Liposuction is a very effective technique for treating localized fat deposits in the body.
It allows a reshaping of the silhouette with almost invisible scars (less than 3 mm). These fat deposits do not usually go away, despite dieting and exercise. This is known as “blocked” fat.
Liposuction can radically and permanently remove localized fat deposits. The aspirated fat does not come back provided that you maintain a stable weight and have a healthy lifestyle.
In practice, liposuction can be applied to a large number of regions of the body:
- “Saddle bags” liposuction
- Hip liposuction
- Abdominal liposuction
- Thigh liposuction
- Knee Liposuction
- Calf liposuction
- Ankle liposuction
- Arm liposuction
- Breast liposuction in men: gynecomastia
- Liposuction of certain parts of the back
- Pubic or “Mount of Venus” liposuction
Improvements in surgical techniques also now allow certain areas of the face and neck to be treated (the oval of the face, double chin).
It should be borne in mind, however, that liposuction despite its popular image in recent years must always be considered a real surgical intervention which can only be legally performed in France by a competent and qualified plastic surgeon, specifically trained for this type of technique and exercising in a truly surgical context.
It is by no means a treatment aimed at losing weight but simply to improve the silhouette, where fat is stored in clumps (saddle bags). The skin must be of good quality facing the aspirated area in order to allow correct retraction. Doctor Masson will listen to you and advise you in order to meet your expectations.
The principle is to introduce from very small incisions foam cannulas with rounded not sharp ends, perforated with several orifices. These cannulas will be connected to a closed circuit in which a negative pressure will be created. This is how a soft, harmonious and non-traumatic liposuction of excess fat cells is possible. Depending on the amount of liquid infiltrated before liposuction, we speak of soft lipo or wet lipo or tumescent lipo. There is also a technique which consists in using micro vibrations to remove the fat, namely Lipomatic or PAL or MicroAire. Another technique is Vaser liposuction that uses ultrasound and is interesting in some cases. Finally, you should know the association of all these different techniques (PAL, Vaser, soft lipo, classic wet lipo) in the form of high definition liposuction that I use to sculpt the silhouette as well as possible by digging out certain areas, obtaining a cutaneous retraction in certain strategic places, and possibly combining a lipofilling.
The cannula creates tunnels under the skin. The healing of these tunnels is done by causing the skin to retract on the surface. This allows to both thicken the areas of fat deposits and to retract the skin for a harmonious result.
The fat is sucked out using foam liposuction cannulas, making a regular network of tunnels that respect the vessels and the nerves: we treat deep fat and superficial fat in order to obtain the best possible results.
Note that all techniques aimed at destroying fat cells without aspirating them (smart lipo, lipo laser, etc.) are strictly prohibited in France because they can cause very serious complications.
Before the liposuction procedure
The motivations and requests will have been analyzed with your surgeon after a careful clinical examination.
During the consultation, we will define together the areas to be treated.
A pre-operative assessment (blood test) is carried out in accordance with the prescriptions.
The anesthetist will be seen in consultation at the latest 48 hours before the operation.
Smoking cessation is strongly recommended at least one month before and one month after the intervention (tobacco can cause delayed healing) and necrosis.
No medication containing aspirin should be taken within 10 days of the procedure.
A skin preparation such as antiseptic soap (betadine) is usually prescribed the day before and the morning of the operation.
It is essential to undergo treatment on an empty stomach (do not eat or drink anything) 6 hours before the operation.
Surgical intervention: liposuction
Each surgeon adopts a technique which is specific to him and which he adapts to each case to obtain the best results. The incisions are short (around 3 mm maximum) and very discreet, because they are most often hidden in a natural fold (navel, pubis).
The amount of fat extracted must of course be adapted to the quality of the overlying skin, which is one of the determining factors for the quality of the result. This must indeed retract correctly after the intervention.
A clinical test (known as the accordion test) makes it possible to assess and predict the quality of your skin’s retraction and will be carried out in consultation with your surgeon, Doctor Vincent Masson.
At the end of the intervention, the surgeon places the compression garment to limit postoperative swelling.
The duration of the procedure depends on the amount of fat to be extracted and the number of areas to be treated.
It can vary from 20 minutes to 3 hours (on average 1 to 2 hours).
The operation is most often performed under general anesthesia during which you will sleep completely. For limited areas, it can be performed under local anesthesia, with or without additional sedation depending on your level of anxiety or even under spinal anesthesia.
Hospitalization lasts from 12 to 48 hours depending on the amount of fat extracted.
After the intervention for liposuction: postoperative care
A compression garment (Lipo-Panty) is prescribed and must be worn day and night for 4 to 6 weeks after the liposuction.
The first shower is possible from the day after liposuction but baths are not allowed for 3 weeks.
The threads are absorbable: no thread is removed any more.
The practice of sport must be interrupted for 3 to 6 weeks after the liposuction operation.
