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Chin prosthesis with neck liposuction

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

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This procedure can be carried out in a hospital, surgical center, or office with the use of either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. The traditional form of liposuction begins with small incisions being made on the skin of the areas being treated. A narrow, blunt-tipped tube called a cannula is then inserted into the incisions. This instrument is then pushed back and forth beneath the skin in order to target and disrupt specific fat deposits which are then suctioned out.

There are several newer techniques which may be performed alongside 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 uses a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, making it become swollen and firm before being removed. For Ultrasound-Assisted Liposuction (UAL) the fat is liquefied using ultrasound energy before it is removed.

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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