What is liposuction?

Liposuction is a cosmetic procedure that removes fat from different parts of your body such as belly, hips, thighs, buttocks, arms, back or face. You can’t get rid of the fat through diet or exercise. It can also be done with other surgeries including breast reduction, facelifts, and tucks. Some common problems that cause people to think of getting liposuction are:

  • Double Chin
  • Back of Neck
  • Bottom of Upper Arms
  • Female Breasts
  • Outer Thighs or Saddlebags
  • Bra Strap Area
  • Abdomen or Belly Pooch
  • Muffin Top
  • Love Handles
  • Male Breasts

Liposuction is not done to help individuals to lose weight. Though you lose weight after this surgery it is the side effects of body contouring.


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How liposuction is different from lipomatic?

Lipomatic is the most recent fat removal method which is safer than liposuction. It is entirely physical and does not use radiation or heat. The emulsion gets discharged slowly from the body to help with body configuration. The skin looks more natural after liposuction due to three dimensional cannula movements. Lipomatic is also called tickle Lipo, since it has little or no pain. It has shorter operative time and rapid recovery. It also costs cheaper.

liposuction is different from lipomatic
Different types of liposuction and their procedure

Different types of liposuction and their procedure

There are 6 different types of this surgery, but the result of all is the same. It is the body without many humps and bumps.

Tumescent liposuction is considered the gold standard of all. It is the most used and safest one. In this type of surgery, a micro cannula is applied to use a tumescent anesthetic to the treatment parts. This helps to break down the fat and stop bleeding. Then the fat can be sucked out more easily. The results of this type are very satisfying and can be repeated without any harm if it is necessary.

This type of ultrasound, known also under the brand of VASER, helps to break down the fatty cells. It is conducted by making incisions and sub joining a very low-frequency ultrasound apparatus that is connected to your cannula. The sound energy is used to emulsify the fat and it is removed with a suction tube. A few of the VASER associated manufacturers claim that it is low blood flow, skin tightening, swelling, and process for the surgeon. It is considered to be the best method to remove fats in fibrous areas such as flanks and black. The liquefied fat is easier to suck out but the risk is that it can cause the skin to die. Also, there might be small areas of yellow fluid that require draining.

In this method, the cannula is moved back and forwards in the site to get fat as much as possible. If there is a large area to do, this type can be very tiring. It uses a cannula that oscillates on its own to eschew the tiring motion. Though it is all about the surgeon, the patient must understand that a good job won’t be done, if the surgeon gets tired.

Though it can break up fat in especially dense areas, the most advantages of this method are that it is faster with less surgeon exhaustion. Also, there is no difference in results if it is performed by a professional plastic surgeon.

This type of liposuction is similar to the previous one, the laser provides the essential fat breaking down so it can be removed more easily. The laser heats the fat cells. It melts the fat and destroys the membrane of the cell. Thus, the fat can pull together and sock out easily and quickly. The heat for this fiber optic laser is set to 39C that is the heat that bursts fat cells open. Also, the heat seals off the blood vessels so reduce bleeding. It is less invasive and less painful than tumescent lipo but it requires an experienced surgeon that can do it more safely. Even in such circumstances, the results can still be inconsistent. This method is also known as “ Smartlipo”. Smartlipo is the only type of liposuction that is not done under local anesthesia.

So, you may ask shouldn’t I only choose Smartlipo anyway? The answer to your question is not so straightforward. For, it is extremely important to choose a fantastic plastic surgeon. Unfortunately, many physicians who endorse Smartlipo aggressively are less skilled plastic surgeons. Keeping in mind, the use of a laser adds complexity and time, with the possibility of thermal injury or buns and no advantages are known for it. It requires a larger incision to accommodate the apparatus. It may not be worth the additional risk, time and cost.

High definition is a version of liposuction that does a very selective shallow Liposuction and improves muscle with grafting fat. Thus it focuses on increasing the inherent muscle of the abdomen.

Hi-def liposuction needs additional process expense, time and experience compared to liposuction that is not high-definition. This type of Liposuction can be a fantastic option if you are shredded.

This type is routine liposuction that is without any fancy whistles or bells. It works for most patients.
Regardless of every type of liposuction, before doing anything your doctor might mark your body areas that will be treated. She/ he might also take photos to use the latter for before- and after- comparisons.
Then, you’ll get general anesthesia. Anesthesia means that you won’t be awake during the procedure. Another possible way is that you will get local anesthesia which means that you will be awake but will not feel any pain.

