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Liposuction - How It Is Done?

Written and reviewed by
Dr. Ashish Khare 86% (10 ratings)
MCh - Plastic and Reconstructive Surgery, MBBS, MS - General Surgery, Fellowship Reconstructive Microsurgery
Cosmetic/Plastic Surgeon, Gurgaon  •  15 years experience
Liposuction - How It Is Done?

Laser liposuction is the process of removal of excessive fatty tissue from the body through the use of laser light. This can be done both as treatment and cosmetic procedures. 

Liposuction is gaining popularity because of the following reasons

  1. With changing food habits, more and more processed foods have found their way onto our plates. All this has led to increased fat in the diet and increased the incidence of obesity. The age of onset of obesity is also reduced drastically.
  2. This problem is compounded by reduced physical activity, promoting further fat accumulation.
  3. Added to this is another dimension where ‘thin is in.’ So there is a change in the definition of ‘fat’ and people want to look thin and sculpted

How it is done?

  1. The first step is to identify if the person is a candidate for this procedure
  2. Laser lipo can be done in cases of moderate to severe obesity and in people with skin laxity
  3. The abdomen, thighs, male breasts, back, and arms are all feasible areas for liposuction
  4. The patient and surgeon should have realistic expectations in terms of results, risks, complications, and post-op process.
  5. The procedure is done under local anaesthesia or general anaesthesia depending on the extent of the surgery (area and amount of fat)
  6. Areas of operation are pre-marked and intensive laser light is directed at this area
  7. The laser is used in different layers of the skin with different intent
  8. In the deeper layers of the skin, the laser is directed at fat cell walls which are broken, and the fatty oils leak out, and these disrupted cells are then removed
  9. The amount of fat to be removed is already determined prior to the procedure
  10. The oil and disrupted cells are removed producing a better contour
  11. The next superficial layers of the skin contain blood vessels, which are also coagulated by the laser. This reduces the blood loss during the procedure and less bruising after the procedure
  12. When the laser is used on the more superficial layers, the heat causes the skin to produce more collagen and elastin, which are the essential skin proteins. This promotes healing and improves the skin quality after the laser lipo is done.

Alternately, in some people, only the deeper layers are acted upon and the superficial layers are left untouched. The released oils and fat fragments are allowed to be absorbed by the body. This is more useful in areas where the skin is extremely thin, like the face over head and neck areas. It may also be used where only skin tightening without too much fat removal is required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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