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Liposuction, otherwise known 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.

This procedure can be performed in a hospital, surgical center, or office with the patient under either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. A narrow, blunt-tipped tube called a cannula is used for traditional liposuction. This instrument is inserted into incisions then pushed back and forth beneath the skin, targeting specific fat deposits which are then removed using suction.

There are several newer techniques which can be performed along with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. Power-Assisted Liposuction, or PAL, involves the use of a reciprocating cannula, rather than having it manually manipulated by the surgeon. Tumescent Liposuction uses a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, causing 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 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 avoided 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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