Who is a good candidate for liposuction?

You need to have realistic expectations. This surgery won’t get rid of cellulite. Thus, if you hoped it would happen, liposuction will disappoint you.

Like every other surgery, it has some risks. So, you must be in good health before getting it. Being healthy before liposuction means that:

  • Have firm and elastic skin
  • Not smoke
  • Be within 30 percent of your ideal weight
  • No blood flow
  • No heart disease
  • No diabetes
  • Strong immune system

Another important point is that your skin should have a good tone and elasticity since it needs to snap back into your body’s new contours after liposuction. If your skin, as an example, has lost its elasticity due to multiple pregnancies, and your belly is too stretched, you cannot be a good candidate for liposuction, since your belly is too stretched and you will be left with sagging.

Who is qualified to do liposuction?

Though many people do liposuction, many of them must not do that. Plastic surgeons are trained specifically as part of their surgical education to do liposuction. Do not trust ads that aim to persuade you that many other specialists do this surgery. Remember that the surgeon being permitted to do liposuction does not guarantee his doing surgery properly.

Always ensure that you have chosen a board-certified plastic surgeon who has done a lot of liposuctions and is experienced and committed. Liposuction is a surgical procedure that requires special training and expertise. Any licensed doctor cannot be a good choice to do it. Keep in mind to consult with different surgeons before choosing one. You may ask these important questions to determine whether you can get liposuction service from him/her:

  • Are you board certified?
  • How much experience do you have?
  • Are before and after photos available?
  • What kind of results can I wait for?
  • To better goals, can liposuction be combined by other plastic surgeries?
  • What is the surgery and recovery time?
  • How much does it cost?
  • What postsurgical care is needed?
  • What sort of follow up is required after this surgery?
Who is qualified to do liposuction

Dr. Salahi performs hundreds of abdominal and thoracic surgeries, abdominal lipatomics, lipomatic abdominal surgery, thighs and arms, breast prosthesis and minimally invasive surgeries and is one of the top-ranked doctors in Tehran in cosmetic surgery. They specialize in cosmetic surgery.

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Liposuction pros and cons

Liposuction pros and cons

Liposuction is a type of surgery and like all surgeries has both pros and cons.


  • It permanently removes stubborn fat in a larger volume that is impossible or difficult to remove with diet or exercise.
  • The surgeon can control his body as doing surgery.
  • The removed fat can be purified and transferred to add to other parts and give more fullness to those areas.
  • After liposuction you get your fitness, your clothes fit better, you feel more confident and younger.


  • It takes time to heal since it is surgery. Up to 2 weeks you will have downtime with bruising, swelling, numbness and nerve pain. Some even say that they needed 3 weeks off to recover completely.
  • Liposuction could sag after the fat is removed. It happens when your skin does not have enough elasticity. If the sagging is significant, it requires another procedure so that excess skin is removed or tighten.
  • Dimpling, asymmetry and some dangerous irregularities, such as infection, can happen. They happen, especially if your surgeon is not experienced enough. Scaring, disfigurement or lumpiness can be the results.
  • Remaining fat cells can expand or if you gain weight, new fat cells can grow.

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Liposuction recovery

Type of surgery determines how long you will stay in the hospital. You should expect some outcomes such as swelling, bruising, and soreness for around 2 weeks.
Your doctor will ask you to wear a compression garment after surgery for 1 to 2 months to control swelling.
You will probably be required to take some antibiotics to avoid infection.
Remember to ask your surgeon these questions before you leave the clinic or hospital:
• What medication should I take?
• Will I wear bandages?
• Will I have stitches?
• When will the Liposuction stitches be removed?
• When can I exercise again?
• Should I come back for a follow-up visit?

Liposuction recovery
Liposuction recovery

There are some tips to follow up during recovery:

This is an invasive kind of surgery that can have many difficulties. Thus, it is very important to consult your doctor and do not ignore her/his post-op instructions. This will ensure that you heal properly and reduces your complications risks.
Also, make sure that the one who accompanies you understands the instructions too.

