today’s world, looking and feeling
good mean having a fit, well-proportioned
body. However, for many people, this may
seem like an unreachable goal. Sometimes
even a strict diet or a disciplined exercise
program can’t conquer stubborn areas
of excess fat. For those who seek a smoother
or better-proportioned body contour, liposuction
may be the answer.
also called lipoplasty, is a surgical procedure
that removes deposits of excess fat from
specific areas of the body, face or neck.
Liposuction can be to slim the hips and
thighs, flatten the abdomen, shape the calves
and ankles or eliminate a double chin.
find basic information about liposuction
in this brochure. However, the best way
to get complete answers to specific questions
that relate to your individual needs is
to have a personal consultation with Dr.
liposuction right for me?
is most commonly recommended for men and
women of normal weight who simply want to
improve their body contour. The procedure
can produce excellent results for people
who have deposits of excess fat that make
certain body areas appear disproportionately
large. Although liposuction is not a treatment
for obesity, it can permanently alter body
proportion and is sometimes the only way
to eliminate fat deposits that do not respond
to diet and exercise.
of almost any age may undergo liposuction;
however, patients with good skin elasticity
will achieve the smoothest contour after
fat is removed. You may be a good candidate
for liposuction if you desire fat removal
or contouring in any of the following areas:
• cheeks, chin and neck
• upper arms
• breast or chest area
• abdomen and waist
• hips and buttocks
• inner knee
• calves and ankles
important to be clear about a few “cans
and can’ts” related to liposuction.
• be performed on several areas of
the body at the same time or be done in
conjunction with other cosmetic surgery
procedures, as long as you understand that
there is increased risk and your surgeon
feels that having multiple procedures is
a safe option for you.
• be used to treat some cases of gynecomastia,
or male breast enlargement, which occurs
in both teenagers and adult men.
• serve as a substitute for dieting
• effectively treat cellulite (condition
that gives the skin a dimpled appearance).
Also, certain medical conditions may complicate
liposuction. They include: diabetes, high
blood pressure or heart disease and previous
surgery near the area to be contoured. It’s
important to let your plastic surgeon know
if you have any of these medical conditions
or if you have had surgery in the past.
should I expect from the consultation?
personal consultation is the first step
for every patient considering liposuction.
During this meeting, your surgeon will assess
your physical and emotional health and discuss
your specific cosmetic goals for the procedure.
should arrive at the consultation ready
to provide complete information about:
• previous surgical procedures
• past and present medical conditions
• medications you are taking, including
herbal remedies or nutritional supplements
on the parts of your body that you would
like to be treated with liposuction, you
may be asked to undress. Your surgeon will
fully assess the extent of correction needed.
You’ll also be asked to point out
the exact areas where you would like to
see improvement. Your surgeon will check
the elasticity of your skin and may feel
certain areas to assess the thickness of
the underlying layer of fat. Your surgeon
will also check your blood pressure and
weight, and ask you if you are planning
to lose or gain weight in the future.
is liposuction performed?
perform liposuction, one or more small incisions
are made near the area to be suctioned.
Whenever possible, incisions are placed
within the nature folds or contour lines
of the skin so that they are inconspicuous.
The surgeon then places a slim, hollow tube
called a cannula through the incision so
that its tip penetrates the underlying fat.
After the cannula is connected by flexible
tubing to a suction pump, the surgeon moves
the cannula back and forth the fat, which
is vacuumed into the tube. Several variations
to the basic liposuction technique have
been introduced. The fat-removal technique
that best meets your needs depends on a
number of individual factors that your surgeon
will discuss with you.
Your surgeon may use the tumescent technique,
in which the fat is pre-injected with a
salt-water solution containing small amounts
of adrenaline and sometimes local anesthetic.
• Your surgeon may also use ultrasound-assisted
lipoplasty or UAL, a two-step technique
that uses the energy from sound waves to
liquefy the fat before it is suctioned.
• The type of instrumentation used
may also vary. For some area, a hand-held
syringe may be used to provide the vacuum
instead of a suction pump.
will I learn about the safety of liposuction?
Each year thousands of people undergo liposuction
and experience no major complications. However,
you must fully understand the risks as well
as the benefits of the procedure.
of the most important parts of your consultation
is the discussion that you and your surgeon
will have about the possible complications
of liposuction. In addition to listening
carefully to what your surgeon tells you,
be sure to raise any questions or concerns
that you may have about the safety of the
carefully following your surgeon’s
advice and instructions - both before an
after surgery - you can do your part to
minimize some of the risks.
can I do to prepare for my surgery?
the date for your surgery has been set,
your plastic surgeon will provide you with
specific instructions for the days immediately
before and after your surgery. A number
of points may be covered, including:
• avoiding certain medications that
may complicate surgery or recovery
• stopping smoking for a period of
time before and after surgery
• arranging for help or special care
will I be cared for on the day of my surgery?
may be performed in a hospital, an outpatient
surgery center or an office-based surgical
types of anesthesia can be used for liposuction.
