Liposuction at Dr. Prabhash's Cosmetic Surgery Clinic, New Delhi, Delhi, India.
Best Center for Abdomen or Stomach Liposuction, Thigh & Butt Liposuction, Arm Liposuction, Mons Pubis Liposuction & Lift in Delhi India.
Liposuction means suction ( negative pressure ) assisted removal of fat. Originally Liposuction was developed for removal of fat from abdomen
subcutaneous (beneath skin) plane, now being used almost everywhere in body to take out undesired fat through
remote tiny invisible incisions. We are doing Tumescent Liposuction with skin stimulation to induce skin tightening in loose skin so that you get both fat
removal skin toning or skin tightening with Liposuction alone. No need to remove skin so no scar. Very
effective in Abdomen & Hips liposuction, Thigh liposuction, Butt Liposuction, Arm Liposuction, Face and Breast Liposuction.
Liposuction is used both for Volume Reduction and
body reshaping. Lipoplasty is similar to Liposuction only that we removed fat differentially from different areas
so that you get your desired shape. Lipo-sculpture i.e. sculpture or reshaping your body through
liposuction involves removal of fat from areas where its excess and using the same fat after processing
for augmentation of areas where bulk is less to provide curves and fullness (Fat Injection). Overall best Liposuction procedure is
designed to give your body the best possible shape.
Common areas, Their Description &Liposuction Before After Pictures : :-
Liposuction Can be done anywhere if subcutaneous fat deposition present, most common are belly or abdomen,
buttock, thighs, hips, arm, breast, double chin and face.
Abdomen or Stomach or Belly Liposuction with Hips & Mons Pubis Liposuction excess abdominal fat takes out through liposuction
to reduce girth and to give a beautiful shape & curves.Fat in females largely centered in subcutaneous plane (beneath
skin) and so easy to take out and gives drastic result, while in males some fat is there inside abdomen also.
Hips liposuction is done simultaneously with abdomen liposuction. We start abdominal liposuction just beneath
breasts area continue it up to mons pubis ( vaginal lips liposuction included in same if needed), and from one
flank to other in one sitting to provide you smooth uniform fat loss with appropriate curves and shape.
Lower Abdomen Liposuction : Fat deposition in both male and females is
very common in lower abdomen below umbilicus. This fat distribution is determined by hormones and resistant to dieting and exercise.
lower abdomen liposuction removes this fat and gives you flat abdomen.
Saddle Bags & Love Handles Liposuction : Saddle bags, localized collection of extra fat in flanks & upper outer side of thigh with a depression between two
(site of firm bony attachment of skin) in females is very common. This fat is resistant to exercise also as its guided by hormones.
In males, its at lower border of abdomen along sides, just above the pelvis bone margin ( also called side tyres or Love handles).
Male belly Liposuction : In males, fat distribution and quality both differ, approx 60-70 % of fat lies in subcutaneous plane
(Beneath Skin) while 30-40 % is inside abdomen in omentum & mesentery, which cant be taken out through liposuction. External fat removal in males makes their body light and more presentable
also it increases exercise efficiency so that they can manage rest of body weight through work out. Overall
result is very pleasing.
Before After Liposuction Picture Abdomen ( Stomach ) and Mons Pubis In male.
Re-contouring of mons or Mons Reduction has been done to increase effective penile length ( not shown in picture ).
Change in volume and shape immediately before and after Liposuction- same as in video.
Mons pubis Liposuction or lower abdomen or around genitalia (for
rejuvenation of sex organs, sagging vagina or hidden penile length in male ) : done along with liposuction
abdomen or isolated liposuction of mons area to rejuvenate them and for vaginal or mons lift. improves
personal feelings, makes hygiene maintenance easy as well external look in fitting clothing's improve. (see
video and associated pictures for example). Sagging Mons in males hides significant length of Penile shaft and
reduces its effective length. In females, bulky and saggy Mons pubis gives that area an aged and ugly
look, also it hides clitoris, an area important for female pleasure while making love, most
importantly, the hygiene. Firmly opposed bulky labia doesn't allow vagina secretions to pass out & over the
time gets infected leading to foul smell. Reduction of Fatty Labia Majora (Vaginal Lips) (Liposculpture of vagina) :-
Fat Removal of labia majora (Outer Vaginal Lips), reduces its bulk, improves look, sensation, personal aspect of life, (Sexual - as significant
length of male organ is wasted in traversing the fatty component before entering the actual vaginal canal ) Example picture you may see on vagina surgery page.
Similarly, Fat Grafting or fat injection can be done to provide bulk and youthfulappearance to atrophic and flat looking female vagina. Six pack Abdomen :- specially designed liposuction with or without tucking with rectus abdominis muscles can give appearance of six pack abdomen.
but please note there is no substitute of good exercise and that too should be guided by your need and not by film stars. Liposuction is also combined with
tummy tuck and lower body lift.
