Lipoplasty (Liposuction), Brachioplasty
The most popular cosmetic surgery procedure in the U.S. today, lipoplasty sculpts the body by removing undesirable fat from areas such as the abdomen, waist, hips, buttocks, thighs, knees, chin, cheeks, neck and upper arms that have not responded to diet and exercise. Lipoplasty, also called liposuction, removes localized collections of fatty tissue to give you a smoother and slimmer body contour. For the best results, you should be at a relatively normal weight with extra fat localized in specific areas such as hips, buttocks, and abdomen.
Lipoplasty is neither a substitute for proper diet and exercise nor a method for overall weight loss. It cannot eliminate cellulite or correct loose, hanging skin. In fact, the best results from lipoplasty are achieved when you have healthy, elastic skin with the capacity to shrink evenly after surgery. If your skin has lost much of its elasticity, you may need a skin tightening procedure such as a tummy tuck or arm lift.
Who are good candidates for Lipoplasty (Liposuction)?
The best candidate for Lipoplasty (Liposuction) are patients who are in good health, relatively normal weight, have appropriate skin characteristics, complain of localized fat deposits that are diet and exercise resistant, and who have realistic expectations.
During your consultation, Dr. Conkright will discuss whether or not Lipoplasty (Liposuction) is the appropriate procedure for you.
How is Lipoplasty (Liposuction) performed?
Local anesthesia or general anesthesia may be used, and the procedure can last anywhere from one to five hours depending on the amount of fat being removed. There are several different methods surgeons use when performing liposuction, including tumescent liposuction, the super-wet technique, and ultrasound-assisted liposuction (UAL).
In all types, a tiny incision is made in as inconspicuous a place as possible. A cannula (small tube) is inserted and moved back-and-forth beneath the skin, breaking up the fat layer and suctioning it out. Tumescent liposuction and super-wet liposuction use fluid injection, which facilitates fat removal, reduces blood loss, provides anesthesia during and after surgery, and helps to reduce the amount of bruising after surgery. UAL liquefies fat with ultrasonic energy and is highly precise.
What are the results and recovery like for Lipoplasty (Liposuction)?
After surgery, drainage tubes, compression garments and antibiotics may be needed to facilitate the healing process. Patients are encouraged to walk as soon as they are able and many return to work within one to two weeks, although strenuous activity should be avoided for about a month. Results are visible immediately, though improvement may continue as swelling subsides during the first three months. A good surgeon takes great care in making small incisions. If you have a large area being treated, or have many sites being treated, Dr. Conkright will pay extra attention to keeping the incisions small. Other irregularities in appearance are possible, such as asymmetric or "baggy" skin, numbness and pigmentation changes. Final results vary from patient to patient and depend on age, areas treated, the amount of fat removed and individual healing speeds. Some patients see immediate results that improve steadily while others have weeks of swelling. Both of these outcomes are normal.
What are the risks / complications associated with Lipoplasty (Liposuction)?
Risks are uncommon when the procedure is performed by a qualified surgeon but may include infection, delays in healing, fat clots or blood clots, shock, fluid accumulation that must be drained, burns, perforation injury, lidocaine toxicity, and unfavorable drug or anesthesia reactions.
Brachioplasty (Arm Lift)
After substantial weight loss, weight gain or simply from the effects of aging, skin on the upper arms can become inelastic, loose and flabby. Arm lifts, also known as brachioplasty, remove that excess skin and fat. Patients who have significant amounts of fat may want to consider combining the procedure with liposuction.