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Liposuction and Fat Removal Surgery in Thailand

Liposuction Types, Before and After Procedures, Care and Recovery

Liposuction Surgical Procedure in Bangkok, Thailand

Liposuction, sometimes referred to as lipoplasty or body contouring, is a fat removal plastic surgery procedure. Plastic surgeons use these types of medical treatments to remove excess body fat in some areas of the patient's body. Liposuction techniques are designed to eliminate excess fat cells from a person's abdomen, upper arms, legs, back, buttock, or face.

In general, liposuction is not a weight-loss alternative or procedure. People who are looking to reduce their weight are more likely to be successful by dieting, exercising, and leading a healthy lifestyle.

Liposuction surgery is designed to remove some unwanted fat beneath the patient's skin, but it cannot remove the visceral fat inside an individual's abdomen.

This cosmetic surgery can be done alone. But some plastic surgeons also perform liposuction in conjunction with other medical treatments, including facelift, breast reduction, and tummy tuck.


Why Is Liposuction Done?

Liposuction was designed for fat removal in areas of the body that has not responded to diet and exercise. Often, these areas include the abdomen, upper arms, buttocks, hips and thighs. This type of cosmetic surgery can also sometimes be used for breast reduction.

When a person gains weight, their fat cells increase in size and volume. Liposuction helps reduce fat cells and contours a specific area. In general, the results of this medical treatment are permanent, as long as the patient could keep their weight stable.

Liposuction does not improve skin surface irregularities, such as cellulite dimpling or stretch marks.

Types of Liposuction procedures

There are several types of Liposuction procedures that can be performed to remove excess fat from a person's body.

Traditional Liposuction

Traditional liposuctions techniques are invasive in nature, which is why plastic surgeons use general anesthesia to put the patient to "sleep" during the liposuction procedure. Because anesthesia is required, traditional liposuction in Bangkok is usually done in hospitals and liposuction clinics.

Power-Assisted Liposuction

Power-Assisted Liposuction or PAL is a machine that breaks up fatty tissue using a cannula that rapidly vibrates. This technique allows for a more gentle approach and is of a better use in dense adipose tissue areas. 

In this procedure, doctors would not be required to use as much force because of the vibrating cannula that helps to remove excess fat from the body. 

A study conducted by the Department of Dermatology at Tulane University Health Center, in the USA also found that Power-Assisted Liposuction could remove up to 30 percent more fat compared to manual liposuction. The procedure also significantly reduces the patient's bruising and recovery time.
PAL requires less surgery time, which means patients are less likely to develop complications or risks.

Having said that, PAL is not suitable for sculpting areas.

VASER Liposuction

Vaser is a machine used to emulsify fat before being removed with suction and is a one type of Ultrasonic Liposuction. In fact, the Vaser liposuction machine uses ultrasound to break apart fat cells for an easier removal and minimally tighten the skin in the area that is treated. 

VASER is an acronym for vibration amplification of sound energy at resonance.

Unlike other liposuction techniques, ultrasound-assisted liposuction is considered to be a more controlled and gentle kind of cosmetic surgery as it disrupts the connection between the fatty tissue and the muscles underneath, without hurting the underlying healthy tissue. VASER Liposuction represents the best Liposuction choice for Body Sculpting. However, it requires an experienced provider.

Other Cosmetic Surgery Types To Remove Fat Cells

Laser Liposuction

Laser Lipo or Smart Lipo is a minimally invasive cosmetic procedure that uses a laser to emulsify fat underneath the skin. This option can be done under local anesthesia and is a safe option for people with different skin types. 
Patients undergoing Laser Lipo will be kept awake throughout the procedure. However, they would not feel any pain as the surgeon will numb the area with a local anesthetic.
During Laser Lipo, the doctor will make a small incision and insert a laser that melts away the fat. The surgeon will then insert the cannula to remove the liquified fat from beneath the patient’s skin. 
Some patients said they experienced minimal swelling, bruising, and pain after the procedure. Others also said the skin appeared firmer or tighter after the procedure. It is recommended to refrain from strenuous activity for at least 2 weeks following the procedure.


