Liposuction, also known as lipoplasty or body contouring surgery, is a surgery that will sculpt your body by removing unwanted pockets of stubborn fat. This is fat that is resistant to diet and exercise or sometimes it is fat that we are genetically predisposed to in certain areas of the body.
Dr. Graivier’s expertise is the key to The Graivier Center’s liposuction success. The artistry in liposuction is in knowing how much fat to take, where to stop, how to make the areas of fat loss blend into the surrounding areas and which areas of the body should and should not be suctioned. The selection of the technique and technology best suited for each person will be determined by Dr. Graivier at the time of consultation.
Ideal Liposuction Areas Include:
- Love handles
- Breasts (including male breasts)
Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite – the dimpled skin that typically appears on the thighs, hips, and buttocks or loose saggy skin. However, other technologies such as Cellulaze, Smart Laser Liposuction, and ThermiTight, plus combination with ancillary non-invasive devices, can improve cellulite and tighten skin.
A good candidate should be within 25-30 percent of their ideal body weight, in good health and physically active with good elastic skin tone.
When to Consider Liposuction
- If you have localized areas of fat deposits that are disproportionate with the rest of your body
- If you would like more definition or a sleeker contour in certain areas of your body
- If your skin elasticity is good (liposuction removes fat, but does not tighten skin)
- If you have maintained a stable body weight for one to two years
At The Graivier Center, we value our personal relationships with our patients. Each patient is treated as an individual, and as such, is given a personal consultation prior to any treatment. Dr. Graivier and his staff will meet with you to help you make decisions regarding which procedure(s) or treatment(s) will result in achieving your aesthetic goals. The consultation will conclude with a discussion about the desired treatment, your expectations, the benefits and risks associated with the treatment and post-treatment recovery.
Liposuction Complementary Procedures
It is a common practice for patients undergoing liposuction to combine several procedures at once that will offer complementary or enhanced results. At The Graivier Center, we will take the time to walk potential patients through all of the risks and benefits of each surgery, whether you choose a single treatment or multiple treatments.
Patients undergoing liposuction can elect to combine the following procedures for enhanced results:
- Thigh lift
- Arm lift
- Buttocks enhancement
- Facial cosmetic procedures
- Body Contouring
There are several different types of liposuction offered at The Graivier Center:
- Tumescent liposuction
- Smart laser liposuction
- Water assisted liposuction
- Ultrasound assisted liposuction
A new exciting technology called Cellulaze has been approved by the FDA to treat cellulite; the dimpled areas of skin that affects approximately 85% of all women.
One of the improved liposuction techniques that Dr. Graivier uses in all liposuction cases is the tumescent (or wet) technique. Tumescent liposuction uses much smaller cannulas and focuses on multiple levels of fat. This technique significantly decreases many of the risks associated with liposuction, such as excessive blood loss, contour irregularities and postoperative skin laxity.
The best results are obtained in someone who is near his or her normal body weight, who works out regularly and wants to reduce an area not responding to diet or exercise. Dr. Graivier, however, is able to perform tumescent liposuction on many people who may not have been candidates for this procedure in the past.
Basic tumescent liposuction describes a “wetting solution” which involves the injection of tumescent fluid with local anesthetic and epinephrine. Tumescent solution allows the skin and tissue to hydrate and plump, and decreases blood loss during the procedure while allowing for the safe removal of large volumes of liposuctioned fat.
Once the tumescent solution is infiltrated, a thin liposuction cannula is inserted and used to suction the excess fat. A compression garment is used to ensure uniform tightening of the skin.
Smartlipo TriPlex liposuction is used in areas where skin laxity is more evident and more skin tightening is required, such as the face, neck, arms, abdomen or thighs. Different from liposuction, Smartlipo uses smaller instruments and laser technology to add a skin-tightening element by stimulating the production of collagen and elastin.
First, a tumescent solution is injected into the area to be contoured to help “melt” the fat and stimulate skin tightening. Then a thin laser fiber, called a cannula, is inserted close to the skin layer and delivers laser energy to the areas of fatty deposits. The laser energy stimulates collagen and tissues to contract, leaving skin looking tightened and toned.
The skin continues its collagen-tightening phase over the next three to six months following surgery. The technique can be used along with traditional liposuction, helping to treat small or difficult areas.
Advantages of Smartlipo:
- Reduced bruising and swelling
- Faster recovery
- Less discomfort
- Smaller incisions
- Treats difficult areas
Recovery time is just several days, with a compression garment placed over the procedure area for several weeks. Patients are asked to refrain from strenuous exercise for three weeks.
Water assisted liposuction is a safe, effective and easy technique with minimal risks, significantly shorter procedure times and less discomfort and recovery for patients.
The gentle separation of fat cells from connective tissue minimizes trauma to the patient and reduces bleeding, bruising and swelling. Unlike traditional liposuction methods, water assisted liposuction injects a stream of saline in front of the liposuction cannula to gently dissect and liquefy the fat from the body while sparing blood vessels, nerves, surrounding tissue and stimulating collagen and contraction of the connective tissues.
Water assisted liposuction is a useful technique in high volume liposuctions and for harvesting large volumes of fat. The gentle power of water-jet helps protect fat for subsequent fat grafting, which increases the size of the buttocks or breasts or for facial fat grafting.
This technique uses a special cannula that produces ultrasonic waves. As the cannula passes through the tissue, the energy liquefies the fat, which is removed by a suction pump. This is best for larger areas, dense fat and male patients.
The ultrasound can be administered either above the skin (with a special emitter) or below the surface of the skin (with an ultrasound cannula).
During your liposuction recovery, a compression garment will be placed over the treatment areas to aid in controlling swelling and contouring the treated areas. While pain is usually mild, the patient will experience some discomfort as well as swelling, bruising and temporary numbness.
Because liposuction incisions are small, the scars are also small. Most liposuction scars fade and are barely perceptible over time.
It may take several weeks for the swelling to fully dissipate, but shrinking and tightening can continue for one year. Most activities can be resumed within a few days though Dr. Graivier may suggest that you refrain from sporting activities for several weeks.
You will be given specific instructions from The Graivier Center that may include:
- How to care for the surgical site and drains, if applicable
- Medications to apply or take orally to aid in healing and the progression of your recovery
- Specific concerns to look for at the surgical site or in your general health
- Post-op follow-up appointment information