What is Liposuction?
Liposuction is the removal of excess fat with a small, straw-like instrument called a cannula that is attached to a liposuction machine. The fat layer under the skin is converted to a network of tunnels, and the cannula is manipulated within the layers to remove unwanted fatty deposits. An elastic garment is then worn for compression and healing. The result is a re-sculpting of bulging areas into more attractive contours.
When is Liposuction Indicated?
Liposuction is most effective for removing localized fat deposits in body areas that do not respond to dieting or exercising. Liposuction is not intended as a substitute for weight loss, but rather is a contouring procedure. It is best utilized in a program of exercise and optimal weight maintenance.
What Happens Prior to Surgery in New Jersey?
Before surgery, a complete medical history is taken, and a careful examination is conducted in order to evaluate your condition. During the consultation, Dr. Macri describes the procedure, and what results might realistically be expected. Dr. Macri also will review alternative treatment options and explain the possible risks and complications that may occur. Photographs are frequently taken before and after surgery to help evaluate the amount of improvement.
How is the Tumescent Technique of Liposuction Performed?
Potential complications of general anesthesia can be avoided by the use of local anesthesia (often used with light sedation) via the tumescent technique. This breakthrough technique refers to filling the skin with local anesthetic in order to remove unwanted fat more efficiently.
With tumescent liposuction, large volumes of a solution containing dilute lidocaine (a local anesthetic) and dilute epinephrine (a drug to shrink capillaries and prevent blood loss) are injected (with minimal discomfort) directly into areas of excessive fatty deposits. Once the liquid is injected, a small incision is made in the skin, and a tube connected to a vacuum is inserted into the fatty layer. Using to and fro movements the fat is drawn through the tube into a collection system. The tumescent method enables Dr. Macri to remove large amounts of fat more uniformly with fewer skin irregularities and less bleeding and bruising.
What Happens After Surgery?
The local anesthesia injected into the tissue remains for 13 to 24 hours following liposuction surgery, greatly minimizing postoperative pain. After tumescent liposuction, patients are usually alert and able to function without nausea, grogginess and the “washed out” feeling associated with general anesthesia. With the tumescent technique, there is minimal bruising, and many patients do not require postoperative reduction for pain. You can usually return to a desk-type job within 48 hours. Physical exercise generally can be resumed three to seven days after liposuction.
Are there any Possible Complications?
The tumescent technique of liposuction is a remarkably safe procedure with few significant side effects. A recent study in Dermatologic Surgery Journal reported that 112 patients who underwent the tumescent procedure had an average of two quarts of fat removed with no significant complications. Clinical studies by other specialists have also demonstrated the safety and efficacy of tumescent liposuction.
What are the Limitations of Liposuction?
Liposuction is not intended as a method for weight loss. It is used as a shaping procedure for areas where hereditary fat deposits resistant to diet and exercise have accumulated. The best results from liposuction occur in body areas where there is reasonable muscle tone, where skin has good elastic quality, and where fat is not excessive. In cases where there is a significant loss of tone and elasticity, superior cosmetic results may require a combination of both liposuction and surgical skin tightening to remove the excessive loose tissue.
Dr. Macri can advise you of the likelihood of the need for additional treatments, depending on the specific condition of your skin.
Who is a Good Liposuction Candidate?
Dr. Macri’s philosophy is that a good candidate is someone who has disproportionate stubborn areas of fat storage that cannot be lost with diet or exercise.
Who is Not a Good Candidate?
Someone who is simply overweight but proportionate is not a good candidate for liposuction. If the patient can achieve a perfectly balanced physique with diet and exercise, it is a mistake to do liposuction.
How Much Fat is Typically Removed?
The correct answer is the amount that makes a person proportionate and achieves a natural result. The goal is not to remove as much fat as possible but to remove the right amount in the right way from the right areas. Typically the average person has about one to two liters removed (2 ½ – 5 lbs), but remember, this is pure fat! It is much more that a 2½ – 5 lb weight loss would accomplish.
What is the Most Fat that can be Removed?
The safe limit for one surgery is four liters. Typically, it is not the amount of fat that limits the surgery, but how many areas that can be safely done at one time.
How Long is Liposuction Surgery?
