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Liposuction, known also as lipoplasty or suction lipectomy, is the surgical procedure which can sculpt or recontour one or more parts of the body through the removal of localized fat deposits.

Liposuction is most commonly used on the abdomen, back, buttocks, cheeks, chin, hips, knees, neck, thighs and upper arms.

This procedure can take place in a hospital, surgical center, or office utilizing either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. Traditional liposuction involves the use of a narrow blunt-tipped tube called a cannula which is inserted into incisions and then pushed back and forth beneath the skin. The movement disrupts fat deposits which are then suctioned out.

There are several more recent techniques which can be combined with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. With Power-Assisted Liposuction (PAL), the cannula is not manually manipulated by the surgeon because a reciprocating cannula is used instead. Tumescent Liposuction includes the use of a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, allowing it to become swollen and firm before being removed. The technique known as Ultrasound-Assisted Liposuction (UAL) involves the liquification of fat prior to its removal using ultrasound energy.

After having the procedure, patients are typically able to return to their normal activities when they feel comfortable doing so, which can be anywhere from several days to several weeks, though more strenuous activities will need to be held off on for at least a month. The risks associated with liposuction may include the following: allergic drug reactions, anesthesia reactions, aspiration pneumonia, brain damage, blood clots, cardiac arrest, excessive blood loss, excessive fluid loss, focal skin necrosis (skin death), hematomas, hypothermia, infection, perforation injury, permanent nerve damage, permanent pigment (color) changes, post-liposuction syncope (fainting), pulmonary edema, pulmonary embolism, scarring, seizure, seromas, uneven skin, and unfavorable drug reactions.

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