Understanding Liposuction—What You Need to Know Before Going for Surgery

Understanding Liposuction Everything to Know Before Going for the Surgery

Understanding Liposuction—What You Need to Know Before Going for SurgeryLiposuction is a good option for people who struggle with working out or wish to remove stubborn fat from certain areas of the body that don’t generally respond to exercise.

Liposuction is cosmetic surgery, done to get rid of excess fat deposits. The most common areas targeted by this procedure are:

  • Abdomen
  • Thighs
  • Hips
  • Buttocks

The fact that is it a cosmetic procedure insinuates that it has no medical purpose, and is solely done so the person can look and feel good. Liposuction is a fairly quick surgery with quite durable improvements in appearance, as long as the person continues to eat a healthy diet and engage in regular exercise.

Here are some of the basics things you should know before you have any liposuction procedure.

Important Things to Know Beforehand

Before going under the knife, you must hold a thorough consultation with your cosmetic surgeon.  It should include things like:

  • Different options available
  • Any potential risks
  • Allergies
  • Medication intake (chemical or herbal)
  • Total costs
  • Diet and alcohol restrictions.

Types of Liposuction

There are several different types of liposuction procedures to choose from.

We will review the most common techniques here, including surgical and non-surgical options.

Liposuction ProcedureSurgical

Traditionally liposuction involves making small incisions on your body and inserting a tube (cannula) into the fatty area. The tube sucks out the fat, causing a permanent reduction in the total number of fat cells present in that body part. This is an invasive technique, mostly done in large areas.

Surgical liposuction is effective after the first procedure itself. However, it does require significant recovery time and comes with possible infection risks.

Different Surgical Procedures Available

1.     Tumescent liposuction

This is the most common liposuction technique. The areas of your body to be treated will be copiously injected with a mixture of lidocaine, epinephrine, and IV salt solution before the fat is removed. This will have a numbing effect while also contracting your vessels to prevent excessive blood loss.

The solution is eventually suctioned out with the fat.

Equipment Used:

  • Infusion bags
  • Infiltration pump
  • Infiltration pressure cuffs
  • Cannulas

2.     Super-wet technology

The only difference between super-wet technology and the tumescent technique is that super-wet requires less fluid to be injected; basically equal to the amount of fat to be removed. Super-wet technology is faster but you will probably need to be sedated.

Equipment Used:

  • Multi-lumen cannula
  • Vacuum machine
  • Fitted elastic compression binders
  • Reston foam

3.     Laser-assisted liposuction

This kind of liposuction applies laser energy to liquefy your fat cells and then removes them via vacuuming or draining them out using small tubes. Laser liposuction is primarily used for smaller, confined areas of the body like the cheeks or chin. The reason is that it uses the smallest cannula tubes to remove the fat cells.

Equipment Used:

  • Small cannula tubes
  • Laser lipo machine
  • Fitted elastic compression

4.     Ultrasound-assisted liposuction

The last type of surgical liposuction uses ultrasonic vibrations to melt down fat cells into a liquid form that is then vacuumed out. This ultrasound-assisted technique helps remove fat cells from thick fiber-filled areas of your body. It works great to remove back fat or enlarged male abdomen tissues.

Equipment Used:

  • Ultrasonic cavitation machine with multipolar RF
  • Vacuum tubes
  • Line and pen-type applicators


Download the full 2020 Magazine Collection for free to read about all the non-surgical lipo options available.

Reposted from Fall 2020 edition.

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Do you think liposuction is worth the risks and expense? Let us know in the comments below!


