Liposuction - Body Contouring
Glendale, Phoenix, Tempe, Scottsdale, Mesa, Surprise, & Peoria, AZ
Many Scottsdale, Glendale and Phoenix area liposuction patients have benefited from the skill and experience of Dr. Angelchik. In the paragraphs below, he describes the liposuction procedure. Also visit the results of our Phoenix area liposuction patients.
Liposuction is a surgical procedure designed to enhance the contours of the body that have developed excessive fullness by removing fat deposits. This is accomplished through multiple small incisions (1/8” – ¼”) with the use of specially-designed suction cannulas (tubes) which disrupt and remove the tissue fragments. This may include fat removal from the face, neck, back, abdomen, hips, buttocks, arms, and legs. It is now the most frequently performed cosmetic surgery procedure in the United States. Newer techniques incorporating ultrasound energy, power-assisted cannulas and wetting solutions to decrease bleeding and enhance fat removal have increased the safety and effectiveness of this procedure.
The ideal candidate is someone whose height and weight are proportional, who is in good health, and who wants to contour and reduce localized fat deposits not responsive to diet and exercise. Patients who are extremely overweight are not good candidates for liposuction and should manage their weight with diet and exercise programs. Liposuction alone is not a good way to lose weight and keep it off. Skin elasticity is also important in evaluating the suitability of a patient for liposuction as very lax skin that has lost its elastic properties may not shrink with the procedure and may sag. Mild skin laxity does not exclude a patient from being a candidate.
Liposuction: The Procedure
Liposuction body contouring is usually done under general anesthesia. Small and moderate volume liposuction is done on an outpatient basis. Larger volume removal (more than 5 liters of fatty tissue) procedures require an overnight stay for monitoring. Liposuction-treated areas generally feel sore and numb, but there is not significant sharp pain typically. Bruising and swelling are expected. Bruising will resolve over 2-4 weeks. Swelling will go down gradually until the final result is visible at 6 months. Patients can usually resume work and normal activities after 3–10 days depending on the extent of the procedure. Weight lifting and high-impact cardio exercise generally may not be comfortable for about 3 weeks. A compression garment is usually recommended for 6 weeks. A lighter second stage garment can be used after 3 days. Patients can shower at 3 days. Antibiotics and pain medication are prescribed for use after surgery. Liposuction is often combined with other procedures.
Ultrasonic liposuction (or ultrasound-assisted liposuction, abbreviated UAL) utilizes high-frequency sound energy to disrupt adipocytes (fat cells). The vibration frequency of the ultrasonic probe is targeted at fat tissue, rather than muscle or skin. UAL appears to be most advantageous in areas where there is a more developed connective/fibrous tissue support structure in the fat compartments forming the subcutaneous tissue: the upper abdomen, male "love handles" or flanks, male breast tissue in gynecomastia, areas of previous liposuction or scarred areas. UAL is always followed by conventional liposuction and often power-assisted liposuction (PAL) which more efficiently removes the emulsified fat and finishes contouring of the treatment area. UAL appears to enhance the overall efficiency of fat removal in most areas with reduced blood loss and bruising.
Power-assisted liposuction works like conventional liposuction but the hand-piece attached to the cannula has a small electric motor which moves the suction cannula rapidly back and forth about 2 millimeters. This oscillation more efficiently breaks up and removes fat and is very helpful in larger volume cases and in areas of fibrous tissue.
In addition to liposuction, Dr. Angelchik also performs other body contouring procedures in his Phoenix plastic surgery practice. Visit these pages in the website to learn about how Dr. Angelchik treats Phoenix tummy tuck (abdominoplasty), body lift, brachioplasty and thigh lift patients. For more information, please contact our plastic surgery office today!