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With the present-day emphasis on slimness and body hugging fashions, it is not surprising that liposuction is the most frequently performed cosmetic operation. Liposuction was popularized in France in the late 1970s and is now practiced worldwide by many different medical specialists.Although in the early days liposuction produced complications, the technique has now been improved so that it is extremely safe and can be done under local anesthetic.The safest method of liposuction is the ‘wet tumorescent’ technique which was introduced by United States dermatologist, Dr Jeffrey Klein. During the procedure a large volume of fluid containing a local anesthetic is injected into the fatty area. The fat is then drawn out via a cannula attached to a vacuum container, in a similar way to vacuuming the floor. The fluid injected contains adrenaline, which lessens blood loss, thus minimizing complications and bleeding. Post-operatively, a compression garment (like a girdle) is worn for six weeks, and most people can resume normal activities within a few days.It must be stressed that liposuction should never be used as a way of losing weight. It is only useful for people who are not overweight, who have local deposits of fat that are resistant to weight loss through diet and exercise, such as on the tummy, the buttocks, the thighs and the neck. Liposuction removes such fatty deposits permanently, and the excess skin red rapes itself over the underlying muscle. In people with elastic skin, that is those under fifty, the skin successfully contracts back, providing a smooth contour. Liposuction is often preferable to abdominoplasty (tummy tucking) for removing excess fat from the tummy, as there is less scarring and recovery is much quicker.Complications from liposuction are uncommon, but include bruising and swelling which resolve after six weeks, and dimpling which can occur if fat is not removed evenly or if too much fat is removed. Generally it is an excellent procedure, and can be done without anesthesia when using the wet tumorescent technique.
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