Tips for safe recovery after large volume liposuction

Liposuction of fat more than 5 percent of person’s body weight is referred to as large volume liposuction. This term is used to differentiate it from small volume liposuction which is much simpler and safer. Smaller volumes of fat can be removed under local tumescent anaesthesia , without hospitalization with minimal blood loss. Large volume liposuction on the other hand requires much more preparation, hospitalization and recovery time. If you are well prepared you can get the best out of your liposuction .

Preparation for large volume liposuction:

Healthy diet before liposuction: Your nutritional status determines the healing capacity. A lot of obese people are actually iron and vitamin deficient, especially if they have been on crash diets. You should start taking Iron and multivitamin supplementation and avoid crash diets 1-2 months before planned liposuction. Diet control should be done under supervision of qualified dietician.

See the plastic surgeon early: It helps to consult the plastic surgeon 3 months in advance. This will help in assessment of your general health. If any problem like anaemia or hypothyroidism are detected they need to be treated adequately before you can have the liposuction. This can take time- so plan in advance

Reveal your complete medical history to the plastic surgeon: For your total safety under anaesthesia it is absolutely necessary that the doctor knows about all your current or past medical and surgical history. Keeping secrets from your doctor can prove dangerous.

Discuss all your medication and supplements with doctor: Do not take any medications and supplements in the month preceding liposuction without discussing with your plastic surgeon. Certain health supplements sold in gym, weight loss medicine, birth control pills, common painkillers – all these need to be stopped 2-3 weeks before surgery. Certform also about your allerain other medicines interact with anaesthetic drugs and anaesthetist must know about them.

Prepare for 2 weeks of rest time after liposuction: After large volume liposuction, body takes a couple of weeks to recover from its effects. Giddiness , aches and pain are maximum during first week and gradually come down during second week.



Have someone to help you at home after liposuction: during first week after liposuction you will need someone to take care of your and your family’s needs.

Stage the liposuction: It makes sense to not just limit the amount of fat removal in one sitting but also the number of areas from which you get the fat removed. Try to limit the liposuctioned areas to 1 or two areas at a time. Do not push the surgeon to remove fat from all over your body. It will make your recovery too painful. Keep at least 2 months time between two sittings to recover fully.

Choose the right surgeon : An experienced plastic surgeon and anaesthetist team makes a safe large volume liposuction possible.

Choose the right hospital facility: Large volume liposuction should be performed only in hospital setting where postoperative monitoring and emergency care( I.C.U.) is available. 24 hrs availability of anaesthetist to deal with any emergency situation is mandatory.

Liposuction for weight reduction

I am a plastic surgeon. A lot of people who are overweight approach me everyday for getting a good body shape by liposuction. Those who are within 10 percent of their ideal body weight( for example if ideal weight for someone is 60 kilos and he weighs 66 kilos or less) are ideal candidates . Thats because their fat is usually localized in one or two body parts, like belly, thighs hips or arms .By removing a limited quantity of fat- say 5-6 kilos from those specific parts I can give them nearly perfect figure ,without compromising their safety . But quite often patients are really obese and want to reduce 10-20 or even 30 kilos by liposuction. This is a different scenario altogeather.

Lets first briefly consider few facts about liposuction. Liposuction is a plastic surgery procedure wherein fat from any body part can be extracted in liquid form through multiple tiny( 4 mm) cuts. Since procedure takes 1-4 hours to perform depending on the amount of fat and number of body parts treated- it is performed under some kind of anaesthesia inside a fully equipped operation theatre. There are no stitches but in every other way it is a major surgery with risks of surgery and anaesthesia. There is a healing time and period of rest involved.

People often ask if liposuction is safe? My answer is- yes it is , if done within safe limits. Liposuction involves removal of fat but invariably some amount of blood is mixed in the fat. By using tumescent technique blood loss can be minimized but can not be completely eliminated. Just like in case of blood donation where 300 ml blood can be safely donated by a healthy person , liposuction if done under strict quality conditions fat equivalent to 5-7 percent of person's body weight( 7 kilos for person weighing 100 kg) can be removed safely in one sitting.

People who are fat all over and 30-40 kgs overweight sometimes ask for liposuction , to reduce weight primarily. There are several problems in this scenario.First of all reducing a lot of fat like 10 kgs or more is risky, involves blood transfusions, long operating time and more dose of anaesthesia drugs. This risk though small is not justified just for losing weight which can be done in healthier and safer weighs. Results of liposuction are also inferior in large volume liposuctions due to surgeon working hastily and getting tired instead of doing a fine sculpting job. Irregularities and asymmetries are common after large volume liposuctions .

Then there is the question of long term maintenance of results. If patient says he is obese because he can not diet and has no time for exercise , I ask him how he is going to maintain the results? Fat gain is related to more calorie consumption relative to calorie burning. Weight can be regained if same lifestyle is faulty.

In a moderately overweight person removal of fat from one or 2 areas of body 5-7 kilos in a sitting can result in a great figure with safety. One can opt for another sitting after 2-3 months gap if more fat from another are needs to be removed. Very obese people( BMI 35 and above ),for example a person of height 5'3" weighing 100 kilos do not get appreciable improvement in one sitting unless they accept higher risk of high volume liposuction.

For such people I first of all want to know if their weight has been stable in last 6 months. There is no point wasting efforts on person who is still gaining weight because liposuction is not going to stop further weight gain. For obese people who have started healthy diet and moderate regular exercise and who have stopped gaining weight- liposuction can sometimes serve as a kickstart for weight loss . After removal of 5-7 kilos of fat from tummy or thighs often person feels more comfortable exercising and feels motivated to lose weight by further efforts of his/her own.The psychological barrier is broken . After some weight loss on his own person can then reward himself with another sitting of liposuction if needed. This approach takes care of weight loss safely with higher chances of long term maintenance, that the shortcut, quickfix method of large volume liposuctions .