Low Cost Liposuction - Yes or No?

Liposuction is a surgical technique that improves the body's contour by removing excess fat from deposits located between the skin and muscle.

The fat is usually removed via a cannula (a hollow tube) and aspirator (a suction device).

The amount of fat removed varies by doctor, method, and patient, but is typically less than 10 pounds (5 kg).

1. Dry liposuction

The dry method does not use any fluid injection at all - seldom used today.

2. Wet liposuction

A small amount of fluid, less in volume than the amount of fat to be removed, is injected into the area.

This fluid helps to loosen the fat cells and reduce bruising.

3. Super-wet liposuction

In this method, the infusate volume is in about the same amount as the volume of fat expected to be removed.

This is the preferred technique for high-volume liposuction by many plastic surgeons as it better balances hemostasis and potential fluid overload.

4. Tumescent Liposuction

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to be come tumescent, or swollen and firm.

A side effect, as opposed to a complication, is medically minor, although it can be uncomfortable, annoying, and even painful.

- Bruising: can be painful in the short term, and should fade after a few weeks.

- Swelling: should subside gradually over a month or two.

- Scars: will vary in size depending on the particular procedure, and should fade over the weeks. Scarring is an individual thing, partly dependent on heredity. For some, scar healing may take as long as a year.

- Pain: should be temporary and controlled by medication.

- Numbness: sometimes persists for a few weeks.

- Limited mobility: will depend on the exact procedure.

There could be various factors limiting movement for a short while, such as:

- Wearing a compression garment

- Keeping the head elevated

- Temporary swelling or pain

1. Allergic reaction to medications or material used during surgery.

2. Infection: any time the body is incised or punctured, bacteria can get in and cause an infection.

3. Damage to the skin: most surgeons work on the deeper levels of fat, so as to avoid wounding the skin any more than they must for the insertion of the cannula.

4. The cannula can damage tissue beneath the skin, which may show up as a spotted appearance on the skin surface.

5. Skin necrosis (dead skin) is a rare complication, in which the skin falls off in the necrotic area.

6. Puncture of an internal organ: since the surgeon can't see the cannula, sometimes it damages an internal organ. In rare cases it can be fatal.

7. Contour irregularities: sometimes the skin may look bumpy and/or withered, because of uneven fat removal, or poor skin elasticity.

8. Thromboembolism and fat embolisation: although liposuction is a low-risk procedure for thromboembolism including pulmonary embolism, the risk can't be ignored.

9. Burns: sometimes the cannula movement can cause friction burns to skin or nerves.

10. Lidocaine toxicity: when the super-wet or tumescent methods are used, too much saline fluid may be injected, or the fluid may contain too high a concentration of lidocaine. Then the lidocaine may become too much for that particular person's system.

11. Fluid imbalance: since fat contains a lot of fluid and is removed in liposuction, and since the surgeon injects fluid for the procedure, even a very large amount of it for tumescent liposuction, there is a danger of the body's fluid balance being disturbed. This could happen afterwards, after the patient is at home. If too much fluid remains in the body, the heart, lungs and kidneys could be badly affected.

The use of low cost liposuction to eliminate excess fat has grown dramatically over recent years.

However, there is a strange and unexpected side effect where the fat can return; unfortunately this usually occurs in a different area - one that was possibly fat free before!

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