Frequently Asked Questions
For those considering our services, we provide these commonly asked questions and answers:
- What is liposuction?
- Who are the best candidates for liposuction?
- What are the risks?
- What happens before surgery?
- What happens on the day of surgery?
- What happens after surgery?
- What are the results?
What is liposuction?
Liposuction is a surgical procedure which removes unwanted fat deposits from specific body areas. These usually include the neck, upper arms, breasts, the abdomen and flanks, the buttocks, hips and thighs, the knees, calves, and ankles. Liposuction is not a weight loss solution; it is a technique for removing localized, stubborn fat that does not respond to dieting and exercise. Even small amounts of fat reduction can improve body proportion, and in the process provide the patient with a slimmer look.
Who are the best candidates for liposuction?
Liposuction, like other cosmetic procedures, can enhance the appearance and boost self-confidence. Liposuction won't necessarily change looks to match a movie star’s or some other ideal, but it usually results in a much-enhanced appearance. The physicians at Renew always take the time to discuss the patient’s expectations and provide them with realistic information, so they are well- informed before any procedure is performed.
The best candidates for liposuction are within their ideal weight range, have excess fat in localized areas and good skin tone. Patients should be physically healthy, psychologically stable and realistic in their expectations.
Firm, elastic skin produces a better result. Loose or drooping skin will not reshape to your body's new contours after liposuction. Some patients with poor skin tone are advised to prepare to accept post-op skin irregularities if their goals are simply to better fit into their clothing. Removing excess skin due to major weight loss is not a condition that can be addressed by liposuction; however our staff physicians are well-qualified to advise patients on options for treating that condition. Liposuction is contraindicated if the patient has had recent surgery in the region. Patients with poor blood circulation in the area, or patients with heart or lung disease or uncontrolled diabetes are often disqualified from having liposuction.
Liposuction will not improve cellulite. Cellulite is a natural dimpling caused by fibrous bands which stabilize the skin to the underlying connective tissue.Return to top of page
What are the risks?
All surgery carries some risk. Liposuction is normally safe, as long as patients are carefully pre-screened, the operating facility is properly equipped and the physician is a certified Plastic Surgeon. We take great care at Renew to ensure the patient is suitable for liposuction before any treatment is administered.Return to top of page
What happens before surgery?
Most patients are seen by one of our staff plastic surgeons at least twice before surgery. At the initial consultation, the physician evaluates the patient’s overall health, determines where the fat deposits lie, and assesses the skin tone. Costs are fully disclosed before any procedure occurs, so there are never any unpleasant billing surprises for the patient afterwards.
During the first consultation, the patient will tell us about any medications (especially aspirin or other pills that affect clotting), vitamins or other drugs being taken. Smokers always are advised to consider giving up the habit before and after surgery, because smoking always delays the healing process-- besides the other well-known risks that come with the habit.
Then, a complete physical along with blood and urine analysis is scheduled.
At the next consultation, or informed consent visit, the patient who is a suitable candidate has a chance to discuss the risks again, and/or other details prior to the actual day of surgery.Return to top of page
What happens on the day of surgery?
The patient should not have had anything to eat or drink after midnight prior to the day of surgery. Pre-op medications should have been taken. Also, transportation and post-op care arrangements should have been made.
Some liposuction procedures are performed under sedation and/or local anesthesia. Small areas can be gently "frozen" and done without the need for sedation. Liposuction usually takes an hour or two, but time may vary considerably depending on the amount of work being done. During this time, the patient’s well-being is carefully monitored at all times.
To begin the procedure, a small incision, just large enough to allow the insertion of a hollow tube called a cannula is made. The opposite end of the cannula is attached to a vacuum device. This may be a machine or a hand held syringe. The cannula is manipulated deep within the fat layers under the skin, breaking up the fat and suctioning it out.
Body fluid loss, which occurs along with the fat removal, is replaced via intravenous fluids or by injecting large quantities of fluid into the specific areas prior to suctioning (tumescent technique).
At the end of surgery, incisions are closed, a light dressing is applied and a compression garment is fitted. The patient is then monitored in the recovery area for a few hours prior to discharge. It is mandatory for any patient who has had deep sedation to have someone stay with them the first night after surgery. The medications may affect judgment and co-ordination for up to 24 hours.Return to top of page
What happens after surgery?
Follow-up visits are scheduled with the patient. Most patients are asked to be seen again within one week.
Early post-op instructions usually include taking prescribed medications, wearing the elastic compression garment and walking around (to prevent blood clots).
A snug elastic dressing, girdle or body stocking must be worn over the treated area to control swelling and bleeding, and to help the skin shrink to fit the new contour. Patients may need to wear this garment continuously for up to six weeks.
Patients should not expect to see immediate results. At first, the suctioned areas will be swollen and bruised, and a burning sensation might be felt. The discomfort can be controlled with pain medications. Patients often feel stiff and sore for a few days. Temporary numbness in the suctioned area is sometimes noted as well.
Most patients can be quite active a few days after surgery, and many are back to work or school within a week. The healing process is gradual. While most of the swelling and discoloration will be gone a month or two after surgery, some swelling can remain for six months or more.
Further follow-up is usually scheduled for six weeks, and then six months after surgery. If you have any unusual symptoms between visits or any questions about what you can or cannot do, do not hesitate to call us.
Strenuous sports or other activities are best avoided for at least 4-6 weeks post-op. After this, although the compression garment is no longer necessary, many patients prefer to wear it under their spandex exercise outfits during periods of heavy training or unpredictable sporting events.Return to top of page
What are the results?
Liposuction is an excellent technique for providing a new body contour with minimal scarring. The results are permanent. Most patients are very satisfied with the results of their liposuction, and report feeling more comfortable in a wide variety of clothes, and more at ease with their bodies.
At Renew, we believe that all patients deserve honest, reliable price quotes with no surprises at the end.
Our patients deserve and receive compassionate, gentle and expert care before, during and after all procedures. While receiving a great new appearance is our patients’ pleasure, providing them with it is our passion.Return to top of page
|Traditional Liposuction||Tumescent Liposuction|
|Anesthesia||General anesthesia, you are asleep or unconscious by gas or IV sedation.||Local anesthesia, to block the nerve impulses and numb a specific area of the body.|
|Risk||Much higher complication rate||Lowest rate of complications documented in the medical literature. Greatest patient satisfaction documented in the medical literature|
|Cost||Expensive. Add surgical facility and anesthesia costs.||Much less, there is no additional cost for anesthesia or the facility.|
|Pain||Immediately after surgery pain pills are required. Also, due to stitching and drains prolonged use of pain pills is common.||Often minimal. Pain pills are less common due to less trauma to the body and in absence of stitching/drain removal.|
|Bleeding||Significant blood loss often requiring transfusion||Minimal|
Swelling: 2 weeks-2 months +
Bruising: 2 days-2 weeks
Numbness: lasts several weeks
Work: Return after 1-3 weeks
Exercise: Wait 4+ weeks
Final result are seen after 6-9 months
Swelling: 1-2 weeks
Bruising: 2 days-2 weeks
Numbness: lasts several weeks
Work: Return after 48 hrs
Exercise: Wait 2-4 weeks
Final result are seen after 1-3 months
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