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Before and after pictures of liposuction

Liposuction, also called lipoplasty or suction lipectomy, is the surgical procedure which involves the sculpting or recontouring or 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.

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This procedure can be completed in a hospital, surgical center, or office while the patient is under either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. Every patient undergoing liposuction has traditional liposuction performed on them, even if some other technique is also used. Traditional liposuction uses a narrow blunt-tipped tube called a cannula which is inserted into incisions and pushed back and forth beneath the skin This targets specific fat deposits which are then suctioned out.

There are several newer methods which may be performed along with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. Power-Assisted Liposuction, also known as PAL, has done away with the manually manipulated cannula, using instead a reciprocating cannula. Tumescent Liposuction includes the use of a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, leading it to become swollen and firm before being removed. For Ultrasound-Assisted Liposuction (UAL) the fat is liquefied using ultrasound energy before it is removed.

After 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. Potential complications which can occur with liposuction can 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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