Men and women can require liposuction to refine the shape of the body and to lose resistant fat. This is not a substitute for diet and exercise. If you do not watch your diet after liposuction and continue to exercise, the results will be less than optimal. From my experience, suctioning the circumferential abdomen or leg is more effective and is less prone to recurrence than spot liposuction. When most of the fat is removed, the result is better. When spot liposuction is done, there is a chance of a dent appearing at the site treated if there is weight gain. When you suction a lower abdomen, it returns on the upper abdomen. When you suction the front, it returns on the back. That is why circumferential liposuction is desirable with some exceptions when there are limited areas of resistant fatty deposits. The scars can be well hidden and of limited number so that you don’t have tell tale scars. The same is true of the various aspects of the thigh starting from below the knee to the hip. Men and women have abdominal liposuction. Women have suction of their legs and arms. Men and women might need their ankles reduced with suction to make their leg in better proportion.

Surgery time: 2-3 hours circumferential abdomen or circumferential legs 1 hour for ankles or calf only.

Preparation: You need to be in good health and well nourished. Weight loss before liposuction is a good first step. Most abdomens will reduce with weight loss. Generally the legs in women do not reduce in size with diet. If a woman has both large legs and stomach, diet is in order. By doing the legs first, you reduce the estrogen and other hormones in the total fat mass, permitting more weight loss from the abdomen and other areas. You should be on vitamins before surgery to build up your blood and general physical condition. This is discussed in detail on a case-by-case basis in consultation since everyone is different. You need to find someone to pick you up from surgery and also arrange someone to stay with you for the first week or so. You need to arrange childcare as well.

Procedure: Incisions are avoided and in their place needle punctures are made to allow fine canulas, from 1.5 mm to 3 mm, to suction out the fat. These incisions are hidden in the groin, pubes, belly button, natural creases. For an abdomen there are only three entry sites. For a leg there are 5 sites at locations that are favorable to hiding the site of entry.

Care: You need to rest after surgery. You will likely have a 4-6 hour recovery period after surgery. When you go home, you need to be up and about for eating and going to the bathroom and such. In the beginning you will want to avoid moving because you are sore. Plastic surgery generally is not painful but this is like being very, very muscle sore after a hard work out. You must resist the temptation to stay put in bed rather than move, and risk pain in moving, after you’ve gotten comfortable. This gets better each day over the next 5-7 days. Protein powder is a good idea in the first several days to limit salt load and to provide the protein and vitamins and minerals you need to heal. You can introduce small high protein meals as you need to, depending on how hungry you are. You need some one to stay with you the first week or so. You should not consider going back to work before 12-14 days. You will be tired during that time and need to sleep.

Results: Leg liposuction and abdominal liposuction are successful and stable in people who exercise and eat a healthy appropriate diet. Those with metabolic syndrome (see antiaging section) need to be more careful about their diet and may need special supplementation for a long lasting result. Liposuction is not a license to eat. It will help you get a result you could not do with diet and exercise (particularly the leg).

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