Liposuction is a surgical procedure performed to remove excess stubborn fat deposits which do not respond to diet and exercise from specific areas like abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. It is also called 'lipoplasty' or 'suction lipectomy'.
A small incision is made through which a narrow tube or cannula is inserted and the fat layer that lies beneath the skin is vacuumed. The cannula is pushed, then pulled through the fat layer, breaking the fat cells and suctioning them out. It is to be noted that along with the fat, fluid is also lost and has to be replaced. For this, intravenous fluids are given during and immediately after the surgery.
The fluid used to inject into the fat layer is a mixture of intravenous salt solution, lidocaine which is a local anesthetic and epinephrine, a drug that contracts blood vessels. This fluid helps to remove the fat more easily, thereby reducing blood loss and works as anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.
Types of Liposuction:
There is a belief that once the fat cells are removed by liposuction, the same cells do not grow back. When fatty deposits are removed by liposuction, the stretched skin must contract to have a tight fit. But in obese people, this might not be possible. So excess skin must be removed to achieve this result and this might result in a scar.