Most surgeries are between 45 minutes and 2½ hours.
How many Areas can be Done?
Usually between three to four areas can safely be done with one procedure. More than 90% of Dr. Macri’s patients only need one surgery for all areas. If additional areas are needed they can be done as soon as 48 hours later.
At What Age can a Patient have Liposuction Performed?
Provided they meet the criteria of a good candidate, liposuction can safely and effectively be done on ages 15-78. However, with advancing age, skin elasticity decreases. When elasticity decreases Dr. Macri will choose to be less aggressive in his fat removal to achieve a smooth result. However, if Dr. Macri feels the elasticity in a particular area has decreased too much to achieve a smooth result he may suggest that liposuction is not a good option.
Is Liposuction Better Before Pregnancy?
Because it is always easier to liposuction areas of good skin tone, it is better to have it done before pregnancy. However, even after pregnancy if the skin tone is too poor, Dr. Macri may refer the patient for an Abdominoplasty procedure (tummy-tuck).
Does the Fat Come Back?
NO. This is a misperception. The fat tissue removed is permanently removed. If it comes back that means that it was either not done sufficiently in the first place or the area is full for another reason (i.e. loose muscle tone or aging skin tone).
Does the Fat Fo to Other Areas?
This is also a misperception. This will happen if the surgeon does not pay attention to body proportion. If the surgeon pays attention to body proportion, and does not make the patient disproportionate, the fat will not go to other areas of the body.
Does Liposuction Hurt?
Besides the good eye of the surgeon, as well as the artistry of the procedure, there is an art to doing liposuction under local anesthesia. During the numbing process, which takes from 15-30 minutes, fluid is slowly seeping into the fat. Most patients feel very little and describe this as an occasional pinch. After the local anesthesia is done, the areas are numb and one feels only pressure or nothing at all. Almost all patients say the procedure was so much easier then they had imagined.
What are the Chances of Irregularities, Dimples, or Asymmetry Occurring?
Very low. Dr. Macri does everything to achieve a smooth natural result and a happy patient. If he feels the chances of irregularities are higher due to a patient’s poor skin tone, or if he has done a revision liposuction, he will extensively discuss this with you and may recommend that liposuction is not the best option.
Will I have Loose Skin?
No. When liposuction is done properly the skin re-drapes and retracts to conform to the underlying tissue. Most times the skin becomes tighter because it has retracted (pulled back), and this tends to prevent further loosening of the skin. But again, if Dr. Macri feels the skin tone is already too loose he may not recommend liposuction.
Does Liposuction Cause Scars?
Dr. Macri makes as few incisions as possible to achieve a good result. These incisions are 2-3mm in length and usually heal very well without needing a stitch. He can usually hide many incisions in most areas of the body but because they usually heal well. It is important to not make too few incisions this might affect a perfect liposuction result.
How Long Do I Need to Wear the Garment?
Usually 10 days full-time, and an additional 10 days part-time (12 hours either day or night).
Do I Go Home that Night?
You may return home or to a hotel the day of the surgery, but it is required that a friend or family member be with you.
When can I Fly After Liposuction?
In most instances you may fly 2 days after the surgery as long as you are able to walk around every hour.
When can I exercise?
Dr. Macri wants every patient to take a walk the day after surgery. This promotes healing. Most patients return to their regular exercise routine between one to two weeks.
When do I see the results?
Final results usually take between 6-12 months. But most of the results are usually seen at about 6 weeks. Usually by 3 weeks much of the swelling is down and most patients are looking better than before the surgery and are able to wear a swimsuit and go on vacation.
Can I combine this with other procedures?
Yes, Dr. Macri can combine liposuction with Fat Transfer. Thereby removing fat from unwanted areas and placing it into the cheeks, naso labial folds, marionette lines, chest and hands.
Does Fat Return After Liposuction Surgery?
This is a common perception that the fat comes back in areas – and it is debatable. However, I feel that the fat tissue itself that you removed from liposuction surgery, if removed properly, does not come back in that area. You may gain fat in new areas that were not treated if old eating habits resume.
Contact the MacriMD Liposuction and Laser Center of New Jersey to schedule a consultation today. You can call our Bergen Country office at (201) 358-2922 or you can submit our easy online contact form here.