Reduction of fat in Mons pubis Liposuction & Vaginal Lips makes it slim,and to unhide clitoris. small
amount of fat is left over bone to act as smooth cushion.
Mons Pubis Liposuction before after picture in male.
Large Volume (Mega) Liposuction : Large volume
Liposuction or Mega-Liposuction involves removal of more
than 5 % of body weight in one sitting. Depending upon body weight and fitness for surgery we are doing large
volumes fat removal, but patient safety is always the most important factor while considering large volume
liposuction or any other cosmetic surgery procedure.
Body contouring (Liposculpture) involves not only
removal of excess fat from one location through liposuction but use of removed fat in filling areas
where augmentation is needed.
Fat Removed can used for breast augmentation, thigh and hip reshaping too.
Before After Liposuction Body contouring or Reshaping (skin contraction you may see)
Thigh Liposuction : in Hips ( Waist ) thighs & buttock, fat is more fibrous and dense, skin thickness is high so
skin contraction after liposuction is better and makes movement easier as well as aesthetics presentable. In cases of massive fat loss with sagging skin thigh
& buttock lift may be combined with liposuction.Legs ( Calves or Calf ) Liposuction may be added to
give entire lower limb a good shape.
Buttock Liposuction Lift :Before After Picture Liposuction Thigh, Buttock &
Abdomen ( Stomach) : Liposuction with good skin contraction, No skin Removal so no extra scar. In case
of massive volume changes who need multiple surgery for other areas, residual skin sagging (if any) of previous
area can be corrected by re-stimulation of previous area while operating new area.
Thigh & Buttock Liposuction Before After Picture
Arm liposuction / Arm Lift / Brachioplasty : for heavy & bulky arms,
brachioplasty or arm lift may be needed after heavy weight loss. Face (Cheek and Chin) Liposuction :- Facial liposuction commonly used in cheek to reduce puffy appearance
and for double chin correction. Similarly, fat removed from other areas is used as filler for face augmentation in hollow cheeks. ( details on face page).
Breast Liposuction, including male breast (Gyanecomastia) ;fatty male or female breast is reduced with liposuction a virtually scar less breast reduction
technique. Visit Concerned pages for individual organ system
Liposuction Techniques :
Different Liposuction machines are there - in all principle is same break the fat and suck the fat. Suction Assisted Lipoplasty - Best control and time tested, Lowest energy transfer to overlying skin , least complications or side effect. Power Assisted - Motor driven blade inside canula - theoretically increases speed - practically increases burn of overlying skin and complication- not in use now.
Ultrasound assisted :- No added advantage, least used now because of incidence of skin burn.
Low frequency vibration assisted : No added advantage, still in use. Increase in incidence of damage to internal organs being reported frequently. Laser Liposuction : Claims to help surgeon in easily breaking fat cells.
In fact fat cells are very delicate cells and you don't need any extra energy source to break them.
Softest instrument with least energy transfer is safest and the best. SAL or Suction assisted lipoplasty is the most time tested,
effective and safe technique and still superior to others. Depending upon Fluid Administration ( Volume infused Vs Volume Removed) Liposuction can be
Dry Liposuction, Wet Liposuction, Super wet liposuction & Tumescent Liposuction.
Fluid (with medicines) infusion is done make liposuction blood less, easy procedure & pain free. Volume to be infused is decided by
anticipated volume to be taken out as well as fluid & electrolyte balance of patient.
Body Reshaping Under Tumescent Local Anesthesia : Tumescent technique is used in every case of liposuction to reduce bleeding, smoothen procedure and to
reduce post liposuction pain. For very small areas and small fat reduction specially for body reshaping ( small bulges in abdomen, thighs and arms are most common) we are
doing liposculpture under local tumescent anesthesia. This not only makes procedure less time consuming and convenient but it also cuts cost. For bigger
areas like routine liposuction for whole abdomen, tumescent anesthesia should be supplemented with general anesthesia. Use of only local tumescent
anesthesia in big area is not safe, either the work would be half hearted or dosage of local anaesthesia will pass in toxic range.
Skin Sagging after liposuction :
A common problem after massive liposuction was skin sagging or Loose skin due to sudden loss of volume support
similar to that after massive weight loss. We are doing Liposuction along with skin stimulation at the same time to promote its
contraction. Skin stimulation can only be done with canulla with minimum energy
transfer to skin and underlying muscle layer. Its can be done only with SAL ( Suction assisted Liposuction), with Other techniques like Laser and Vibration
assisted, possibility of skin burn and damage to underlying muscle layer increases. Results of Liposuctions with huge amount of fat removal
and skin stimulation are very encouraging and we have almost stopped cutting and removal of saggy skin, as it contracts well over a period of 3- 6 weeks.
