Liposuction

Liposuction is a cosmetic surgical procedure used to remove stubborn fat deposits and reshape the body’s contours. It targets areas resistant to diet and exercise, helping create a more defined and balanced silhouette.

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Who Is a Candidate for Liposuction?

Liposuction is a surgical procedure used to remove unwanted fat and contour the body, often targeting stubborn fat deposits in areas such as the abdomen, hips, thighs, knees, arms, or chin.

In addition to traditional liposuction, some opt for laser liposuction—a minimally invasive method that uses a fine laser fiber to gently melt fat cells while enhancing body contour.

Liposuction may be suitable for:

  • Those close to their ideal weight: Best results are seen when the patient is near their goal weight and looking to refine body shape rather than lose significant weight.
  • Healthy individuals: Candidates should be in good overall health, without serious medical conditions that could increase surgical risk.
  • People with good skin elasticity: Firm skin adapts better after fat removal. Reduced elasticity from aging or weight loss may affect final results.
  • Localized fat deposits: Ideal for those with specific areas resistant to diet and exercise.
  • Motivated individuals: Maintaining results requires a healthy lifestyle, balanced diet, and regular exercise.

A personalized treatment plan is essential, and not everyone is a suitable candidate. Consultation with a qualified plastic or cosmetic surgeon is important to discuss expectations, potential risks, and recovery.

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Which Areas Can Liposuction Target?

Liposuction can be performed on various parts of the body to remove excess fat deposits and improve body contours. Common treatment areas include:

  • Abdomen: Removes stubborn belly fat to create a flatter, more defined midsection. Popular among those seeking a smooth profile or visible muscle definition.
  • Hips (“love handles”): Helps slim the waistline and improve body proportions.
  • Thighs: Targets fat on the inner and outer thighs to create smoother, more balanced leg contours.
  • Buttocks: Reduces excess fat for a more harmonious shape between the hips and waist.
  • Back: Eliminates fat bulges for a smoother silhouette and better clothing fit.
  • Chest: Used in men with gynecomastia or women with localized fat in the breast area.
  • Neck & Chin: Removes fat beneath the chin for a sharper jawline and slimmer neck.
  • Arms: Reduces upper arm fat for a toned appearance, often with minimal downtime.

Liposuction is tailored to each patient’s goals, and multiple areas can be treated in a single session for a more balanced result.

How Is Liposuction Performed?

Liposuction is a surgical procedure that typically follows these main steps:

  • Anesthesia: The patient is given either local anesthesia with sedation or general anesthesia to ensure comfort and prevent pain during the procedure.
  • Fluid Injection: A special solution is injected into the treatment area to help break down fat cells, reduce bleeding, and minimize discomfort.
  • Fat Removal: A thin, hollow tube called a cannula is inserted through small incisions. The cannula is connected to a suction device, which carefully removes fat from beneath the skin.
  • Shaping & Contouring: The surgeon strategically removes fat to sculpt the treated area and achieve the desired body shape.
  • Closure: Since the incisions are very small, stitches are often unnecessary. If needed, a few fine sutures may be placed.
  • Recovery: Patients are advised to rest and may need to wear a compression garment to reduce swelling and support healing. Bruising, swelling, and mild discomfort are common and usually resolve within a few weeks.

Liposuction should always be performed by a qualified plastic surgeon. For long-lasting results, patients should maintain a healthy diet and regular exercise routine to prevent new fat buildup.

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Is Liposuction Done for Sagging Skin?

Liposuction is designed to remove excess fat deposits and improve body contour, but it is not typically effective for tightening or correcting loose, sagging skin. Since the procedure targets fat removal rather than skin elasticity, significant skin sagging often remains after liposuction alone.

If you have both excess fat and loose skin, your surgeon may recommend combining liposuction with a skin-tightening or lifting procedure—such as a tummy tuck (abdominoplasty) or body lift—for a smoother, firmer result. These combined surgeries are more invasive and require longer recovery times.

When Is Liposuction Performed?

Liposuction can be considered in the following cases:

  • Stubborn Fat Deposits: When certain areas—such as the abdomen, hips, thighs, knees, arms, or under the chin—retain fat that does not respond to diet or exercise.
  • Body Contouring: To improve proportions, create a more defined waistline, or enhance overall body shape.
  • In Combination with Skin Surgery: Paired with procedures like a tummy tuck or body lift to address both fat removal and skin tightening.
  • Near Ideal Weight: Best suited for individuals who are close to their ideal body weight and in good health.
  • Motivated for Maintenance: Candidates should be committed to a healthy diet and regular exercise to preserve results.

Is Liposuction Surgery Dangerous?

Liposuction is a surgical procedure, so like any medical operation, it carries certain risks and potential complications. These may include infection, bleeding, fluid accumulation, uneven results, or anesthesia-related issues. However, when performed by a well-trained and experienced plastic surgeon, these risks are typically minimized.

Does Fat Removal Hurt?

