Liposuction – Jacksonville Plastic Surgery
Liposuction, also referred to as lipoplasty or suction lipectomy, is performed at Jacksonville Plastic Surgery by Board Certified Plastic Surgeon Dr. John J. Obi. The liposuction procedure is performed at our on on-site surgical facility, The Jacksonville Plastic Surgery Center, on an outpatient basis under local anesthesia with sedation. The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia and the technique used. The Jacksonville Plastic Surgery Center is accredited by the prestigious American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF).
The decision to have liposuction is a very personal one and the most frequent factors in this decision are:
• to remove unwanted fat from specific areas
• to contour the body for a more pleasing shape
• to balance disproportionate areas of the body
• to correct resistant to exercise or hereditarily fatty areas
Liposuction can enhance your appearance and self-confidence, in addition to giving your body a more balanced and pleasing shape. Liposuction can be performed alone or in conjunction with other cosmetic surgery procedures such as a tummy tuck. People find liposuction to be a most rewarding and beneficial experience.
There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome. Liposuction involves creating a tiny incision into which a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction is provided by a vacuum pump or a large syringe.
Fluid is lost along with the fat, and it’s crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.
Tumescent liposuction involves a fluid injection in which a medicated solution is injected into fatty areas before the fat is removed. The fluid — a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) — helps the fat be removed more easily, reduces blood loss and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.
Large volumes of fluid — sometimes as much as three times the amount of fat to be removed — are injected in the tumescent technique. Tumescent liposuction takes significantly longer than traditional liposuction (sometimes as long as 4 to 5 hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary.
The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.
Ultrasound-Assisted Lipoplasty (UAL)
This technique requires the use of a special cannula that produces ultrasonic energy. As it passes through the areas of fat, the energy explodes the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional liposuction technique.
UAL has been shown to improve the ease and effectiveness of liposuction in fibrous areas of the body, such as the upper back or the enlarged male breast. It is also commonly used in secondary procedures when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction.
There are risks involved with any surgical procedure and the specific risks and restrictions after surgery will be discussed in detail at your consultation. Generally it is recommended that patients avoid smoking and the ingestion of any medications (aspirin, Vitamin E, etc.) that may affect bleeding before any surgery is undertaken.
There are physical restrictions immediately following the surgery, and usually patients are able to return to work or school within a week to ten days. Strenuous activity should be avoided for at least a month.