Liposuction: Surgical removal of fat

Liposuction is one of the most popular cosmetic operations. The operation includes a vacuum removal of fat deposits from a certain area. Today, it is the fastest method to get rid of those extra pounds.

Areas for liposuction

  • Upper, inner and outer thighs.
  • The inner surface of the knees.
  • Neck and chin.
  • Anterior abdominal wall.
  • Buttocks.
  • Sides.
  • Types of liposuction
  • Ultrasound.
  • Laser.
  • Non-operating.
  • Tumescent.
  • Vacuum.
  • Electrical.

All these types have one method in common. A cannula is placed under the skin, which is a special tube through which excess fat is pumped out, with the help of a special machine.

Liposuction is performed under general or local anesthesia. The choice of anesthesia is determined by the general condition of the patient and the amount of body fat that must be removed.

Tumescent liposuction

Before the beginning of the operation, an anesthetic – Klein solution, a mixture of saline, lidocaine and adrenaline – is injected into the problem zone. The volume of anesthetic may exceed the amount of adipose tissue that must be removed.

Klein’s solution turns a dense fat mass into a liquid emulsion, which is quickly evacuated by thin cannulas.

Pros of the procedure

  • Minimal blood loss.
  • Nerves and vessels are untouched.


  • Inability to remove a lot of fat – the maximum is 4 litres.
  • Undesirable side effects from the lidocaine overdose.


The fat tissue is destroyed by ultrasonic waves. The frequency of waves is chosen so that the surrounding tissues remain intact. The fat is then pumped out the same way as with tumescent liposuction.

Pros of the procedure

  • Possibility of simultaneous skin tightening.
  • Can remove up to 8 litres of fat.


It is better not to do it on the stomach, as you can damage the internal organs through the abdominal wall.

Lipoelectromodeling (electrolysis)

The fat tissue melts into the emulsion after a special device is used that generates an electric current. Then fluid enters the area of impact through the needle and the fat is eliminated from the body.

Pros of the procedure

  • Hardly any injury. During the operation small diameter needles are used.
  • Very accurate.


Very complex operation. The needle and emitter are on the same handle, therefore, electrolysosuction requires the highest qualified surgeon.

Non-surgical removal of adipose tissue

The procedure is the same as for ultrasonic liposuction apart from the fact that fat is not eliminated from the body directly, but goes into the circulatory system and is then naturally filtered by the liver.


  • No surgical intervention.


  • Big strain on the body. This method is therefore used very rarely.

Dry vacuum liposuction

The classic technique of liposuction, which is now very rarely used. The doctor inserts a cannula under the skin and mechanically destroys fat cells, and then sucks the fat tissue with a vacuum pump. This method can remove up to 200 ml of fat.

In addition to dry liposuction, there is also wet liposuction. The mechanism is the same, but the exposure zone is pre-treated with a local anesthetic.


  • The results of the operation are immediately visible.
  • Able to handle small areas (jaw, knees, etc.).
  • You can use it to correct the results of unsuccessful liposuction operations performed using other methods.


  • High traumatism.
  • Long recovery period.
  • Big blood loss.

The recovery period after liposuction

In the early days after the operation is done, you may experience pain when walking and exercising. This will pass as your body recovers.
In rare cases, the adipose tissue accumulates blood and tissue fluid. This disappears on its own within 2-4 weeks.

Scarsdisappear several months after the operation.
When removing large amounts of fatty deposits in patients with poor skin elasticity, it may end up hanging. In this case, additional surgical operations are indicated.
In women who have liposuction on the stomach after giving birth, the elasticity of the skin can be even worse.
Very rare complications: uneven contours of the body. This is observed in patients with severe cellulite and lipodystrophy. But it usually disappears within a few months.
And most importantly: the long-term result is preserved if the patient maintains their new weight. If the patient turns into their old self (overeating, hypodynamia, etc.), their weight will come back very quickly.

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