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Liposuction dates back to the 1920s and the popularity of this procedure peaked in the 1970s. Currently, this procedure is the most frequent aesthetic surgery in the world. Liposuction helps to improve the body shape by removing excess fatty tissue / persistent fat deposits from areas of the body which do not respond well to dieting and physical training. The usual treatment areas are the chin area, upper arms, breasts, abdomen, sides, hips, buttocks, inner and outer thighs, knees and ankles.

Pre-operative consultation

During the consultation, the areas which most concern the patient, their expectations regarding the treatment and options for meeting them are identified. The discussion will cover the health status of the patient and the medications used. It is important to stabilise body weight before the surgery.

During the examination, the state of the skin and subcutaneous tissue as well as excess and asymmetry of the body are assessed. Photos are taken of the relevant areas for the medical records. The scope of the surgery and the location of the wounds (later scars) are planned.

Course of surgery and recovery

As a rule, the surgery is performed under general anaesthesia and it lasts for up to 3–4 hours, depending on the quantity of areas operated. During the surgery, the tissues are first treated with a special solution that contains a medication that constricts small blood vessels and relieves pain. The classic method of liposuction involves suction through cannulas of 2–6 mm in diameter that are connected to the vacuum equipment. The surgery is performed at Kotka Private Hospital.

The patient is allowed to go home a couple of hours after the surgery or on the next morning, depending on the scope of the surgery. Recovery is individual, depending on the patient. Post-operative pain treatment is necessary on the first days after the surgery because the trauma to the tissues causes some swelling. Wounds are covered with wound tapes for up to 2 weeks, followed by the treatment of the scars. Compression garments must be worn on the operated areas for 4–6 weeks. Heavy physical exertion must be avoided in the first weeks after the surgery.

Results and risks

The final result may take months to develop. The result is long-term.

Immediately after the surgery, the patient may experience swelling, pain, changes in the sensitivity of the skin, and subcutaneous bruising. Often asymmetry between sides and unevenness can occur. Less frequent complications are infection, collection of tissue fluid in the operated area, skin pigmentation or saggy skin. Large-scale liposuction involves a risk of excessive loss of fluid and blood.

Operations are performed by plastic and reconstructive surgeon Dr. Mart Eller.