You must rest a few days before going to work. Thus discuss the amount of rest time with your doctor. It will depend on the amount of removed fat. Prepare a comfortable environment including pillows, mattresses, and bedding before you leave for surgery.

It is important not to leave walking for a long time after liposuction. Try to start moving gently as soon as you feel you can. It also helps you to heal more quickly. Strenuous activities will be possible after one month.

Your incision may have some stitching. Keep them covered according to your doctor’s instructions and follow them for changing bandages, too. You may be inserted a drainage tube to help fluid drain from the wound.
You need to avoid soaking in a tube until stitches are removed. Wear clean bandages and reapply pressure garments after showering. You can take a shower after 24 hours

Your body may absorb some types of stitches remaining from liposuction, but others should be visited by your doctor for removal. Make sure that your stitches are removed at the proper time suggested by the doctor. Dissolvable stitches go away on their own.

Liposuction has some possible risks such as infection. Pay attention to these signs, since they may even lead to death. If you experience these signs visit your doctor immediately:

  • Increased bruising, swelling or redness
  • Increased or severe pain
  • Rash, headache, nausea or vomiting
  • fever
  • Discharge from the incision which is yellow or green or discharges that has a foul odor.
  • Hard- to- stop or hard-to-control bleeding
  • Loss of movement or feeling

Liposuction does not guarantee your body fights with fat forever. It removes fat, but if you ain fat, it will return. So, maintain your weight by keeping a healthy diet and staying active. Proper nutrition combines food from five groups every day including vegetables, fruit, grains, dairy, and proteins.

Liposuction Cost

Liposuction cost depends on the type of surgery the amount of area in which fat is removed. It varies widely with an average of 2.223 dollars. Generally speaking, liposuction on the arms costs at least 1.500 dollars. Its cost for the entire abdomen or breasts starts at about 3000 dollars.  

Some other factors also affect this cost including the patient’s size and doctors’ level of experience.

The cost rises for male patients more than 30 percent of ideal weight since their body fat is more fibrous.

There are also some additional costs for liposuction including:

  • Laboratory tests are done before the operation
  • Operation room fee if liposuction is done in a hospital
  • Anesthesia fee if general anesthesia is used. It is between 500 dollars to 1000 dollars.
  • A special garment that is worn after surgery which can cost between 50 dollars to 200 dollars.
  • Post-surgical therapies such as massage which is prescribed by some doctors.

You may resort to low-quality liposuction services to spend the lower price. However, remember that you may need to pay more if you are not satisfied with your surgery. Repeated surgery reason may include:

  • Inadequate fat removal in the target area
  • Excessive fat removal which causes irregularities, dimpling, and unnatural appearance
  • Asymmetry of the target area
  • Post-operative complications such as excessive scarring and pigmentation

Common questions

Contrary to popular belief, this surgery is not a weight-loss treatment but a fat reduction one. The amount of possible removal fat depends on different factors including the patient aesthetic goals and more importantly the surgeon’s assessment of his/her health. It is not always the same as what patients think. Safety dictates that not more than 5 liters can be done as an outpatient.

It depends on the type of surgery. Smartlipo takes roughly 1-2 hours depending on the area. Placing the patient under general anesthesia takes 15-20 minutes for larger surgeries. The stages of procedures include infiltration of the tumescent solution after emulsification and suiting of the fat cells or adipocytes.

If your surgeon is a good one, he/she can help you to visualize and anticipate realistic results. You should know that there will be swelling and skin loose immediately after surgery. Thus, it can take several weeks or even months to see the full extent of surgery results.
Though the removed fat is permanently gone, you can still gain fat, so, as mentioned above, have a healthy diet and lifestyle after surgery.

The cannula that is used as the main instrument in this surgery is small, so the scares are small, too. The number of these scares depends on the insertion point required to address the determined area. It also depends on the patient’s skin quality.

You can get it at a surgery center or your doctor’s office. Whatever the place is, make sure that it is accredited and is known for its standards in the profession, safety, and good results.
You will go home on the procedure day. Someone must drive you home. However, if a lot of fat has been removed from your body which is usually done in the hospital, you might stay overnight.

Liposuction has different types and it is your body size and the fat amount that influences your and your surgeon’s decision on choosing one of the methods. Regardless of the liposuction type, your surgeon must be qualified and committed to doing the surgery properly and helping you to get the best results.

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