What is Liposuction?
Liposuction is the process of absorbing and removing unwanted fat, which appears as excess in the body, by a special medical device with a suction function through a whole cannula. The number of fat cells in the adult human body is constant. After puberty, the number of fat cells does not increase, but the volume of fat cells increases. This results in weight gain.
Nutritional habits and lifestyle are the most important factors in people’s weight gain and loss. Proper diet and exercise and a regular lifestyle are essential to get rid of excess weight. However, even people who meet these conditions may have stubborn fat deposits that do not disappear. Certain areas of the body such as the abdomen, waist, hips, outer and inner thighs, and knees are fat accumulation areas that are resistant to diet and exercise.
Excessive fat in these areas is eliminated to some extent by diet and exercise, more exercise and diet result in disruption of the body’s general metabolism instead of thinning in these areas. It is applied under general anaesthesia.
Therefore, the patient does not feel anything. Sometimes very small areas of fat removal operation can be performed with local anaesthesia. It is not an operation used to lose weight, as it is thought, but an operation to shape the body by removing the remaining fat of people who have lost weight. It provides a more pleasant appearance by removing the deformities of the people who are very little left to reach their ideal weight.
Liposuction (fat removal) surgery is one of the most magical and curious surgeries of plastic surgery. When it comes to aesthetic surgery, it is one of the most common terms that come to mind in the society. Although rhinoplasty surgery is known as the most performed surgery according to many aesthetic statistics, in some American statistics, liposuction is at the top of the aesthetic surgery interventions without discriminating between men and women.
Overweight; It is an increasing problem of modern people, a medical and social problem that will live with it forever. When the busy working environment forced people to eat ready food, with the inactivity of the desk jobs, weights started to be a problem. In particular, when stress and inactivity are added to the unbalanced diet of the busy working population, we are confronted with a community of people who are drowned in the circle of weight and the diseases that this causes, seeking an escape route.
Liposuction has been a way out for people who have not been able to introduce healthy nutrition and exercise into their lives since the 1980s, and for people who have aesthetic concerns due to being in front of the society. Liposuction has been recognized as a weight loss procedure from the very beginning for some reason. The thought of “I eat, drink, then go and get rid of my fats” is unfortunately a completely wrong thought.
“Have you gained weight? You can get rid of your fats and you can look better” It’s not true… Liposuction can lead to deep disappointment with wrong choices and expectations.
Losing weight with fat removal
The fat removal process called “lipo” is definitely not a weight loss process. It is a method that works after losing weight. It helps you to have a much fitter appearance after losing weight.
Causes of fat removal:
It is a surgery that corrects these problems of normal weight and height adults who have fat deposits (especially the side of the hips, belly, inner knees, fat on the side of the waist) that cause regional deformities in their body.
To treat gynecomastia, which manifests itself as breast enlargement in young men.
Which areas can liposuction be applied to?
We can count the most common areas of fat removal as follows. The rates differ for men and women, let’s also mention. In order to get rid of the excesses in the hip area, it is logical to have liposuction after the hip dissolving movements you will do with the help of a sports teacher. And belly melting movements will also dissolve belly fat and make it ready for fat removal.
- Abdominal and waist circumference (belly)
- Inner and outer side of the thigh
- The faces of the knees facing each other
- Upper arm
- Breast (Male and female)
In the Vaser liposuction system, some fluid is first sent into the subcutaneous adipose tissue. Ultrasound energy is given to the environment where this liquid is given with a special device. In this way, this ultrasound energy is spread between the fat cells with the liquid. Fat cells are shaken and separated from other nerve, vascular and connective tissue. After that, it is aspirated. In classical liposuction, we also give fluid between the tissue. Liquid and fat cells are separated a little, but we use our own power to pull those cells from there. Since ultrasound energy separates the cells in Vaser liposuction, a greater amount of fat can be removed with less damage to other structures.
Is Liposuction unhealthy?
Liposuction is not considered as a risky surgery if the person does not have a serious disease such as heart, hypertension or diabetes. The risk of anesthesia is also low as it is applied to relatively young patients (under 60 years of age) with a close to normal weight.
Complications that can be seen after fat removal surgery:
Undulation on the skin surface (It is prevented by various massage or LPG device application methods initiated 3 weeks after the operation.)
Loosening due to the skin’s inadequate recovery.
(It is a condition observed in the abdominal region especially in postmenopausal women and women who have given birth. It is possible to achieve a more aesthetic appearance by performing surgeries in which the skin is surgically removed together with the fat, which is called abdominoplasty, thigh lift surgery, at the earliest 6 months after liposuction.)
Skin loss due to insufficient functioning of the vessels. (It is rare. Especially in smoking patients, great care should be taken in liposuction of the neck region.)
Superficial loss of feeling (Usually temporary)
Perforation of the abdominal wall (Especially in women who have given birth a lot and in patients with hernia, it may occur during the abdominal fat removal process. Preoperative diagnosis of such patients is very important.)
In what situations does liposuction not work?
It should not be forgotten that the fact that you have this application does not mean that you will not gain weight again. In order not to gain weight again, it is very important to pay attention to post-operative lifestyle, diet and exercise. If there is frequent weight gain and loss, the application will not be very successful.
If there are skin sagging in addition to regional fat excess, the existing sagging cannot be recovered with this method. The sagging of the abdominal wall seen in women who give birth cannot be eliminated by liposuction. Besides, this application does not provide getting rid of cellulite.
What is the recovery period after liposuction?
Specially produced corsets should be used after the operation. These corsets are used for about 4 to 8 weeks, depending on the amount of adipose tissue taken and the characteristics of the person. Edema and bruises are expected and this situation disappears over time. Sutures are removed one week after the procedure, and if there is no problem in the general condition of the patient after one to three weeks, he can return to work and daily life. Normal exercises can be resumed 3-4 weeks after the application.
What is laser lipolysis and what are its differences with liposuction?
Laser lipolysis is a method of directly exploding the membranes of fat cells with diode laser application. Just like in fat removal methods, this method, which provides getting rid of regional fat excess, is also used effectively in removing this looseness especially in areas where skin looseness can be seen, such as under the chin and face. In addition, laser lipolysis can be applied to the armpit of people with sweating problems to prevent excessive sweating.
The main difference between laser lipolysis and liposuction is the way adipose tissue is disposed of. In the liposuction method, fat tissues are vacuumed out of the body through cannulas, while in the laser lipolysis method, they are excreted through urine. For this reason, liposuction is preferred in cases where adipose tissue is too high to be excreted with urine.