When diet & exercise fail

What is Liposuction?

For generations, people have used various techniques to improve their physical appearance. Although diet, exercise and flattering clothing style help many look better, others remain dissatisfied because of stubborn, unsightly bulges. In women, those fat deposits occur most frequently from the waist down, on hips, buttocks and outer thighs (saddlebags). Fat deposits on men tend to accumulate above the waist, on the abdomen and sides of the waist (love handles).

Now with a procedure called liposuction surgery, both men and women can improve the contours of their bodies through a relatively simple and safe technique. Liposuction surgery involves the removal of fat cells from the body, and may be used alone or in conjunction with other procedures, such as facelift or “Tummy tuck.” It is designed for those who have specific areas of localized fat deposits and who have tried unsuccessfully to eliminate them through diet, exercise and weight loss.

Who are the best candidates?
The best candidates may have tried to eliminate bulges through diet, exercise and weight loss. They have distinct areas of localized fat that are disproportionate to the rest of their bodies. Finally, they must have realistic expectations and are only slightly to moderately overweight.




Can liposuction tighten up a loose neck?


If there is excess fat in the area under the chin and the skin is not loose, liposuction alone can produce a more sculpted, angular, and youthful jaw line. If, however, the skin of the neck is loose, hanging, or creepy, even if there is excess fat, liposuction alone will not produce the desired result. Patients with loose skin usually require a face and neck-lift in addition to or instead of liposuction. In general, most patients who benefit from liposuction of the neck are under 45. Most patients over 45 will require some surgical skin tightening.

How will my skin look after surgery?

Dimples, ripples and stretch marks may remain unchanged following liposuction. Your new figure will be similar to what you would expect if you could lose an equal amount of localized fat through diet and exercise alone.

What areas can be treated by Liposuction? 
The most frequent areas treated by liposuction in men are the “love handles”, breasts, abdomen and neckline. In women they include: thighs, hips, buttocks, stomach, knees, lower leg, cheeks, and double chins. Some women elect to have their fat recycled through lipo-augmentation.

How are the benefits of Liposuction measured?
Cosmetically speaking, successful liposuction is measured in centimeters rather than kilos. The weight removed is not as important as the improvement in your body contour. Most important is our patient’s improved self-image and self-acceptance.

Is the fat removal permanent?
Yes! It seems that after puberty we do not create new fat cells. When you gain weight, you expand. The fat cells that you have. Tumescent liposuction permanently removes fat cells to improve your body’s contour.

Will I need a second procedure?
Most likely one procedure will be sufficient. However, some patients require a fine tuning procedure at a future date.

Will Liposuction get rid of cellulite?
Liposuction is not a treatment for cellulite, although many patients do notice an improvement in the appearance of cellulite after the fat cells are removed.

Can I get rid of my wrinkles by re-injecting the fat removed from my body?
Absolutely. We can re-inject the fat to treat the wrinkles on your face or enlarge your lips (Lip Augmentation). This is a simple procedure that may save you from having more invasive surgery such as facelifts.

The fat can be stored in our freezer for years to come to be used when you need it.

Before Surgery
During your consultation, you and your cosmetic doctor will discuss the areas of your body you’d like to change. You may undergo an examination to thoroughly assess your fat storage, skin elasticity, and review your medical and health history. Your doctor can discuss the placement of incisions and what other procedures may need to be performed to achieve the proper result.

Although you’ll be mobile immediately following your liposuction surgery, you will want to arrange for someone to drive you home after surgery, and to help out around the house for a day or so.

The Surgery – How It Is Done
Although an overwhelming majority is performed on an outpatient basis, some extensive liposuction procedures may require a brief hospital stay. In our Center we use the newest liposuction techniques introduced in the USA which involves injecting the area to be suctioned with a special fluid/anesthesia combination prior to suctioning. This is called tumescent liposuction. The fluid constricts the surrounding blood vessels, making the procedure nearly bloodless, while minimizing the pain.

Liposuction begins as your doctor makes small incisions, approximately one half centimeter in length or less, near the area where fat is to be removed. A thin, hollow tube, called a cannula, is inserted and is attached to a machine or syringe that creates a strong vacuum. Your doctor will then strategically manipulate the cannula under the skin to remove the unwanted fatty deposits.




