Localized deposits of fat are removed using thin cannulas (tubes) through tiny incisions during liposuction. This is also known as suction lipectomy, liposculpture, and SAL (suction assisted lipectomy). Most significant advances in these techniques have taken place over the past two decades. However, this procedure has been performed for many years.
The level of safety and effectiveness of this procedure has been radically increased by the "pre-wetting" of the fatty tissues with a solution that delivers local anesthesia as well as epinephrine, or adrenaline. This adrenaline is used to narrow down the vessels within the tissues and considerably reduce bleeding during the surgery.
There are many types of liposuction procedures. The main techniques are called tumescent and superwet. Both of these techniques are utilized for the infusion of wetting solutions to provide anesthesia and shrinking of the blood vessels. Other procedures include SAL (suction assisted), PAL (power assisted), UAL (ultrasound assisted), VAL (vaser assisted), SmartLipoTM (laser assisted), SlimLipoTM (laser assisted), and others.
These procedures can be performed with local anesthesia, with IV sedation or twilight anesthesia, or under general anesthesia. The type of anesthesia is determined by the extent of work being done and the areas that require treatment. The procedures can be used to remove fat from any area of the body possible. Thigh, tummy, love handle, flank, back, arm, ankle, chin, breast and neck are all common areas treated.
This is actually an imperfect solution for cellulite. Doing this procedure for cellulite alone never really corrects the problem, although in some cases, followed by other external means (such as EndermologieTM, massage, VelaShapeTM, or others) it may still play a part in the reduction of cellulite. The procedure is sometimes followed by some bruising and swelling, and is self limited. The results are usually noticeable by 12 weeks from the procedure date as the swelling resolves. Occasionally, lumps, bumps, or irregularities can result. This may require corrective surgery.
The cost varies depending on the region or regions treated, and the duration of the surgery. Small areas may be treated for $1,500, and more extensive treatment of different areas of the body may range from $9,000 to $10,000. This procedure is very often combined with other surgeries. Most commonly, it is combined with tummy tuck surgery. It can be carried out at the same time as breast surgery or facial surgery as well.
Fat cells from one area of the body can be very securely and efficiently transferred to another area by fat grafting. This procedure is often executed using a suction machine called an aspirator. This is perfect for people who are at or near to their ideal body weight. At lighter weights, the fat cells in our bodies occupy a smaller amount of space, and can be more effectively and safely removed by these techniques. A full evaluation and thorough discussion with a board certified plastic surgeon who is experienced in cosmetic surgery is recommended to determine if liposuction is right for you, and if so, which techniques will be best.
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