Liposuction

Conveniently located to serve Carmel, Indianapolis, and Zionsville.

About Liposuction Surgery

In the United States in 2014, according to the statistics collected by the American Society of Plastic Surgeons 210, 552 liposuction procedures were performed. Also called liposculpture, liposuction in Carmel is available through the services of Sando Aker Aesthetics.

liposuction

Liposuction Procedure Details

WHAT? Liposuction is a surgical procedure intended to reduce targeted areas of fat accumulation – e.g. abdomen, pubis, flanks, back, buttocks, thighs, arms, chin, and neck (subcutaneous, not core fat). Tiny hidden incisions are made in the skin to allow the insertion of small vacuum cylindrical cannulas. Liposuction is often used as part of other procedures like the tummy tuck and male breast reduction to treat gynecomastia.

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 of Sando Aker Aesthetics 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.

Your procedure will be performed in Dr. Aker and Dr. Sando‘s surgery center located in Carmel, IN.

Liposuction Before & After

Body Contouring After Major Weight Loss before photoBody Contouring After Major Weight Loss results

Real Results

View before-and-after pictures of real patients of Dr. John Aker and Dr. William Sando.

Frequently Asked Questions

If I gain any weight, will my liposuction results be ruined?

Small amounts of weight gain do not harm results, but certainly, since the results of liposuction can be subtle, it is best to avoid weight gain.

Will I have very much swelling following my liposuction procedure?

Moderate swelling can be alleviated by wearing compression garments and by reducing salt in your diet. Usually lower trunk swelling lasts 3 to 6 months, and thigh, arm, and breast swelling will last about 1-3 months.

What is laser-assisted liposuction? Do you do this?

This is a newly developed technique which removes fat and simultaneously heats the skin to induce minor shrinkage. Currently we are evaluating its merits, but do not yet offer it.

What medications should I avoid if I’m considering liposuction?

Avoid non-steroidal anti-inflammatories such as Motrin, Advil, Ibuprofen and Aleve. And, because they may cause bleeding, you should avoid fish oil (Omega 3) capsules. Herbal products should also be avoided. All of this will be covered in depth with your plastic surgeon prior to cosmetic surgery.

What is ultrasonic liposuction?

Ultrasonic Liposuction is an approach in which microwave energy causes fat cells to liquefy so that they can be vacuumed out through the cannula.

How can I get rid of cellulite for good?

Unfortunately, there are no proven techniques for permanent cellulite removal.

Why is it important to be well hydrated before liposuction surgery?

Liposuction causes fluid shifts to occur in the body. Preoperative hydration helps to make those shifts of fluid the smoothest and safest possible.

How long will I need to be off work following liposuction?

It depends on how many areas are operated. This can be discussed with your plastic surgeon during your consultation.

Is this cosmetic surgery procedure safe?

It is very safe. Blood loss is usually moderate and infections are rare. The risk of blood clots is comparable to other anesthetic procedures

Will I be awake during this procedure?

This procedures are normally performed under general anesthesia.

Is there a risk of infection with this procedure?

Infection risk is minimal. Preventative antibiotics are used.

Will liposuction tighten my skin?

Ordinarily not.

How much weight can I lose with liposuction?

Liposuction is considered a contouring procedure, not a weight loss operation. There is no significant weight loss with this procedure.

How much does liposuction cost?

The cost of liposuction varies. The price of the procedure is impacted by the size and number of targeted regions, the techniques employed, and the amount of fat removed.

Liposuction Procedure Information

Liposuction (suction-assisted lipectomy), or lipo, is a surgical procedure in which fat tissue is extracted from beneath the surface of the skin by inserting a hollow, stainless steel or plastic rod through a band-aid sized incision and then applying suction. With a liposuction procedure, the surgeon is able to permanently reduce a deposit of excess fat. In our, and most other, practices, liposuction is almost always performed under general anesthesia.

You might have heard of the tumescent technique for this procedure as well. What makes the tumescent technique different is that extra fluid is injected in advance to stabilize fluid shifts, and may reduce bleeding. This is a very safe procedure.

Liposuction works better on some areas than others, and we feel it is important to share the fact that there is a risk of sagging skin in the area where lipo was done if the patient has poor skin elasticity. During your consultation with one of our cosmetic surgeons, they will discuss whether or not they feel you would be a candidate for liposuction.

Depending on the number of locations of fat sites you have and the amount of fat removed from each site, liposuction generally takes between 1/2 hour – 3 hours.

We invite and encourage you to view our liposuction before and after pictures posted on our website.

Get Started Today

The best way to get started with liposuction in Carmel is by contacting Sando Aker Aesthetics and scheduling your informative consultation. Our skilled surgeons are your ideal choice for expert care and high-quality plastic surgery results.

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