Liposuction (PAL) with Under Chin and Neck-GA (PPSI)
|Procedure or Treatment Time|
1 to 2 hours
General Anesthesia (GA)
Thai Baht (THB)
English spoken widely by healthcare professionals, Thai
5 days recommended
Phuket Plastic Surgery Institute
Q and A is submitted by members and answered by our medical community.
Abdominal liposuction is safer, gives superior cosmetic results, and has a more natural appearance without disfiguring surgical scars. Thus, liposuction has now largely replaced tummy tuck surgery as the preferred technique for improving the silhouette of the abdomen. There is another reason why a surgeon might recommend a tummy tuck. Some surgeons and some patients believe the aesthetics benefits of a maximally flat tummy outweigh the disadvantages of an abnormal appearance of the belly button and the unnatural appearance of the lower abdominal scar. Patients should be aware of this issue when evaluating liposuction vs. tummy tuck.
During the two days immediately after liposuction, the amount of pain experienced depends on the type of anesthesia used for liposuction. Soreness is usually the most intense 2 to 4 days after liposuction and then decreases steadily. The tenderness and soreness typically is quite bothersome for up to 4 weeks, but gradually subsides over the following next 4 to 8 weeks.
Liposuction can be performed in a doctors office, in an outpatient surgery center, or in a hospital. A safe surgical facility for liposuction must be able to minimize the risks of surgical infections. Surgeries should be done in operating rooms that maintain high standards for cleanliness.
Yes. Almost everyone has some degree of anxiety before having a surgical procedure, including liposuction. Some people have more anxiety than others.
The only patients for whom a tummy tuck is superior to abdominal liposuction are the relatively few women having extreme degrees of lower abdominal skin laxity, unusually extensive stretch marks, or severely stretched abdominal muscles (as a result of pregnancy). Tummy tuck surgically removes skin with severe stretch-marks (striae-distensae). Liposuction does not remove stretch marks. A tummy tuck can produce a flatter abdominal wall by tightening the abdominal muscles. Liposuction is appropriate for patients who have abdominal muscles that have not been excessively stretched out of shape by pregnancy. A tummy tuck can remove excessive amounts of loose abdominal skin. However, loose abdominal skin does not mean that a tummy tuck is necessary. After liposuction, abdominal skin often contracts to a surprising degree so that an excision is not necessary.
The majority of patients who have excessive abdominal fat find that they are very happy with the results of a simple abdominal liposuction. Several months after having had an abdominal liposuction, the vast majority of women are so happy with their results that they decline a subsequent tummy tuck.
Liposuction of the abdomen removes most of the fat found under the skin and above the abdominal muscles. When patients have good abdominal muscle tone, liposuction can provide a dramatic improvement, with a natural appearance of the abdomen, and with minimal scarring. In the vast majority of liposuction patients, the natural elasticity of abdominal skin contracts smoothly, and there is no need to surgically remove skin. Tummy tuck usually involves liposuction to remove fat plus the surgical removal of a large section of skin from the lower abdomen, together with a surgical relocation of the belly button. A tummy tuck can result in an unsightly scar that extends across the entire lower abdomen, just above the pubic area in addition to an unnatural appearance of the belly button. The recovery after liposuction is much safer, quicker and easier than the recovery after a tummy tuck.
Tummy tucks are more expensive as liposuction of the abdomen. The recovery time required before a person can return to work after a tummy tuck is typically two to four times longer than after liposuction of the abdomen.
The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the bodys contour by removing excess fat deposits located between the skin and muscle
Liposuction is most commonly performed by surgeons who have acquired special training in the techniques of liposuction. Surgeons who perform liposuction or other cosmetic surgeries are called â€œcosmetic surgeons.â€
Elastic compression garments (specially designed girdles) were intended 1) to reduce bleeding immediately after surgery and 2) to reduce swelling the time that the body is healing. Tumescent liposuction has eliminated surgical bleeding. Most surgeons require that patients wear an elastic compression garment for a certain length of time after liposuction.
After liposuction, the new bodys shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back.
The most frequently treated areas for women are the abdomen, breasts, hips, outer thighs, anterior thighs, inner thighs, knees, arms, buttocks, cheeks and neck. In men, who comprise about 15% to 25% of liposuction patients, the most commonly treated areas include the chin and neck area, abdomen, flanks (â€œlove-handlesâ€), and breasts.
A good candidate for liposuction is defined as any person who has realistic expectations, is in good health and is likely to be happy with the results of liposuction. Although liposuction can often provide very substantial improvements, it is rare for liposuction results to be absolutely perfect.
The most dangerous aspect of liposuction is an attitude that ignores the risk of doing too much liposuction on a single day, or disregards the risks of doing multiple unrelated surgical procedures on the same day that liposuction surgery is performed. As judged by current worldwide experience, liposuction is amazingly safe. Rare problems that can potentially occur with any surgical procedure include infections, bleeding, skin ulcerations, and nerve injury.
Liposuction is not a good treatment of obesity. Liposuction is not effective, even as a last resort, for people who are unable to lose weight by dieting and exercise.
Tumescent liposuction designates a form of liposuction that uses tumescent local anesthesia. The tumescent technique for liposuction totally by local anesthesia has eliminated the greatest dangers associated with the older forms of liposuction.
When liposuction is done totally by local anesthesia, patients can usually depart from the surgical facility within 30 minutes of the completion of surgery. When general anesthesia is employed, then patients usually require one to three hours of post-anesthesia observation before being discharged home. Most patients can return to a desk-type job with two days after tumescent liposuction. Because of the significant decrease in swelling, inflammation and pain after tumescent liposuction, patients are able to return to normal physical activities very soon after tumescent liposuction.
Tumescent liposuction totally by local anesthesia is the safest form of liposuction. Liposuction using general anesthesia or heavy IV sedation is somewhat less safe than liposuction totally by local anesthesia. Microcannulas permit smoother results after liposuction. A liposuction cannula is a small stainless steel tube that is inserted through an incision in the skin and removes subcutaneous fat.
The fee for liposuction usually depends on how many areas are treated by liposuction. When only one area is treated by liposuction the fee is less than when multiple areas are treated.
The appearance of skin after liposuction depends on the skins elasticity. Skin with good elasticity should look smooth and natural after liposuction. Scars are not a common problem with modern liposuction which uses very small cannulas (microcannulas) and thus only very small incision are required.
Decisions about liposuction should not be based solely on the cost of liposuction. The cheapest procedure might mean that the surgeon does the procedure quickly and incompletely. You should feel free to ask any question you have about liposuction. In fact, it is the patients responsibility to make sure that all important questions have been asked and answered before making any final decisions about having liposuction