One procedure per area - I know you can safely have about 5 liters of fat removed in one outpatient session.

And having multiple procedures on the same area can produce lumpy uneven skin. So, could you have all excess fat removed from one area at a time and just come back for subsequent sessions to remove all excess fat from each area safely? Or would that still produce lumpy results?

Doctor Answers 7

One procedure per area - I know you can safely have about 5 liters of fat removed in one outpatient session.

Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift…


Dominican Republic Plastic Surgeon
4.6 out of 5 stars 362 reviews

Lumpy lipo

Lumps are very rare when the surgery is performed by a board-certified plastic surgeon who has done a ton of liposuction.  Taking out more than 5 L can be done, but not as an outpatient. If you are trying to get rid of fat and tighten skin then to a tummy tuck or a body lift may be required.  Do your homework and do not settle for non-plastic surgeons who cannot perform the above-mentioned procedures. 

Ayman Hakki, MD
Waldorf Plastic Surgeon
4.8 out of 5 stars 26 reviews

VASER Hi Definition Liposuction / Body Contouring with Fat Grafting

I suggest a 4D HI DEFINITION contouring specialist if you want fat removal and contouring. An in person consult is needed to determine what is best based on your body type and skin type. Multiple areas can be treated during the same procedure. VASER can sculpt and contour the body and results can be seen immediately. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 168 reviews

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Liposuction - avoiding lumpiness

Thank you for asking about your liposuction.
  • Liposuction can be done one area at a time, or multiple areas, depending on your preference, the kind of anesthesia and the amount of fat needing to be removed.
  • Removing all the fat under the skin is not a good idea - a layer of fat is needed for the result to look smooth.
  • The 5L limit is a safe limit - larger liposuctions should be done in the hospital.
  • The liposuction result is determined by your skin and the surgeon's expertise -
  • Permanent lumpiness and irregularity is a risk with all liposuction but uncommon when done by an experienced plastic surgeon. 
Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Liposuction

Liposuction can be performed in stages if one undergoes treatment of multiple areas.  Lumpiness may occur from swelling, technique, and from fluid accumulation to name a few.

Steven Wallach, MD
New York Plastic Surgeon
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Liposuction staging

Hello! Yes, it is important to keep things safe for outpatient surgery. Many surgeons do extend beyond the 5 liters/session, depending on your medical status and size. The areas treated should not be left lumpy. Safety and aesthetics must be balanced, and you can choose to do multiple areas incompletely, or focused areas more completely, but results should not be lumpy.I would recommend you see a Board Certified Plastic Surgeon. You can look on plasticsurgery.org to find one. Best of luck!

Michele A. Shermak, MD
Baltimore Plastic Surgeon
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Multiple procedures / safety

Hello.  Thank you for your question.  Lumpy and irregularities results are not subsequent of having multiple procedures.   It may happen after being too much aggressive with the liposuction.   Have a great day. 

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.