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Pictures of facial liposuction

Liposuction, otherwise known as lipoplasty or suction lipectomy, is the surgical procedure designed to 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 may be carried out in a hospital, surgical center, or office with the patient under either local anesthesia, local anesthesia combined with sedation, regional anesthesia, or general anesthesia. For traditional liposuction, a narrow blunt-tipped tube called a cannula is inserted into incisions and then pushed back and forth beneath the skin, targeting specific fat deposits which are then suctioned out.

There are several newer methods which can be performed in conjunction 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 makes use of 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. Ultrasound energy is used in Ultrasound-Assisted Liposuction (UAL) to liquefy the fat before removing it.

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 should be avoided 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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