What is Liposuction?

Liposuction, also known as liposculpture, suction assisted lipectomy, and lipoplasty, is an aesthetic surgical procedure that uses different types of cannulas to remove fatty tissue from different areas on the human body. The procedure is designed to contour the body.

Dr. Tal Roudner’s surgical goal is to remove the appropriate amount of fatty tissue from different areas around the body and contour into a proportional and natural appearing silhouette, while minimizing visible scars. Dr. Roudner may perform standard suction assisted lipectomy or ultrasonic assisted lipectomy (fibrous tissue areas) with different diameter cannulas to attain the desired contour.

Reasons for Liposuction Surgery

Liposuction can improve the contour, proportion and shape of specific body ares that are not responsive to proper diet and regular exercise thus improve ones self-esteem.

Liposuction should not be considered a substitute for a healthy diet and a reasonable amount of exercise, but some people find that despite living a healthy lifestyle, they are unable to get rid of fat in certain areas of their bodies. This situation often has a genetic component. For these people, liposuction is a good solution.

Contact us for a liposuction consultation in our Miami office with Dr. Roudner.

Liposuction Surgery in our Miami office

Liposuction is a surgical procedure aimed at improving body contour and proportion by slimming and reshaping specific areas of the body. The improvements are achieved by removing excess fat deposits. Liposuction is not a substitute for a balanced diet or regular exercise, it functions to remove fat that can not be removed the usual methods of slimming (due to some genetic traits). People that practice regular physical activity and a healthy diet but still have a body with disproportionate contour due to localized fat deposits are candidate for liposuction procedures. Common areas to remove unwanted fat are: chest, stomach, back, buttocks, hips, knees, ankles, arms, thighs, chin, cheeks and neck. Liposuction is commonly combined in procedures such as arm lift, breast reduction, facelift and tummy tuck. Liposuction will not cure cellulite.

Patients that have loose muscles and sagging skin in addition to excess fat deposits may require procedures that involve muscle tightening and skin excision in addition to fat removal. Procedures such as a tummy tuck, thigh lift or body lift are performed to gain a permanent improvement. The final results of liposuction procedure depend on many factors such as patient’s health condition, general condition of the skin, age, weight, hormonal influences and other factors.

The Liposuction Procedure

Because liposuction is a surgical procedure that may require general anesthesia depending on the area that is being treated and the extent of the fat being removed, it’s important that you choose a qualified plastic surgeon such as Dr. Roudner in Miami, Florida, to perform your liposuction. Some procedures are performed in an outpatient setting while others are done in a hospital and require you to stay overnight. This depends on how extensive the procedure is going to be. Dr. Roudner will discuss all of these variables with you at your liposuction consultation and will recommend the most appropriate solution for you.

Liposuction begins with a small incision. Every effort is made to keep these incisions inconspicuous. Trauma and bleeding in the area are prevented using different methods depending on which type of liposuction procedure you will be receiving:

  • In tumescent liposuction, a sterile saline injection is used that contains medication that not only lessens pain, but also shrinks the blood vessels. This allows more fat to be removed.
  • In ultrasound-assisted liposuction, the fat is liquefied using sound waves in order to ease the removal.

A tiny stainless steel tube called a cannula is then inserted into the incision. Using the cannula, the fat in the area is gently loosened and dislodged. Once loose, the fat is suctioned out through the cannula using either a large syringe or a suction pump. The time that the procedure takes will vary greatly depending on how large of an area is being treated.

Liposuction permanently removes fat cells from your body; however, you need to maintain a healthy and active lifestyle following your liposuction in order to keep your newly contoured physique.

The procedure is performed with awake patient or under twilight sedation (person is sedated but not unconscious) with local anesthesia (tumescent solution) when small areas are treated for multiple and large areas the procedure is performed under general anesthesia.

The procedure may last from 30 minutes to up to three hours or more, depending on the number of areas treated, size of the patient, and the technique used.

