I am Dr Ashutosh Misra enhance clinics.
Today we will be talking about liposuction and clearing the myths about liposuction. Liposuction is a wonderful and a very safe procedure to get rid of your unwanted body fat. The most important thing to understand is who are the candidates for liposuction again liposuction is to get rid of unwanted fat, person maybe of their normal body mass index but may have some unwanted body fats say in face, arms, tummy or thighs. Now this unwanted fat is because of the high concentration of fat cells which are there in that particular area and this is something which is genetically determined and you cannot get rid of it through just exercise and diet. So liposuction helps to get rid of that excess fat in those particular areas, so we call it as liposuction as a body contouring surgery not as a weight reduction surgery, having said that liposuction also helps in weight reduction and that is the second part of the liposuction when you have a body mass index which is more than normal and you are suffering from obesity not to that extent but yes unwanted fat in the abdomen and all. For this, we do liposuction to decrease a large volume of fats say more than around 4-5 litres which we called as large volume liposuction and that helps to decrease the weight as well. So just removing the fat does not actually decrease your weight but post liposuction doing a good amount of exercise that we tell our patients and a diet program help you to decrease the weight over a period of say 3 months. Post liposuction, we have to wear certain special garments and for around 3 months because the best results comes around 3 months time and you have to talk to your doctor about it how to wear it and what are the things you have to take precaution. It is a very safe procedure but if done by an expert, so you have to choose your doctor well, that's the most important thing and you should have realistic expectation what a liposuction can do. Some people think fat comes out and the skin becomes loose, no liposuction is a wonderful procedure about that it also causes skin contraction, so the technique of the liposuction is very important as if how much skin has to go and what we actually need about it. If we feel there is an extra skin which cannot go even by liposuction then the procedure becomes either a mini tuck or a complete tummy tuck to get rid of your extra skin. It's a day care procedure come in the morning and go back home in the evening or if you want to stay if it is a larger procedure say more than 4 litres, you stay overnight in the hospital and then go back home the very next morning. The pressure garments are from the start of the surgery and for first one month almost most of the time of the day, after one month it is around 12 hours when you are in your daily exercise and normal routine you can take off your pressure garments after around in the night time when you are taking rest. The other myths about liposuction is people think that fat comes back, no, the number of fat cells in the body are constant after a certain, age at a very young age, it's only the size of fat that can increase or decrease, if it become obese or normal. So when we are taking out the number of fat cells, the numbers of fat cells do not increase in body. It may only increase in their size or decrease in the size and that can be control with the help of diet. So once you get a good body shape once you get a good body shape than that shape won't be distorted but if you become obese gain weight later on the shape will remain the same but it will be you become more wide or more narrow. So, that is what a liposuction does.