The term liposculpture is commonly used to refer to the manipulation and removal of localized subcutaneous fat deposits as a form of body contouring procedure. Cannulas are introduced through small incisions and, using suction assistance or ultrasound frequencies, these deposits are removed. Liposculpture can be used to help slim down and define contour in the hips, thighs, parts of the abdominal wall or other anatomical locations.
Although this technique is no substitute for exercise and diet, it is useful in dealing with localized deposits of fat, which may be inherited or have accumulated with age. It is also often utilized as supplementary to other surgical techniques.
The quality of the overlying skin is an important aspect in liposculpture. The inherent elasticity of the skin, which is defined in part by genetics and in part by environmental exposure, determines the varying levels of success in applying liposculpture. It will also determine how much skin, if any, must be removed by resection during redraping after liposculpture.
During your initial consultation a thorough past medical history is obtained, including smoking history, any previous allergic reactions and regular medications. Any surgical risk concerns such as blood-thinning medications, diabetes state, thyroid gland abnormalities and hypertension will be noted. Dr Farhadieh will ask you to point out the areas you would like addressed and improved. Your weight state and its stability over the previous 12 months is an important achievement that will help a more predictable surgical outcome. Preoperative photographs will be taken as part of confidential medical records prior to surgery.
Smokers will be asked to stop smoking at least 3–6 weeks prior to surgery and to abstain for at least 3–6 weeks after surgery. Aspirin and other blood-thinning medications are usually ceased 2 weeks prior to surgery. In most cases liposculpture is performed in outpatient settings. Where there is an anticipated need for greater surgical intervention, an overnight admission is organized.
On arriving at the day procedure clinic or hospital you will be admitted. Dr Farhadieh will meet you and mark out the regions to be treated with a marking pen. Any final questions are answered and our anaesthetist will explain the process to you. Medications will be given to make you comfortable and monitoring devices are applied prior to general anaesthetic or sedation. Local anaesthetic is infiltrated into the subcutaneous areas where liposculpture is to be performed. This will help any immediate postoperative discomfort.
The procedure is performed through small stab incisions. When the fat has been removed, these are closed and dressings are applied. Firm compressive dressings are applied to the treatment areas postoperatively. Supplementary oral pain relief medication is given on discharge. We recommend you rest for the first 3 postoperative days. There will be some bruising and occasionally numbness in the areas of liposculpture. This will settle during the first 10–14 days. Supportive compressive garments help to reduce any soft tissue swelling and should be worn for at least 6–8 weeks postoperatively. Regular massage of the areas is known to help, both to reduce scarring and to smooth out any subtle contour irregularities.
You will be reviewed again in our clinic postoperatively. Return to work is possible a few days after surgery and most routine activities may be resumed after 2 weeks.
Liposculpture is considered one of the safest surgical procedures. Significant complications are infrequent. However, anyone considering surgery should be aware of its risks, benefits and possible complications. Dr Farhadieh will discuss all these with you in detail.
Dr Farhadieh believes mutual trust and relationship between patient and surgeons remain the cornerstone of a successful outcome. After the immediate postoperative follow-up is completed, you will be seen in our clinic at regular intervals. We are always available and are committed to being part of the entire journey with you.
‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’
Frequently Asked Questions
Will I require a general anaesthetic for the procedure?
Most commonly this operation is performed under general anaesthetic or on occasion deep sedation depending on the extent of surgery required. These procedures should always be performed with full medical support in large modern specialist centres.
Is the surgery painful?
There is some discomfort associated with surgery. Most patients report a tightness rather than pain due to excellent pain control regime we utilise which includes local anaesthetic for the immediate postoperative period as well as powerful analgesics.
When will I be able to resume normal activity?
Most of the swelling will settle in the first 7-10 days. You will be able to return to work after this time and resume most normal activities. Depending on the extent of surgery, all bruising resolves within 2-3 weeks.
Where will the scars be placed?
This depends on the extent of surgery required. Where its only liposuctioc/liposculpture, multiple peripheral stab incisions are strategically placed which often heal without any significant residual marks. Where an incisions to remove breast tissues around the nipples is necessary, this often heals and fades over the coming months. Although uncommon, when a more extensive surgery is required that includes removal of breast skin envelope these scars are often vertical from the nipple down the chest wall and more noticeable before they fade over time.
What will my follow up include?
Dr Farhadieh believes that the doctor-patient rapport is amongst the most sacred and privileged relationships. Our practice is based on compassion, honesty, transparency and above all, patient welfare. We pride ourselves on making sure that you feel supported through each stage of the journey. We will be available during all stages of your journey and will schedule short, medium and long term follow ups as part of our overall practice.