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An Interview With Dr. Bill Kortesis, MD, FACS : Liposuction

1. Is liposuction a reasonable treatment for obesity?

Liposuction alone is not a treatment option for obesity. Liposuction is used to treat areas of abnormal deposits of fat. It can help to re-contour areas of excess fat such as abdomen, arms, legs, and the neck. It however cannot cure obesity.

2. What is a successful liposuction surgery?

A successful liposuction surgery is one that meets the expectation of both the patient and the surgeon with no complications.

3. Does liposuction cause dimpling or indentations in the skin?

Liposuction should not cause dimpling or indentations of the skin. These contour irregularities are known complications of the surgery however.

4. What Alternatives Are There to Liposuction?

There are no true surgical alternatives to liposuction.

5. What type of liposuction is the best?

There are many different techniques used in liposuction. Each technique varies by the amount of fluid injected and the instruments used in assisting removal of the fat. Laser assisted liposuction is the one of those techniques and is the best type of liposuction. The technique allows for easier removal of fat and the ability to tighten the skin where liposuction has been performed. In addition, it aids in recovery by decreasing bruising and post-operative swelling.

6. How much liposuction is excessive (Staged liposuction, Mega liposuction)?

Typically removal of 5 liters or more is considered excessive by most. Safety is paramount in these surgeries and precautions should be made to prevent adverse events.

7. How is Tumescent Liposuction performed?

Tumescent liposuction refers to the technique of infiltrating a large volume of saline that is combined with epinephrine (vasoconstrictor) and lidocaine (an anesthetic) into the areas of liposuction. This aids in removal of fat and limits the blood loss associated with the procedure. Blood loss is less than 1% of aspirate that is removed using this technique.