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Liposuction (Liposculpture, Lipoplasty, Suction assisted lipectomy)

  • Reduces or eliminates localized fat deposits
  • Creates youthful attractive body contours
  • Liposuction can be performed under local anesthesia
  • Safe procedure with minimal downtime
  • Most effective in men and women near normal body weight
  • Good skin elasticity contributes to best result
  • Skill, experience and artistry of surgeon is more important than type of liposuction device

How do I know if I’m a good candidate for liposuction?

Schedule a consultation with a Plastic Surgeon certified by the American Society of Plastic Surgeons. During the consultation he/she will review your medical history to be sure that you are medically fit to undergo a liposuction procedure. You will be examined regarding your area(s) of concern as well as your overall body contour, skin elasticity and the general quality of your skin. Based on your physical examination and a discussion regarding your goals and expectations, treatment recommendations will be made not only whether you are a candidate for liposuction but whether alternative treatments should also be considered.

What type of anesthesia is used?

Liposuction can be performed under local anesthesia, deep sedation or general anesthesia administered by an anesthesiologist. Dr. Bruck performs liposuction under local anesthesia unless a patient requests to be asleep. Prior to administering the local anesthesia, patients receive a cocktail (combination of mediations) to relax them. Once relaxed, local anesthesia is gently administered to the planned area(s) of liposuction. Patients are generally very comfortable. Liposuction performed under local anesthesia enables patients to stand during the procedure allowing for greater precision, refinement and artistic contouring. Risks associated with general anesthesia are eliminated and the recovery is quicker.

There are many types of liposuction which one works best?

There is no one type of liposuction that works best. Each type has advantages and disadvantages. Ultimately the patient should choose an experienced board certified plastic surgeon (certified by the American Board of Plastic Surgeon—see separate section on board certification) and defer to the plastic surgeon to select the type of liposuction.

Traditional liposuction consists of a machine that creates a vacuum connected by plastic tubing to a cannula, a hollow tube with holes at the end. With the vacuum turned on, the cannula passes over areas of fatty tissues and sucks (aspirates) the fat, which is collected in a container. Power assisted liposuction employs a motorized cannula that makes it easier to move the cannula through the fatty tissue.. Laser lipo or laser assisted liposuction uses a laser to melt the fat which is then removed by suction. Radio Frequency in a similar fashion facilitates dissolution of the fat, which is then aspirated. Ultrasonic liposuction uses ultrasound to disrupt the integrity of fat cells, which are then removed by liposuction.

Dr. Bruck uses Tickle Lipo, a technologically advanced form of power liposuction
that employs low frequency acoustic infrasonic vibration to aid in the removal of fat. Tickle Lipo facilitates precise body sculpting with less trauma resulting in decreased swelling, bruising and discomfort as well as a smooth contour and rapid recovery. Smartlipo is a laser that melts fat. Dr. Bruck selectively uses Smartlipo in areas where fat is particularly difficult to remove such as the male breast and areas of prior liposuction where there may be scar tissue.

When can I resume normal activities?

When you resume normal activities depends on how many body areas are treated, the type of liposuction technology used and the type of anesthesia. Recovery varies among patients. Most patients return to work that is not physically demanding within four to seven days. Some fitness activities can be resumed at two weeks while others can be resumed at 4 to 8 weeks.
After the first two or three days discomfort resembles muscle soreness after a hard workout. Sexual activity can usually be resumed within two weeks.

What body areas can be treated?

Liposuction can be used to treat almost any body area where there is excess localized fat and good skin elasticity. In addition to the more commonly treated areas such as the abdomen, hiprolls, inner and outer thighs, and under the chin, T, arms, under bra area, in front and in back of the underarm area, top of feet and the pubic area.

When will I see my results?

While some patients may see results as early as the first week, for most patients it is a gradual process and improvement becomes apparent at three to six weeks. Generally at six months you will not have additional significant improvement.

Will the fat come back?

Liposuction permanently removes fat cells. However, since it is necessary to leave some fat cells to ensure an even skin contour the remaining fat cells can enlarge. If you maintain your body weight, exercise, and practice good nutrition you should maintain your results from liposuction for many years.