Techniques Used During Liposuction Surgery

Prior to the operation, topographic markings of the areas to under go liposuction are drawn. Conspicuous incisions of 2-3 mm are made in the appropriate areas adjacent to the area from which the fat is to be removed. Then the tumescent sterile liquid solution is infused to the areas treated to reduce bleeding and trauma. After waiting 10 to 15 minutes the procedure commonsense. A hollow needle cannula is inserted into the region, and is hooked to a vacuum transparent allowing the surgeon to monitor the amount of fat drawn during surgery. The cannulas controlled back and forth motion motion is used to loosen excess fat. Fat is then sucked out through the needle by the vacuum action. On average the amount of fat aspirate is close to 2-3 liters. When treating only one or two small areas, the liposuction procedure usually done under local anesthesia; when treating a large number of regions or areas of the body, general anesthetic is employed.

Preparing for Liposuction Surgery

Patients undergoing a liposuction procedure are seen at the initial consultation by Dr. Tal Roudner. At the time of the consultation, the patient’s concerns and goals are addressed. The liposuction procedure is discussed in detail including the risks, benefits and complications. Patients are encouraged to contact Dr. Roudner with any questions that arise between the consultation and the procedure.

Patients that smoke are instructed to stop smoking at least 4 weeks prior to the procedure and for 3 weeks after the surgery. A list of medications, supplements or herbs that should be stopped (if not medically necessary) well ahead of surgery is given at the time of the initial consultation, as they may cause bleeding complications during or after surgery.

At the pre-operative appointment, which takes place two weeks prior to surgery, blood work is obtained and other necessary tests are performed or scheduled. The procedure consent forms are reviewed and signed, and any necessary medical clearances are finalized. The photos taken at the pre-operative appointment are analyzed by Dr. Tal Roudner prior to surgery.

Prior to surgery it is important to maintain a healthy diet and avoid drinking alcohol a few days prior to the procedure. Patients that are healthy and medically capable should exercise regularly prior to surgery. Patients that are in good general health experience an enhanced and speedy recovery; however, a day prior to the liposuction procedure patients should avoid strenuous exercise.

Patients should not eat or drink anything, including water, after midnight the night before surgery. The patient should shower the night prior to the surgery and wash the surgical site with mild antimicrobial soap. After the shower the patient should avoid wearing any products such as: oils, creams, makeup, moisturizers, or lotions — including deodorant. Removing any nail polish from at least one fingernail and toenail will be helpful for the anesthesia person in order to monitor the blood circulation during the procedure using a pulse-oxy-meter.

The morning of the surgery the patient may brush their teeth, but should not swallow more than a sip of water. If instructed by the primer care physician, patients may take any needed prescribed medication with sipping a minimal amount of water. On the day of surgery the patient should wear loose-fitting clothes that open in the front and comfortable flat shoes that are easy to put on.

Arrangements for transportation, assistance to the patient for the first 24 hours after surgery, care for small children, as well as preparation for extra food and drinks should be made in advance to the surgery. Responsibilities at home and at work should be taken care of prior to surgery in order to have worry-free and relaxing recover. Prescription medications maybe filled at the time of surgery by the person accompanying the patient to surgery or a in advance prior to the day of surgery.

What To Expect From Liposuction Surgery

The preparation for liposuction surgery is quite similar to other elective surgical procedures. Patients that are twenty percent above their ideal body weight will be advised to lose weight and maintain a steady weight prior to the procedure.

The surgery is performed in the surgical suite at the surgical center or at the hospital if needed due to patient’s medical history and the amount of fat to be removed. The patient is recovered in the post anesthesia care unit and is discharged home the same day unless it is necessary to keep the patient over night (rare).

The first few days after surgery are usually the most difficult ones with some pain and discomfort. By the third day most patients have a significant improvement. On the third day Dr. Roudner will examine the patient at the office to ensure that the breast are healing properly. Follow up visits are at one week, four weeks, three months and one year. Most of the swelling is gone by six weeks and the final results are seen at six months to one year.

