Step by Step

CONSULTATION

You will already have had a comprehensive clinic consultation with one of our surgeons to determine if liposuction suits your requirements. On the day of surgery, you will be seen by your surgeon and by the anaesthetist who will answer any questions you may have. You will also meet the nursing team who will get you ready for your operation and take care of your afterwards. The operation is performed under either local anaesthetic (you will be awake) or general anaesthetic (you will be asleep throughout) depending upon the size of the area to be treated.

LIPO PROCEDURE

Your surgeon will make a small incision less than 1cm in the area being treated and will inject fluid into the area to help reduce bleeding and aid removal of the excess fat. The surgeon will then insert a cannula (tube) attached to a vacuum pump which breaks down and removes fat cells. The incision will be closed with a dissolvable suture and a pressure garment will be applied. Once you recover from the anaesthesia and your doctor feels you are ready to go home, you will be discharged. This is usually a few hours after your operation. Occasionally you may be required to stay in hospital for 1 night dependent upon your individual circumstances.

RECOVERY

You will already have had a comprehensive clinic consultation with one of our surgeons to determine if liposuction suits your requirements. On the day of surgery, you will be seen by your surgeon and by the anaesthetist who will answer any questions you may have. You will also meet the nursing team who will get you ready for your operation and take care of your afterwards. The operation is performed under either local anaesthetic (you will be awake) or general anaesthetic (you will be asleep throughout) depending upon the size of the area to be treated.

Which areas can be treated with Liposuction?

Areas of the body that benefit from liposuction are:

  • Double chin
  • Chest (men)
  • Loins (men)
  • Abdomen
  • Buttocks
  • Inner and outer arms (women)
  • Hips (women)
  • Lower abdomen (women)
  • Outer and inner thighs (women)
  • Inner knees (women)
  • Calves (women)
  • Ankles (women)

Liposuction offers two main benefits:

1. A reduction in size of specific parts of the body

2. Improved contours to the flesh.

Our patients tell us there are many benefits to having liposuction, but the most significant one is seeing an end to unwanted fat that has blighted their life for many years – despite vigorous exercise regimes and strict dieting. They may have always had a weight problem, or they ma have gained weight through pregnancy, ageing or disability. But in the case of body fat, our clinicians will always check that an individual has tried to lose weight through the conventional methods of diet and exercise before recommending surgical procedures.

Physical benefits:

For larger areas of the body like the belly and thighs, liposuction should provide a reduction in clothing size. Because of size reduction, one’s physicality such as running can also be improved.

Emotional benefits:

The mental or emotional benefits from size reduction and/or reshaping can bring back a person’s self-esteem or build confidence in a way they’ve never experienced before.

Combining Liposuction and Tummy Tuck

Abdominoplasty or “Tummy Tuck” as it is commonly known, addresses excess fatty tissue and the skin around the abdomen. It is often performed in conjunction with liposuction for patients who are clinically obese as it can remove large amounts of fat and skin in one go.

A “full” abdominoplasty procedure involves making incisions horizontally at the top of the pubic area (caesarean section) and the circumference of the umbilicus (belly button or navel). Scarring is therefore around the navel and above the bikini line similar to the caesarean surgery. Due to the nature of this procedure, a full general anaesthetic is required. A stay in hospital is necessary and the duration of this will depend upon your immediate post-operative recovery. In conjunction with liposuction, the tummy tuck is considered the more drastic of procedures and the care and safety guidelines will be predominated by those of the tummy tuck.

As this surgery affects the very centre of your body, you must be prepared to take good of care of yourself to ensure a full recovery without complications. Normal movement will be restricted for a while as well as lifting, carrying and exercise.

For those requiring less fat/skin removal a “modified” abdominoplasty can be performed. This does not involve the removal of the umbilicus, meaning less intrusion and scarring. This surgery is suitable for both men and women and is often recommended for those who have lost a considerable amount of weight and have a residue of surface tissue and skin.

Liposuction Procedure

For liposuction (not including abdominoplasty), the standard practice is quite a simple and reliable method using vacuum suction.

