Because dieting results in a decrease in overall body fat and some areas of fat are more resistant to dieting, you would have to lose a tremendous amount of weight to get rid of some fatty deposits. This would make you too thin overall. Liposuction removes pockets of fat that resist the effects of proper dieting and regular exercise to create a more contoured and proportional appearance.
While there are differing liposuction methods, all involve removing fat by suctioning. One or more small incisions are made so that fat can be removed via a cannula (a metal tube) attached to a suction machine.
Patients who undergo liposuction typically report an improved contour with generally enhanced muscle definition. However, today’s medical technology offers the potential for more dramatic results. Liposuction methods break down as follows:
Tumescent liposuction is a method that injects saline (saltwater) to make fat easier to remove. Local anesthetics and epinephrine are also injected to minimize blood loss. The plastic surgeon then uses a cannula attached to a special surgical vacuum to remove the target fat. This is the most common method of liposuction today.
Smart liposuction is a method that uses laser energy to heat and liquify fat deposits before removing them by suctioning. It is useful for smaller areas of excess fat.
One of the most attractive features of Smart Liposuction™ is that the laser can promote collagen growth in the skin, which can create a beneficial tightening effect.
VASER® is an acronym for vibration amplification of sound energy at resonance. VASER liposculpting is another step in the evolution of liposuction. The next-generation technique employs ultrasound to precisely and efficiently break down the the attachments between fat cells. Studies back up the claim that VASER liposuction allows for superior results over tumescent liposuction in certain areas. The procedure can be used to highlight and define muscle groups, such as the abdominal muscles, in a technique known as Hi-Definition of Hi-Def liposuction.
Dr. Varkony has one of the few plastic surgery practices in Los Angeles that offers VASER Ultrasound Liposuction and Liposculpting, as well as Smart Liposuction.
VASER liposculpting and Smart Liposuction both build on the tumescent liposuction technique by offering more powerful fat liquification. By breaking apart fat attachments before the suction phase begins, more fat can be extracted for greater impact.
The obvious difference between the two techniques is that one uses highly concentrated light and the other uses ultrasonic frequencies. VASER liposculpting uses extremely powerful but inaudible ultrasound waves to liquify fat before removing it. It can be used at lower power settings to break fat cell attachments and harvest living fat cells for Brazilian Butt Lift (BBL) procedures. Smart Liposuction’s laser generates high focused and discrete heat waves to break up fat cells before removing them.
The enhanced precision of both liposuction options provides Dr. Varkony the ability to target fat deposits in hard-to-reach or more delicate areas — such as between muscle groups. These techniques are capable of uncovering a “six-pack” if the muscle tissue is present in the abdomen but has been hidden by overlying fat. These techniques can also create more precisely sculpted, and therefore more flattering, curves around the waist, hips, and buttocks
While both of these techniques produce outstanding outcomes, there are technical differences that may make one or the other the better choice in certain situations. To learn about the best liposuction option for your particular case, we recommend reaching out to our office for an in-depth consultation with Dr. Varkony.
Most areas of the body can be treated with liposuction, provided there is enough fat and other tissue to support the procedure. Commonly, liposuction tends to focus on the abdominal region, hips, thighs, knees, “love handles” (posterior waist), buttocks, arms, neck, and elsewhere.
Liposuction procedures are done in our fully certified out-patient surgical center. We always use board-certified anesthesiologists and certified registered nurses.
It typically lasts between one and three hours, depending on the number of areas to be liposuctioned.
Liposuction is considered minimally invasive. Most liposuction procedures only require an incision for the liquid infiltrating device and cannula, and downtime is restricted to a few days. For comparison, a tummy tuck procedure requires a longer incision and the recovery period is notably longer.
Patients are typically able to return home or to their hotel room the day of the procedure. In some situations, however, patients may want to stay the evening under supervision in a post-operative facility. Of course, you will need to be driven back to your home or hotel room by someone, usually a friend or relative.
The discomfort level is typically mild, can be effectively dealt with medication, and should lessen fairly rapidly. Moreover, the advanced liposuction techniques discussed above should help to reduce the intensity and duration of any post-operative discomfort, because the sound waves used in VASER Ultrasound Liposuction are tuned to fat and affect blood vessels and nerves to a much lesser degree.
Yes. It is important to have someone with you during the first 24 hours following your procedure. This ensures that, in the rare event of a complication, medical attention can be delivered promptly. In most cases, a friend or relative is sufficient but, if desired, we can refer you to a nurse who can stay with you overnight.
Most people with sedentary jobs can get back to their normal working life within a few days. However, patients should avoid any strenuous activity for at least one to two weeks.
General anesthesia is used during most liposuction procedures, which means patients will be unconscious and free of pain. In some shorter procedures, other types of sedation with local anesthesia may be used instead. Regardless, patients will always be kept comfortable and free of pain during and immediately after the procedure.
While liposuction can occasionally reduce the appearance of cellulite in some patients, it is primarily a skin condition and not a type of body fat. Therefore, patients should not expect any significant reduction of cellulite following liposuction.
The fat cells that are removed do not return, as the body stops manufacturing new fat cells in adulthood. On the other hand, consuming more calories than you burn will cause the body to store the excess calories as fat, just as before. Therefore, patients who overeat will experience weight gain, but differently than before. This includes the possibility for the disproportional distribution of fat if you gain a lot of weight. Patients who obtain liposuction need to continue their prior diet and exercise regimen.
While Smart Lipo will shrink the skin somewhat, liposuction is purely intended to remove fat and improve the body’s overall shape. Loose skin can be addressed through tummy tucks and various body lifts. In some cases, it may be best to get another procedure and, in other cases, combining them may be a viable strategy.
If the skin’s elasticity is good, it should not be a problem. Many patients notice no difference in skin looseness. If elasticity is problematic, Dr. Varkony may suggest combining or replacing the treatment with a lift or tummy tuck.
Abdominal liposuction is only intended to remove excess fat from the abdominal area, and that is typically sufficient if the muscles and skin have overall good tone. When skin tone and muscles are problematic, tummy tuck surgery removes excess skin and tightens the underlying muscles. When doing a tummy tuck (abdominoplasty), Dr. Varkony usually thoroughly VASER Ultrasound Liposuctions the upper and lower abdomen at the same time.
Liposuction costs vary based on the type of liposuction and the number of areas being treated. A consultation with Dr. Varkony and our staff can provide an accurate cost estimate for your liposuction procedure.
For more details on liposuction with Dr. Steven J. Varkony, call us (818) 791-1143 or visit our contact page to set up a free, first-time consultation. Our office is located in Encino near Sherman Oaks and easily accessible from throughout the Greater Los Angeles area.
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