After Liposuction Surgery

A local small dressing is placed at the incisions used for the liposuction cannulas. Immediately after surgery a compression garment is placed to support the areas that have been treated. The patient wears the compression garments for four weeks during the day and night and two more weeks at night time. The garments can be removed for showering 24-48 hours post surgery. When lower leg or ankle liposuction has been performed the patient has to wear support hose for six weeks after the surgery. The first few weeks after liposuction, the areas treated will be swollen and bruised, the ares of swelling may become hard over time before softening (lymphatic massage helps speed up the recovery). The swelling will gradually improve in the first few weeks to months. The final results can be seen at about six months to a full year after surgery.

When liposuction is accompanied by stretching the skin, the recovery will be longer. For most patients the scars will be red or dark for six months and will blur at a year after surgery.

The day after surgery the patient should be mobile (except exercise) as soon as possible. It is important to perform deep breathing reducing the chance of postoperative fever. Also, proper breathing reduces pain. Right after surgery and the days after the patient should drink plenty of fluids to ensure proper hydration as well as keep the legs elevated while sitting or sleeping to decrease swelling. It is very common to have fluid drainage from the incision sites for the first few days a clean gauze can be placed under the compression garment to absorb the drainage.

Recovery From Liposuction

Following your liposuction, the treated areas will be tightly wrapped with compression dressings in order to control swelling and help compress your skin. Depending on the area being treated, small drains may be required to allow excess blood and fluid to escape. It’s common for bruising, swelling and tenderness to last for several weeks.

Dr. Roudner will provide you with specific instructions for self-care following your liposuction along with prescriptions to reduce pain and swelling. Follow these instructions carefully and take all of your medications exactly as prescribed.

Follow up as directed after your liposuction so that we can check your incisions and make sure that you are healing well. In some cases, a second surgery may be required. If a large amount of fat is removed, usually defined as more than 5 liters, you may require surgery such as a tummy tuck to remove loose skin.

Most patients are able to return to work at 5 days depending on their occupation. Gradual exercise can be initiated after three weeks. Most of the swelling and bruising will improve over three to four weeks. By six weeks the majority of the swelling will be gone. Final results are expected at six to twelve months.

Recovery from liposuction can be quick, and you may be able to return to work in just a few days depending on how physical your job is. For the first two weeks, you should be careful when performing physical activity and avoid exercising. After those first weeks, there should be no problem with a full return to physical activity. Follow Dr. Roudner’s advice about when it is appropriate for you to return to work.

Liposuction Frequently Asked Questions

Who is a good candidate for liposuction surgery?

  • Patients in general good health with a healthy life style who are not over weight.
  • Patients that have tried a balance diet and regular exercise and can not improve on body shape and couture due to resistant fat deposits.
  • Patients committed to maintain a healthy life style after surgery.

What anesthesia is recommended for liposuction surgery?

The procedure is performed with awake patient or under twilight sedation (person is sedated but not unconscious) with local anesthesia (tumescent solution) when small areas are treated for multiple and large areas the procedure is performed under general anesthesia.

Is recovery from liposuction surgery painful or uncomfortable?

Is recovery from liposuction surgery painful or uncomfortable? It depends on the individual. Some patients recover with minimal pain or discomfort while some others have a more difficult time after surgery. Most patients have moderate pain in the first 3 days after surgery. After that period things improve rapidly. The more active the patient becomes, the more often pain stops them from more strenuous activity. That is the safe guard mechanism of the body to prevent injury. The patient should stop any activity at that point and rest. In very rare occasions pain persists for a long period and is mostly do to nerve regeneration.

Additional Information Regarding Liposuction

Any surgery has risk and possible complications. Serious complications after liposuction surgery are rare, but may include: Post- surgical bleeding (hematoma), infection, seroma, fat clots, anesthesia risks, deep vein thrombosis, cardiac and pulmonary complications, lung or intra-abdominal organs.

Other less sever complications: Asymmetry, skin or nerve damage, uneven contours, rippling, Loose skin, irregular pigmentation, changes in skin sensation, poor wound healing, persistent swelling, unsightly scaring, burns (with ultrasound or laser liposuction), persistent pain, damage to nerves, blood vessels, muscles and possible revision surgery.

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