What happens when liquefied fat is not suctioned out?

I just had tumescent Smart Lipo done on my abdomen and a male breast reduction. The doctor suctioned out the liquefied fat after using the laser. If the excess fat was not suctioned out, what happens?

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9 answers to “What happens when liquefied fat is...”

A: Smart Lipo and Ultrasound Assisted Liposuction: Cavitation and Liquefaction of fat

Raffy Karamanoukian, MD

Laser or ultrasound assisted liposuction causes fat cell destruction.  The fat cells are composed of a lipid bilayer and the lipids are metabolized and removed from the body.  This means that it will take additional time for you to see the final result.

A: it will be resorbed

David E. Berman, MD

You mentioned that your doctor did carry out liposuctioning after the Smartlipo. Any residual liquified fat that was not suctioned out will simply be resorbed so you do not need to worry. david berman board certified plastic surgeon

A: It is recommended that you get much better results!

Shino Bay Aguilera, DO

Cynosure Inc. the laser company that actually manufactures the "Smartlipo MPX" (the newest, top-of-the-line, dual laser Smartlipo) recommends that by suctioning you should get much better results! Many doctors do not suction and many do. Best to check with your surgeon if you want to achieve your optimal... more

A: It is best to remove the fat.

David Shafer, MD

It is best to remove the liquified fat after laser assisted liposuction. Leaving the devitalized fat behind runs the risk of fat necrosis and the development of lumps and bumps. While your body would likely resorb most of the fat, it is not a good idea to take a chance. David Shafer, MD New York City

A: The fat treated by Smart Lipo (laser lipolysis) is best removed by suctioning.

Stephen A. Goldstein, MD

You have asked a very good question. It is best to remove the fat that has been liquefied by Smart Lipo (laser lipolysis) as well as other forms of liposuction. Historically, the early users of Smart Lipo experienced suboptimal results by not suctioning and extracting the majority of the treated fat. And,... more

A: Best to be removed

Steven Wallach, MD

Liquified fat is removed during liposuction that is performed by VASER or Laser lipolysis.  Obviously it is impossible to remove every last drop.  Therefore, some of it will be naturally absorbed by the body and processed by the liver and kidneys.

A: You should not leave dead tissue behind

Brent Moelleken, MD

Dead tissue left behind from surgery is generally eaten up by the body by macrophages or walled off as a granuloma (firm permanent lump).  The process of removal of this tissue involves inflammation.  The mediators of inflammation cause pain and lumpiness ( temporary and sometimes... more

A: Liquefied fat

Steven H. Williams, MD

Liposuction techniques like ultrasonic or laser transmit energy to the fat to liquefy it. Once this fat is liquefied the body treats it as something to get rid of. If it is not removed then it becomes the body's job to get rid of it. Now it is impossible to remove every last bit of devitalized fat with... more

A: Liquified fat is aspirated to prevent collections of fluid/blood; this can interfere w/ healingconto

Christine A. Petti, MD

Liquified fat is aspirated to prevent collections of fluid and or blood; these collections can interfere w/ healing and  the ultimate body/facial contour. Also, this permits the skin to 'stick" to the underlying base of the tissue below the fat.  The drape of skin can then mold to the underlying... more

Comments

aliu
109 posts
10 Dec 2008

Great question. When SmartLipo first came out several years ago, they touted it as not needing to suck any of the liquified fat out. At the national training center I was at, several of our early cases were performed without taking out any of the liquified fat. Only some of the liquified fat was reabsorbed by the body (roughly 30-50%).  The residual fat became hard, leading to lumps & bumps that needed to be revised or injected with steroid medication. These early cases helped evolve the current practice of removing the liquified fat with suction methods. Some physicians still do not make a routine habit of sucking out the liquified fat which can lead to a higher risk of unsatisfactory results in my experience. I hope this helps! Alex Liu, MD

Dr LoMonaco
220 posts
9 Jun 2009

Most docs I speak with who do SmartLipo are following it with regular lipo to get rid of the liquified fat and promote healing. My question is why not just go with the regular old lipo first since it gets done anyway at the end ?

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