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Liposuction – fat removal (tumescent liposuction)

Liposuction (fat removal) is a commonly requested aesthetic medicine procedure that can decrease the amount of subcutaneous fat, contouring and improving the appearance of certain body parts.

Liposuction vs. dieting and exercise

While liposuction does help with contouring and gives the impression of major weight loss, this procedure cannot be considered a quick weight loss method. In fact, liposuction only removes the fat deposits that cannot be eliminated through exercise or diet. If you decide to have liposuction and are also overweight or obese, we recommend that you lose weight prior to surgery. After reaching a suitable weight, if fat deposits remain in certain areas of your body, liposuction is an appropriate method of getting rid of them.

How can I lose weight?

If you need to lose weight, we are happy to advise you. Many people are searching for quick, effective ways of losing weight and getting rid of unwanted fat. They often look to the internet or magazine articles, which tend to promote drastic diets that lead to the dreaded yo-yo effect. If patients ask us for advice on how to lose weight, we always recommend consulting a nutritional specialist or obesity specialist. Generally speaking, losing weight fast may not be the most effective way, especially if achieved through a poorly designed diet. Long-lasting weight loss always involves a complete lifestyle change, including eating habits and exercise.

Quick information

  • Tumescent liposuction means injecting a special solution into the tissue to loosen the fat cells.
  • Depending on the area being treated, liposuction can be an outpatient procedure under local anesthesia or an inpatient procedure under total anesthesia.
  • Fat cells do not reproduce in adults, but they can increase in size, so it is very important to maintain healthy habits after undergoing liposuction. Failure to do so can lead to lumps or other deformities in fat deposits.
  • Good results from liposuction require sufficient skin elasticity, which declines with age, leading to increased risk of uneven results and excess skin. This can be addressed with laser-assisted liposuction.
  • Patients should wear compression garments for at least two weeks after the procedure to help the skin adjust.

The number of fat cells in the body does not actually change over a lifetime; instead, the cells themselves get larger or smaller due to weight gain or loss. Men and women tend to experience fat deposits in different places. For men, fat is stored mainly in the belly and flanks, while women are mainly “affected” in the flanks, buttocks, inner thighs, knees and lower abdomen.

Liposuction removes fat cells from the body permanently for a long-term effect. However, this does not mean that you cannot gain weight after having liposuction. Gaining weight can lead to increased volume only in the areas not subjected to liposuction. This leads to irregular deposits and deformities, which is why it is so important to maintain a healthy lifestyle after the operation.

Before/after gallery

fat removal liposuction

Who is a good candidate for liposuction?

Tumescent vibration liposuction is appropriate for women and men who would like to get rid of excess fat, stubborn rolls and love handles. This unwanted fat often acts as a trigger for poor self-esteem and dissatisfaction with one’s appearance.

Candidates for liposuction need to have good skin elasticity, so it is best to have the procedure at a younger age when the skin retains its natural elasticity. This allows the body to adjust well to changes in contouring. For skin with poor elasticity we can offer a newer technique called laser-assisted liposuction, where the laser helps tighten the skin. Liposuction can be performed later as well, since age is no barrier to removing fat as such. However, older patients should think it over carefully, since they may face greater risk of uneven or loose skin.

Patients considering this procedure should be in good health and have realistic expectations. Each session can only remove a certain amount of fat (1500 to 2500 ml), depending on the patient’s total weight. Taking more at a time could lead to complications and health concerns. If you would like to have more fat removed than can be safely handled in one session, you can always come back for more sessions, which should be spaced about six months apart. You will need to consult with the doctor, of course, to discuss how much you would like to remove and whether it is a good idea from a health standpoint.

Before liposuction

First you will have a consultation with a doctor to discuss the options available with liposuction given your body type as well as information on the procedure and recovery process.

The procedure is usually performed under total anesthesia, so you will need to have a pre-operative internal examination and follow all instructions from the doctor to ensure a smooth operation. Liposuction on small areas can be done under local anesthesia only. You will receive specific information on the procedure and pre-operative recommendations during the consultation and when making an appointment for the operation.

Tumescent vibration liposuction

We perform tumescent vibration liposuction at our clinic. The operation usually lasts no more than 60 minutes, depending on the scope. Every client undergoes thorough measurement where the doctor draws on their body to indicate the areas targeted for fat removal.

