Liposuction is one of the most common cosmetic surgical procedures and is used to remove excess areas of discrete fat from the tummy area, hips, thighs, buttocks, upper arms breasts, and neck. It is often used in combination with other procedures, including breast reduction surgery, neck lift surgery and abdominoplasty (tummy tuck surgery).  It is NOT a substitute to achieve weight-loss.  Titus Adams usually favours liposuction as an adjunct to other surgical procedures – commonly during abdominoplasty surgery to help improve contouring of the body.

Mr Titus Adams performs several types of liposuction and lipofilling to get the best results for each patient:

  • Dry liposuction
  • Wet liposuction
  • Superwet liposuction
  • Tumescent liposuction

Mr Adams will discuss the best procedure for you during your consultation.

Types of liposuction techniques

Dry liposuction

This involves directly removing fat from under the skin without any infiltration of fluid. Unfortunately, this has been associated with significant bleeding/bruising, damage to the remaining fat, irregularities in contour and can cause significant discomfort. It is rarely employed nowadays.

Wet liposuction

A fluid mixture (containing both adrenaline to limit bleeding, and local anaesthetic solution to reduce discomfort) can be infiltrated within the treatment area just prior to suction. Surgical results and patient satisfaction are improved.

Superwet liposuction

Evolution of the “wet” techniques has led to greater volumes of infiltration fluid being given prior to treatment (“super-wet”). This improves pain relief, reduces bleeding and bruising, and helps to improve the contouring of the body during surgery, with the aim of reducing the risks of irregularities.

Tumescent liposuction

This technique describes very large quantities of infiltration to the treatment area.

Liposuction is performed under local or general anaesthetic and depends on the extent of liposuction required and patient choice. The suction techniques involve the insertion of a fine metal cannula just under the skin, attached to suction apparatus via tubing. The quantities of both fat and infiltration fluid is carefully measured during the procedure and gives the surgeon a clear indication of successful treatment. This is termed suction-assisted liposuction (SAL). Sometimes the cannula is attached to a machine that provides fine movements of the cannula tip, which can help the surgeon in the removal of large quantities of fat. This is termed power-assisted liposuction (PAL). New developments of the cannula tip have employed ultrasound (UAL) and Laser (LAL) during liposuction procedures. However, there are reports of significant thermal (burn) injuries to the remaining fat and overlying skin, following the use of both UAL and LAL, which can cause fat and skin death (necrosis) and greater degrees of irregularities in body contouring. Mr Adams does not use UAL or LAL in his current practice on safety grounds.

Mr Adams routinely employs the technique of both liposuction and lipofilling in breast aesthetics and breast reconstruction, for example. This dual combination of removal (from unwanted areas using very small cannulae) and then filling to other sites of the body is termed liposculpture. Liposuction can also be used in combination with under-skin scar release in cases of “fat fracture”, during which tethered scars are divided within the fat to improve body contouring following significant soft tissue trauma.


What You Need to Know


Read the full liposuction fact sheet for more information on the types of surgery, pre-operative advice and what to expect following the procedure.
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“Recommendation after recommendation has put Adams firmly on the Cotswolds map (he has clinics in Berkshire and Oxfordshire). It’s partly down to his nature (he’s a wonderful conversationalist and has charisma in spades), but also his manner, which is thoughtful and careful. His forte? Womanly tummies, with curves in the right places. New mummies in particular love the way he recontours the waistline and creates the illusion of a lightly toned abdomen.”

“Titus Adams makes light work of postpartum tummies, slimming the silhouette and nipping in waists by pulling the underlying muscles tight, like a corset. ‘Though it’s best to leave some fat behind,’ he says. ‘It allows fluid to drain from the body, rather than building up in the tissues’. The fat he does take, however, is useful if there’s need to plump a deflated cleavage. And, because he’s chatty and approachable, smoothing over even the most awkward of questions (like ‘how do you wear your undergarments?’ – crucial, as it ensures the best positioning of scars), you feel at ease. You trust him.”

“Adams listens carefully & closely. And his results are truly top notch whether he is tidying things up after some impressive weight loss or putting you back together after the last baby. The key phrase is ‘preservation of tissues’, to retain a natural appearance.”