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What is Liposuction?

Liposuction is really just a generic term for anytime fat is suctioning out of the body. In my practice I usually do Smartlipo in the office so please read that section. In this section I will address Ultrasonic Liposuction.

Who is this for?

I usually reserve this Ultrasonic Liposuction for 3 types of people.

1) Those people who are greater than about 20% of their ideal body weight. If they are less than 20% of their ideal body weight, then I usually recommend Smartlipo which is done in the office. The Ultrasonic Liposuction usually allows me to be more aggressive with those patients who are greater than 20% above their ideal body weight.

They will benefit more by this somewhat more aggressive fat removal.

2) This can also be a part of other procedures such as the mommy makeover or tummy tuck or even a Breast

Augmentation. Since these procedures have to be done under general anesthesia, in the operating rooms, it often makes sense to go ahead and do the liposuction (though it will not be Smartlipo, which can only be done in the office) at the same time.

3) Someone who is just too scared to be awake, even with sedation to have the Smartlipo. I have yet to meet such a person but I am sure they exist.

Areas that people commonly have this procedure done on include the upper neck/ under the chin, abdomen,  back and bra line, flanks, inner and outer thighs and knees. The results can be quite spectacular!

About the Liposuction Procedure

Liposuction Is performed on an outpatient basis with a general anesthetic. I make very small incisions (though not quite as small as with Smartlipo) in inconspicuous areas near the fat deposits. I utilise  Tumescent Liposuction, which simply means that I infiltrate the area for Liposuction with large volumes of fluid. This decreases the occurrence of bruising and discomfort afterwards. After this, I insert an ultrasonic liposuction which liquefies the fat. I strongly believe, this allows me to remove more fat. After the fat is liquified, I liposuction out the melted fat. The small incision is closed with a dissolving suture and then a steristrip is applied. In the Recovery Room, the nurses will assist you on putting on the compression garment that you should have brought with you to the surgicenter.

What Post-Op care is required for Liposuction?

The time you will need to take off from work to recuperate from liposuction is based on the extent of your procedure.

Most Liposuction patients discontinue their painkillers 1-2 days after the procedure. I suggest that intense exercising be avoided for about 10 days after surgery.

Most patients will return to their office jobs in 3-7 days.

Usually, you can expect the bruising and swelling to subside in about 2 weeks.

The final result will take shape over 4-6 months.

You can expect the results to be long lasting, provided that you do not put on weight. There is no truth that you cannot get fat in areas which have been liposuctioned.

Liposuction Surgery Northern Virginia & Washington DC including residents of Ashburn, Fairfax, Sterling, Manassas, Reston and Western Loudoun Virginia.

Disclaimer: Results may vary for different individuals.

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RealSelf Q&A with David E. Berman, MD

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