To some extent, it dependent upon post operative care taken by patient also, regular and correct use of compression garment helps a
lot. Currently we are doing mega liposuctions with skin stimulation and getting sufficient skin contraction in every case, so no need to remove skin and thus no scar
is added to lower abdomen, unless abdominal muscles are very lax and need tightening.
Liposuction and Liposculpture FAQs:-
1) What the Liposuction procedure means?
Ans:- as suggested by name, suction is used to remove fat from undesired location. Only fat from
subcutaneous plane ( beneath skin ) is removed.
2) How Much Time I will Have to Spend & How much fat can be taken out in Liposuction?
Ans:- Liposuction procedure takes 1-3 hours depending upon volume to be removed. 2-3
hours absolute rest. you are mobile and accepting light food after 6 hours and now you may go home. In mega
liposuction- 24 hours stay preferred. You may resume work light office work after 2-3 days, Heavy work you
should avoid for 7-10 days ( in mega liposuction). Up to 5% of body weight is
Internationally recommended limit. Removal of more than 5% in one session is mega liposuction . Up to 8-10 % can be usually taken out
but only if patient is otherwise fit and no other medical problem is there. Usually up
to 6-8 liters is easily taken out. Maximum we have taken out 13 liters in one sitting (Absolute fat not
fluid mixed) . Patient safety is our most important concern and patient co-operation is most important requirement.
3) Which anaesthesia Local or General ?
Ans:- Local anesthesia can be used for a very small area, localized bumps only. Usually liposuction involves a wide surface
area and so with local anesthesia possibility of drug over dosage is always there. either risk of drug over
dosage or half hearted work- it has turned to be a world wide concern now. General anesthesia is much more safer
and short lasting now. We don't use unsafe practice in the name of newer technique. Only best and time tested methods will be used.
4) Can Liposuction be used to reduce weight or only inch loss?
Ans:- most of our body weight is because of body water and the tissue which contains most of body water is
muscle. Fat is the tissue which contains very less amount of water. So removal of fat only cant help in weight
reduction.But , for any weight of fat , the volume is very high, so removal of fat even nominal compared to body weight, gives
a great loss in body volume.
So, liposuction is basically a means of inch loss rather than weight loss.
5) Will there be any scar mark after Liposuction Surgery?
Ans:- in liposuction tiny holes ( a few millimeters only) are made in skin to allow passage of
suction canula. So the scar is always unnoticeable unless patient is having very strong tendency of hypertrophic scarring.
6) Duration of Liposuction surgery and recovery period after Liposuction Surgery?
Ans:- length of surgery usually varies between one to two hours for any given site, but overall time
consumed depends upon amount of fat there. Patient can walk home same day evening or next morning.
They will have to wear a pressure garment for around one month to three months for better outcome. Mild bruising is
there which usually resolves in three weeks to six weeks.
7) Is there any chance of regaining fat after Liposuction?
Ans:- fat regain can occur anytime in your life and it depends upon your life style. Usually fat re
accumulation after liposuction is less.
8) Any difference between male Liposuction and female Liposuction?
Ans :- yes, there is difference in distribution and quality of fat between male and female. In females, fat
mostly lies in subcutaneous plane and is less fibrous, so easier to take out. Also it produces more dramatic change
in figure. In males , fat is both in subcutaneous plane as well as
inside abdomen. Also fat is more fibrous. So result of liposuction, though very useful, is not as dramatic as in females.
9) what is liposculpture or Liposplasty?
Ans:- Liposculpture is modality to modify subcutaneous fat to give body a particular shape. It includes both removal of
fat ( where it is excess) and injection of removed fat in locations where it is desired. So both reduction and
augmentation are used to give body a particular shape.
10) Any rest required ?
yes, Rest for six hours after surgery, its better to take leave from work for 2-3 days, avoid exertion and heavy work
for a week at least.
11) Can it affect or damage my internal organs or fertility ?
Liposuction has nothing to do with your internal organs or fertility. All your important organs are located inside abdomen encased in muscular shield
and during liposuction we work only beneath the skin. So, there is no harm to internal organ including internal genital organs and so nothing to do
with fertility. In fact any abdominal surgery which is not supposed to handle your internal genital organs like uterus or tube or ovary has nothing
to do with your fertility. Rather, removal of fat from abdominal panniculus has been shown to improve symptoms in PCOD (or now called PCOS - Poly-cystic ovarian
syndrome), Diabetes and many other metabolic disorders.