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Liposuction - What You Should Know

Liposuction and Weight Loss

If you think liposuction is the best way to lose weight, don't forget. Liposuction is not about losing weight at all. It's all about carving and avoiding the body to get rid of excess fat who can't afford to lose their diet and exercise no matter how hard you try. It's about looking good in a swimsuit AFTER you lose all the weight you lose.

Women love liposuction, but men hang out, too. Women tend to do it on the abdomen, thighs, knees, hips, chin or neck while men usually treat neck, chest, stomach, and "love handles".

In all but a small number of isolated cases of liposuction is strict cosmetics which means your insurance company will not pass a bill for your new stomach or buttocks. Your insurance company may be involved, however, if your treatment is prescribed for certain medical conditions including male breast enlargement and certain fat deposits, such as "buffalo bumps" caused by hormone imbalance.

How Liposuction works

Liposuction is a procedure in which fat tissue is literally sucked from under the skin using a hollow stick attached to the suction device. Local anesthetics and other compounds include saline, and epinephrine is administered to control swelling and bleeding.

Once the patient is prepared, the doctor inserts a magic wand, called a "cannula" through a small shell made of skin. They push and pull sticks through fat cells that cause them to rupture and inhale along with other body fluids. That's as complicated as liposuction gets from the point of view of the actual procedure.

Different types of Liposuction

There are several types of liposuction procedures used. Each procedure is based on the amount of fluid that is (or is not) injected during the procedure.

  • Dry Liposuction does not use fluid and quickly falls out of favor.

  • Wet liposuction is where a doctor injects six to eight ounces of ephinephrine.

  • Superwet coverage use the most liquid. Basically, the more fluid is injected during the procedure, the less blood is lost.


Although liposuction procedures are relatively safe when performed by Cosmetic or Plastic Surgeons, they are not without risks and side effects until, and including, death in rare cases (about 20 out of 100,000). Infections have been reported in some cases as well as "seromas" which are the unification or removal of body fluids.

Swelling, bruises and painful local areas are almost guaranteed side effects of liposuction and you can expect to lose a week or more of work during recovery. In most cases the procedure is performed on an outpatient basis and you will return home the same day.

The unexpected side effect of liposuction is that the fat can return and, often, it returns to a different area from where it was removed. This is believed to be due to a decrease in leptin levels.

Leptin is a hormone made in fat. When the level is down it signals the body to take more food so it can raise its fat level to what it "thinks" is normal. This condition is most likely in people who are overweight to start by still looking for liposuction as the "cure" expected.

Watch out

Any doctor can do liposuction with just 30 minutes of "training" on the equipment. However, as there are many risks and health risks, you should only consider treatment by a Board Certified Plastic Surgeon or Board Certified Cosmetic Surgeon who has additional specialized training in liposuction.


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