If regular exercise and a sensible diet aren’t enough to get rid of stubborn fat deposits on your body, it may be time to consider liposuction. Michigan women and men turn to this procedure to contour and improve the appearance of their body, eliminating stubborn fat deposits that are often caused by genetic factors. Board-certified Plastic Surgeon Dr. Pramit Malhotra of Ann Arbor Plastic Surgery is a Michigan liposuction specialist who can help you safely achieve positive results.
Selecting Your Michigan Liposuction Surgeon
- Liposuction is actually three-dimensional body sculpting. It is easy to remove too much fat in one place and not enough in another. Outstanding results require the surgeon to take a lot of time sculpting often with different size cannulas to contour the area. Choose a surgeon that seems to have a keen aesthetic sense, which is often apparent as soon as you walk in the office or meet the surgeon.
- A large proportion of laser liposuction providers in Michigan and elsewhere are not plastic surgeons, or even surgeons. General practitioners can easily purchase the needed equipment and begin to perform procedures with little training. This seems unlikely, but once physicians acquire their state license, they can perform any type of procedure in their clinic.
- Hospitals will only give privileges to perform liposuction in Michigan to physicians who have had proper training, so make sure you find a practitioner who has privileges to perform this procedure at a hospital.
- Your surgeon should provide realistic expectations of what is possible and the expected outcome.
Liposuction in our Michigan practice may significantly increase your self-image and self-confidence. It can be performed on many body parts to contour and eliminate fat deposits:
- Chin and neck
- Upper arms
- Stomach and love handles
- Outer and inner thighs
Following this procedure, many patients report that their clothes fit better and they are happier with their appearance. To give you the customized results you want, we can combine your procedure with others like tummy tuck, breast lift, facelift, or breast augmentation.
*Each patient is unique and individual results may vary.
- Your surgeon should discuss all alternatives, including powered liposuction, ultrasound- or laser-assisted liposuction, and alternatives such as CoolSculpting. Liposuction cost differs among Michigan providers, so make sure you fully understand all of your options.
- Typically less is less. Make sure your provider can provide many alternatives before he or she offers you a small procedure—possibly the only one they perform.
- For the abdomen, different goals can be accomplished with a tummy tuck and liposuction. As a rule, excess skin that hangs has to be surgically removed through an abdominoplasty.
- Ask your provider to place your incisions asymmetrically so people don’t see small scars in a line around your waist when you are at the beach.
- Liposuction costs can vary significantly in Michigan, but don’t let that be the sole factor in your decision.
Patients who see the best outcomes for this procedure are in good general health and close to their ideal body weight. In addition, they do not anticipate gaining or losing large amounts of weight, and they understand that the procedure is not a substitute for proper diet and exercise.
The standard procedure for liposuction at our Michigan practice involves creating a small incision in the treatment area, inserting a tube or “cannula” through the incision, and using the cannula to suction out the fatty tissue beneath the skin. We often perform power liposuction, where a small motor is attached to the cannula to remove more fat with less disturbance than a traditional procedure.
New techniques allow for faster recovery from liposuction procedures. For our Michigan patients, recovery time will vary based on several factors. You may require 2 to 7 days off from work, and you will need to wear a support garment following the procedure.
During your consultation, Dr. Malhotra will thoroughly discuss all liposuction details, including cost, procedure, and aftercare. Michigan patients can trust Dr. Malhotra to safely and effectively remove their unwanted bulges and improve their body contours.
Types of Liposuction
Liposuction is a plastic surgery procedure that involves the manual removal of fat from a patient’s body. Targeted areas include the midsection or abdominal area, the neck, the thighs, the buttocks, the breasts, and the back.
Power-assisted liposuction, available from Dr. Pramit Malhotra in Michigan, allows for greater efficiency in the procedure, giving the doctor an opportunity to target even more specific regions and move more quickly than he would when practicing more traditional liposuction. Most simply put, basic liposuction requires a doctor to make small incisions in a patient’s body, through which he inserts what is known as a cannula—a thin, needle-like tube that he moves back and forth to loosen the fat it encounters. The fat dislodged by this motion can then be vacuumed out through a tube accompanying the cannula.
