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
Types of liposuction techniques
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.
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.