Lipoplasty

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• QWhat are the types of liposuction?

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  A Dr. Homayoun N. Sasson, MD , Plastic & Reconstructive Surgery, answered on behalf of Castle Connolly Top Doctors

  The types of liposuction include the following proven techniques:

  • Tumescent liposuction, the gold standard of liposuction, is a process by which a large amount of fluid, plus lidocaine and epinephrine, is injected into the intended area via a tiny incision. The fat is broken down and removed via the same incision using small cannulas until satisfactory contour is achieved. It can be done under minimal sedation, regional or general anesthesia, usually as an out-patient. 
  • Ultrasound-assisted liposuction is a process by which ultrasound is used to liquefy fat for easier removal through a cannula. 
  • Laser-assisted liposuction, also called smart lipo, uses safe low-energy waves to break up and liquefy fat prior to its removal via cannulas. 

  In all, postoperative management includes wearing a tight compressive garment for about three months in addition to proper lifestyle of diet and exercise in order to maintain the new contour.
   

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• QWhat should I know if I'm considering liposuction?

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  A Dr. Mehmet Oz, MD , Cardiology (Cardiovascular Disease), answered

  Liposuction is more than just fodder for a great doctor T-shirt (FAT SUCKS, SO WE SUCK FAT). Liposuction has been the most popular procedure in plastic surgery for almost two decades, and the 457,000 procedures performed annually today make it nine times more popular than in 1992.
  
  Although women most often have fat suctioned from their thighs, men have it removed from their "love handles." Liposuction is safest when less than 10 pounds is removed. More than that and you could wind up on the wrong end of a complication. Don't do it to lose weight; do it when you're near your ideal weight but still want to change your shape. Choose your surgeon wisely: Make sure he or she has privileges to do liposuction in a hospital, and make sure that your doc doesn't inject too much of the anesthetic lidocaine (if you're asleep for the procedure, you won't need any). Lidocaine makes the procedure more dangerous. You can check out the surgeon with a second opinion. Not checking docs' backgrounds and their use of lidocaine put more than a handful of beauty hunters into wooden boxes in the 1990s.

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