What is Liposuction?
Liposuction is a technique for removing localized fat using a cannula and negative pressure, and has been successfully performed for many years on numerous patients.
Weight gain is primarily caused by fluid retention and the accumulation of fat within adipose tissue, which is stable in quantity throughout life. Through liposuction, we achieve a reduction of fat cells in the target area, making it difficult for fat to accumulate again, yielding long-lasting results unless significant weight gain occurs later.
The incisions required for the cannula insertion are small, about one centimeter, and become virtually invisible over time. Liposuction can be performed on any area of the body, with the most common areas being:
- Chin
- Neck
- Arms
- Abdomen
- Buttocks
- Hips
- Thighs
- Knees
- Calves
- Ankles
- Area above the chest
Types and Techniques of Liposuction
Extended Liposuction
Extended liposuction involves removing a significant amount of fat from various areas of the body. This procedure requires thorough preparation and patient assessment. It is suitable for patients with significant excess fat seeking a comprehensive body contouring result. Extended liposuction generally requires general anesthesia and a longer recovery period.
Limited Liposuction
Limited liposuction focuses on smaller, localized areas such as the neck, arms, or other targeted spots. This procedure can be performed with local anesthesia and typically takes less time compared to extended liposuction. The choice of technique depends on the patient’s individual needs and clinical conditions, as well as their personal wishes.
The Procedure in Brief
The procedure is relatively simple and lasts from 30 minutes to 2.5 hours. Small incisions, about 2–3 millimeters each, are made for the insertion of fluid and for the liposuction process. Once the desired amount of fat has been removed, the procedure concludes, and very fine sutures are placed at the incision sites.
Postoperative Care and Instructions
After the surgery, the patient will be fitted with a special compression garment. This garment is not removed for the first few postoperative days. Patients can be discharged from the hospital a few hours after the procedure. In cases where a significant amount of fat was removed, an overnight stay may be required for fluid replacement and monitoring. On the 4th day, the patient removes the corset and bandages for a shower, then replaces the corset and returns for the first doctor’s assessment. Sutures are removed on the 7th day. The compression garment must be worn for a month and can be removed only for bathing. It is made from high-tech materials that do not irritate the skin. Sun exposure should be avoided during recovery.
Bruising and a burning sensation are common immediately after surgery, with significant discomfort being rare. Bruising diminishes after the 7th day and disappears completely between the 20th and 25th day. Exercise can be resumed from the 10th day. Minor sagging or cellulite may appear post-surgery. Liposuction can be performed under general anesthesia, and when performed by a qualified plastic surgeon in a properly organized facility, has very low complication and mortality rates, as confirmed by studies of millions of liposuction procedures worldwide. It is important to discontinue any blood-thinning medications before surgery, in consultation with the treating doctor, and to avoid driving for 48 hours after general anesthesia.
Additional Advice
Complete rest is recommended for the first 12 hours after surgery. Patients can resume daily activities on the second day, as long as activities do not raise heart rate or blood pressure. Exercise and sun exposure are discouraged for 2–3 weeks. Massage is beneficial after the first two weeks but is contraindicated for patients who have had liposuction on the neck or chin area. Patients should consume adequate fluids and limit salt intake for the first two weeks, as it may cause fluid retention. Alcohol and smoking are not recommended, as they impede healing and promote blood clotting. It is worth emphasizing that liposuction is a technique for removing localized, disproportionate fat and is NOT a weight loss method.
Complications of Liposuction
- Anesthetic complications
- Infection or inflammation of the surgical site
- Wound dehiscence
- Unsightly scarring
- Skin necrosis
- Bleeding or hematoma
- Skin hypoesthesia
- Asymmetry
Final Advice
Today, the plastic surgeon is the best beauty consultant for women and men who wish to maintain or improve their appearance. Do not hesitate to contact Plastic, Reconstructive, and Aesthetic Surgeon Dr. Daskalakis for any questions about liposuction or any other plastic surgery concerns you may have.
References
- Comerci AJ, et al. Risks and Complications Rate in Liposuction: A Systematic Review and Meta-Analysis.
Aesthetic Surgery Journal, June 2024
https://pubmed.ncbi.nlm.nih.gov/38563572/ - Willet JW, et al. A Systematic Review of Efficacy and Complications of High-Definition Liposuction.
Aesthetic Surgery Journal, 2023
https://pubmed.ncbi.nlm.nih.gov/36728192/ - Ahmed MB, et al. Comparison of Complications in Isolated Aesthetic Liposuction Procedures Across Different Techniques: A Systematic Review and Meta-Analysis.
European Journal of Plastic Surgery, 2025
https://link.springer.com/article/10.1007/s00238-025-02303-8