Your surgeon will select the type of anesthesia
that provides the safest and most effective
level of comfort for your procedure. For
some patients, local anesthesia is used
(usually with sedation) which numbs only
the affected areas. For others, regional
anesthesia, such as an epidural block (the
kind of anesthesia commonly used in childbirth)
or general anesthesia may be the best choice.
will I look and feel after surgery?
the procedure is complete, you will be taken
to a recovery area. For some patients, small
drainage tubes will have been placed beneath
the skin. Any discomfort you may feel can
be controlled with medication prescribed
by your plastic surgeon. An elastic bandage
or specially designed compression garment
may have been applied over the treated areas
to control swelling and assist healing.
Your plastic surgeon will tell you how long
you must wear the garment and how you can
remove it to bathe.
only a small amount of liposuction has been
done, you will be encouraged to get out
of bed very shortly after the surgery. If
multiple areas have been treated, you will
probably remain in bed for a day or two,
getting up to go to the bathroom and for
in mind that the speed of your recovery
depends largely on the extent of your surgery.
Although everyone heals at a different rate,
you can expect that your recovery will follow
this general time line:
the first week
• The swelling will reach its peak
and then begin to subside.
• Your stitches will be removed.
• You may return to nonstrenuous work.
• Bruises will fade and eventually
• Areas that felt numb will regain
• You may resume most of your normal
exercise and activities.
• Swelling will continue to subside.
should I know about my results?
soon after surgery you will see a noticeable
difference in the shape of your body. However,
improvement will become even more apparent
after a couple of months, when fluid retention
and swelling have subsided. For most patients,
the final result is evident after about
your liposuction surgery, you may notice
that clothes fit more comfortably and you
feel more confident about your appearance,
As long as you maintain your postoperative
weight, your new, slimmer contour will be
permanent. Many patients who gain a few
pounds after surgery find that the weight
distributes itself more evenly and does
not settle in the same “problem areas”.
long will I continue to see my plastic surgeon?
the initial healing period, you will return
to your plastic surgeon’s office for
a postoperative follow-up visit so that
your progress can be evaluated. In the following
months, your surgeon may ask you to return
for periodic checkups. It’s important
to keep these appointments so that your
surgeon can assess your long-term results
and address any questions or concerns you
a correct surgeon
matter what type of plastic surgery you're
considering, one of the most important factors
is the surgeon you choose. Although it may
seem hard to believe, some of the physicians
who are performing cosmetic surgery have
had no formal or with very inadequate surgical
about your Doctors
Surapaneni is the First Indian who had under
gone the complete residency training program
in this specialized field under Prof. Ivo
Pitanguy. A legendary that trained more
than 400 surgeons from 40 different countries
in the 43 years of history of his training
institute. Prof. Pitanguy also set several
mile stones in the field of Aesthetic Plastic
surgery by becoming one of the world’s
best situate for the Hollywood and world
celebrities for metamorphosing their body
lines by him. The warm climate, wonderful
beaches and the western culture made the
Brazilian’s to be more conscious of
their shapely bodies and in turn they set
the goals for the rest in undergoing these
cosmetic surgeries. Dr. Surapaneni also
gained experience in Liposuction from Rome,
Italy with Dr. Georgio Fischer; Endoscopic
Facial Procedures with Dr. Nicanor Isse
of California, USA and attended to various
internationally acclaimed surgeons in Paris,
France and some of the conferences.
Sailaja Kaza attained M.D. in Dermatology
from Rio de Janeiro, Brazil with Prof. R.
D. Azulay. A senior professor and a popular
figure of Dermatology in Latin America and
been considered as father of Dermatology
with an out standing academic contribution.
Dr. Sailaja got selected for the American
Academy of Dermatology visiting resident’s
scholarship program and had an opportunity
to work under Dr. William James (Editor
& Author of several internationally
acclaimed Dermatology text books) at University
of Pennsylvania, USA. She is also a qualified
in M.D. Aesthetic Medicine and quite knowledgeable
in the field of Cosmetic Dermatology and
well trained with Lasers, Acid Peels, Botox,
Microdermabrasion (Skin Polishing), management
of Acne, Hair and skin care.