Power-assisted liposuction works in much the same way, but makes use of a small motor or similar device to create the motion that loosens the fat for removal. The cannula tip may work its way back and forth or rotate. Either way, this accomplishes much the same results as a doctor’s manual efforts, but requires less exertion on the part of the doctor, creates less trauma for the patient, and can allow for more fat removal. Fans of power-assisted liposuction also maintain that it is a more gentle approach. This procedure typically involves the simultaneous introduction of an anesthetic into the areas where fat is being removed.
Simply put, tumescent means “swollen”. When used in relation to liposuction, the word refers to the fact that a solution injected into target areas causes the fat to swell and become very firm. This has two major advantages: It acts as an anesthetic and preserves a great amount of the patient’s blood, which would otherwise be lost.
To create a state of tumescence, Dr. Pramit Malhotra will inject a patient’s fat with a diluted mix of two chemicals: lidocaine and epinephrine.
Lidocaine is an anesthetic that produces numbness in a specific area. When used in tumescent liposuction, it’s so effective, it can eliminate the need for a general anesthetic or IV sedation.
Epinephrine is a hormone that works to constrict capillaries, which means there is very little blood loss. Liposuction used to require the use of transfusions, as a great deal of blood was lost during the surgical procedure. With the introduction of epinephrine, the amount of blood lost during tumescent liposuction is roughly the equivalent of that drawn during routine blood tests for lab work.
Due to the vastly reduced blood loss, post-liposuction bruising is also reduced with the tumescent technique. Since bruises are caused by red blood cells collecting under the skin, a lack of blood flowing freely in the targeted area keeps the telltale purple marks to a minimum. This is aided by the fact that the method’s small incisions generally remain open for a few days after the procedure, allowing fluid to drain from where it would otherwise collect and pool.
Those small incisions represent another benefit to this type of liposuction, as they result in only small scars left behind. Dr. Pramit Malhotra at Ann Arbor Plastic Surgery in Michigan encourages patients to further minimize the long-term signs of having had liposuction by seeking out asymmetric incisions. Since the resulting scars can create a noticeable line if made symmetrically, offsetting them so as not to appear as a mirror image can effectively hide the incision marks in plain sight.
Liposuction – Outer thigh, inner thigh, & abdomen.
Chin and Neck Liposuction
There are many liposuction options available in Michigan from Dr. Pramit Malhotra, and one popular application of the plastic surgery procedure is to a patient’s chin and neck area. Unlike the abdomen, chest, and other areas where fat accumulates, the face is rarely covered by clothing and is readily visible to friends, family, and colleagues alike.
Excess fat can hide youthful contours and add to the appearance of age. The removal of even a small amount of fat in the facial region via liposuction can create noticeable results by bringing more definition to the neck, jawline, and cheek areas. The end result is a sleeker, slimmer face with a well-defined chin and overall profile.
The two main facial issues this procedure addresses are double chins, which are caused by neck fat that hangs in such a way as to create the appearance of one or more chins below the actual chin, and jowls, which are the draping lower portions of a person’s cheeks. Together, these two elements can create an appearance that is older than the patient’s actual age. When combined with other plastic surgery procedures, liposuction is often a component of a facelift. The fat removal allows for more sculpted contours, especially after loose skin is smoothed out and the facial muscles are tightened.
Chin liposuction offers a quick recovery. Patients can often take two days off from work with a weekend, minimizing time off. The amount of swelling is variable between patients, with some patients seeing an immediate improvement and others seeing a steady improvement over the weeks following surgery.
Obesity and Liposuction
Since liposuction is the physical removal of unwanted fat from the body, the public frequently associates the surgical procedure with weight loss. In reality, however, doctors discourage patients from drawing connections between health, weight loss, and liposuction. Michigan double-board-certified plastic surgeon Dr. Pramit Malhotra advises all of his patients that liposuction is a very effective aesthetic procedure, but not one intended to combat obesity.
Patients seeking liposuction should be within 30 pounds of their ideal weight. While everyone’s ideal weight is different, the Centers for Disease Control and Prevention define adult obesity as a body mass index (BMI) of 30.0 or higher. BMI is determined by dividing a person’s weight by the square of their height, in metric. That breaks down, for example, to a 5’9″ person being considered obese when weighing in at 203 pounds or more.
