Description
Body contour surgery is performed for figure improvement, correcting selected conditions due to obesity, pregnancy or poor contour definition. Suction lipectomy is performed to remove localized deposits of fat.

This procedure does not completely correct sagging skin folds, wrinkles or stretch marks. It is not a treatment for generalized obesity, nor is body contour surgery a substitute for weight reduction. If the skin was loose or lax prior to surgery, it may be better afterward with the new superficial suction technique.

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Procedure
Suction lipectomy is performed under heavy sedation with tumescent local anesthesia. A 1/4 inch diameter suction tube is inserted through a ½ inch incision, and a vacuum is applied while the cannula is moved to sculpture the fat.

A pressure dressing or girdle must be worn for support for at least six weeks. Residual water swelling exists when dressings are first removed, subsiding in thirty to sixty days. There may be some residual ripples and dimples, however, massaging with a vibrator helps. In some cases, repeat spot suction may be necessary for a high spot, and a fat or collagen injection may be indicated for a low spot.

Slight black and blue marks may be evident for six to eight weeks, especially if you take aspirin. Kneading massages are recommended at least twice a week in the second and third months. This is best performed by a professional masseuse.

Considerations
Generally, Suction Lipectomy carries the same risks as any other surgical operation, and as with any surgery, complications may occur. Most of these are minor problems correctable with medication. Difficult complications may require additional procedures.

Occasionally, a scar may heal poorly. This can be corrected. If there are scars from previous surgery, the circulation to the skin may be poor and some skin loss may occur. This usually heals by itself, however, some cases may require a secondary procedure. Tiny nerves may form a small tender lump which can be removed. A collection of blood or tissue fluid may also occur which can be removed. Minor collections will be absorbed naturally.

Infection may occur. Ordinarily, this is not serious and can be treated with medication. However, skin loss or disfiguring contractures are possible.

Phlebitis, commonly called a blood clot, can develop after any surgical procedure. Phlebitis usually occurs in a leg vein; however, it may break away from the vein and go into the lungs. Patients are instructed to contract and relax calf and thigh muscles to increase the flow of blood, and prevent blood clots from forming.

Medications may be necessary during surgery and convalescence, causing distressing side effects for some people.