  • Advanced Laser Lipo or a combination of techniques. This method uses laser-assisted lipoplasty and is simply a combination of laser and liposuction.
    • Lipo-Selection uses Vaser technology, a patented grooved solid metal probe is first inserted through small skin incisions. Ultrasonic energy is emitted from the sides and end of the probe, as it passes back and forth and this breaks down fatty deposits before a cannular is inserted in the area of emulsified fat cells.
    • You should see some improvement within a few weeks, once the post-operative swelling has reduced.  You can expect to see the optimum results between 6-12 months after the surgery.  A full 12 months is likely for larger or more complex areas.

The Benefits

The liposuction procedure is suitable for healthy men and women of all ages. For those individuals who have experienced long term problems with areas of fat that refuse to shift from dieting and exercise, liposuction is often the only solution. It is not recommended for people with medical conditions such as diabetes, or heart problems.  Pregnant and lactating women must not have any aesthetic surgery.

The Risks

As with any procedure there are some associated risks that can occur during or after surgery.  Patients can experience reactions that are perfectly normal such as pain, discomfort and bruising.  Others might experience less common conditions such as poor healing or infection.  There is also a degree of risk due to the need for general anaesthetic.  This list is not exhaustive but represents conditions and risks that have been reported by the industry:

Pain and discomfort; leakage; bruising; swelling; bleeding; skin discolouration; uneven skin surface/tone; changes in sensitivity; irritation; scarring; skin elasticity; deep vein thrombosis; toxic shock syndrome.

If you are uncertain about solutions for fat reduction or improving your body’s contours, there are a few other procedures that you might like to consider.

Fat Freezing

This safe but relatively new procedure is non-invasive and works in a unique way. By actually freezing the body’s fat cells to the correct temperature, this technique eliminates fat over a period of a few weeks. With the Sculpsure there is virtually no pain or downtime at the time of the procedure and because the body naturally expels the fat through lymphatic drainage, there are few post-procedure complications. Patients report fantastic results in areas such as the chin, abdomen, thighs, knees and calves. It is also ideal for men’s chest area commonly referred to “man-boobs”.

Body Contouring/Sculpting

This procedure to smooth and shape areas of the body uses a combination of ultrasound and radio frequency technologies. At Juvea we use the Sculpsure which effectively eliminates stubborn fat, cellulite, wrinkles and sagging skin in one go. With minimum invasion, body contouring offers excellent results, reduced risks and very little down time.

Frequently Asked Questions

+ Am I likely to need repeat procedures to get the results I am looking for?

Most people find that one procedure is enough to give them the results they desire. It is worth noting that it is important to set realistic expectations from the start. Liposuction is not a miracle worker and it might take some time before the optimum results are visible – perhaps one year on from the procedure.

+ Is it really painful?

Liposuction impacts the deep tissue of your flesh and therefore requires local or general anaesthetic to avoid pain. The post-operative period can bring some pain or discomfort but this should steadily improve and can be treated with non-prescription pain killers. Anti-inflammatories such as ibuprofen are usually recommended as they help to reduce swelling.

+ How long will it take until I can feel great in my bikini?

Everybody is different, and seeing the results that you were hoping for will depend upon the complexity of the operation. If you are looking for a finer body reshaping solution – where your flesh is exposed in say swimwear, it might be that you will need to wait a full year. Therefore it is ideal to consider this and plan your surgery accordingly. It might not be possible that if you have the procedure in April, you would be bikini-ready a few months later!

+ Will I be left with noticeable scarring?

Scarring is usually inevitable with any invasive treatment that pierces the skin. The punctures to the flesh during the liposuction procedure are very small but most patients will require some tiny stitches or clips to seal the wound. It is then dependent upon the individual’s own healing behaviour as to how well and quickly the wound heals. In the unlikely event of infection, a patient might experience greater scarring.

+ Is liposuction better than fat freezing?

