Liposuction in New York City
with Dr. Shridharani
What is Liposuction aka “Lipo”?
Liposuction is a surgical procedure used to slim and reshape specific areas of the body by removing excess fat and improving body contour.
Where on the body is liposuction commonly performed?
Liposuction may be used to reduce localized fat deposits of the:
- Abdomen and waist
- Bra line
- Calves and ankles
- Cheeks, chin and neck
- Chest area
- Hips and buttocks
- Inner knee
- Upper arms
Is Liposuction commonly performed?
Liposuction is one of the most commonly performed surgical procedures in aesthetic plastic surgery. Last year “lipo” was the second most frequently performed cosmetic surgical procedure, with 313,011 patients undergoing this procedure in the United States, alone. In the past 15 years, liposuction has seen a 77% increase in its number of surgeries performed.
What types of Liposuction do you offer?
Suction-assisted Lipectomy (SAL): Also known as “traditional liposuction,” was the first form of liposuction created. Traditional liposuction was the first type of lipectomy (fat removal) to use suction. During the late 1970s and early 1980s, a number of surgeons were concurrently contributing to the technique and technology that later became traditional liposuction. Over the years, suction assisted lipectomy has evolved into an extremely effective and safe technique to remove fat. The small cannula used in liposuction has become increasingly easy to navigate through tissue and remove fat while still maintaining the integrity of adjacent soft tissue structures. Not only did these advancements decrease the overall complication rate, but further allowed a standardized, safer technique for surgeons with varying levels of experience to adopt. In traditional liposuction, small incisions are made in the skin where the cannula is inserted. The cannula is connected to a suction pump through a transparent tube, allowing the surgeon to see the fat coming out of the patient and to know when to move on to a new location. Cannulas of different diameters can be used in order to optimize control when extracting fat. The use of different size cannulas decreases the risk of forming “divots” or uneven areas after liposuction. Also, SAL is a very useful technique to removal fat in areas such as the face or the chin when PAL may be too powerful.
Power Assisted Liposuction (PAL): PAL combines traditional liposuction with a vibrating cannula. PAL has become the “gold standard” across the board for fat removal. PAL uses a different cannula than traditional liposuction. The special cannula uses tiny, rapid vibrations to break up the fat cells, so they can be easily suctioned out of the body. The cannula is connected to a handle, which uses an electric motor to produce a fast in-and-out movement. Also, the fat is less likely to become clogged in a power assisted liposuction system due to the constant vibration of the cannula. This is a more efficient approach because doctors can remove the same amount fat in a shorter amount of time – opposed to traditional liposuction. This allows for less OR time including less anesthesia used during surgery. In addition, PAL has allowed for faster recovery time and for patients to return to normal activity much quicker than before.
Ultrasound-assisted Liposuction (UAL): Ultrasound-assisted liposuction (UAL) is a form of liposculpting, which employs ultrasonic energy to allow for a more selective tissue lipolysis (fat break down). UAL emits an ultrasonic frequency to create negative pressure, which causes molecular forces between fat cells to weaken making them easier to suction out. The energy UAL produces can even raise temperatures of tissue to cause fat cells to die and clump together, without damaging nerves. The heating may also aid in collagen reproducing in the skin, which leads to more skin tightening over time.
I got my first Lipo done in Switzerland but after a while I realized that the result was uneven and I was unhappy. So I got another one from another top plastic surgeon in Manhattan and after a couple of months was faced with an uneven result again. At that point I pretty much gave up on it until my friend told me about her surgeon Dr. Shridharani who revised her poorly done breast augmentation she got in CA. I was so impressed with her results that I consulted him and decided to have another lipo with him. I am stunned how great it turned out! It is exactly what I always imagined but the other doctors didn’t manage to give me. Dr Shirdharani is an amazing doctor who has always made me feel comfortable and has been there for me with his kind staff at every step of my recovery. I would recommend him to anyone, he is a true artist!
What is laser Liposuction? What is SmartLipo?
Laser liposuction utilizes the principles of lasers to rupture fat cells while leaving surrounding structures unaffected. Then the fat cell remnants are suctioned out through traditional liposuction means.
SmartLipo is an advanced laser-assisted liposuction (LAL) where laser technology is used to liquefy fat cells before they are removed with suction. The laser can be used with different frequencies, which includes a frequency to break up fat cells. The laser coagulates the surrounding blood vessels, resulting in less swelling and bruising after surgery. Smartlipo delivers precision and versatility with wavelengths that are used for small and large fat deposits, tissue retraction, fibrous areas, or secondary liposuction cases. Smartlipo’s adipose-specific technology is considered a high-definition liposuction and allows for tissue retraction through soft tissue coagulation. Smartlipo has continued to show reliable and controlled energy delivery, reduced liposuction procedure time and patient downtime, and less bleeding and bruising than traditional liposuction, and high-definition body sculpting capabilities.
Do you perform Liposculpting/”etching”, and what is it?
I do perform liposculpting. Liposculpting is liposuction and carefully etching and accentuating natural lines and shadows. For example, I can accentuate the abdominal muscles and the lines between the muscles to improve the overall appearance of one’s silhouette.
Who is a candidate for Liposuction?
Healthy patients who have identifiable fat deposits with good skin quality/elasticity and little to no stretch marks are good candidates for undergoing liposuction. Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite, dimpled skin that typically appears on the thighs, hips, and buttocks.
Can you put the fat from my Liposuction on other parts of my body?
I absolutely can! Fat transfer is a great option for lipofilling areas like the buttocks and breasts. Fat transfer to the buttocks is also known as the Brazillian Buttlift.
Can I go home after liposuction or do I have to stay in the hospital?
Once the decision to proceed with liposuction is made, the appropriate setting to perform the operation should be decided. The overwhelming majority of liposuction cases can be done on an outpatient basis (go home the same day).
In some circumstances, based on individual patient variables, patients may either prefer to be admitted overnight to a hospital or a “Short-stay 23 hours” facility, or the surgeon may find that the patient is not suitable to be discharged home and have to be admitted. The total volume of fat and fluid to be removed impacts this decision as well. The American Society of Plastic Surgeons recommends that large-volume liposuction, which is defined as total aspirate volume greater than 5 Liters (1 1/3 Gallons), should be performed at an acute care hospital, where postoperative vital signs and urinary output may be monitored overnight.
What can I expect during recovery?
The recovery is relatively quick after liposuction and patients can return to many types of normal activity and work in a week. The recovery is dependent on how much fat is removed and how many areas are treated. The final results take 6-12 months to see.
Ready to get started?
If would like more information on Liposuction, contact our New York City office today. Call (212) 508-0000 to schedule a consultation with board certified plastic surgeon Dr. Sachin Shridharani.