The number of fat cells in human body is fixed. The number of fat cell does not increase after puberty but the volumes of fat cells increase. And this results in weight gain. Eating habits and lifestyle are the most important factors for weight gain and loss in human beings. An appropriate diet, exercise and regular lifestyle are essential for being able to get rid of excess weight. However, there may be stubborn fat build-ups even in people who meet these conditions.
Certain sites of the body, such as the abdomen, waist, buttocks, outer and inner sides of the thighs, and the knees, are the fat build-up areas resistant to diet and exercise. Excessive fat gain in these sites can be removed with diet and exercise, to a certain extent. But excessive exercise and diet lead to the disruption of the general metabolism rather than fat burning in these sites.
Liposuction is a surgical operation that involves the removal of the fat build-ups in certain sites of the body, by sucking them out of the body with the help of a special vacuum or special syringes. It is definitely not a weight-loss surgery but a body contouring operation.
When the enlarged fatty tissues resistant to diet and exercise are removed from the body, the number of the existing fat cells is reduced. In liposuction surgery, the stubborn fat build-up site is inflated with the injection of a special fluid. After that, several incisions with lengths of several millimeters are made on or around that site.
Metal tubes called the cannula with a diameter of 2-6 mm, depending on the patient’s condition, are inserted into the sub-surface skin, and then the cannulae are connected to the to the vacuum device with transparent hoses. The vacuum device is turned on, and the cannulae are moved at proper depths in the fat build-up sites. In this way, the process of removing the excess fats is started. The process of sucking the fats by means of vacuum continues until the desired body contour as well as a proper skin surface is obtained.
While excess and stubborn fats in deep layers are removed through liposuction, the fat build-up causing contour irregularity can also be eliminated by means of the technique called superficial liposuction or liposculpture, developed in the last 10 years.
Liposculpture has also become a method that gives definitive results in the elimination of skin sagging and stubborn cellulite. In the 1970s, when the classical liposuction appeared for the first time, the cannulae used were quite wide and sharp, and the vacuum devices were inadequate. Therefore, the technique led to serious problems.
The procedure may lead to a significant amount of fluid and electrolyte loss in the body. There were some patients who died after this operation. However, these problems belong to past days. With the techniques that have been applied over the last 10 years, liposuction has acquired its essential place in the field of body contour correction. It is an operation free of risks, as long as intended for contour correction, not fat reduction, performed properly on a well-chosen patient, with a technique applied well within safety limits in a hospital environment.
The safety limit today is considered to be 2.5-4.5 liters in various sources. But there are some people who remove more fat. In such a case, precautions are taken to maintain the fluid and electrolyte balance of the patient, and sometimes blood transfusions may also be needed. In the cases of extremely overweight patients, called morbid obesity, removal of more than 28 liters of fat in a single session has become possible after taking the required precautions.
The operation is performed under the observation of an anaesthesiologist, in an operating theater and under hospital conditions.
A combination of local anesthesia and sedation (intravenous anaesthesia) is preferred. Local anesthesia alone can be applied to only limited small areas. Duration of the operation ranges between one and five hours, depending on the site to be vacuumed. Usually, the entry holes opened for the cannulae are not sutured, or just 1-2 stitches are made. The patient can be discharged from the hospital in the same day or after 24 hours, depending on scale of the operation.
The postoperative period is generally experienced comfortably. Pain is quite mild and can be eliminated with drugs. A special bandage is applied to the vacuumed area and a special corset is put on the patient after the surgery. After the operation, dressing should be applied to the patient. The patient keeps wearing the corset for 5-6 weeks. Purplish color changes may occur in the vacuumed areas. Swelling and the sensations itching and burning may also develop. These spontaneously disappear within 3 weeks. The surgical scars become hardly noticeable within 2-6 months.
It has been possible to vacuum out fat build-ups from many sites of the body such as the under chin, cheeks, neck, the upper inner sides of the arms, the breasts, chest, tummy, waist, buttocks, thighs, the inner sides of the knees, and the back of the legs. In addition, it is also used as a complementary process in other operations intended for body contour correction (tummy lift, breast reduction, etc.).
As per the Therapeutic Medication Law, scope of which was extended by law dated 29.08.2005 (BGBI.IS 2570), it is forbidden to display before and after treatment/operation images of patients for advertisement purposes. Therefore, before and after treatment/operation images are not available in our website.