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Liposuction FAQ: By Jeffrey Berti, MD

What is Liposuction Surgery?

Dermatologic surgeons have pioneered the liposuction techniques utilized  to remove undesired fat deposits from nearly all body areas including the face, neck, abdomen, hips back buttocks and legs.  Prior to the 1980's, hospital-based surgery was required to remove significant amounts of fat deposits.  Treatment was often limited to a few areas, and recovery from anesthesia often prolonged healing time, as well as provided for additional risks.

What is Tumescent Liposuction?

Tumescent liposuction revolutionized liposuction surgery.  The technique refers to the use of local anesthesia by filling the fatty layer with dilute medications that provide for the anesthesia effect.  Use of tumescent liposuction allows dermatologic surgeons to safely and efficiently remove both deep and superficial excess layers of fat with little discomfort, more rapid healing and superior cosmetic results.

Potential complications from general anesthesia are avoided and, since the patient is awake, he or she is able to sit or stand during the procedure, allowing the surgeon to check the status of the patient and procedure and to refine the progress of contouring.

What happens prior to surgery?

A complete medical exam is required, and blood tests are obtained to ensure that anemia, clotting disorders or potential communicable infectious diseases are taken care of prior to the procedure.

What happens after surgery?

The local anesthesia injected under the skin remains in place for about 24 hours following liposuction surgery, greatly minimizing the need for post-operative pain medications.  Most patients are alert and able to fucntion without the need for recovery as in general anesthesia.  In fact, patients are encouraged to walk immediately after surgery to enhance the healing process.  Many return to full normal activities in a few days.  Physical exercise is allowed seven to ten days after the procedure.

How do I find a dermatologic surgeon who performs liposuction?

Contemporary dermatologist are specifically trained to perform skin associated procedures such as liposuction.  Consult your dermatologist to find out if they perform tumescent liposuction.  An excellent source on dermatologic surgery, as well as a profile of dermatologic surgeons in your area is The American Society for Dermatologic Surgey amd/or The American Academy of Dermatology.