Are there any doctors still willing to do large volume liposuction?

hello TogunrindeLiposuction can be for various problems, depending on your individual needs. If you have fat in a particular area of your body that you can’t seem to get rid of through dieting or exercise, liposuction may provide a good option for you.  Liposuction can also be done to improve your body contours. Liposuction is not used for those looking for dramatic weight loss; it is done when you are close to your desired weight.In cases where a large amount  of fat is removed, liposuction should be done with other body contouring procedures such as tummy tuck, thigh lift, buttock augmentation, facelift, neck lift and chin augmentation.
#liposuction #exercise 

Liposuction is for sculpting, defining and removing problem areas that cannot be removed with weight loss and diet / exercise alone. For best results, it is recommended to be at your ideal or stable weight before getting a sculpting liposuction procedure.  For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. With skin laxity, a tummy tuck or lifting procedure could be performed at the same time, if you're a candidate. Don't let distance dissuade you. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

"Large Volume Liposuction" is defined as removal of greater than 5L of fat in one session. There are some variations that need to be taken into account with this definition such as the patient's weight. The reason for this definition is to stratify patients whom may benefit from overnight observation by a health care professional following surgery rather than go home with family. As the volume of fluids infused and fat removed increase, the risk of having too much or nor enough fluid in your system increases. As such, it is recommended that patients undergoing large volume liposuction have their urine output monitored and have the ability to receive intravenous fluids if necessary. Large volume liposuction can be safely performed with excellent results as long as these precautions are taken.

The limit for liposuction performed in an office setting (there is no such limit for hospital based surgery) is 4-5 liters of lipoaspirate. A liter (assuming equal fat and water density) is 2.2 lbs. Thus 4 liters is equivalent to 8.8 lbs. However, it is important to remember that lipoaspirate is a not purely fat but rather a combination of fat, tumescent fluid, blood, and miscellaneous aspirated tissue. The fat component may only represent 50% or 4 lbs. of the total.
As you said, liposuction is not a means to weight loss. The optimal candidates have reached a healthy stable weight (preferably with a BMI < 30). They have one or more areas that have been resistant to diet and exercise and are in need of contouring. Think of liposuction as a surgeon's sculpting tool or chisel. It is designed for fine detailing not wholesale demolition.
Anecdotally speaking, I have rarely (if ever) had to aspirate volumes approaching 4 liters. I would venture to say that those patients in whom high volume liposuction is performed would have perhaps been better served by pre-operative weight loss.
With regards to your specific question, you sound like a reasonable candidate for surgery but there is a limit to what can be said without photos or an in-person exam. The optimal liposuction candidate has reached his/her weight plateau and is seeking to address one or more areas which have been resistant to traditional diet and exercise. In my experience, these patients rarely require 4 liters of aspirate.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

It is important that you send us pictures so you can see what your inquiry is, you may need a liposuction to shape that area but it is most advisable that you make an appointment with a plastic surgeon so a medical evaluation is done and you can Determine what results you want to get and what type of surgery you need
There is an innovation in the level of plastic surgery called VASERlipo is an advanced body sculpting procedure that eliminates fat to gently reshape your body, making you look and feel your best:

*Single Procedure 

*Speedy Recovery Times 

*Clinically proven to produce even results 

Important: Everything will depend on the results of the pre-surgical evaluations and the indications of your doctor.

Always to serve you !

Dr. Manuel Ventura ( Certified, Plastic Surgery, Ivo Pitanguy Institute, Rio de Janeiro) .
Residency: Medical research institute of plastic surgery in sao bernardo do campo, sao paulo, brazil.

Hi, and thank you for your query. You are correct that liposuction is not designed to be used as a weight loss procedure; personally, I would say that an ethical surgeon will recommend you are at a stable and healthy weight prior to undergoing the operation. However, you may wish to consult with a surgeon for more personalised advice. You are correct that liposuction is best for isolated fat deposits that won't shift despite weight loss. In the meantime, do make sure that you are consistently getting cardiovascular exercise (it may be better to walk at a steady pace for a longer period rather than do intensive bursts) and eating a balanced diet rich in nutrients. All the best! 

Large volume liposuction can be preformed safely.  You are right, it is not a weight reduction technique, just contouring.  The best results are seen in people who are at or near their ideal body weight.  But, even if people are overweight, reasonable results can be achieved.  Please see a Board Certified Plastic Surgeon who performs body contouring procedures frequently to assure the best possible result.Good Luck!

Thanks for your inquiry, Togunrinde.
While I often advice my patients to lose weight before undergoing liposuction, that is more of a guideline than a hard and fast rule. Every patient’s case is different, that’s why I don’t set strict weight limits for any surgery on my patients.
The best thing to do is to consult a reputable and board-certified plastic surgeon to get a physical evaluation and know your options when it comes to large volume liposuction. I offer free consultations on my website in case you’re interested.
Good luck!