This sculpting tool is one of the most common procedures performed today, with minimal incisions placed in natural creases, to allow access to the middle and deep fat compartments for extraction. Liposuction is ideally suited for fat removal where the integrity of the underlying musculature is good and the elasticity of the skin is sufficient to shrink smoothly to the contour of the fat removed.
Liposuction is not intended to improve or remove cellulite, and, in many instances, may make such dimpling worse. Many methods of liposuction are currently available and include ultrasonic, tumescent techniques and laser assisted. Your method is dependent upon your relative amount of fat excess, skin type and age. Dr. Bruce Landon discusses the benefits of liposuction surgery and what his patients can expect before, during and after treatment.
Traditional liposuction involves inserting a long, thin tube (called a cannula) through incisions in the treatment area and moving it back and forth through the fat layer to break up the fat. Then, the fat is suctioned out of the body.
Ultrasound liposuction involves a special cannula that emits ultrasonic energy to break up fat and make it easier to remove. Vaser is one of the more well-known ultrasound liposuction systems. Tumescent liposuction involves injecting a tumescent "wetting" solution into the treatment area to firm up fat and make it easier to suction out of the body. This wetting solution contains a local anesthetic, for pain management, and epinephrine, which constricts the blood vessels to minimize bleeding and swelling.
The best liposuction candidates are healthy, active individuals with localized areas of unwanted fat. Liposuction is not an effective weight loss method, and candidates should be within 20 pounds of their ideal weight. Future weight loss or weight gain (for example, pregnancy-related weight gain) can reverse the effects of liposuction.
Good candidates for liposuction also have firm, elastic skin that will contract over the body's newly sculpted curves and contours after surgery. Dr. Landon meets with every liposuction candidate one-on-one to determine whether liposuction is best for their needs, and to recommend an alternative if it is more suitable.
Liposuction is a great option for people who have tried to spot-reduce areas of excess fat through dieting and exercise, but have not seen the results they wanted.
Today's technology has enhanced the safety of the procedure and the precision of the results. With liposuction, Dr. Landon can improve the shape and contours of areas like the abdomen, hips, thighs, buttocks, back and arms. He can make the legs and arms appear slimmer, and the abdomen flatter. Facial liposuction can help to sculpt the face and neck — for example, it can be used to remove fatty deposits along the jawline or underneath the chin.
Keep in mind that the success of the procedure depends largely on the skill and experience of the surgeon. Dr. Landon is a premier plastic surgeon in Tampa with extensive training and many years of experience; he also has an eye for balance and proportion, which helps him deliver beautiful and natural-looking results.
General anesthesia is commonly used for patient comfort. Typical arrival prior to surgery is 1 hour in preparation for surgery and approximately 30 minutes to 1 hour for postoperative care on completion of the procedure. The access incisions are closed with an absorbable material, and drainage is expected for up to 24 hours. A compressive garment is placed immediately after surgery, to minimize fluid accumulation and to enhance the long-term results.
All patients are seen within 48 hours of their surgery. The skin is thoroughly evaluated, and additional instructions are provided at that time. Continued improvement takes place for up to 6 months and ongoing improvement is the norm. Revision rates for contour irregularities are approximately 5% to 10%. Typical return to work is in 3 to 5 days, and return to exercise is approximately 2 weeks, again, depending upon the areas involved and the volume of fat removed.