Liposuction Surgery

Liposuction Surgery is a time-tested and validated procedure for permanently removing unwanted fat from several body areas. The fat is permanently removed from the treated area in a single step. Liposuction Surgery is not a procedure for weight loss. It is important that the person follows a healthy life-style and avoids weight gain in order to maintain the results.

How Liposuction Surgery is performed?

Liposuction Surgery is performed using thin narrow hollow tubes called cannulas. They come in different designs which have suction holes in different sizes and patterns. To gain access, a few small cuts measuring 3-4 mm are made in hidden areas. A mixture of local anesthetic and adrenaline (called tumescent solution) is injected into the target fatty tissues to anesthetize the area and to shrink the blood vessels. Using vacuum generated in syringes or by machines, the cannulas are moved through the fatty tissues in a systematic way, progressively extracting the fat efficiently while sparing important structures like nerves and blood vessels. The extraction of fat is a time consuming process to be performed with attention to detail; but the changes are visible to the surgeon immediately. The surgeon uses his other hand to stabilize the tissue, to guide the cannula movements and to assess the thickness of remaining fat continuously. This helps to create uniform or differential contours as per plan.
The result of liposuction Surgery becomes obvious only when the skin shrinks down to the new shape. This depends on the intrinsic quality of skin elasticity in that person and cannot be controlled by the surgeon (but see under ‘ancillary technology’ for more on this).
Recovery: the access incisions may be left open or closed. The patient may leave home in the care of a responsible adult on the same day or after overnight stay. A proper sized compressive garment is often recommended. Blood stained fluid is likely to leak from these points in the first 24 to 48 hours. One can expect swelling, bruising, numbness and some pain for a few days.
When do we see the final result? A good idea may be obtained at 1 week, however, results improve continually till 6 months after surgery.

Who is a good candidate for Liposuction Surgery?

Ideal candidate is not over-weight but has exercise resistant collections of fat in specific areas of the body. Neck, male chest, abdomen, sides of trunk (love handles) arms, thighs are the usual areas. Best results are seen in persons with good elastic skin free from stretch marks.

Who is not a candidate for Liposuction Surgery?

  • Global obesity all over the body
  • Continued trend to increase weight
  • Certain medically compromised persons
  • Persons on blood thinners and anti-cancer medications
  • Persons having saggy bad skin

What happens to the excess skin? Does it sag?

A common concern is what happens to the loose skin. When performed according to modern tenets, the skin can shrink down to the new size, however, the extent varies from person to person depending on individual skin elasticity.

How many Kilos/litres of fat can be removed in one session?

Despite repeatedly stating that liposuction is not a weight loss surgery, the above question is asked by almost every client. The number of areas to be operated and the quantity of fat suctioned in one session are subject to limits imposed by medical safety and good standards of clinical practice. A common guide used is “to remove no more than 5% of body weight equivalent in fat volume and to work on no more than 40% of the body surface area” in one session. In a 70 Kilos individual this would be 3.5 to 4 liters of settled fat and not to operate on more areas than back/abdomen and arms in combination. Each area must be treated completely in one session; the other areas may be treated after a few weeks. It is not a good idea to do multiple sessions on the same area.
Removing excessive amounts of fat in one session increases the risk of low BP, lowering of hemoglobin, fat embolism, fluid imbalances and other issues.
In almost all cases of complications, it is observed that these guidelines have been ignored. It is important to repeat here that a perfectly safe procedure like liposuction can get a bad reputation if the necessary precautions are ignored.

Which areas are suitable for liposuction?

Most of the body areas can be improved by liposuction if there is excess fat. Common areas are double chin area, arms, abdomen, back, buttocks, thighs and calves. Uncommon areas are lower face, upper back, forearms.

What other ancillary technology is used?

AACSH has invested in technology to perform advanced work with liposuction. Depending on the surgeon’s preference and individual case requirement, ancillary energy sources like Laser or ultrasound may be used to loosen the fat first. Vaser is one such brand using ultrasound energy. These energy devices also claim to improve tissue tightness by either more efficient mobilization of fat in between fibers or by heating the tissues to encourage shrinking. The latest technology to join this list is Helium gas-J plasma. Our own experience indicates that this method is able to shrink the skin very well.
Irrespective of the technology used, a well-performed professional liposuction and patient’s skin quality are the most important factors for a good result. Technology only offers additional assistance. Correct use of technology may however be crucial to achieve high definition is selected cases.


Liposculpture is basically liposuction done in selected individuals to produce a certain desired body shape. The best candidates are those who do not have excessive amounts of fat, are in good muscular shape internally and have elastic young skin but have shape distortions due to mal-distribution of fat. Others who seeking removal of even normal amounts of fat from specific areas are also good candidates.
In liposculpture, the surgeon uses cannulas of smaller diameters with specific hole configurations to perform sculpture and etching inside. He/She may also re-inject the suctioned fat to specific areas. In essence the body is re-sculpted and hence the name.
An extreme form of liposculpture is called High definition liposculpture, also called 3D. Such procedures are available at AACSH.

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