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Liposuction patient selection

Are You A Candidate for Liposuction?

Regardless of the area of the body, liposuction candidates have localised fat deposits, and they are resistant to even the most vigorous exercise program or diet. These fat deposits can occur in the abdomen, arms, thighs, calves, buttocks – even the face and neck. Lipo can be used to treat them all.

The best candidates for lipo should have a stable weight, and should have lost the weight prior to the procedure. Lipo is permanent as long as weight remains stable. Candidates should be:

  1. Physically fit
  2. In good physical health
  3. No more than 20 pounds overweight
  4. Have realistic expectations

One of the other keys to being a good candidate for liposuction is to have firm, elastic skin. To achieve ideal results, the skin must shrink after the procedure. As we age, we lose skin elasticity, which can compromise the results of the procedure. However, if the skin quality remains elastic, age is no barrier to having liposuction.

Using lipo to remove fat from specific areas of the body that haven’t responded to exercise and diet is a safe and effective practice. Areas of the body that respond to liposuction include:

  1. Abdomen
  2. Arms
  3. Chest and back
  4. Buttocks
  5. Calves and ankles
  6. Hips and thighs
  7. Neck and face
  8. Breast

The best way to determine if you are a good candidate for liposuction is to have a consultation with one of our surgeons.

Who is not a liposuction candidate?

Patients who are:

  • overweight and looking to lose weight/fat
  • have a lot of loose skin – no liposuction causes skin tightening
  • cellulite

Liposuction cannot serve as a treatment for obesity. There is no substitute for diet and exercise, but once the weight loss is complete, lipo can reshape and sculpt the body when exercise simply won’t help.  Liposuction is not an effective method for treating cellulite, and doesn’t help to treat loose, sagging skin. Other procedures are available to address those specific problem areas.

Types of Liposuction

There are many types of liposuction, and the type of procedure used depends on your specific problem areas and the judgment of your surgeon. The different types of lipo include:

  • Tumescent Liposuction:  This is the most widely used form of liposuction. A mixture of sterile salt water to help in fat removal, an anaesthetic (usually lidocaine) to relieve pain and epinephrine to constrict the blood vessels to reduce bleeding is injected into the area that’s being treated. Small incisions are made in the skin, and then a small cannula (small tube) is used to suction out the fat and fluids. There is less blood loss and bruising with this procedure.
  • Powered Liposuction:   In PowerLipo procedure, a vibrating cannula is used to remove tough fat areas more easily. Powered lipo usually causes less pain and swelling, and lets the surgeon remove fat with more precision – particularly on smaller areas like arms, knees and ankles.

lipomatic handpiece

  • LIPOmatic:  This procedure was introduced in 2010 and it is a variation on the Power Lipo technique that is quickly becoming the most popular liposuction technique because of its ability to reshape the body and do so in a safe and effective manner.You will be able to discuss the various procedures with the surgeon during your consultation.
  • SMARTLipo:  SMART Liposuction is a trade name for a machine that uses laser to help break up the fat prior to liposuction.  It is not ‘Smart’ as it smartly does things other liposuction don’t.  SMARTLipo has a great marketing name and has been popular among family doctors, dermatologists, obstetricians and others that dabble in cosmetic surgery.  However, most plastic surgeons experienced with liposuction agree SMARTLipo does not live up to its magical promise of skin tightening.  As Dr. Mendietta, one of the world authorities in liposuction stated, ‘SMARTLipo is collecting dust’ in his basement, and he now uses LIPOmatic instead.
  • Other forms of liposuction: Ultrasound (VASER), Radiofrequency (BodyTite), and water spray (WaterJet) are just some of the other modalities used to assist with liposuction.  Although they all claim to be superior to all other liposuctions, fact is no independent scientific study has yet shown that any one type of liposuction machine produces better results than the standard Tumescent liposuction (liposculpture).

Complementary Procedures: Tummy Tuck

While liposuction can remove pockets of fat in the abdominal area, it can’t be used to address sagging, loose skin. That’s why some patients choose to have a tummy tuck, or abdominoplasty, at the same time as lipo.

Candidates for a tummy tuck usually suffer from loose skin on the abdomen due to age, pregnancy or significant weight loss. An incision is made just above the pubic hairline, and excess skin and fat are removed. The abdominal skin is then pulled down tight, sutured to the incision area and bandages are applied. Because of the bruising and swelling, the recovery is longer than with liposuction alone.

You can discuss the procedure with your surgeon during your consultation, as well as other procedures that he might recommend.

Find out more

You can find out more about liposuction on our blog pages. At London Lipo Institute, we have a number of plastic surgeons experienced in liposuction surgery. To book a free consultation, please call us on 01923 801601 or email Alternatively, please fill out the contact box below and a member of our team will get in touch with you.

To book your free personalised liposuction consultation:

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