Liposuction New York City
Liposuction is a medical procedure which removes excess fat deposits that haven’t responded to diet or exercise. Removing this excess fat will improve the body’s contours and proportion. Treatment can be performed on most areas of the body, including the face, neck, arms, back, abdomen, chest and legs. It is important to understand that fat removal surgery is not a weight loss tool.
Am I a good candidate for liposuction?
You are a good candidate if you are close to your ideal weight and have fat deposits that haven’t responded to diet or exercise. This procedure is ideal for patients who have good skin tone/elasticity and very minimal skin excess. If fat removal is performed for patients who do not have these characteristics, the skin may not contract properly after the procedure and result in sagging skin.
Ideal candidates must also be in good health, live in New York City (or be willing to travel), and be motivated to follow the pre-operative and post-operative instructions. Post-operative instructions include wearing a compression garment for several weeks.
You are also a good candidate if you have realistic expectations for the procedure. Unfortunately, liposuction does not remove stretch marks or excess skin. This treatment is also not a substitute for weight loss, a healthy diet or regular exercise.
Patients frequently ask if their fat removal procedure will remove cellulite. It does not, however, Dr. Cangello will address this issue during your consultation. The reason is that the dimpled appearance of skin (which patients sometimes mistake for cellulite) can actually be due to other factors such as excess fat or excess skin.
Another question Dr. Cangello is frequently asked is whether a person is a candidate for a non-invasive form of fat removal such as “Coolsculpting.” The answer to this question is not simple and best discussed in a consultation. However, while we offer Coolsculpting in our office, we find that it has very limited use and benefit and that patients are much more pleased with the results.
The Consultation: Creating Your Plastic Surgery Plan
Your journey begins with a consultation with Dr. David Cangello in our New York City office. Dr. Cangello will discuss your medical history and the results that you want from your planned treatment. For your surgery to proceed safely, you need to be honest about your allergies, medications, personal habits, and previous surgical procedures.
Dr. Cangello will ask about your goals for the liposuction and the look you hope to achieve. He will conduct a physical examination, so he can see the areas where you have fat deposits and assess how well they will respond. Following the physical exam, Dr. Cangello will explain how fat removal can improve the contour of your body. Dr. Cangello can also describe additional surgical solutions, such as a tummy tuck, that can be combined with your procedure as necessary.
The key to a good outcome is leaving enough fat in certain areas to create ideal contours for your body. This is where the skill of an experienced, artistically inclined board certified plastic surgeon is essential.
Dr. Cangello will recommend a surgical plan that will help create the body contour that you desire. He will also answer your questions and explain how to prepare for your upcoming appointment.
Preparing For Liposuction
Dr. Cangello is committed to achieving the best results possible. During your initial consultation, he will create a pre-operative plan for you to follow. This plan is designed for your unique needs, to make sure that you have the best outcome possible. Your pre-op plan may include changes in diet and other habits that impact your health. You will be asked to stop smoking.
Our surgeon will also give you instructions for the days before your surgery. These include stopping certain medications and supplements. You will also be told not to eat beginning at midnight on the day of your surgery if you are going to be put to sleep during your procedure.
Finally, Dr. Cangello will explain your post-operative plan. He will give you prescriptions to fill prior to surgery and ask you to find someone to drive you home following surgery.
Where will the surgery be performed?
Your procedure will be performed at Dr. Cangello’s New York City office. He has a fully accredited (AAASF) state-of-the-art operating room on-site. You are encouraged to ask for a tour of the operating facility when you come in for your consultation.
Types of Anesthesia
Treatment generally takes two to three hours, depending on the number of areas being treated. Liposuction can be performed using either general anesthesia, Intravenous (IV) sedation (which patients often refer to as “twilight” with local anesthesia or local anesthesia alone can be used. If IV sedation is used, you will not feel any portion of the procedure, nor will you remember any of it. If local anesthetic only is used you will be completely awake for the entire procedure. You will also feel some mild discomfort while the local anesthetic is infused into the fat that is targeted for removal. Dr. Cangello will recommend the best choice for you based on your tolerance for being awake during a procedure and the amount of fat that you have to be removed.
Liposuction Surgery Techniques
On the day of your surgery, Dr. Cangello will mark your body with a pen to identify the areas of treatment. This will be completed while you are standing, to make sure that you achieve the most natural look possible after surgery.
Once your anesthesia has been administered, Dr. Cangello will begin the process by making a tiny incision in one of the fat deposit areas. Next, he will insert a cannula, which is a small, hollow tube, through the incision. Once the cannula is in place, a fluid consisting of saline, epinephrine, and lidocaine is injected to pre-treat the fat. The lidocaine is used as an anesthetic. The epinephrine is a chemical that constricts blood vessels so there is little damage to them during the procedure resulting in little or no bruising. The saline is used as a liquid carrier for the two medications just described and it helps loosen the fat and make it easier to remove. Dr. Cangello then uses the power-assisted technique to suction out the fluid and fat. It is not uncommon for patients to inquire about “Smart Lipo” (or laser-assisted fat removal) and Dr. Cangello has great experience with this technique as well, however he feels it offers no advantage over power assisted suction (there is no less downtime or bruising) and it only lengthens the overall time of the procedure. Further, with the power-assisted technique, Dr. Cangello is sculpting your body with each pass of the cannula back and forth as the fat is being removed; with laser-assisted liposuction, the fat is first melted and, in a second step, the liquefied fat is suctioned. Dr. Cangello does not feel that melting the fat as a first step allows for it to be sculpted as accurately or effectively as when it is directly removed with each pass of the suction cannula (as is the case with power-assisted liposuction). Once your procedure is complete, Dr. Cangello will close the incisions with tiny sutures. Dr. Cangello repeats this process for each area of your body to be suctioned.
The Recovery Process
You will likely wake up wearing compression garments over the areas that were treated. At home, the incisions may leak some fluid, however, in Dr. Cangello’s experience, patients have very little drainage. The areas of treatment may also be bruised, swollen or sore. Dr. Cangello will prescribe pain medication to keep you comfortable. Wearing the compression garments is essential to controlling swelling and getting the results you desire. If you have treatment was performed on the abdomen, it is very important that you not spend a lot of time bent over at the waist. You should try to keep your abdomen as flat as possible so that horizontal folds (prominences) of skin are not formed during the healing process. Patients often ask how long the recovery process is and that depends on the amount of fat you have removed. Small volume liposuction cases have very little downtime, often not more than a few days to a week. But even larger volume suction cases often have little pain and soreness and rarely require pain medicine more than two to three days. These patients can often be back to work (as long as strenuous activity is not performed) in a few days to a week at most.
You will not lose weight immediately following fat removal. You may actually be heavier for a few days due to the additional fluid that’s inserted during the procedure.
Patients are asked to avoid any activity for three to five days. Stitches dissolve on their own and do not have to be removed. Most people can return to work after a week and resume normal activities after two weeks. The bruising, swelling and soreness will slowly get better over the next few weeks. However, it may take up to three months before you see the final results.
Please call our New York City office at 212-644-4416 to set up a consultation about how you can benefit from liposuction.