Liposuction Carmel

Also Serving Carmel, Fisher, Avon, and Surrounding Areas

In the United States in 2014, according to the statistics collected by the American Society of Plastic Surgeons 210, 552 liposuction procedures were performed. Liposuction (liposculpture) is available in Indianapolis/Carmel area through the services of Sando Aker My Plastic Surgery Group.

WHAT? Liposuction is a surgical procedure intended to reduce targeted areas of fat accumulation – e.g. abdomen, pubis, flanks, back, buttocks, thighs, arms, and neck (subcutaneous, not core fat). Tiny hidden incisions are made in the skin to allow the insertion of small vacuum cylindrical cannulas. Fat cells are microscopic fat storage containers. Disruption/removal of these reduces the number of storage containers in a given area, thereby resulting in a reduction of this regional stored volume of fat. Liposuction is a very safe operation when performed by skilled, experienced, careful surgeons.

WHO? Patients with good skin tone or elasticity (relative absence of stretch marks or dimpled cellulite) and normal or slightly above normal body mass are the best candidates for liposuction. Focal areas of fat accumulation (e.g. “saddlebags” in women/ “love handles” or large breasts in men) represent ideal targets for liposuction. It is not a shortcut to weight loss by itself, although patients have considered its value as an emotional springboard for launching into an effective dieting-exercise weight loss program. Stressed skin, i.e. exposed to nicotine, chronic sun, massive weight changes, hormone or medication effects, advancing age with telltale signs of laxity, stretch marks, or cellulite dimpling often has a tendency to sag after fat removal and needs to be evaluated by an experienced physician first.

HOW? Liposuction is an operation in which one or more small (Band-aid coverable) incision(s) is made in a hidden site and through which is inserted a vacuum wand or cannula. Vacuum suction is applied and subcutaneous fat then is extracted into a bottle from which the fat can be processed for use elsewhere (e.g. face) or simply discarded. Fat is a soft yellow, gelatinous, energy–rich tissue. Interestingly, the fat on the back side of the body has a tougher, more gristly nature as there are tiny white fibers passing through this fat. After suctioning, the surgeon closes the incisions with tiny sutures, and applies a Band-aid. Usually the procedure is performed outpatient under an anesthetic. Drains are seldom required. Although antibiotics routinely are used, the risk of infection is very small.

AND THEN? Afterwards protected activities are encouraged. A compression garment may be worn for added comfort. Swelling for 6-8 weeks is common. The biological age of the skin determines shrinkage: young elastic skin shrinks nicely; stressed (see above) skin tend to relax downward. Strategic performance of liposuction in concert with adjacent skin removal or tightening can help alleviate this tendency, and requires artful experience of the surgeon. Drs. Sando & Aker My Plastic Surgery Group have extensive experience in liposuction and combination procedures. During recovery and early healing patients often describe the discomfort as a deep “bruised” feeling, coupled with skin surface numbness, and may show short-lived skin bruising.