LIPOSUCTION
WHAT IS LIPOSUCTION?

Liposuction is a surgical procedure which removes excess fat with a blunt cannula (instrument) using small incisions.

WHAT IS TUMESCENT LIPOSUCTION?

Tumescent anesthesia, which was made popular by dermatologic surgeons, is a large amount of dilute anesthetic which is injected locally into the areas to be treated. The patient is not "put under." However, a patient may additionally want a mild oral sedative or intramuscular injection for comfort or relaxation during the procedure. Tumescent anesthesia is widely recognized as being safe, because it controls bleeding locally.

WHO IS A CANDIDATE FOR LIPOSUCTION?

A good candidate for liposuction is someone who:
   - has excess areas of fat that could not be lost with a good diet and exercise program
   - is not obese
   - has good skin tone

   - does not have major medical problems (such as diabetes, heart or sever respiratory conditions,      severe blood pressure problems, a supressed immune system, history of blood clots, bleeding      disorders), reactions to epinephrine, hernias or a history of abdominal surgery/scars.
   - has realistic expectations, and does not feel like liposuction, or any other cosmetic procedure, will      change the events or the course of their life

 
WHAT AREAS ARE PERFORMED?

In our office, we perform tumescent liposuctions for the:
   - abdomen, waist, back
   - hips, thighs, knees
   - arms
   - neck
   - male breasts

 
WHAT IF I HAVE A LOT OF EXCESS SKIN?
You may be better off having an abdominoplasty or a necklift, in addition to liposuction. We do not perform these procedures, but can refer you to plastic surgeons in our community who do.
WHAT ARE THE POSSIBLE RISKS?
Tumescent anesthesia has a proven track record of safety-so the risks of bleeding, blood clots, and death are extremely rare. Complications include, but are not limited to, seromas (fluid collections that can be extracted), uneven areas (which may or may not respond to touch-up procedures) and skin color changes. Infections have been reported, but are rare. Scars are generally minimal since the incisions are small.
 
HOW MANY DAYS DO I NEED TO TAKE OFF?
Usually, patients feel the most discomfort and fatigue in the first 48 hours post-op. For smaller areas, you might be able to go back to work in 2 days. For larger areas, 4-7 days is advisable. A compression garment will be worn for a varying length of time. You will need someone to drive you home.
IF I AM INTERESTED IN THIS PROCEDURE, WHAT DO I DO NEXT?
A consultation is necessary. We are sorry, but we do not perform free consultations. We spend a great deal of time getting to know you, taking a history & physical, and explaining the procedure in detail. If we feel you are a good surgical candidate, we will order pre-operative tests and/or will ask you to receive clearance from your primary care doctor if you have certain medical conditions.
© Elisabeth K. Shim, M.D. 2003