Tumescent Liposuction

Tumescent liposuction is a type of liposuction that can occasionally be performed without the need for general anesthesia. During this procedure, the surgeon would inject adrenaline, saline, and local anesthesia before removing stubborn fat. This procedure is designed to avoid large shifts in body fluids that sometimes occur when plastic surgeons remove a large volume of fat

Who is a good candidate for Liposuction

Contrary to popular belief, a person does not have to be overweight to be eligible for liposuction. Even a person with normal weight can undergo this procedure, as long as they want to remove fat from stubborn areas.

Generally, plastic surgeons consider these types of patients suitable for liposuction in Bangkok:
  • Adults within 30% of their ideal weight who have firm, elastic skin and good muscle tone
  • Healthy individuals who do not have pre-existing medical conditions
  • Patients with localized fat deposits
  • Non-smokers
  • Individuals with realistic expectations
Patients with skin elasticity problems are likely to see a slightly wrinkled appearance following the surgery. However, they may still be eligible for liposuction in Bangkok. A patient may consult with a plastic surgeon to see whether they are an ideal candidate.

The only people who a plastic surgeon would typically not clear for any liposuction techniques are those with kidney or heart problems, poor immune response, or not within 30% of a healthy weight.

How to prepare for Liposuction?

In preparing for liposuction, a patient may be asked to:
  • The patients should consult with a plastic surgeon about their body goals
  • Complete physical examination, lab tests and chest x-ray are required
  • Stop taking medications or adjust certain medications before the surgery
  • Stop smoking and drinking alcohol
  • Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements to prevent an increase in bleeding
As with other plastic surgeries, patients who undergo liposuction are advised to avoid performing strenuous activities throughout their recovery.

Liposuction Procedure

  • The surgeon will apply local anesthesia or offer general anesthesia to the patient
  • After the anesthesia, the doctor will make an incision. The number of incisions will depend on the areas to treat.
  • The surgeon will perform a Liposuction technique to remove excess fat
  • The surgeon will close the incision by suture

Post-Liposuction Care

Expect some pain, swelling and bruising after the procedure. In some cases, a plastic surgeon would prescribe medication treatment options to help control the pain and reduce the risk of infection.

After the plastic surgery, a plastic surgeon may leave a patient's incisions open and place a thin tube. This thin tube acts as a temporary drain to promote fluid drainage.

  • Wear compression garments at all times, except when showering. A compression garment helps reduce swelling and speed up a patient's recovery.
  • Partake in light activities to help reduce the swelling
  • Shower within 48 hours after surgery, but ensure that the surgical area is patted dry with a clean towel
  • Avoid still water for two weeks after the surgery
  • Postoperative massages are suggested
  • Exercise after two weeks from the procedure
  • Attend all follow-up appointments
  • Take the stitches off seven days after surgery
  • Patients can also apply a cold compress on the surgical area for up to 20 minutes every hour to help reduce swelling and pain.
In some cases, the patient may be asked to stay overnight following the plastic surgery. This allows the surgeon to observe the patient for any possible complications as well as promote hospital-quality improvement.

Complications and Risks Of Manual Liposuction

  • Seroma or a collection of fluids that builds up under the skin
  • Pulmonary Thromboembolism or a blood clot lodged in an artery in the lung
  • Infection
  • Hematoma or broken blood vessels
  • Fat embolism or piece of loosened fat that breaks away and lodge in the blood vessel. This type of complication may restrict blood flow.
  • Skin laceration
  • Anemia
  • Allergic reaction to local or general anesthesia

Late complications may include:

  • Fibrosis or the thickening and scarring of tissue
  • Cellulite
  • Deformities
  • Blood Clots
  • Asymmetry
  • Poor healing
  • Unwanted lumps due to uneven fat removal

Questions To Ask Plastic Surgeons Before Getting Liposuction in Thailand

Dedicated plastic surgeons will take care to answer every question that a patient may pose before and after performing cosmetic procedures. It is often advised for a patient to list the questions on a paper in advance of the consultation.

Some key questions to ask before getting Liposuction in Thailand include:

  • Are you a board-certified plastic surgeon?
  • Are you a member of an international society for plastic surgeons?
  • How many years of experience do you have in cosmetic surgery?
  • Do you have specific experiences with plastic surgery, such as placing breast implants or preventing fat accumulation through other surgeries?
  • Are the results I am seeking realistic?
  • What are the limitations of this surgery?
  • Will there be visible scarring?
  • Would I need pain medications to relieve pain during my recovery period? If so, until when would I need to take pain medication?
  • What is the treatment plan?
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