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The Quality And Elasticity Of The Overlying Skin Has A Major Impact On The Success Of Liposuction

By Dave Stringham
Sep 25, 2009
Suction assisted lipectomy or liposuction removes excess localized fat deposits which cause localized bulges in various areas of the body. Through tiny incisions, small tubes or cannulas are used to suction away the fat deposits.

Liposuction is not designed as a weight reduction procedure. It is a contouring procedure, removing bulges to blend body outlines more aesthetically.

Areas of the body where fat deposits can cause localized bulges include the face and neck, upper arms, upper and lower abdomen, flank areas (love handles), inner thighs, outer thighs (saddlebags), buttocks, knee areas, and calves.

There are two layers or compartments of fat on your body-a superficial layer which has an even thickness over most of the body, and deep compartments which exist mainly in the areas mentioned above. If you are not overweight, but have a localized bulge in these areas, you have excess fat in the deep compartment. Deposits of deep compartment fat are hereditary, and usually do not respond to diet and exercise. Superficial compartment fat, on the other hand, increases significantly with weight gain and decreases with weight loss. Liposuction primarily removes deep compartment fat deposits to remove bulges.

The quality and elasticity of the overlying skin has a major impact on the success of liposuction. When fat is suctioned to remove a bulge, the overlying skin must shrink or contract to fit the new profile. If your skin is excessively loose before the procedure, the additional looseness after suctioning may be undesirable. Your plastic surgeon will discuss the elasticity of your skin during your consultation.

Although there is no absolute age at which the skin becomes too loose for the procedure, after age 45-50 (or occasionally sooner), the elasticity of the skin decreases in most patients.

So to summarize, to be a good candidate for liposuction, you should have localized fat deposits (not be grossly overweight), and have elastic skin overlying the fat deposits.

Other risks common to all surgical procedures such as bleeding, fluid collections, infection and scar tissue formation occur in a very small percentage of cases. Your surgeon will give you more detailed information about these and other rare risks in their written information, and encourage you to discuss any which concern you during your consultation.

Liposuction does not significantly reduce your body weight-it is intended to improve contour in the areas suctioned.

When fat is removed from beneath the skin, the skin can become somewhat looser. The degree of looseness depends on the elastic qualities of your skin before surgery and the amount of fat removed.

The amount of fat which can be removed depends on the amount present in each deposit. It is important to leave a thin layer of normal fat beneath the skin to prevent rippling or dimpling of the skin surface. Suctioning can only remove fat. If you have a bulge due to muscle or bone, it will not be removed.

If you have a rippled or "cellulite" appearance of the skin prior to suction, it will not be eliminated by the procedure. It is possible to see small areas of skin rippling, dimpling, or contour irregularities following liposuction.

You will have some swelling, bruising, and numbness over the areas which have been suctioned, though you'll see an immediate contour change. The swelling and bruising usually resolve in 2-3 weeks or sooner, and you'll notice feeling starting to return (if it was decreased) in about 2 weeks. It may take several weeks for feeling to become totally normal. It will take a full 6 to 12 weeks for all swelling to decrease and the full benefit of liposuction to be realized.
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