During liposuction, local or general anesthesia is used, meaning the patient does not feel pain during the procedure itself. After the surgery, it’s normal to experience mild to moderate discomfort, swelling, bruising, and tenderness in the treated areas. This post-operative pain is usually manageable with prescribed painkillers and tends to improve within a few days.

How Long Does Liposuction Take?

The duration of a liposuction procedure can vary depending on:

  • Number and Size of Target Areas: Treating multiple or larger areas takes more time.
  • Surgeon’s Experience: An experienced plastic surgeon can perform the procedure more efficiently.
  • Type of Anesthesia: General anesthesia may extend the total time compared to local anesthesia.
  • Patient’s Individual Factors: Body type, skin quality, and overall health can influence how long the surgery takes.

On average, a standard liposuction procedure lasts between 1 and 4 hours.

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EBOPRAS onaylı plastik cerrah olan Op. Dr. Güray Yeşiladalı aynı zamanda ISAPS ve ASAPS üyesidir.

Is Liposuction Permanent?

Liposuction removes fat cells from targeted areas, but the results are not guaranteed to last forever. While the removed fat cells do not grow back, remaining fat cells in the body can still expand if you gain weight. This means your results can change over time. To maintain long-term results, it’s essential to follow a healthy lifestyle—regular exercise and a balanced diet help prevent new fat accumulation and preserve your post-surgery shape.

What Is the Recovery Period Like After Liposuction?

  • Immediately After Surgery: Once the procedure is complete, patients are monitored for a few hours while waking up from anesthesia. Pain medication is usually given at this stage.
  • First Few Days: Swelling, bruising, and mild pain are common. A compression garment or bandage is typically worn to reduce swelling and help the skin adapt to its new shape.
  • First Week: Swelling begins to subside, and discomfort lessens. Continue taking prescribed medications and following your surgeon’s aftercare instructions.
  • First Two Weeks: Avoid heavy lifting, strenuous exercise, and excessive activity to allow proper healing. Rest is crucial.
  • First Month: Swelling and bruising continue to improve, and your new contours start to become visible. Gradually resume normal activities with your doctor’s approval.
  • Up to Six Months: The final results become more defined as residual swelling disappears. Complete healing times vary by individual.

Following your surgeon’s post-operative care guidelines is key to optimal healing. Maintaining a stable weight through healthy habits will also help you keep your new shape for years to come.

Do you have any questions?

EBOPRAS approved plastic surgeon MD. Güray Yeşiladalı is also a member of ISAPS and ASAPS.

How Much Weight Can You Lose with Liposuction?

The amount of fat removed during liposuction—and the resulting weight loss—varies from person to person and depends on several factors:

  • Treatment Areas: The size and number of areas treated directly affect how much fat can be removed. Larger fat deposits can yield more noticeable results.
  • Body Mass Index (BMI): A higher BMI may allow for more fat removal, though liposuction is not intended for significant weight loss. Sometimes multiple sessions are planned for extensive fat reduction.
  • Skin Elasticity: Good skin elasticity leads to better contouring results after fat removal.
  • Surgeon’s Expertise: An experienced surgeon can help achieve optimal, safe results.
  • Personal Goals: Some patients target small, localized fat pockets, while others aim for larger-scale contouring.

It’s important to remember that liposuction is a body-contouring procedure, not a weight-loss method.

Does Liposuction Leave Scars?

Because liposuction uses very small incisions for inserting the cannula, scarring is usually minimal. These tiny entry points typically fade over time and are often placed in less visible areas. In most cases, any marks left are subtle and barely noticeable once healed.

Can Liposuction Cause Sagging?

Whether sagging occurs after liposuction depends on how the procedure is performed, the patient’s skin elasticity, and overall body structure. Several factors can influence this risk:

  • Skin Elasticity: Patients with youthful, elastic skin are less likely to experience sagging after the procedure. As skin elasticity decreases with age or due to factors like weight fluctuations, the risk of loose skin increases.
  • Amount of Fat Removed: Removing large volumes of fat or treating multiple areas at once can leave the skin with less support underneath, which may lead to sagging.

In cases where significant sagging is expected, combining liposuction with skin-tightening treatments—such as tummy tuck (abdominoplasty) or body lift procedures—can help achieve smoother, firmer results.

Will the Fat Removed with Liposuction Come Back?

During liposuction, fat cells are permanently removed from the treated area and do not grow back. However, if you gain weight after the procedure, the remaining fat cells in your body can expand, and new fat deposits can develop in other areas. This means that while the treated area will generally have fewer fat cells than before, maintaining your results depends on keeping a stable weight through healthy eating and regular exercise.

When Will the Body Take Shape After Liposuction?

The final contour after liposuction can take several weeks to months to appear. In the first few weeks, swelling and bruising are common, which can mask the results. Most patients notice significant improvement within 1–3 months, but complete healing and final shaping may take up to 6 months. Wearing compression garments as instructed and following your surgeon’s aftercare recommendations can help the skin retract and the treated area settle into its new shape more effectively.
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Do you have any questions?

EBOPRAS approved plastic surgeon MD. Güray Yeşiladalı is also a member of ISAPS and ASAPS.