Liposuction removes unwanted fat deposits. It is most ideally indicated for treating localised fat deposits. Liposuction is not a treatment for obesity and most believe it is not a treatment for cellulite

Liposuction involves inserting a narrow metal tube into a fatty area via a small stab incision. Suction from a pump or syringe is applied to the tube, which is moved backwards and forwards within the fatty area. The suction removes fat; largely leaving other structures intact. Following fat removal the overlying skin retracts to produce the desired improvement in contour.

There are some variations in the technique used; most surgeons inject some fluid before liposuction. The amount of fluid varies and this gives different names to the procedure; ie “wet”, “superwet” and “tumescent” - each reflecting increasing amounts amount fluid injected. The fluid consists of salt water, adrenaline and local anaesthetic - using fluid reduces the amount of blood loss and has allowed larger amounts of fat to be safely removed.

Ultrasound assisted liposuction is a newer technique which may be advantageous in some areas. A special ultrasound probe is used; the ultrasound energy liquifies fat and this removed by suction.
Multiple stab incisions may be needed; these are usually inconspicuous when they heal.

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