How Does Liposuction Work?

This procedure aims to break up the fat cells, drain them via tubes, and then remove them through another tube. The white blood cells fight infection simultaneously, so I always recommend pre-treating with tetracycline antibiotics, which also disallows blood clots in these tiny vessels.

The cannulas are of variable size. The more fat cells you want out, the larger the cannula. It is not just a matter of cutting off circulation to smaller vessels or veins, so there is more pressure on the pump attached to the tube, which allows for more flow and more “suction” not only of the fat but of other tissues well.

The length of a liposuction procedure can vary. If a patient has a lot of fat and it’s all near the skin surface, then the actual process may take less than an hour or just minutes to remove all that fat from that one area. In other cases, patients may have “deeper” deposits that require more work or body- areas that have been worked on before. In other words, the more fat cells you have to remove, the longer it will take for the surgeon and his staff to extract them.

The recovery time is variable too because of different types of anesthesia and who uses what after surgery: which determines how long you are in bed and how soon you can get up and move around. I recommend walking as quickly as possible so the patients do not get blood clots in the legs. Also, massage will help remove dead fat cells and tissue that may be trapped under the skin.

If someone claims they did 6000ccs in one procedure, beware: what matters is how much fat was removed and how much is justify. The removal of an air bubble or liquids does not necessarily indicate what you lost. Even if someone claims they can do 10,000ccs in one procedure: it means nothing if the fat cells are small ones and there were very few of them, to begin with.

There is so much misinformation about this procedure that I will try to explain what is true and not-so-true to help you make an educated decision and get more information from New York Liposuction.

What Are The Different Types of Liposuction?

The answer is there are no different types. It does not matter if it is conventional lipo, ultrasonic-assisted lipo, or laser lipo.
The only difference is simply the size of the cannula used, period. If the cannula is smaller than 1 centimeter, then it’s considered “ultrasonic” or “assisted.” I do both, but if you see someone advertising that they do laser lipo, then be aware that they are using a laser to heat fat cells, but they are not removing them with the laser.

Laser lipo is done mainly in Europe and some places here since it’s just heated-up fat cells that go into the lymph system and eventually get broken down by white blood cells, etc.

Is One Type of Liposuction Better Than The Rest?

This is the most common question I get asked, and I hate to say it, but there isn’t one type of lipo that works better than the other because it all depends on your goals. If you want less fat, it will be better, but if you want more volume, smaller cells will be hard to work with and will leave you lumpy if they are deeper in the tissue.

People want “ultrasonic-assisted” or “assisted lipo” because it’s new, but if you read up on what it does, ask yourself, why do I want fat cells broken up? The answer is because the body does not emulsify them.

To get the most accurate results, you need to assess your fat, how much there is- and what type of lips or skin you have on your body before choosing a procedure. I know some people who go for regular liposuction first, but they simply break it up with an ultrasonic device instead of removing all the fat.

Do You Have To Do Multiple Treatments?

Yes, some people need more than one treatment, but most will get good results with just one procedure- it just depends on your body, skin thickness, and how much fat there is. Someone who has a lot of fat may require an entire year to complete their treatment and then stay at a stable point.

How much fat should you remove? I’ve had people do as much as 10,000ccs in one procedure because they had so much, but it’s not about how many cc’s of fat or what equipment is used: it’s all about the surgeon’s skill doing the procedure.

As far as cost: if someone claims to charge a lot less, they are probably not going to remove that much fat or may not use an ultrasonic device because it’s more expensive and they want to make a profit. If it sounds too good to be true- then you know what that means.

If someone advertises that they are doing it all in one, don’t believe them. Liposuction is just like any other surgery: the more advanced the equipment- then the longer it takes to do it. Lipo or “liposculpture,” or whatever you want to call it, is not for everyone, so please do your homework and see a board-certified plastic surgeon.

I’ve seen so many botched jobs by unqualified doctors who want to do everything in one surgery because they want to get rich: it’s just terrible, and then you know that person did not even go to school for that type of surgery. Rich Doctors did an episode on the learning curve and how it takes 7-10 years to perfect liposuction for a good plastic surgeon.

How Much Does Liposuction Cost?

The cost can vary from state to state or country to country, but I’d say the range is anywhere from $3000 -$15,000 for one treatment depending on your location, the difficulty of the surgery, and what equipment is being used.

Lipo costs more than regular liposuction because you are using ultrasonic devices that cost anywhere from $800-2000 per device. A good surgeon will charge on an hourly basis or a flat rate for the entire case, which will give you great results because you are paying for skill and not greed.

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