Liposuction or Lipoplasty

Liposuction is one of the most frequently performed interventions in the field of aesthetic plastic surgery. The methods described as follows can in theory be applied on every part of the body: such as cheeks, neck, upper arms, breast, abdomen, hips, buttocks, thighs, knees, haunches or vincula.

But as specialists never tire to emphasise, cosmetic surgery is not an alternative to losing weight. It is simply designed for the so-called diet-resistant cushions of fat, which are often perceived as very bothersome and can take a heavy toll on the enjoyment of life.

For women, the favoured areas are the hips and thighs; for men, these areas are the abdomen and the chest, and this at very young ages despite slender body types. Liposuction accounts for 20 percent of cosmetic surgery performed on men. When even adamant diet and sports no longer help to get the desired result, the only option left is the plastic surgeon and his state-of-the-art and increasingly gentle surgical methods.

 

What liposuction / lipoplasty methods are available?

We can differentiate among three liposuction methods: A) Liposuction with ultrasounds, B) Liposuction which consists of extracting the fat out of the more profound tissues, and C) Liposculpture which means extracting the fat that is directly underneath the skin.

All three methods use a preliminary injection of saline solution into the fat tissue that has to be eliminated; this solution contains both blood-clogging ingredients as well as pain-killers and it also helps dilute the fat so that it can be sucked out more easily (the tumescence technique). For older patients, the liposculpture method is preferable, because the older skin contracts more easily over the treated area if the upper fat cells are removed as well.

In the ultrasound method, after the tissues have been anaesthetised, a thin (4-6 mm), blunt ultrasound tube is inserted under the skin into the fat tissue; the ultrasound waves will cause the fat cells to burst and disintegrate. For both of these traditional methods, the purely mechanical movement of the cannula will displace the fat cells. The dissolved fat as well as the saline anaesthetic solution are extracted by suction through the same tube, in all three of the methods.

The incisions for the suction tubes are very small. The scars are therefore barely visible. After undergoing a liposuction, the patient has to wear compression trousers or adequate elastic bandages so that the skin can contract again neatly and uniformly.


In our doctors' database you can find European liposuction specialists from Austria, Belgium, Bulgaria, Croatia, Czech Republic, France, Germany, Hungary, Italy, Liechtenstein, Luxembourg, Netherlands, Poland, Portugal, Romania, South Africa, Spain - (mainland), Spain - Mallorca, Switzerland, Thailand, Turkey

 

NEW: The water-jet assisted liposuction

As previously described, the "normal" liposuction methods consist of a large quantity of saline solution with anaesthetics being injected into the fat tissues. The fat cells get diluted and are then extracted by suction. This has several disadvantages: The injected fluids will cause a lot of swelling in the treated areas. The surgeon has difficulty identifying what he's removing and from where. Beside the build-up of dents and swells on the affected skin areas, thromboses, embolisms and arrythmias can also occur.

With this new method of intervention, these problems should become a thing of the past.

Main benefit: The result is visible immediately
The new technique dissolves the fat cells with the help of a computer-operated, finely-atomised jet of water. Dissolving and suctioning the displaced tissue occur at the same time. The surgeon can accurately identify, during the operation, how much fat was removed from which areas and where he must do better. The otherwise common swelling of the area is, to a large extent, avoided. The patient can see the result immediately after the intervention. The low correction rates, of under 2 percent, speak in favour of the new method.

Additional benefit: The fluids and the local anaesthetic are inserted into the concerned area through a patented system of guaranteed aseptic tubes which can considerably lower the risk of an infection. On top of this, the fat tissues and the fluids containing the anaesthetic are immediately sucked back out again. This considerably reduces the patient's exposure to medication.

Gentler and quicker:

  • No pain up to 12 hours through a special local anaesthetic.
  • 90% of the interventions can be done ambulatorily under local anaesthesia.
  • The duration of the intervention is up to 50% shorter. If the old methods for abdomen, waist or thigh correction took between 2 and 2,5 hours, this intervention is over in 1 - 1,5 hours.

 

Complications and risks of liposuctions

Large haematoma (blue spots) can appear after the intervention.
There can be swelling and dents, due to uneven liposuction or wrong choice of cannulas.
Feelings of numbness, pain, swelling can occur.
Some can lead to the patient's death.

Death rate: 1 out of 5,000 patients.
For comparison: The death rate for a ruptured hernia intervention is 1 out of 100,000. Given the 200,000 liposuctions performed every year in Germany, this means that approx. 40 patients die!

Does liposuction help in case of overweight?

Overweight people often have high hopes that liposuction can provide a quick solution to their problem. Research conducted by the Washington University has shown that a change in the diet and eating habits of overweight people, as well as normal weight loss, have by far more positive effects on their health and on reducing the risks of obesity-related diseases than getting rid of the same amount of fat through liposuction. Some of the known consequences of overweight are metabolic disfunctions such as diabetes mellitus type 2, disfunctions of the metabolism of fats, high blood pressure (hypertonia) and heart diseases.

Through the modern methods used today, surgical fat removal can get rid of 5 - 20 litres of fat almost without problems. In the above-mentioned study, this represented about 20 percent of the entire amount of fat.

The metabolisms of the people involved had not improved within the first 12 weeks after the liposuction.

That is easily understandable - because liposuction does not modify the eating habits. Changing one's eating habits, exercising and psychological therapy should - from a medical point of view - always come before a liposuction.

 

Last update liposuction on 01.04.2016 09:55.

Related search terms: lipoplasty.