Liposuction is a more established practice for fat reduction and flesh reshaping, whilst fat freezing is a relatively new method. For larger areas and more severe, complex cases, liposuction is possibly the better option because the areas can be accurately targeted by skilled surgeons and repeat procedures are not often required after final assessment. The fat freezing technique eliminates fat slowly over a period of weeks by the body’s own lymphatic drainage system and results are less predictable. There are advantages and disadvantages to both procedures and so it is best you discuss your situation and desired outcomes with a Juvea clinician.

+ What level of training does the clinician need to have, are they just well-trained beauticians?

It cannot be stressed enough that you thoroughly research the aesthetic practice and its individual surgeons. When it comes to your body, shopping around is more than just about cost and recovery. Any procedure carries an element of risk and your health and safety must always be the priority. So always ask to see certificates of training and indemnity insurance. At Juvea, all our clinicians are trained to high standard. This is the equivalent to university bachelors’ degree or masters’ degree. Furthermore, at Juvea we are leading the way in education, training and medical research. So you can be sure that you are dealing with first class professionals and medical standards.

+ Will the fat come back to the same area? I’ve heard that it can find its way to other parts of the body that did not normally store fat.

Areas treated by liposuction can still store some fat in future but due to the procedure it might not appear as before. Future weight gain through ageing, pregnancy, medical conditions or disability cannot be ruled out.

It is extremely rare for a “redistribution” of fat accumulation in areas that do not normally store fat. We have no recorded results of this at Juvea, but the ageing process, pregnancy and certain health conditions can affect the way a body stores fat. Your own health, your family health history and any other concerns will be discussed by our experts at the clinic.

+ Is liposuction better than body contouring?

The new technology for body contouring uses a combination of ultrasound and radio frequency, because of this, it offers the benefit of removing fat along with cellulite and even wrinkles or sagging skin. So, for some this is an ideal solution. But this is not always needed and may not be the right procedure for you. Only a full discussion with a qualified aesthetics clinician can tell you if body contouring would be better for you than liposuction.

+ What might be the most likely adverse reactions to the procedure?

Although not likely, poor healing or infection to the wound site are the typical problems, but these can happen to anyone, after any procedure. They are not unique to liposuction surgery. Risks of either of these could be increased due to poor hygiene or if your flesh or immunity is naturally prone to these. Allergic reactions to medications or dressings are a possibility but the risks are reduced by understanding patients’ health history prior to surgery.

+ Can I get back to normal straight after the procedure or will I need time off work?

The first 48 hours will require quality rest but not bed rest. It is recommended you book one week off work but if your job is sedate or you work at home the week after the procedure will mean no exercise, carrying or lifting. Exactly how much time off work will depend upon your job and how well your body usually heals. At your first post-operation consultation, you can discuss returning to exercise and increasing activity etc.

+ I am a 40 year old man and have been suffering from “manboobs” since my early twenties, would it suit me?

Liposuction can be offered for this condition but it might be that one of the other procedures such as body contouring, would be a better option. Call a Juvea consultant to discuss your situation and you can talk though the various procedures offered at our clinics. It might be that you will need to be examined before a final decision on the best treatment can be made.

+ Is liposuction for the body only?

Liposuction is appropriate for areas that hold a significant amount of fat. It is not usually conducted on the face, but if a patient has a problem with severe jowls or a “double chin” then liposuction can be offered. It is always recommended that you discuss this with an expert clinician as it might be that a different method of fat removal could provide a better solution. Fat freezing is a popular choice for this part of the face.

+ Where are you located?

We are based in the heart of the world renowned centre for medical excellence, Harley Street, London. Conveniently close to the shopping district of Oxford Street, No. 1 Harley street is also surrounded by a wide choice of hotels and restaurants should you wish to stay a while. Juvea Aesthetics is supported by great transport links into London via mainline trains, underground trains and the bus network.

+ Costs for liposuction?

Costs for liposuction vary. But the fee will depend upon the area(s) to be treated. Multiple areas can be more cost effective, but we advise that you contact a Juvea consultant to get a better idea of how much you will be charged.

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