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Liposuction, less commonly known as lipoplasty or suction lipectomy, is the surgical procedure aimed at sculpting or recontouring 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 be completed 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 a few more recent methods which can be performed along with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. Power-Assisted Liposuction (PAL) involves the use of a reciprocating cannula. This means that the surgeon no longer has to manually manipulate the instrument. 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. Ultrasound energy is used in Ultrasound-Assisted Liposuction (UAL) to liquefy the fat before removing it.

Following 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 put off 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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