What does a liposuction consist of?
The surgeon will make a very small incision of approximately 0.1 inches long (3 mm) and will insert a small tube called cannula under your skin. The cannula may be connected to a device that generates high vacuum pressure, or to a special syringe. The unwanted fat deposits, which prior to this process were treated with injections of a special liquid (saline solution combined with local anesthesia and a vasoconstrictor), are removed from under your skin through the cannula by suction.

This liquid generates the adequate conditions for the extraction of fat. The cannula is moved under the skin to reach all the desired areas. The number of incisions vary according to the characteristics of each area, but it is usually more than one. In order to make the outward appearance more homogeneous, the surgeon will have to perform the suction in a pattern of crossing lines, making it necessary to introduce the cannula from different positions.

In ultrasonic assisted liposuction (UAL), a special cannula that emits ultrasonic waves is used. Since these waves cause the fat cells to rupture and the fat is liquefied, its removal becomes much easier.

For whom?
• The best candidates for a liposuction have firm, elastic skin with pockets of excess fat in certain areas.
• You should be physically healthy, psychologically stable and realistic in your expectations.
• Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin.
• Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured.

Post operation
• After your surgery, you will likely experience some fluid drainage from the incisions.
• To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. Your doctor may also prescribe antibiotics to prevent infection
.• Even though the newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness.

What is the time to recovery for your liposuction?
• Back to work: 1 to 2 weeks.
• More strenuous activity: 2 to 4 weeks.

Bandages
In order to heal properly, you will have to wear a special bandage on the treated areas during two or three weeks. Unfortunately, it is quite uncomfortable, but it is necessary.

Amount of pain
Between medium and severe. Your physician will advice you to take analgesics every 6 or 8 hours; this will bring great relief to you.

Removal of the stitches
7 days after the surgery.

Bruises and swelling
The wounds will heal after 3 or 4 days. Bruises will probably appear and they may take 10 days to heal, they may migrate to lower parts of your body before disappearing.

During the first two or three weeks, the inflammation will probably not have diminished or have diminished unevenly, making your body look asymmetric. But be patient: usually, if you had a tumescent liposuction, you may be able to appreciate the final results in less than 90 days, and if you had an ultrasonic assisted liposuction, you will not have to wait more than 4 to 6 months.

Scars
You will have several scars of no more than 0.1 inches (3 mm) long. Soon they become very difficult to see if we do not know where they are. The number of scars will depend on the characteristics of the area treated.

Recovery
You will have to rest at the hotel for 24 hours and, usually, two or three days after the surgery you may be able to return to your social activities or job. You will have to wait a bit longer before doing any hard work or physical exercise: between two weeks and a month, according to the special characteristics of your own healing process and the areas treated.

Some people may experience depression during the recovery period. This is very usual after any kind of surgery, regardless of its triviality. You may even feel that you made a terrible mistake in deciding to have a surgery. But you shouldn't worry. Most of the people who today are happy and satisfied with the results of a surgery have also gone through that phase.

Possible risks and complications
It is very unlikely for a liposuction to present any complications when performed by a qualified surgeon. However, every surgical procedure, regardless of its triviality, has some risks and we should always think of them as a possibility.

• Asymmetry. Even though the surgeon marks very carefully the areas he is going to treat, there may be asymmetries.
• Adverse reactions to anesthesia.
• Infections; although they are very unusual if you take the antibiotics your physician will prescribe.
• Pulmonary thrombosis. It happens very rarely, but if a blood clot travels through the bloodstream and reaches the lungs, it may cause a cardiopulmonary arrest. In order to prevent this from happening you should try to leave the bed as soon as you can.
• Temporary loss of pigmentation of the skin in the areas treated may occur.
• Ecchymosis (bruises)
• Recovery of the weight lost after the surgery. Remember that it is up to you to keep the shape you acquired after the liposuction. If you eat too much or you lead a sedentary life, you may gain weight in the areas treated (though to a lesser degree, since a considerable amount of fat cells would have.
• been removed) and in other areas where the fatty tissue was not affected by the surgery.

What does Liposuction surgery do?
• It removes the localized deposits of fat that are resistant to diets and physical exercise. If you try to keep fit and you eat healthy food and still you can't get rid of the fat of certain areas of your body, especially in the abdomen, hips, knees, ankles, arms and face, then liposuction may be the answer you are looking for.
• It models your body.
• If programmed correctly, the fat removed may be used to add volume to your buttocks.

What does Liposuction surgery NOT do?
• It does not lift hanging skin. If your problem is the excess skin, we recommend that you visit the section of our site devoted to dermolipectomy.
• It does not cure obesity. If you suffer severe eating disorders, you may be interested in visiting the section of our site devoted to bariatric surgery.
• It does not eliminate cellulite. Liposuction deals with deep fat deposits, whereas cellulite is a superficial problem.
• It does not make you look like somebody else and it does not guarantee that you will be treated differently by others.

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