A surgical procedure in which localized fat deposits that do not respond to diet and exercise are aspirated with thin cannulas through small incisions.
Indication
- Localized fat deposits that do not respond to diet and exercise (lipodystrophy)
- Benign fat tissue accumulations such as lipoma and lipomatosis
- Reduction of the fat component in male breast enlargement (gynecomastia)
- Irregular fat contour deformities developing after trauma or surgery
- Adjunctive therapy in selected patients during lymphedema management (with a multidisciplinary decision)
Preparation
- No food or drink for 8 hours before the procedure
- Blood thinners and aspirin are adjusted with physician approval
- Stable weight and healthy lifestyle habits are critical to the durability of the result
- Smoking should be discontinued (at least 4 weeks before and after)
- Blood tests, ECG, and imaging if needed are performed
How it's performed
- Depending on the procedure area, general, regional, or tumescent local anesthesia is administered
- Target areas are marked on the skin in advance
- Tumescent fluid (a solution containing local anesthetic and a vasoconstrictor) is delivered through small incisions a few millimeters in size
- Fat tissue is aspirated in a controlled manner using thin cannulas
- Incisions are closed with small sutures or adhesive tapes
- A compression garment or bandage is applied at the end of the procedure
Post-procedure
- Usually same-day discharge or 1 night hospital stay
- The compression garment is worn day and night for 4-6 weeks
- Bruising, edema, and tenderness are expected for the first 1-2 weeks
- Walking is encouraged early; heavy exercise can be resumed after 4-6 weeks
- The result becomes clearer over 3-6 months; regular follow-up is planned
Risks
- Subcutaneous irregularities, dimpling, or asymmetry
- Temporary or permanent sensory changes
- Seroma (fluid collection), hematoma, and infection
- Excessive fluid shifts and electrolyte imbalance (particularly in large-area procedures)
- Fat embolism and deep vein thrombosis (rare but serious); revision may be required
FAQ
Does liposuction replace weight loss?
No. Liposuction is not a weight-loss method. In individuals who have reached a healthy weight, it is a procedure that addresses localized fat deposits unresponsive to diet and exercise.
Will the removed fat come back?
The fat cells removed during the procedure do not return; however, the remaining cells can enlarge with weight gain. Stable weight and a healthy lifestyle are decisive in maintaining the result.
When can I return to work?
Office-based work is generally resumed in 3-7 days, while jobs requiring physical activity require 2-3 weeks before returning with physician approval. Healing time varies according to the size of the area.
Does this procedure correct cellulite or skin sagging?
Liposuction does not correct cellulite or pronounced skin sagging; different approaches or additional surgeries may be considered for these conditions.
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