Liposuction also known as lipoplasty slims and reshapes specific areas of the body by removing excess fat deposits while improving your body’s contours and proportion. Liposuction not only offers the opportunity to slim and contour chubby areas of the body by removing the fat cells, it also ensures that these areas will not accumulate fatty deposits in the future.
Liposuction Consultation with Dr. Steinbrech
Dr. Douglas Steinbrech works with you to identify and eliminate undesirable fat that has not responded to diet and exercise. In some patients areas of excess fat deposit are not attributable to lack or diet or exercise but rather inherited family traits. Located in Manhattan between Madison and Park on E. 56th, Dr. Steinbrech and his staff welcome an opportunity to discuss your overall enhancement goals.
During your initial consultation, Dr. Steinbrech will discuss your goals and suggest options with a recommended a course of treatment. He will address anticipated liposuction results based upon his experience and your concerns while identifying risks or potential complications. Liposuction is performed as an out-patient procedure. Based upon the treatment decisions Dr. Steinbrech will discuss whether a local or general anesthesia will be used.
Dr. Steinbrech discusses Liposuction
Liposuction is a surgical technique that improves the body’s contour by removing excess fat from deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula which is connected to a powerful suction pump and inserted into the fat through small incisions in the skin. Fat removal is accomplished as the suction cannula creates tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse, resulting in an improved body contour.
The procedure begins with the injection of a solution composed of saline, a local anesthetic called lidocaine. A small amount of adrenaline is added to decrease bruising and bleeding. This is known as either the tumescent or super-wet technique, depending on the ratio of the fluid to the fatty tissue being removed. Once this solution has been introduced into the area planned for treatment Dr. Steinbrech continues with one of two different methods of liposuction currently approved by plastic surgeons: suction-assisted lipectomy (SAL) or ultrasonic-assisted lipectomy (UAL).
In both methods, a tiny incision is made in an inconspicuous location.
- In SAL, a cannula (small tube) is inserted and moved back and forth beneath the skin, breaking up the fat layer and suctioning it out.
- In UAL, ultrasonic energy is used to liquefy the fat before it is suctioned out with a cannula.
The liposuction procedure may last from one to five hours, depending on the amount of fat being removed using either local anesthesia or general anesthesia.
A liposuction procedure reduces fat deposits in a broad area of your body including:
- Upper arms
- Inner knee
- Chest area
There were 396,048 liposuction procedures performed in the United States in 2015 according to the American Society for Aesthetic Plastic Surgery which is the authoritative source for current United States Statistics on cosmetic surgery. This represents at 16 percent increase in liposuction procedures over the previous year. While liposuction is an effective procedure to recontour your body it is not a treatment for obesity, it is not a substitute for proper diet and exercise.
Frequent Liposuction Questions
Is liposuction right for me?
Ideal candidates for liposuction are:
- Adults within 30% of their ideal weight who have firm, elastic skin and good muscle tone
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Individuals with a healthy lifestyle and specific goals in mind for body contouring
Would a different procedure be more appropriate to my issue?
Liposuction alone may enable you to attain your body enhancement goals. Dr. Steinbrech will discuss with you whether liposuction is a good choice to accompany other procedures including plastic surgery procedures such as a facelift, breast reduction or a tummy tuck. For some patients secondary procedures may sometimes be recommended to reduce excess skin. Special considerations are needed when large amounts (usually more than five liters of fat or 5.2 quarts) are suctioned.
What is the procedure for liposuction?
Anesthesia: Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
The Procedure: Liposuction is performed through small, inconspicuous incisions. Dr. Steinbrech places incisions in locations that will be minimally visible. A sterile liquid solution is infused to reduce bleeding and trauma. A thin hollow tube, or cannula, is inserted through the incisions to loosen excess fat. Through the cannula the dislodged fat is suctioned out of the body. A surgical vacuum or syringe attached to the cannula removes the fat.
What can I expect during recovery?
Your improved body contour will be apparent when the swelling and fluid retention commonly experienced following liposuction subside. It is important to have someone to drive you to and from surgery. Someone should also stay with you for at least the first night following surgery.
