If you are considering Liposuction
Liposuction is a procedure
that can help sculpt the body by removing unwanted fat from
specific areas, including the abdomen, hips, buttocks, thighs,
knees, upper arms, chin, cheeks, and neck. During the past
decade, liposuction, which is also known as "lipoplasty"
or "suction lipectomy," has benefited from several
new refinements. Today, a number of new techniques, including
ultrasound-assisted lipoplasty (UAL), the tumescent technique,
and the super-wet technique, are helping many plastic surgeons
to provide selected patients with more precise results and
quicker recovery times. Although no type of liposuction is
a substitute for dieting and exercise, liposuction can remove
stubborn areas of fat that don't respond to traditional weight-loss
The best candidate for Liposuction
The best candidates
for liposuction are normal-weight people with firm, elastic
skin who have pockets of excess fat in certain areas. You
should be physically healthy, psychologically stable, and
realistic in your expectations. Your age is not a major consideration;
however, older patients may have diminished skin elasticity
and may not achieve the same results as a younger patient
with tighter skin. Liposuction
carries greater risk for individuals with medical problems
such as diabetes, significant heart or lung disease, poor
blood circulation, or those who have recently had surgery
near the area to be contoured.
Planning your Liposuction surgery
In your initial consultation,
Dr. Asaadi will evaluate your health, determine where your
fat deposits lie and assess the condition of your skin. Dr.
Asaadi will explain the body-contouring methods that may be
most appropriate for you. For example, if you believe you
want liposuction in the abdominal area, you may learn that
an abdominoplasty or "tummy tuck" may more effectively
meet your goals; or that a combination of traditional liposuction
and UAL would be the best choice for you.
Contact Dr. Asaadi:
Request an Appointment
Request Additional Information
Preparing for your Liposuction surgery
Dr. Asaadi will give
you specific instructions on how to prepare for surgery, including
guidelines on eating and drinking, smoking, and taking or
avoiding vitamins, iron tablets, and certain medications.
If you develop a cold or an infection of any kind, especially
a skin infection, your surgery may have to be postponed. Though
it is rarely necessary, your doctor may recommend that you
have blood drawn ahead of time in case it is needed during
surgery. Also, while you are making preparations, be sure
to arrange for someone to drive you home after the procedure
and, if needed, to help you at home for a day or two.
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. There are several
liposuction techniques that can be used to improve the ease
of the procedure and to enhance outcome. Liposuction is a
procedure in which localized deposits of fat are removed to
recontour one or more areas of the body.
Through a tiny incision,
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 action is provided
by a vacuum pump or a large syringe, depending on Dr. Asaadi's
preference. If many sites are being treated, he will then
move on to the next area, working to keep the incisions as
inconspicuous as possible.
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.
The basic technique
of liposuction, as described above, is used in all patients
undergoing this procedure. However, as the procedure has been
developed and refined, several variations have been introduced.
Fluid Injection, a technique in which a medicated
solution is injected into fatty areas before the fat is removed,
is commonly used by plastic surgeons today. 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. The
amount of fluid that is injected varies depending on the preference
of the surgeon.
In Tumescent Liposuction, large volumes of
fluid - sometimes as much as three times the amount of fat
to be removed - are injected using this technique. Tumescent
liposuction, is typically performed on patients who need only
a local anesthetic, and usually 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 name of this technique refers to the swollen and firm
or "tumesced" state of the fatty tissues when they
are filled with solution.
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
Lipoplasty (UAL), a 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.
After Liposuction surgery
After surgery, you
will likely experience some fluid drainage from the incisions.
Occasionally, a small drainage tube may be inserted beneath
the skin for a couple of days to prevent fluid build-up. To
control swelling and to help your skin better fit its new
contours, you may be fitted with a snug elastic garment to
wear over the treated area for a few weeks. Dr. Asaadi may
also prescribe antibiotics to prevent infection. Don't expect to look or feel great right after surgery. Even
though the newer techniques are believed to reduce some post-operative
discomforts, you may still experience some pain, burning,
swelling, bleeding and temporary numbness. Pain can be controlled
with medications prescribed Dr. Asaadi, though you may still
feel stiff and sore for a few days. It
is normal to feel a bit anxious or depressed in the days or
weeks following surgery. However, this feeling will subside
as you begin to look and feel better.
To see more Liposuction
results please visit our before and after gallery.
View Dr. Asaadi's Liposuction Before & After Photos
Getting back to normal
Healing is a gradual
process. Dr. Asaadi will probably tell you to start walking
around as soon as possible to reduce swelling and to help
prevent blood clots from forming in your legs. You will begin
to feel better after about a week or two and you should be
back at work within a few days following your surgery. The
stitches are removed or dissolve on their own within the first
week to 10 days. Activity that is more strenuous should be
avoided for about a month as your body continues to heal.
Although most of the bruising and swelling usually disappears
within three weeks, some swelling may remain for six months
or more. Dr. Asaadi will schedule follow-up visits to monitor
your progress and to see if any additional procedures are
needed. If you have any unusual symptoms between visits -
for example, heavy bleeding or a sudden increase in pain -
or any questions about what you can and can't do, call Dr.
Your new look
You will see a noticeable
difference in the shape of your body quite soon after surgery.
However, improvement will become even more apparent after
about four to six weeks, when most of the swelling has subsided.
After about three months, any persistent mild swelling usually
disappears and the final contour will be visible. If your
expectations are realistic, you will probably be very pleased
with the results of your surgery. You may find that you are
more comfortable in a wide variety of clothes and more at
ease with your body. And, by eating a healthy diet and getting
regular exercise, you can help to maintain your new shape.
Dr. Asaadi and his staff will be happy to discuss this procedure with you. Please feel free to call for a private consultation or Schedule an appointment online @ either our New York or New Jersey offices.