Sometimes the desire to lose weight drives you crazy: no diet helps and regular exercise just does not bring the desired results. This affects women as well as men. Therefore, many of the patients in our practice in Berlin have the desire to free certain body parts such as the abdomen or the arms from fat or to reduce long-term fat deposits. One thing you should be aware of: liposuction is to correct your body contour, it is not a “weight loss device” and certainly not a treatment for obesity.
Liposuction is possible on all parts of the body
Liposuction can be performed on all parts of the body. We often use the procedure in the course of skin and tissue tightening. A classic: the thigh lift.
A popular area of application is also the upper body, especially in the context of a breast lift, a breast reduction, a tummy tuck or a tightening of the upper arms. For a breast augmentation without an implant, we use liposuction to gain autologous fat from other parts of the body. In diseases such as lipedema, liposuction is also the method of choice, as well as in the treatment of unnaturally large breasts in men (gynecomastia). A small cut is sufficient in each case to penetrate the fat deposits by using cannulas. The incision is inconspicuous and hardly visibly after it has been sutured.
Gentle treatment – how do we perform liposuction?
We pierce fine cannulas through the skin to suck the fatty tissue off evenly. This is done either under general anaesthesia, local anaesthesia or with a so-called tumescence anaesthesia. Into the fatty tissue a large amount of fluid is injected along with local narcotics. This loosens up the tissue, anaesthetises it and can then be vacuumed off more easily with the help of negative pressure. We work with both the WAL (waterjet assisted liposuction) and the VAL (vibration assisted liposuction) system. Tumescence anaesthesia treats the tissue even more gently. One to two weeks before the procedure alcohol, nicotine, painkillers or sleeping pills are strictly prohibited. If you need to take medication on a regular basis, we will clarify possible complications in the preparatory consultation.
Are there any alternatives to liposuction?
Yes, in certain cases, the so-called Coolsculpting can be offered, which we apply successfully in our practice since years. We will clarify with our patients which treatment method is most likely to reduce fat cells in our non-binding consultation.
What should be considered after liposuction?
Recommendations to our patients for follow-up treatment: Immediately after liposuction you should wear a compression garment or support stockings day or night for at least six weeks. This will help in shrinking skin, prevent scars or lumps and thus optimize the result. Care is important during the first days, though normal physical activities after liposuction are allowed. Only exercise should be avoided for 14 days. A hospital stay is not necessary.
Are there any risks connected to liposuction?
Since a significant amount of fluid is required in tumescence anaesthesia, there may be a slight outflow through the puncture channels after surgery – along with slight swellings and numbness. This can be a bit uncomfortable and cause mild pain, similar to sore muscles. If you follow the recommendations, there is no specific risk for liposuction. If the bandages are not worn regularly, bruising and scars can occur. Easily recognizable on uneven surfaces. Normally, they recede without help. If this is not the case, they have to be corrected with a second intervention. Generally, no specific aftercare is necessary after liposuction.
Liposuction before or after pregnancy?
The question cannot be answered flatly. The decision depends above all on the patient’s individual suffering. In general, fat can be sucked off at any time except during pregnancy. Patients who have not yet completed their family planning, in many cases wait until after the birth of their children to achieve results as long lasting as possible.