It should be noted that the time required to recover from the liposuction is proportional to the amount of fat extracted.
In the aftermath of the liposuction, bruising and swelling appear on the abdomen and may extend to the pubis.
The pains associated with liposuction are variable, but they are generally insignificant, thanks to the use of very fine cannulas and adapted post-operative analgesics.
Fatigue can be felt for the first few days.
Normal activity can be resumed 1 to 10 days after the intervention, again depending on the extent of the liposuction and the type of professional activity.
The bruising resolves itself within 10 to 20 days after the procedure.
The scars are often pink during the first 3 months then they generally fade after the 3rd month and this gradually continues for 1 to 3 years.
They scars should not be exposed to the sun or UV for 12 months without effective protection.
The end result of abdominal liposuction is seen only after 3 to 6 months. The skin will take around 6 months to fully retract on the new curves and readjust to the new, more harmonious silhouette.
The intervention is not covered by the social security system because it is an act of pure cosmetic surgery.
Complications in case of liposuction
Real complications are rare following liposuction performed according to the rules. Despite their rarity, however, you must be informed of all the possible complications by your surgeon during your consultation appointments. We should mention:
- Thromboembolic events
- Hematomas and lymphatic effusion
- Metabolic disturbances and anemia
- Sensitivity changes: type of numbness, hypersensitivity, or “bizarre” sensations in the operated area, these changes are frequent and usually disappear, at least partially, over time in several months.
- Insufficient corrections and / or asymmetries, which can sometimes require surgical retouching under local or general anesthesia, depending on the case.
- Excessive corrections, depressions, surface irregularities, uneven appearance of bumps and ripples, sagging skin, aggravation of the phenomenon of “orange peel” skin, which can be definitive.
- The skin may not shrink harmoniously and show excess folds after liposuction.
- Very exceptionally, fat embolisms.
- Subjectivity: The intervention being motivated by aesthetic reasons, the results can only be assessed subjectively. It is therefore important to recognize that the results obtained may not correspond exactly to the expected results. Only consultation and careful mutual listening can make it possible to avoid these disappointments.
Before the liposuction procedure
- Compulsory medical visits: two consultations with your plastic surgeon and a consultation with the anesthesiologist no later than 48 hours before the procedure.
- Signature on the price quote, and the informed consent form.
- Medical photographs: there is a systematic production of medical photographs
- Reflection period: 15 days minimum reflection period between the first consultation with your cosmetic surgeon and the liposuction procedure.
- Mandatory information: imperfection of result and possible complications
- Pre-operative recommendations: smoking cessation recommended 1 month before and 1 month after the intervention to optimize healing, no medication containing aspirin should be taken 10 days before the intervention, stop taking anti-inflammatory drugs, and come to the clinic on an empty stomach (do not eat or drink anything) 6 hours before the intervention
Surgical intervention: liposuction
- Type of anesthesia for liposuction: general anesthesia or spinal or local anesthesia
- Duration of the liposuction procedure: 30 minutes to 3 hours
- The hospitalization procedure for liposuction: hospitalization is from 12h to 48h
Postoperative care and results
- Special care after liposuction: wearing a compression garment night and day for 4 to 6 weeks, rigorous pre and post-operative hygiene until complete healing, rest, anticoagulant for 15 days
- Thread withdrawals: no threads are removed, they are absorbable.
- Social isolation after liposuction: 3 to 10 days
- Resumption of physical activities after liposuction: generally 1.5 months
- Resumption of professional activities: 1 to 21 days depending on the professional context
- Results assessment after the liposuction: approximately 6 months, regular check-ups with your surgeon.
The cost of liposuction in Paris is from 2500 euros for a single zone
What is the most important advice after liposuction?
It is necessary to resume walking and sport quickly, watch your diet carefully and wear a compression garment for 4 to 6 weeks. There is a risk of the fat returning if these basic rules are not respected.
What is the cost of an abdominal liposuction?
You should budget on average 3000 to 6000 Euros with the various costs.
What are the risks associated with abdominal liposuction?
Folds, irregularities, phlebitis, perforation of organs, poor skin retraction.
From what age can liposuction be considered?
From 18 years old if the project is well thought out.
What anesthesia is used for liposuction?
Local if it’s a small area, amount and gentle liposuction, otherwise general anesthesia if multiple areas and a larger amount of fat.
Why wear a compression garment after liposuction?
To help the skin to shrink evenly and prevent wrinkles.
Is this operation reimbursed?
Are there any pains after liposuction?
Yes, this is an operation which, depending on the case, requires a recovery period from 3 to 15 days.
Liposuction in connection with obesity?
This is not a good idea because the maximum amount of fat that it is possible to remove is 8% of the body’s weight and we are talking about liters of fat removed and not kg because a liter of fat weighs less than a kg. Liposuction is used to treat the body’s shape but in no case to lose weight. It is not a weight loss method, it is best to lose as much weight as possible and arrive at a stable weight before having liposuction.