Lipolysis and Liposuction

Lipolysis and liposuction has become one of the most common cosmetic procedures performed today. Lipolysis and liposuction removes excess fat to add contour to your body. Safety and outstanding results have made this surgery the preferred method for removing fat from the hips, thighs, abdomen, and neck. Other possible treatment areas include the arms, knees, buttocks, and etc. Large amounts of fat can now safely be removed giving the patient a ‘jump start’ in their weight reduction. Patients can become more motivated after lipolysis and liposuction since they can see a noticeable difference immediately.

A good candidate for this surgery should have realistic expectations about the results of the procedure. In addition, he or she should:

  • Be of average or only slightly above-average weight
  • Have firm, elastic skin
  • Be in good overall health
  • Have concentrated pockets of fat that do not respond well to diet and exercise

People with cellulite are not good candidates for lipolysis and liposuction because they may develop skin irregularities in the treated area.

Age is generally not a major consideration when discussing lipolysis and liposuction. Older adults, though, often have less elasticity in their skin and thus may not get the same results that a younger person with tighter skin might get.

Since the healing process is gradual, you should expect to wait at least several months to get an accurate picture of the results of your surgery. The small incisions used for access of the instrument known as a cannula, will fade over a number of months usually becoming barely visible. The fat cells are broken up with a saline solution and removed through the cannula. The results of this surgery are usually long-lasting, but they may be affected by weight gain, aging, pregnancy, and lifestyle factors.

Note that lipolysis and liposuction is not performed to reduce weight, it just done for body shaping. Using laser, ultrasound or any other method for lipolysis or breakdown of fat cells helps the surgeon and the patient to obtain better result. In this case, you should consult Dr. Varasteh Kia before surgery.