While liposuction’s function is not to help patients shed pounds on their path to fitness and health, it can more easily reveal the fruits of those slimming-down dieting and exercise efforts. The surgery is considered to be body contouring, and one session is often enough to create new, slimmer lines and reduce localized bulges of stubborn fat.
Though specifics depend on the individual patient and where on the body liposuction is performed, a single typical procedure may remove a small amount of fat and fluid or as much as 4 or 5 liters. The resulting difference will be most noticeable on patients who don’t fall in the obese weight range. This is because liposuction is not for general, overall fat reduction, but for targeting specific areas where fat has accumulated. This excess fat may create love handles, a double chin, or other bulges that disrupt what would otherwise be a slimmer look, and can resist a patient’s best efforts to lose it, even when fat reduction has been successful elsewhere on the body.
Patients who have dealt with obesity may also find that their weight loss has left them with loose, sagging skin at their abdomen. Since liposuction is strictly a fat-removal surgery, the other excess tissue is best addressed by a tummy tuck. The two procedures can even be combined into Dr. Malhotra’s PowerTuck.
My lipo of hips and thighs came out fantastic. It jump started my exercise program and I have lost another 20 pounds. I was much less sore than some of my friends said I would be. Special thanks to Dr. Malhotra’s staff as well for my weekly phone calls.*
People seeking liposuction in Michigan often have questions about the procedure. Dr. Pramit Malhotra seeks to provide answers personally during individualized consultations, but many patients prefer to be prepared for the consultation with some basic knowledge of the plastic surgery procedure.
Read the following to find information about some of the most frequently asked questions related to liposuction.
Liposuction can remove fat from a variety of areas on the body, virtually anywhere it accumulates in large amounts. This includes portions of the face (primarily the chin and neck), the torso (men’s chest area or women’s bra roll), the abdomen and below (belly, waist, hips, and mons pubis), and the limbs (upper arms, thighs, inner knees, calves, and ankles).
Liposuction is plastic surgery, which requires the administration of anesthetic to prevent pain during the procedure. This is done in several ways. First, patients will receive anesthesia that provides sedation. Then, an anesthetic solution is introduced into the specific tissue to minimize bleeding during the physical removal of the excess fat. This anesthetic solution is long acting, often lasting 12 to 24 hours after surgery.
Of course, liposuction is a plastic surgery procedure, so patients should expect some soreness, tenderness, and swelling that will fade over time.
While liposuction does eliminate fat that contributes to a person’s overall weight, the plastic surgery procedure is not intended to be used as a method of weight loss or weight control. The primary intended effect is one of aesthetics, such as removing fat to create a slimmer waistline or reveal more defined contours on the abdomen or jawline. Interestingly, about one liter of liposuction material suctioned is about two pounds of fat. In some instances, removing 5 liters of liposuction material can result in a very moderate weight change of four to 10 pounds.
In some cases, liposuction may be used to help reduce the size of heavy breasts that cause discomfort because of their pull, but as a general rule, it is not considered to be a weight loss procedure.
Will Liposuction Be Enough to Provide a Flat Stomach?
People who choose liposuction for their abdomen should know that even after fat is removed, there may still be loose, excess skin that hangs down. Liposuction does not typically make your skin looser since some natural tightening effect will occur. If loose skin will be present after surgery, then a tummy tuck is probably a better option.
What Can I Do to Get the Best Results?
Dr. Malhotra recommends that his Michigan-area patients take good care of themselves physically by eating well, exercising, and avoiding smoking. Healthy patients have a greater chance of enjoying positive plastic surgery outcomes. Ideal candidates are within 30 pounds of their ideal body weight.
Why Choose Dr. Malhotra
- He is one of a select few plastic surgeons who are double board-certified in plastic surgery and otolaryngology.
- Dr. Malhotra underwent an educational path that required 11 years of training.
- He has been inducted into the American Society of Plastic Surgeons as an honorary member.
- Dr. Malhotra has been recognized by his patients as one of the top Michigan plastic surgeons, as well as receiving the Best of Ann Arbor for Four Consecutive Years for cosmetic surgery.