniques.
In evaluating a patient for liposuction, there are several things that I, as a plastic surgeon, will consider to determine what results can be obtained with the use of this instrumentation. In assessing my patients, I assess the overall skin quality. This gives me an idea of how the skin will contract with the decreased volume by removing the underlying fat. If the skin has some laxity or there are numerous stretch marks, it is a sign that the skin may not contract as well as desired, and the results produced can be less than optimal. Another thing that would be considered is a history of severe weight gain or weight loss, which again can contribute to poor skin elasticity. The age of the patient is also a relative indication as far as performing this technique as younger patients tend to have a better quality skin than older patients, but there are always exceptions to this rule.
Liposuction is not a technique that is used for obesity or to obtain weight loss. The best candidates for liposuction have localized fatty deposits with good overlying skin that had not responded to diet and exercise. Areas that can be treated with liposuction include the abdomen, trunk, hips, back, arms, legs, and the neck.
Patients are assessed as to their probability of being a good candidate for liposuction and rated on a 1 to 10 basis with a 10 being the best candidate, and a 1 being the worst. Patients that are poor candidates are at a much higher risk for skin contour irregularities and residual redundant skin which would require some type of excisional surgery in order to correct this deformity. In those cases, these patients most likely would not be operated on.
Liposuction is a wonderful tool in accompanying other body contouring techniques and is frequently combined with a tummy tuck, abdominoplasty, or body lift procedures. Other indications may be the use of liposuction with breast reduction or breast contouring. It is also frequently used in facial rejuvenation surgery to remove fat from the neck when performing a face lift.
Liposuction in most cases is performed as an outpatient and may take anywhere from 1 to 3 hours depending upon the number of areas that are treated. In most cases, I will limit the total fat removal to approximately 5 liters at 1 operative procedure. When a larger amount than 5 liters is removed, problems can occur with blood loss and volume depletion of the patient.
Dr. Linderman of Aesthetic Plastic Surgery of Indiana has helped many Indianapolis liposuction patients achieve a more contoured and sculpted body. As an Indianapolis plastic surgery specialist, Dr. Linderman uses the latest, most advanced cosmetic surgery techniques and technology to help each Indianapolis liposuction patient achieve stunning results.
“Dr. Linderman and staff are wonderful. What a life changing experience. I feel so good due to dropping at least 2 pant sizes and feeling more sure of myself! Thanks for the new me!” M.R.
Liposuction can sculpt the body and face to remove localized fatty deposits when exercise and diet are unsuccessful. However, liposuction is not a means to lose weight.
How a person responds to liposuction is affected by age, the amount of fat removed, and by their skin elasticity and its ability to respond to the underlying fat removal.
Liposuction – Patient Recovery
Patient recovery time depends on the number of areas treated and the amount of fat removed. One day of bed rest may be required following the procedure. A compressive garment to minimize bruising and swelling is usually worn for up to 4 weeks post operatively.
Dr. Linderman has been performing liposuction since 1982 and has continually modified this procedure to add new innovations such as smaller instrumentation, tumescent infusion, and ultrasonic liposuction or UAL (ultrasound-assisted liposuction).
Tumescent infusion allows more effective and larger fat removal with a higher margin of safety. Ultrasonic liposuction liquefies fat with high frequency sound waves and is gentler with less bruising.
Dr. Linderman is looking forward to meeting with you to answer your questions and show you photos of patients who have met their body image goals with these techniques. For questions and answers on liposuction, click here.
Many Indianapolis liposuction patients have also benefited from a tummy tuck. Please visit our tummy tuck page to learn more about this procedure.
In addition to helping Indianapolis liposuction and tummy tuck patients achieve beautiful results, Dr. Linderman has helped women improve their figures with breast augmentation with breast implants and breast lift. Indianapolis breast augmentation and breast lift patients regain a lifted, fuller, more youthful bustline, and enhanced self-confidence.
Dr. Linderman also specializes in cosmetic procedures for the face. He has helped many Indianapolis facelift, rhinoplasty, and brow lift patients look younger and more rejuvenated. To learn more about these procedures, visit our facelift, rhinoplasty, or brow lift page.
Learn about Male Liposuction.By Dr. Richard Linderman