The number of fat cells in the human body is constant. After puberty, the number of fat cells does not increase, but the volume of fat cells increases. This results in weight gain. Dietary habits and lifestyle are the most important factors in people’s weight gain and loss.

A proper diet and exercise and a regular lifestyle are essential to get rid of excess weight. However, even in people who meet these conditions, there may be stubborn fat accumulations that do not disappear. Certain areas of the body such as the abdomen, waist, hips, thighs, outer and inner side, knee are areas of fat accumulation that are resistant to diet and exercise. Excess fat in these areas is eliminated to some extent by diet and exercise, more exercise and diet results in deterioration of the overall metabolism of the body instead of thinning in these areas.

What is Liposuction?
Liposuction is a surgery that removes fat in which fat from the body by absorbing fat deposits in certain parts of the body with a special vacuum or special injectors. It is definitely not a weight loss surgery, but a body contour correction surgery. With this surgery, the volume is increased, diet and exercise-resistant adipose tissue is removed from the body, while the number of existing fat cells is reduced

In liposuction surgery, the stubborn lubrication zone is inflated with a special injection of fluid. Then, several incisions with a length of several mm are made on or near this area. From these incisions, metal pipes called cannulas with a diameter of 2-6 mm are inserted into the subcutaneous layer and the cannulas are connected to the vacuum device with transparent hoses.

The vacuum device is activated, the process of removing excess fat begins by moving the cannulas at the appropriate depth in the fat accumulation areas. The process of absorbing fats through vacuum continues until the desired body contour, as well as a smooth skin surface is provided. In recent years, ultrasound energy has been used. In this method, excess adipose tissues are broken down by ultrasound waves, then similarly vacuumed.

Although excess stubborn fats on deep layers can be removed with liposuction, fat accumulations that cause contour irregularity can also be eliminated by the superficial liposuction or liposculpture method developed in the last 10 years. The liposculpture technique has also become a definitive method of removing skin sagging and eliminating stubborn cellulite.

As the cannula diameters used in the 1970s, when the classic liposuction process first appeared, were quite wide and sharp and caused serious problems due to the lack of vacuum devices used. The procedure can cause a significant loss of fluids and electrolytes in the body. These problems are behind us today. With the techniques applied for the last 10 years, Liposuction has taken its indispensable place in body contour correction. As long as the goal is not slimming, but contour correction, it is an operation without any risk if the safety limit is not exceeded, with a well-chosen patient, with a well-applied in hospital conditions. Today, the safety limit is considered to be 2.5-4.5 liters in different sources. There are also those who take more fat. In this case, measures are taken to complete the fluid and electrolyte balance of the patient, sometimes blood transfusions may be necessary. It has become feasible to take up to 28 liters of fat in a single session by taking the necessary precautions in patients with excessive obesity called morbid obesity.

The liposuction surgery is performed in hospital conditions in the operating room under the supervision of an anesthesiologist. A combination of local anesthesia and sedation (intravenous sedation) is preferred. Only local anesthesia can be applied in very limited small areas. The operation lasts between 1-5 hours depending on the condition of the areas to be vacuumed. Cannula entrance holes are usually not sutured or 1-2 sutures are placed. Sometimes special thin pipes (resist) are placed in the areas by using cannula holes, which helps to drain the serum accumulated inside. Depending on the time of the surgery, it is possible to leave the hospital on the same day or after 24 hours.

Post-surgery is usually comfortable. The pain is quite small and can be eliminated with medications. At the end of the operation, special bandages are applied to the vacuumed areas and the patient is dressed in a special corset. After the operation, the patient is dressed. The patient continues to wear a corset for 5-6 weeks. There may be purplish color changes in vacuum-applied areas. There may be swelling, tingling, and burning sensation. These disappear spontaneously within 3 weeks. Surgical scars become vague within 2-6 months.



I want to have liposuction surgery. Who should I deal with?
This is an aesthetic operation. It is absolutely necessary to apply to Plastic and Aesthetic Surgeons. Apart from this surgical branch, various surgeons say that they perform this surgery due to high demand. It will be to the benefit of the patients to research the field of specialization of the surgeon and then have the surgery.

Which areas are suitable for liposuction?
It has become possible to vacuum fat in many areas of the body such as under the chin, cheeks, neck, upper inner side of the arm, breasts, chest, abdomen, waist-hip, thigh, inner side of the knee, back of the leg. It is also used as a complementary procedure in other body contouring operations (tummy tuck, breast reduction, etc.).

Will there be any scars after liposuction?
The entrance holes of the cannulas (metal pipes that perform liposuction) are usually 2-4 mm. The traces left behind are indistinct. The scars in this surgery can be ignored.

How many liters of fat can be taken at a time? Can liposuction be done again?
A maximum of 4-5 liters of fat can be removed without disturbing the patient’s balance and body functions. But there are also some doctors doing more fat removal by giving fluid and blood. It is the surgeon’s choice here. If the patient’s areas are large, surgery can be performed again at intervals of 3-6 months.


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