Liposuction: Trunk, Thighs, Arms, Face and Neck

The common perception of beauty has undergone a gradual but dramatic change over the past 30 years. The emphasis placed by modern society on a lean, youthful appearance is largely responsible for the increase demand for surgical procedures to re-contour the trunk and legs by removing excess deposits of fat. The patterns of fat accumulation vary between men and women, with women typically accumulating fat in the lower trunk, hips, upper thighs, and buttocks. In contrast, men tend to accumulate fat predominantly around the flanks and abdomen. Male breast enlargement can also occur as a result of weight gain.

Liposuction/Body Contouring

Back to TopSAL (suction assisted lipectomy, or liposuction, is a technique of fat removal through extremely small, remote incisions. Using small, blunt tipped cannulas attached to a suction apparatus, excess fatty tissue is removed without disturbing the overlying skin. Prior to performing liposuction a very dilute solution of IV fluid, local anesthetic, and epinephrine is injected into the tissue to be treated. This provides analgesia and dramatically reduces blood loss. This is often referred to as a “wet” or “super wet” technique, depending on the volumes of fluid instilled. Liposuction is most effective for the treatment of localized fat deposits that are unresponsive to diet and exercise, in patients with good skin elasticity. Generalized obesity is not a good indication for liposuction and results can be disappointing. Liposuction will not correct stretch marks, excess loose skin, or weakening of abdominal wall muscle resulting from pregnancy. These problems require an open surgical procedure such as an abdominoplasty (tummy tuck) or thigh lift.

Traditional liposuction is most commonly used for primary treatment of the abdomen, flanks, buttocks, and thighs. Male breast enlargement can be effectively treated in most cases with SAL or a combination of SAL an open excision. Liposuction can be used to increase the definition of the calves in some patients. To obtain the best results from you liposuction Drs. Keller, Lovett and Blakemore recommend perioperative massage. One massage can be given pre-op and then following surgery a series of post-op massages is suggested usually beginning about one week after surgery. These massages are designed to decrease swelling, pain and bruising. They also smooth and soften scar tissue helping you heal faster and lead to your desired result. Ultrasound Vitamin C treatments may also be beneficial in combination with massage therapy. Your physician will tell you when this is necessary.

The first post-op massage is complimentary. You are encouraged to consult with you massage therapist about scheduling further treatments to assist in your recovery.

Liposuction Upper Extremity

Back to TopRecently there has been increasing interest in using liposuction to re-contour the upper arm. This is an excellent alternative to a brachioplasty (open excision of excess skin and fat) for patients who do not have excessive amounts of loose skin. Traditional brachioplasty procedures leave large scars, whereas liposuction leaves almost no scar. The face and neck are other areas receiving great interest currently. The most commonly treated areas are the anterior neck beneath the chin. Marked improvement in the definition of the jaw line and the angle between the chin and neck can be achieved.

Abdomen

Back to TopAbdomen Re-contouring and flattening of the abdomen is one of the most frequently requested procedures in our office. The protruding abdomen that many individuals develop can be due to muscle weakness, pregnancy, weight gain or significant weight loss. Correction of these changes is accomplished with either liposuction or an abdominoplasty (also called a tummy tuck). Liposuction is most appropriate for people who have mild to moderate amounts of excess fatty tissue, good muscle tone, and elastic skin with few or no stretch marks. An abdominoplasty, on the other hand, is extremely effective at tightening the abdominal muscles, and eliminating excess fatty tissue, loose skin and stretch marks. Reversing the changes of the abdomen associated with pregnancy is best accomplished with a tummy tuck and the procedure can be safely performed in conjunction with gynecologic or urologic surgery. Liposuction can be utilized during an abdominoplasty to provide additional contouring in the flanks or to address excess fatty tissue in the thigh region.
Recovery is about 2 weeks and may be longer if your job requires heavy lifting. “Pain pumps” are available in our surgery center and provide significant pain relief during the early postoperative period. The pump slowly releases a local anesthetic controlling your pain without the side effects of traditional narcotic pain pills.
Depending on the health of the patient and the magnitude of the procedure, an abdominoplasty can often be done on an outpatient basis in our office surgery center. This procedure is not covered by insurance.
Drs. Keller, Lovett and Blakemore would like to suggest massage therapy following your body recontouring surgery. Massage therapy will aid in reducing muscle soreness, swelling, pain and bruising postoperatively. The therapist may also recommend combining a lymphatic drainage massage on your lower extremities. In addition, our massage therapist is experienced in scar massage which will assist in minimizing the appearance of your surgical scars. A postoperative massage is recommended approximately 7-10 days following your surgery.
The first postoperative massage is complimentary. You are encouraged to consult with your massage therapist about designing a specific program to expedite your recovery and optimize your results.

Belt Lipectomy

Back to TopA belt lipectomy is the latest surgical procedure designed to circumferentially recontour the waist. In addition to the benefits seen with an abdominoplasty, this procedure lifts sagging thigh and buttock tissue and increases the definition of the waist. This is an excellent operation for those who have had significant weight loss and now have loose skin. Although this operation requires slightly more operating room time, there is not significant increase in recovery time.

Liposuction Neck

Back to TopThis procedure is normally done in the office on an outpatient basis. A compression garment must be worn for 2 to 4 weeks following the operation to help reshape the skin. Most patients can return to work within one week, but strenuous activity is not permitted for 2 weeks. Post-operative pain is moderate for 3 to 5 days, but easily controlled with oral pain medication.


Drs. Keller, Lovett and Blakemore would like to suggest massage therapy following your body recontouring surgery. Massage therapy will aid in reducing muscle soreness, swelling, pain and bruising postoperatively. The therapist may also recommend combining a lymphatic drainage massage on your lower extremities. In addition, our massage therapist is experienced in scar massage which will assist in minimizing the appearance of your surgical scars. A postoperative massage is recommended approximately 7-10 days following your surgery.

The first postoperative massages are complimentary. You are encouraged to consult with your massage therapist about designing a specific program to expedite your recovery and optimize your results.

For more information, please contact our office.