Just before the procedure a special solution is applied to harden the subcutaneous fat (tumescence) and loosen the fat cells, which are then suctioned out during the procedure using thin, regularly vibrating cannulas. The incisions are very small (approx. 6 mm), punctures in the skin for the cannula to pass through, and the doctor always places them in the least visible spots.

Immediately after the tumescent vibration liposuction procedure, you will need to wear a compression garment or bands to reduce subcutaneous bleeding, help reduce swelling and pain, and let the skin adjust to the new volume. Patients who have chin liposuction will wear a compression mask or strap going over the head.

More on liposuction of particular body parts:

  • Liposuction of the belly - Suctioning fat from the belly is an ideal method for anyone suffering from fat deposits in the belly, whether above the navel, in the lower abdomen or above a Caesarian section scar. Liposuction of the belly is often performed in conjunction with abdominoplasty to firm up loose skin and separated abdominal muscles as a result of childbirth or major weight loss. Liposuction of the belly is usually performed under total anesthesia, depending on the scope and combination with other procedures. If applied to small areas only, liposuction of the belly can be performed under local anesthesia only.
  • Liposuction of the thighs - Liposuction of the thighs removes excess fatty tissue from the inner and outer thighs that resists diet and exercise. The procedure may also involve suctioning fat deposits stored over the knees, which often sit on the inner thigh. Depending on the scope of the procedure it can be performed under total or local anesthesia.
  • Liposuction of the flanks - This procedure involves suctioning fat out of the waist and hips and up to the ribcage in women. Depending on the scope of the procedure it can be done under local or total anesthesia. The process is very similar to liposuction of the belly. It can also be combined with other procedures such as abdominoplasty.
  • Liposuction of the chin - This procedure removes fat from under the chin (“double chin”). Removing these fat deposits helps contour the lower jaw and optically slims the neck. Liposuction of the chin can be done either using the conventional suction technique or the Slim Lipo technique. Local anesthesia works in both cases. After the procedure you will need to wear a compression mask or band, which may put a damper on your social life for a short time.
  • Liposuction of other parts of the body - In addition to the above, liposuction can be done on the arms, buttocks, calves, knees or pubic mound. While less commonly requested, removing fat deposits can effectively contour these areas as well. Liposuction is often done in conjunction with other procedures, such as liposuction of the arms combined with surgically tightening loose arm skin.

After liposuction

If done under local anesthesia, the procedure is outpatient and you can go home immediately afterwards. If you are having a more extensive procedure under total anesthesia, you will usually need to stay one to two days at the clinic. he dressings are changed the second day after the operation, at which point you can go home if you are feeling well and everything is healing well. Make sure to arrange for someone to take you home, ideally by car rather than public transport.

We recommend that you avoid physical activity until the next checkup when you get your stitches out in order to avoid swelling in the legs, fever and increased pain. Some degree of bruising, tenderness and lack of sensation in the affected areas are all normal parts of the healing process and should go away over time. Sensation will return to the affected area within several weeks.

Recovery after liposuction

The stitches are usually removed two weeks after the operation. Otherwise you will receive instructions on when and how to remove the stitches yourself, keep the area clean and massage the affected areas at home. If you feel well enough and work in an office environment, you can return to work three to four days after the operation, but you should wait at least three weeks to resume more strenuous physical activity.

You will need to wear a compression garment day and night for about four weeks after having liposuction. Only remove the garment to bathe or wash. We recommend continuing to wear the compression garment for another one to two months to ensure a good result, especially during physical exertion and during the day while moving around. After liposuction of the chin you will need to wear a compression mask for two weeks, at which point you can resume physical activity.

The last checkup at our clinic usually comes three months after the procedure, at which point the results can be assessed as final.

Risks of liposuction

Complications from liposuction are not frequent, but some patients may experience uneven or lumpy skin after the operation. This is not a cause for great concern, however, as any irregularities can be minimized through appropriate post-operative care and massage. If you experience any trouble in the first few days after the operation, such as increased pain or fever, come in for a checkup or call the clinic and consult with a doctor over the phone immediately.

Maintaining your weight is of key importance for liposuction to remain effective. This includes healthy eating habits and getting enough exercise, such as cardio, running, swimming or cycling. If you gain weight after having liposuction and do not know how to lose it again, we recommend consulting a specialist to set up a diet plan or prescribe weight loss medication.

Where do we perform liposuction?

You can have liposuction at our clinic in Prague, or at our Brno and Liberec offices as an outpatient procedure. You can also come to Brno or Liberec for a consultation, even if you have the procedure in Prague.