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 Cosmetic Surgery & Aesthetic Procedures

July 2009
No More Fat Liposuction
Dr Shahin Nooreyezdan
We live in times where a slender body exemplifies beauty, and overweight or disproportionately fat people are often ridiculed or mocked
Today's clothing styles have changed drastically necessitating a good figure and slender body. Unfortunately, this desire for the perfect body sometimes turns into an obsession with women hunting for that slightest bulge, which is often 'imagined'. A beautiful body will always inspire praise from the opposite sex, and the ideal slimness is a question of degree. But one thing is for sure, being fat is undesirable and unacceptable by our society today.

Liposuction is an operative technique for the removal of fat deposits. It is performed using a 3 or 4 mm key-hole incision (cut) through which a liposuction cannula is inserted and the fat sucked out using a specialized vacuum device, known as a liposuction machine.

Contrary to popular belief, liposuction is not a surgical tool to treat generally obese people and reduce their weight. It is useful for sculpting the body in patients who are not grossly overweight and have 'localised fat deposits', or LFDs. These LFDs can be found anywhere is the body, the commonest being on the abdomen, flanks, hips, buttocks, thighs, arms, knees and chins.

FAQs on liposuction

Q How many kilos will I lose?
Fat removal by liposuction is mainly a matter of reducing volume rather than weight. Good results following liposuction will be noticeable in a reduction of clothing size. A reduction of one or two sizes is average. Weight loss is rarely more than 3 kilos. It takes 3 to 4 months for the skin to re-drape, and the final result to manifest. Immediately after surgery, oedema fluid (water) will fill the area from which fat has been removed, and because the oedema is heavier than fat, the patient may weigh more after surgery- but just temporarily.

Q If I gain weight after surgery, what are the consequences?
In a normal person, removed fat cells cannot regenerate, so if patients are not careful with their diet, the consequences can show up in any area other than the operated one.

Q Will I have to diet after liposuction?
If patients have a tendency to gain weight easily, a good diet and exercise regime may be necessary to reduce this tendency and keep it under control. It is interesting that in many cases, liposuction has acted as the incentive or catalyst for a well adhered to diet and exercise regime.

Q Will stretch marks disappear following liposuction of the area?
No. Stretch marks do not disappear at all following a liposuction.

Q What kind of anaesthesia will I need for my liposuction?
It would depend on the area to be treated. Smaller areas like knees, chins or flanks can be done under local anaesthesia. However if larger areas like the whole abdomen, flanks and outer thighs need to be done, then a general anaesthesia would be required.

Q How long will i have to stay in the hospital after the operation?
Patients go home in the evening about 6 to 7 hours following the surgery. It is a very rare occurrence for someone to be in hospital overnight.

Q How long will I be away from my job?
The patient may be away from work from two days to one week, depending on the type of work he or she does, and areas treated.

Q When can I exercise or play sports?
The patient can start his or her exercise or sports routine approximately 3 weeks post surgery.

Q What are the risks of a liposuction procedure?
There is no operation possible without associated risks like those of anesthesia or infection, but statistically, you are safer anaesthetised and getting a liposuction by me here at Apollo hospital, than you are driving on the roads of Delhi!

Q How much will it hurt?
This depends entirely on the patient's threshold for pain, and adequate postoperative pain control medication. Generally, with adequate medication, pain is reduced to a minimal discomfort.

Q Finally, how much does it cost anyway?
Liposuction could cost between Rs 50,000 to Rs 125,000 depending on the areas treated and the anaesthesia administered.
Dr Shahin Nooreyezdan Senior Consultant, Cosmetic Surgery Apollo Hospitals, New Delhi

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