After Your Surgery

Your surgery may be a debulking procedure (removal of 4-7 liters of fat) or a liposculpture procedure (removal of 1-2 liters of fat).

Most patients are mobile immediately after liposuction, although an extra day or two of bed rest may be needed when large amounts of fat are removed (Debulking). Keep in mind that healing is a gradual process.

Your doctor will want you to begin normal activity as soon as possible to reduce post-operative complications, but in some cases you may be advised to avoid strenuous activity for a few weeks. Light exercise is usually permitted within a few days. The dressing is usually removed in four days.

You may not feel great just after your surgery. You’ve been given extra fluids during the procedure, and you’ll likely experience swelling and some bruising, but this is only temporary. You may feel a little bruised and sore as if you’d over-exercised that part of the body, but you should be able to resume work in a few days.

It is very common to feel tired or a bit exhausted for several days after extensive debulking liposuction.

Your doctor will recommend the exact timing given your particular circumstances.

Is this a dangerous procedure?
Liposuction is the most popular cosmetic procedure in the world. Like all surgery, any cosmetic surgery involves some level of risk. However, with the new Tumescent Technique, 32,000 cases were done without a single death or a serious complication. Minor problems may occur infrequently such as temporary swelling, irregularities and temporary numbness.

To help ensure a successful outcome, the patient should be a good candidate, the doctor should be well trained in liposuction techniques, the surgical facility should be properly equipped and the patient should follow the doctor’s instructions and advice.

The New You
Remember that liposuction is a surgical procedure, and your body has to heal before you see the full benefits. Your results will likely be visible within two or three weeks, but the full effect may not be fully evident for six months to a year after surgery in some cases.

You should maintain a balanced diet and exercise regularly to fully enjoy the new you for years to come. Many patients find that their liposuction is such a psychological boost that it gives them the incentive to exercise even more than before to improve other parts of their physique.

At your initial appointment you may have a computer image to get an idea of the expected results before you proceed with the procedure. You will also have a chance to review our photo album of patients who had the procedure done in our centers in the USA.

Liposuction can offer a new shape for people who never thought it was possible.

If you are interested in learning more about liposuction surgery, please call our centers and we will be happy to answer your questions.

Love Handles
Love handles refer to the annoying accumulation of fat at or just below the waist which can be notoriously resistant to diet and exercise. It is often an inherited tendency and while exercise will build the muscles underneath, it just won’t get rid of the love handles.

In men, the stubborn holdouts of fat are usually in the abdomen area affectionately called (“love handles”), while in women, it’s usually the thighs (“saddlebags”).

If you are going to try and get rid of them by exercise, the only way to really burn fat, is to add some cardiovascular, or aerobic to your exercise routine. No amount of sit-ups, or twists will burn fat, only build muscle under the fat. At least three times a week, you will need to engage in an activity like jogging or swimming that elevates the heart rate into the target heart rate zone. At the same time you need to reduce your caloric intake and increase strength-training workouts. An ideal body composition for men is twelve to seventeen percent. Stepping up your diet and fitness efforts may help you lose weight and become leaner and at the same time, smooth out your handles.

But if you have tried all the diets on the market and your “significant other” is still politely calling you cute and cuddly; and working out at the gym, just leaves you sweaty and blue in the face, don’t give up – you still have one last option to try – plastic surgery. Dr. Max Sawaf of Cosmesurge says that “More and more men are choosing to have cosmetic surgery these days; the only difference is that in their hunt for the fountain of youth, they do it in silence.”

“Liposuction for love handles is our second most common site for liposuction in men after breast liposuction”.

Love handles are easily treated with liposuction, and the results are gratifying and very long lasting. As long as you do not gain significant weight after liposuction, the results are permanent.

With the newer tumescent technique, liposuction can easily be performed on an outpatient basis as an office procedure. It is done with local anesthetic only, and the risks associated with general anesthesia are avoided. The whole procedure takes only about two hours and recovery is rapid. Patients are up and walking immediately after the procedure and most patients are back to work within 3 days.