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Pictures of patients before and after abdominal liposuction

Liposuction, otherwise known as 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. Areas of the body which are frequently treated with liposuction include the abdomen, back, buttocks, cheeks, chin, hips, knees, neck, thighs, and upper arms.

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This procedure may be performed in a hospital, surgical center, or office using 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 techniques which can be performed in conjunction with traditional liposuction, including Power-Assisted Liposuction, Tumescent Liposuction, and Ultrasound-Assisted Liposuction. Power-Assisted Liposuction, or PAL, involves the use of a reciprocating cannula, rather than having it manually manipulated by the surgeon. Tumescent Liposuction requires the use of a large volume of fluid containing a local anesthetic and epinephrine which is injected into the fatty tissue, allowing it to become swollen and firm before being removed. Ultrasound-Assisted Liposuction, also known as UAL, uses ultrasound energy. This liquefies the fat before it is removed.

After undergoing 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 should be postponed 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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