Liposuction

LIPOSCULPTURE

Dr Giorgio Fischer, Rome, Italy, invented liposuction in 1974. Commonly underrated, as an easy procedure thinking it just involves sucking fat out, liposculpture is truly one of the most challenging aesthetic operations.

The doctor's artistic appreciation of the human shape as a living sculpture is clearly evident with this procedure. Creating truly beautiful work, one must not only have a sound knowledge in surgery, but artistic flair to create that vision.

WHEN SHOULD I HAVE IT DONE?

Liposuction is not an alternative to dieting and exercise. Once you have achieved your ideal body weight liposuction may be considered in removing fat from those body areas that diet and exercise could not remove. A balanced diet and a structured exercise program are key ingredients to a healthy, well-proportioned body. The surgery can transform one's overall appearance but it cannot change, a patient's genetics, so one must have realistic expectations.

HOW IS LIPOSCULPTURE PERFORMED?

Careful markings are initially made over the areas of the body to be sculptured. Specialised fluid is then injected into the fat to soften it. Small, tiny incisions are then placed next to the pocket areas of fat to be removed. Using advanced sculpturing techniques, a small, hollow metal tube, called a cannula, is used to suction out the fat. The areas are blended and feathered with adjacent areas, creating harmonious contours.

DOES IT HURT?

Some patients experience some discomfort, however, this is controlled with oral medication. Overall it is not a painful procedure when performed correctly.

IS THE FAT REMOVED PERMANENT?

Fat will not return to the area treated. It is a surgical procedure to remove stubborn areas of fat that diet and exercise cannot remove. Genetically we inherit fat cells and how it distributes on our body. After puberty we do not create new fat cells. Once the fat is liposuctioned out it is permanently removed. Fat cells cannot multiply. If one puts on more weight, the areas treated will not balloon out of proportion to the thinner, adjacent areas.

WHEN FAT IS REMOVED WHAT HAPPENS TO THE EXCESS SKIN?

Depending on one's skin quality the skin contracts back to re-drape over the underlying fat and muscle. It is sometimes best not to remove too much fat because excess skin may not stick back to underlying tissue. The best candidates for liposuction are those who have achieved their ideal weight and display firm, elastic skin.

IS A HOSPITAL STAY REQUIRED?

Liposuction can be performed as a day case. If you wish to stay overnight at the hospital this can be arranged.

HOW MUCH TIME OFF WORK DO I NEED?

Depending on how much fat is suctioned and anaesthetic, the patient can resume activities the next day.

WILL THERE BE BRUISING AND SWELLING?

Bruising and swelling is a normal body process after any operation. The amount of bruising depends on the individual. Bandages and pressure garments (lycra tight stockings) help minimise bruising and discomfort and may be worn for a few weeks after the operation. Swelling is minimal, in fact you may find clothes fit a little tighter around the waist for a few weeks after the operation. This is due to mild swelling that subsides in a few weeks.

DOES IT GET RID OF CELLULITE?

Liposuction can be performed in a number of areas and is not a treatment for cellulite. In selected cases there has been some minimal improvement in the appearance of cellulite, however, generally speaking it does not get rid of cellulite.