Tumescent Liposuction Sets Standard

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The “gold standard” of liposuction is tumescent liposuction, Dr. Jeff Popp said.

In this procedure, parts of your body are numbed with local anesthetics. Small punctures are made with a needle known as a cannula, which injects a solution to break down the fat.

Under local anesthesia, you’re awake and fully aware during the procedure. You can walk on your own immediately afterward.

Dr. Popp said local anesthetics are much safer and cause fewer complications than general anesthesia when you’d be unconscious throughout.

A common question

You might ask why you should bother with liposuction if the fat sucked out will just return to another part of your body.

But fat will appear in another area only if you gain weight, Dr. Popp said. If you stay within five to 10 pounds of your liposuction weight, you’ll be fine.

If you gain 20 or 30 pounds, you’ll see fat develop elsewhere, but not where you had the liposuction. Those treated areas no longer have fat cells. That means weight gain there cannot occur again. Instead, such extra poundage picks a site where the fat cells are still active.

Purpose of liposuction

Yet if you seek liposuction to cure obesity, you’ll be disappointed. When he performs liposuction on an obese individual, that person still looks fat, Dr. Popp said.

“Liposuction originally came about to fix small areas that were diet and exercise resistant. That’s what it’s meant to fix.”

The trunk of your body isn’t the only area where liposuction can be successful. He said the neck below your chin and jaw line is where almost all facial liposuction is done.

Gender-based objectives

When women head to Dr. Popp for tumescent liposuction, they usually focus on their hips, thighs and/or abdomen. Women from their late 30s into their 60s usually don’t get liposuction because they want to hop into a string bikini.

“They want to wear tight t-shirts,” Dr. Popp said. “Maybe they have a big belly. They don’t look bad otherwise, but have to wear looser clothing because of it. That’s a very common theme among the women I treat.”

Although 98 percent of his cosmetic practice is women, some men do come in for liposuction. Men tend to focus on the abdomen or flanks (love handles). Some get liposuction done on both areas during the same session.

Post-operative recovery

Although people aren’t encouraged to run marathons right after liposuction, they can walk as far as they want.

The only downside to liposuction recovery is there’s a lot of leakage in the first few days. That’s because puncture holes made during the procedure are left open to drain.

“We only suck out about 20 percent of the tumescent solution with the fat during the procedure,” Dr. Popp said. “The rest leaks out or is metabolized by the body over the next several days.”

Considering tumescent liposuction? Set up your consultation with Dr. Popp at 402.391.4558.

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