Liposuction

Overview

Many women request Liposuction and it is a routine operation which is performed by permanently removing the fat cells using a narrow tube to suck out the excess fat.

Small cuts less than 1cm across are made to get access to the fat.  After the procedure the incisions are closed and a compressive dressing is applied. Compressive garments are worn for up to six weeks to assist this.

This is standard liposuction from a number of areas. Taking fat out of areas where there is already too much skin can lead to sagging and wrinkles, so the condition and elasticity of the skin must be thoroughly assessed before these procedures are done. It is important to note that Liposuction is not a treatment for generalised weight gain, nor does it normally improve “cellulite”.

Click here for Liposuction FAQs

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Improving “saddlebags” and inner thighs

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Improving abdomen region creating more definition

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Taking fullness of the frnt of the thighs

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Improving abdominal definition

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This is standard liposuction from the “saddle bags”. It just loses that bulge.

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This liposuction was used to improve the outcome from a mini abdominoplasty

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This lady was unhappy with her tummy. She had a miniabdominoplasty, liposuction to her tummy and lipofilling to her breasts.

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This lady wanted a tummy tuck / abdominoplasty. In her case I recommended a mini abdominoplasty and liposuction. This is a good option when there is not a lot of excess skin.

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This lady wanted a tummy tuck / abdominoplasty. In addition I recommended some liposuction. This is quite a common combined procedure and helps to flatten out the tummy.

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This lady wanted a tummy tuck / abdominoplasty. In addition I recommended some liposuction. This is quite a common combined procedure and helps to flatten out the tummy. It is important to understand how long the scar is in abdominoplasty surgery although it is hidden underneath the knicker line in most cases and will fade in time – usually losing its redness 12 months after surgery.

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again addressing the saddlebags and the inner thighs

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Liposuction FAQs

 

The Operation and hospital stay Liposuction

The surgery is performed under general anaesthetic and takes ½ an hour to 2 hours depending on the extent of the procedure. (It can be performed under local anaesthetic, but this is not my preferred method except for small areas.) When you wake up you should be comfortable as local anaesthetic is used in the tissues and you will remain on regular analgesia (painkillers) for several days until you are effectively pain free. There will be dressings on the treated areas and a garment is used for hips, buttocks and abdomen and some other areas to keep gentle compression on the area. After the surgery you will stay in hospital until it is safe to send you home.

What can go wrong with Liposuction

Like all surgery there are risks of complications whoever does your surgery. It is important you are aware of this and also are aware that many of the problems you may get after your surgery if they are treated promptly have no obvious effect on the final outcome.

All operations have a risk of bleeding. In liposuction there is a small risk that there may be bleeding inside the operated tissue leading to a collection of blood (haematoma), which needs to be removed under an anaesthetic (less than 2%). Infection is rare and antibiotics are given around the time of surgery to reduce the risk. Some people form bad scars (about 2%) and these can be troubling for a while although often respond to treatment over several months.

There is a small risk of seroma (fluid collection under the skin) this is normally treated by removing the fluid with a syringe and needle in clinic, occasionally further surgery can be required.

Risks particular to liposuction are problems with skin sensation, which may be lost or significantly reduced over the area. There is a very small risk of the skin overlying the area breaking down, due to compromise of its blood supply. This is a very rare complication and is normally caused by overenthusiastic liposuction. There may also be some subtle ripples in the skin surface (wearing the garment almost always prevents this) or asymmetry when the swelling has settled. The ripples should settle, but a second minor correction may be necessary. Discomfort or skin pigmentation can occasionally be problems. Over time these should settle. Finally other problems include pulmonary fat embolism and injury to a deep structure. These have only been reported a few times in the international literature so are extremely rare, but you need to be made aware that they are recognised complications.

All operations can result in long-term discomfort.

All operation have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)

As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost.

After Liposuction Surgery

Expect to feel washed out for a few days after the surgery and to tire quickly although you will return to your normal energy levels in a few weeks.

The sutures in the small skin incisions are all dissolving, but a one week follow-up will be given to make sure everything is OK. I will personally see you at 1, 4 and 12 weeks and 6 and 12 months following surgery and more if required.

Two compressive garments will be provided as part of the treatment, if it is a standard region for liposuction. Otherwise compressive dressings will be used.

What to expect from Liposuction

Liposuction makes an immediate difference, however after about 48 hours the swelling hides a lot of the changes. The final results will be masked by the post-operative swelling, which takes about 12 weeks to settle. There may be some discomfort for a few days and in some cases the bruising can be quite spectacular, but will fade over 2 -3 weeks. As said above, expect to feel washed out for a few days after the surgery and to tire quickly although you will gradually return to your normal energy levels.

The majority of people who undergo Liposuction are very pleased with the result and feel it makes a very positive change to their lives.

Cost of Liposuction

From £3600 for abdominal liposuction
This includes all required follow-up and in the unlikely event you require further treatment due to post-operative problems any further treatment is also included

What to bring to hospital

If you would like, bring a family member or friend. Bring some easy to put on bed wear, preferably with front buttons and your own clothes and toiletries and something to pass the time like books, puzzles or some music . The rooms have televisions and there is free Wi-fi.

What to look out for after you have gone home

Before you come into hospital, you will get a package that contains a set of post-operative instructions and a thermometer.

Watch out for redness, swelling, pain, discharge, opening of the wound, fevers, sweating and shaking. Whatch to see if your temperature is above 37.2C and you feel unwell or it is above 37.6C.

If any of the above are seen or any of the information of the instruction sheet call the numbers on the instruction sheet or the hospital you had your operation.

Things to Avoid

The following are medications or herbal medicines to avoid before surgery.

Please disclose all medications (including self prescribed and herbal and vitamin supplements) during the consultation. The following increase the risk of post operative problems.

Roacutane or other vitamin A skin preparations / aspirin / steroids / warfarin / clopidogrel / Brufen / alka-seltzer / Fish oil / Flagyl / anti-rheumatics-arthritics / blood thinners eg persantin / St John’s Wort / Aloe vera / Cimetidine / Vitamin E (>600mg/day) / Vitamin C (>1000mg/day) / alfalfa / arnica / bromelain / calendula / celery / chamomile / cloves / Evening primrose / garlic / ginger / ginko / goji berries / licorice / meadowsweet / diabetes medication / blood pressure medication / diuretics

Most fruit and pickles have aspirin like chemicals in them so avoid large quantities in the two weeks before surgery.

Please remember that if you have any questions or concerns to ask during one of your consultations. Writing questions down is sometimes helpful.

Driving

Normally you can re-start driving at around 2 weeks. You are fit to drive if you feel you are fit. I recommend you have someone take you to an industrial zone or supermarket car park late at night so you can attempt driving without risk to others. If you find you can drive without problems you are safe to go out on the road

Work

Depending on how physical the work you do is, you can start working from between 1 and 3 weeks.

If in doubt remember you can always ask for advice.

Exercise

At home rest is necessary for one week and any strenuous activity, bending, and lifting etc. is to be avoided. You can shower once your dressings are reduced after your first appointment.

Physical exercise more than a gentle walk should be avoided for the first least 3 weeks and then only undertaken if comfortable. After 3 weeks I allow swimming and cycling and more vigorous walking. After 6 weeks you can, if it is comfortable, return to full activities.