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

The abdomen, back, buttocks, cheeks, chin, hips, knees, neck, thighs and upper arms are all commonly treated areas of the body.

This procedure can be performed in a hospital, surgical center, or office by means of 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 newer techniques which can be combined with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. A reciprocating cannula is used for Power-Assisted Liposuction (PAL) rather than having a cannula which is manually manipulated by the surgeon. Tumescent Liposuction entails the use of 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-Assisted Liposuction, or UAL, uses ultrasound energy to liquefy the fat before its removal.

After having the surgery, 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 potential complications and risks associated with liposuction are as follows: 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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