The proper term for fat removal is liposuction. Liposuction is one way to achieve a flat stomach and a slim waistline if good nutrition and exercise alone are not enough. Unfortunately, this is often the case as the fat deposits that accumulate on the abdomen are the last reserves that the human body uses when losing weight. At the same time, abdominal fat is also risky as it has a negative impact on the statics of the body. The consequences often include problems with the back as a result of poor posture. The plastic surgeon can help those affected quickly and efficiently by performing liposuction.
At the Klinik am Rhein, we use the most advanced method for liposuction in the abdomen and waist, PAL= Power-Assisted Lipoplasty. Before beginning liposuction, the fatty tissue must first be prepared. To do so, we use the tumescence method developed by American dermatologist Jeffrey A. Klein. The benefit of this method is that no general anaesthesia is required; instead, a local anaesthetic is used, which is mixed with adrenalin and sodium carbonate and then injected into the area to be treated. Not only does the mixture numb the area to be treated; it also helps loosen the fat cells from the connective tissue.
The liposuction procedure is performed using cannulas. The use of microcannulas with a diameter of up 2.5 mm has proven very effective. It can achieve considerably better results than the standard cannulas that were previously used in liposuction, measuring up to 8 mm. The vibrations of the microcannulas ensure the procedure is very precise but is also less traumatic for the connective tissue and important nerves, blood and lymphatic vessels.
Liposuction causes cavities to form in the tissue. In order to achieve optimal results, the treated tissue must be compressed from the outside. Therefore, the patient must wear special compression garments after the procedure at the clinic. The patient must also rest for a period of 5–6 weeks after liposuction. This means no exercise and, in some cases, taking time off work (for example if heavy lifting is required). Bandages are not usually necessary as the incisions caused by the microcannulas are closed immediately.
During natural weight loss, the fat cells are simply depleted, while liposuction completely removes them. However, patients should be aware that the human body is able to expand the existing fatty deposits at any time. In order to avoid this, we recommend eating a healthy diet and exercising regularly after the liposuction. This is the only way to ensure that the results of the liposuction remain permanent. The final result cannot be seen straight after the procedure because the tissue is not yet compressed. The treated area also usually swells up.
It is worth noting that liposuction in the abdomen and waist can also be combined with other types of procedures. If large quantities of fat are removed, it is recommended to combine liposuction with a surgical tummy tuck; however, this would require general anaesthesia. The removed fat can be reprocessed and used to plump up other areas of the body, for example the buttocks, calves and breasts. The face can also be contoured using the patient’s own fat.