Archive for March, 2010

Archive for March, 2010

Liposuction continues to the most common plastic surgery procedure all over the world, and also in India. It is basically a permanent removal of stout cells by the use of a suctioning device. It is a safe procedure, with minimum down time, and quick recovery. It has been shrouded in small controversies, and terrible results, but this has been due to the procedure being done by untrained personnel, and other medicos who are not Cosmetic Surgeons. So it is vital that a potential client look through the profile of their treating physician and asses really whether that self is really capable of delivering all that he promises. Do not be led away by claims that they can remove 10 kgs or 12 kgs of stout and make you super thin. Please remember that the safe limits of liposuction are between 3-5% of the total body weight.


The procedure involves infiltration of fluid into the areas to be liposuctioned. This has manifold benefits. It helps to come undone the stout, reduces the bleeding dramatically, and allows pain control with surgery as well. Usually I would infiltrate fluid in a ratio of 1:1 with the amount of stout that I plot to aspirate, ie, if I feel that I will aspirate about 1000 cc of stout from an area, I want to infiltrate less than 10000 cc of the fluid in that area. I really infiltrate much less than that, only about 0.5 :1 ratio. This has the benefit that I never face the risk of fluid overload ( potentially perilous condition, where there is too much water in the body, and the lungs get to the top with water). The other benefit is that, what is aspirated is pure stout, and not water diverse with stout. This gives an exact estimate of the amount of stout taken out. We surgeons have a terrible habit of including the amount of fluid aspirated into the total volume taken out also, so that we can boast of having done generous liposuctions. What is vital is not the amount taken out, but how much of actual stout there is.

The procedure is done with small incisions over selected areas of the body, with first discussing with the patient, and plotting the site of the score. These incisions generally are not visible and heal very well. They are only about ½ cm in length. There may not be a need to admit the patient in the hospital, so that the patient can go home the same day.


With a liposuction, there is a need to wear specially designed pressure garment, over the areas liposuctioned to allow better skin redraping. This may take up to 6 weeks. Any anticoagulant use such as aspirin should be stopped 1 week prior to surgery; smoking should also be stopped 2 weeks before to 2 weeks with surgery for best results.

Newer technology

Power liposuction, vibro-liposuction, VASER, and laser liposuction are some of the newer innovations in this field.
In Power and Vibro Liposuction the mechanical effort to carry out liposuction is reduced by the use of special machines, which produce a to and fro rapid shift, thus sinking mechanical fatigue and building the procedure quicker. But these are significantly more expensive than conventional liposuction.

VASER is the use of internal ultrasound device to melt stout. The advantage is that this is significantly quicker, and allows the surgeon to work closer to the skin, and thus better skin draping is achieved, and thus better figure control is achieved. But this is a very expensive device, and expects the surgical cost to double if you question for a VASER.
Laser lipo allows very excellent redraping proceedings on the skin; but its role in actual stout reduction is a bit controversial. Thus this has not found use in general practice.

Please remember that liposuction is not a weight sinking procedure, but a figure correcting/ or a body contouring procedure

About Me: Dr Amit Gupta is a Plastic Surgeon from Maulana Azad Medical Institution, Delhi, who has particular in the fields of Minimally All-encompassing Cosmetic Surgery, Microfollicular Hair Transplant, and Lasers. He was awarded with Gold Medal during his schooling for his academic days, Dr Amit Gupta joined the superspeciality Course of Plastic Surgery at Maulana Azad Medical Institution which he cleared in 2007 in his have a crack. During his schooling he underwent schooling in Burns Trauma Management Cancer and Microvascular Surgery Reconstructive and Congenital Defect Correction Surgery. He then pursued particular fellowships in Cosmetic Surgery in Belgium (Europe) and Brazil. He has trained with Dr Patrick Tonnard in Belgium where he was trained in MACS Lift Surgery which is the most current development in the field of Facial Rejuvenative Surgery in Europe. He then pursued fellowships in Cosmetic Surgery in Brazil where he trained with the likes of Dr Ruth Graf and Dr Ana Zulmira who are regarded as icons in Cosmetic Surgery.

Author: Dr Amit Gupta
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