COVID-19 & PLASTIC SURGERY: How this pandemic will affect Medical tourism

COVID-19 & PLASTIC SURGERY: How this pandemic will affect Medical tourism

By. Dr. José León

Since the beginning of 2020, the world has witnessed, just as it did back in 2003 with SARS-CoV-1 and in 2012 with MERS, another coronavirus causing havoc among humans. Unfortunately, this coronavirus, SARS-CoV-2, is different from the previous two, as it is a much more virulent organism (its ability to spread from host to host and cause disease is significant). This fact, as well as the world’s inability to quickly react, the reach of social media, and a number of different political decisions that reach beyond the scope of the article, gave SARS-CoV-2 something the other two viruses didn’t have: POWER.

It remains unclear, the whole spectrum of difficulties that will be created as a result of this pandemic but what is totally clear is that COVID-19 will leave its mark in every aspect of human life. However, the world has never stopped for any of its previous pandemics, and it won’t stop now either. People are now beginning to accept the idea that we will need to coexist with the virus and adapt our lives to minimize its spread.  For now, medical tourism has ground to a halt, as countries attempt to purge themselves of the virus and flatten their curves. Once some control is established, and airports begin to open up, I believe, patients will start to have confidence in travel again and medical tourism will return.

As physicians, we need to develop a protocol to ensure, as much as possible, the safety of our patients. Even though COVID-19 has an average of five days of incubation time, there have been cases with as many as 12 days before the onset of symptoms.  Accurate diagnostic testing is essential and we must also figure out when the test is most reliable during the incubation period in order to establish proper time between arrival of patients, testing, and surgery. We need to protect against possible false negative results that could lead to very catastrophic outcomes.

The bottom line is that all patients should be tested for COVID-19 before undergoing elective surgery. As such, the main goal after identifying the proper window to perform testing after arrival, is to guarantee the availability of proper tests. Another action being considered is adding a pulmonologist evaluation prior to surgery as a precaution. It is hoped that the pulmonologist will be able to see any signs that we might miss during our evaluations.  It may seem ominous now, but this is definitely not mankind’s first tango with pandemics, and we have better scientists, better medications, and a more comprehensive understanding of the pathophysiology of diseases these days, so in the end, we will undoubtedly prevail.

About the Author
Dr. José León is a Plastic Surgeon in the Dominican Republic. He has had his own private practice for the last 12 years and currently has an office at Plastimedic. If you are interested in having surgery with Dr. León, contact us today at

Discover what the Dominican Republic Plastic Surgery Can Do for You!

Did you know that the Dominican Republic offers a wide variety of cosmetic and medical procedures with up to 75% savings compared to the US? Practices offer state-of-the-art procedures that are geared towards providing patients with optimal results.

Cosmetic Procedures You Can Find in the Dominican Republic

Following, are some of the most well-known enhancement procedures that patients can take advantage of:

  • Breast Surgery – The Dominican Republic is well-known for candidates who are contemplating procedures such as breast reduction, breast augmentation, and breast lift.
  • Liposuction – this procedure can help remove unwanted fat from different parts of the body such as hips, abdomen, thighs, buttocks, upper arms, cheeks, chin and neck. Several techniques are available for a more precise outcome and faster recovery time.
  • Facial Surgery – Dreaming of enhancing your facial features? Facilities in the Dominican Republic offer best results for facelift, blepharoplasty and rhinoplasty. Procedures to stop the aging process such as excess skin, fat, and muscular flaccidity around your eyelids, as well as reshaping of the nose are readily available.
  • Abdominoplasty – also known as tummy tuck, can help you remove all the excess fat and skin from the middle to lower abdomen and tighten the muscles of your abdominal wall.
  • Brazilian Butt Lift (BBL) – uses a person’s own fat to enhance the size and shape of the buttocks. A plastic surgeon first performs liposuction to remove fat from other areas of the body (often the stomach, hips, and thighs), then injects that fat into the backside. Additional liposuction can be done around the butt to improve the appearance of lift and contour.

The Dominican Republic is truly home to the most advanced plastic surgery facilities which boast of the best and affordable patient care.

A complete list of the best places for quality cosmetic surgery, board certified doctors, and postsurgical care is available on the Dominican Republic webpage.