After Lipolysis and Liposuction
  1. Sometimes nausea occurs after surgery that is normal, do not worry.
  2. Eat and drink lightly.
  3. If you feel nauseated, lie on your back with your head down and remain still.
  4. After liposuction surgery, any sensation of nausea should pass by the morning.
  5. Consume foods like soup, pineapple juice, orange juice, celery juice, and vitamin C until 24-48 hours after surgery. After that a normal diet is recommended.
  6. Your diet consists of plenty of liquids, light meals, and foods contain protein and vitamins.
  7. Do not drink milk in the first few days because it can cause bloating.
  8. Inform your doctor if you have digestive problems. He will prescribe necessary drugs.
  9. Avoid taking medications that prevent blood clotting such as aspirin and warfarin. You should only take prescribed medications.
  10. Avoid fatty meals because they are difficult to digest. Consumption of fatty foods increases your nausea.
  11. Try to avoid pressure on the muscles when you are coughing and sneezing.
  12. Extensive bruises (black and blue discoloration) and swelling in and around the liposuction surgery areas are common after liposuction, too.
  13. Patients who have liposuction of the abdomen may experience more postoperative pain than in other areas, probably from irritation of the underlying tissues, which is aggravated every time you breathe deeply, sit up, or bend and straighten.
  14. After your liposuction or lipolysis surgery, you should wear compression garment.
  15. You can change the garment and remove the dressing placed underneath the garment. It is best to do this in the presence of another adult in case you get dizzy.
  16. To avoid lightheadedness, sit down for 5 or 10 minutes after removing the garment and the dressing. At this time, you can shower with the garment and dressing off.
  17. Do not smoke for 48 hours after your liposuction surgery to prevent coughing and bleeding.
  18. Avoiding vigorous massages of the treatment area for 4-5 months.
  19. Early ambulation is an important instruction to minimize blood clots in the legs. Early ambulation means getting up and walking around the house for approximately 10 minutes at least 6 times a day.
  20. You should open your abdominal binder and compression garment at rest every 4-6 hours and close it after 20-30 minutes.
  21. You should not open your abdominal binder and compression garment when using the toilet.
  22. You should first turn to the side and get help from your hands when you want to get up. You should not insert pressure on the abdominal muscles during the first 4 weeks after surgery.
  23. Be careful to sleep only on your back and when you waking up, you can move a little to the side.
  24. Avoid long-term side-sleeping in the first two weeks then follow your physician’s instructions.
  25. You should get your prescription at the discharge time or get it from the clerk in the office earlier. It usually includes antibiotics pill, painkiller pill, antibiotic ointment (can be used on wounds and stitches), washing serum (to wash the wound), normal saline or sodium chloride, Betadine, baby shampoo, and other drugs. These are prescribed by your doctor and recommended only for you.
  26. It is better to consult your doctor for taking other drugs that were used before the surgery.
  27. Correct use of medication and follow-up recommendations are necessary for appropriate care of the wounds.
  28. It is better to drink enough liquids before bathing.
  29. You should wash all areas of the wound with Betadine-shampoo solution (mixed equal amounts of them).
  30. Clean the surgical wound with Betadine then dry it. Apply the ointment only to the wounds. Then put a layer of gauze on it and wear the clean abdominal binder and compression garment.
  31. You can wear a thin cotton cloth under the compression garment instead of using gauze in coordination with your doctor.
  32. You no longer need to use Betadine after 5 days. You should just apply the ointment to the wound.
  33. When you rest, pillows with the height of about 30-45 degrees above the horizon are recommended in the first few days after surgery to prevent face swelling.
  34. You do not need to sleep all the time. You can walk in home 24 hours after surgery.
  35. Call your doctor or nurse in case of severe bleeding (abnormal) due to trauma or unusual movement.
  36. Clean the surgical wound with Betadine then dry it. Apply the ointment only to the wounds.
  37. Do the procedures mentioned above for the suction stitches, then put a layer of gauze on it and wear the clean abdominal binder and compression garment.
  38. Contact your doctor if you have bowel problems. You can use bisacodyl suppository.
  39. It is better to follow breathing physiotherapy (deep breathing), cough, and sputum removing in the first 5 days.
  40. It is better to sit on a chair while taking a bath in the first 5-10 days.
  41. Bathing should not take more than 10-15 minutes. Water temperature should be less than 40-50 centigrade.
  42. It is better to put a bed sheet or towel on your bed and lie on it. Then open your abdominal binder and compression garment and dry all parts of your body.
  43. Note that bathing should be done with wearing, so it is better to have two of them.
  44. You should take a shower every day after discharging from the hospital.
  45. Most patients, after laser lipolysis, are able to resume their normal daily activities and return to work the following day.
  46. Most liposuction patients may return to full activities other than sports within 4 days. More vigorous activity can be resumed gradually after the first week.
  47. Just after liposuction, patients have to rest in bed for the first 48 hours.
  48. Seroma flow from the suction area is normal. It is better to cover it with the pad.
  49. You can start light exercises such as walking after a week and increase them gradually under your physician’s supervision.
  50. Daily bath is very effective for wounds healing.
  51. Abdominal binder should be used for 2 months and compression garment may be used for 3-6 months depending on the type of patient swelling and need.
  52. Avoid pressure on your chest and abdomen in the first months. Avoid lifting weights more than one kilogram.
  53. Do not drink alcohol for 5 days after surgery or while you are taking the pain medication.
  54. Ask your questions from the surgeon. It will be helpful for your improvement.
  55. You should have less activity at home. When you rest pillows with the height of about 30-45 degrees above the horizon under your feet are recommended.
  56. Swimming and fitness are recommended after three months according to the patient’s general condition.
  57. You should have an appointment with your physician once per week in the first month, then every two weeks, and once per month in the third month. Some small stitches may be removed during these appointments.
  58. Using a pillow under your legs helps to reduce swelling.
  59. You should start proper exercises that are effective for better muscles forming under your physician’s supervision.
  60. You would not be in appropriate physical and mental condition in the first 2 weeks after surgery so you should not drive, not operate with the machines and not take important decisions at this time.
  61. Do not take any medication without checking with your doctor.
  62. Ask someone to stay with you during the first week.
  63. Have patience and do not hurry to reach the final result. All problems will be solved with time. Full recovery takes time.
  64. Do not forget to follow after surgery instructions.
  65. You can contact with your doctor or his assistants to ask your questions.