Liposuction is optimally performed on individuals who have achieved a stable weight with desire for reduction in localized adipose (fatty) tissue deposits. It can be applied to nearly any anatomic location of the body. Strictly speaking liposuction is the application of a negative pressure (vacuum suction) to remove fat through small incisions in the skin using a small metal tube of various shapes (cannula). The cannula can be moved back and forth (like a jack-hammer) with the assistance of a oscillating machine (Power assisted liposuction) or through microscopic movements using ultrasound energy (Ultrasonic Assisted Lipoplasty). When the fat is destroyed using a small cannula and laser fiber, we call it laser assisted lipolysis.
It’s difficult to speak in generalities so let’s speak specifically about liposuction of the stomach area as an example.
An office visit/consultation is mandatory prior to scheduling the procedure. We have 300lb individuals and 120lb individuals who ask about liposuction. Even if it is the same location, this procedure would not be performed in the same fashion. What you may consider is one body part such as the STOMACH/ABDOMEN area may consist of upper and lower abdomen, hips, flanks, upper buttocks, back, etc. It would be two or more distinctly different operations despite being performed on one body part. During the consultation we may determine that other procedures are better suited for your optimal outcome such as a thigh lift or tummy tuck.
The amount of fat to be removed is a complex decision process determined based on your desires, anatomy, practicality, and wound healing.Ultimately, your body shape is determined by more than the fat layer and truly depends on a relationship of your skeleton, muscle mass, fat, and skin components. An important consideration is your skin tone which may vary according to genetics, tobacco use, sun exposure, pattern of weight gain/loss, age, etc. Furthermore, if you have been pregnant, your condition may require skin removal and muscle tightening (“tummy tuck” also known as abdominoplasty). Removal of too much fat with poor skin tone can produce loose, sagging, dimpled skin.
