Liposuction is performed by using a hand-held instrument (called a cannula) to vacuum the fat layer that lies deep beneath the skin. By pushing and pulling the cannula, the fat cells are broken up and then sucked out with a vacuum or syringe and deposited into bags, bottles or other containers. While fat is removed by suctioning fat through small tunnels, the skin remains connected to the underlying muscles. This helps preserve the nerves and blood vessels supplying the skin and also helps to decrease the laxity of the skin. The surgeon is also careful to leave a thin blanket of fat attached to the skin to prevent the cannula from getting too close to the skin and thus avoiding excessive rippling or other irregularities. The tumescent solution injected under the skin helps to decrease bleeding, provide anesthesia to the surgical site and improve postoperative patient comfort.
Most patients are back to work in 1 week. A support garment is worn for 3 weeks and no heavy exercise is performed for 3 weeks. Mild bruising and swelling are expected along with potential changes in sensitivity contour and texture of the skin. Although complications following liposuction are unusual, it is important that every patient be well informed about the procedure, the options available and potential problems. Ask Dr. Kotoske if you are a candidate for this exciting procedure.
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