Dr. Steinbrech will place a compression garment or elastic bandages to cover treatment areas for most patients. Compression works to control swelling compressing the skin to the body contours created by the liposuction procedure. Small temporary drains may be placed in the incisions located beneath the skin in order to remove any excess blood or fluid.
Pain medication will generally be required for the first few days and an antibiotic will be prescribed. Continuing discomfort can last varying amounts of time. Much of the swelling and bruising will be improved within two weeks though some bruising and swelling may persist for six to eight weeks.
Patients are encouraged to walk as soon as they are able and many return to work within a few days. Strenuous activity should be avoided for about a month. As with all operations, pain and discomfort varies greatly from patient to patient. Walking is recommended immediately post-procedure with progressive activities beginning on the 14th day in order to minimize the adhesions between the skin and the deeper tissues. Walking, swimming, or riding a stationary bicycle can usually begin a few days after surgery. Most patients are instructed to wear an elastic garment from four to six weeks to help with skin shrinkage.
What results will I experience with liposuction?
Results are visible immediately in the contours of your body and improvement continues as swelling subsides during the first three months. In addition to the fat cells removed with liposuction, other fat cells are not removed but are simply injured by the liposuction cannula. These injured fat cells atrophy over several months resulting in additional improvement.
Wearing compression garments is an important part of the recovery process. Multiple tunnels are made underneath the skin, preserving the supporting structures while suctioning out the fat. The resulting tissue scaffold is similar in concept to a honeycomb. The empty channels from which the fat has been removed tend to fill with fluid postoperatively. Compression garments limit the amount of fluid that can accumulate in the suctioned areas, thereby shortening the time until you see your final result.
Your body will resorb all this fluid over time. Although the rate of resorption varies among different body areas and among different individuals, most patients attain their final and lasting result at the three-month mark. Dr. Steinbrech works to ensure scars from the cannula insertion point are small and inconspicuous.
Are the effects of liposuction permanent?
A healthy diet and fitness activities will help to maintain your new body contours. The loss of excess fatty tissue should be permanently maintained. However, substantial weight gain can alter an otherwise permanent result.
Are there risks associated with liposuction?
Risks are uncommon when the procedure is performed by a qualified surgeon. Nevertheless, they do occur. Irregularities in appearance are possible, such as asymmetric or “baggy” skin, numbness and pigmentation changes.
Are the results of liposuction permanent?
It may take several months for the swelling to fully dissipate. As the swelling subsides the contours should continue to define themselves and develop more visibly. A significant weight gain can reverse your results. A slimmer and better-proportioned body should emerge after liposuction. A healthy and active lifestyle is important to maintain your new contours.
Why Dr. Steinbrech as Your Cosmetic Surgeon?
Dr. Steinbrech has the proven ability to provide a sculpted result with liposuction. His experience and keen eye for aesthetic detail will help you attain your body enhancement goals. We are conveniently located in Manhattan between Madison and Park on E. 56th.
Dr. Steinbrech’s gallery of patients including before and after photos indicate individualized results for each unique patient.
Dr. Douglas Steinbrech is a Plastic Surgeon certified by the American Board of Plastic Surgeons under the American Board of Medical Specialties. He specializes in Minimally Invasive Aesthetics incorporating this philosophy into all of his surgical and non-surgical techniques. He has been selected as one of America’s Top Plastic Surgeons by the Consumers’ Research Council of America.
Board certified cosmetic surgeons are fellowship trained in all aspects of cosmetic surgery, including brow lift techniques. American Board of Cosmetic Surgery surgeons use only accredited surgical facilities upholding the highest safety standards.
Dr. Steinbrech underwent eight years of surgical training at New York University in General Surgery and Plastic and Reconstructive surgery. He was trained in Plastic and Reconstructive Surgery at the prestigious NYU Institute of Plastic and Reconstructive Surgery. This included training at Manhattan Eye, Ear and Throat Hospital by the icons of the latter part of the 20th century including mentors McCarthy, Aston, Baker, Tabbal, and Pittman.