Liposuction has developed rapidly since the 1970s, when it was first experimented with by Dr. G. Fischer, a gynecologist from Rome, Italy. He went on to found the International Academy of Aesthetic Surgery.
In 1978, two French surgeons, Dr. Illouz and Dr. Fournier, began using and developing liposuction techniques. They were the first to perform liposuction for purely aesthetic purposes.
Liposuction techniques evolve over time, and liposuction remains the most effective medical means of removing excess fat and contouring your body. My readers have read my other articles on liposuction techniques. At the same time, it’s possible to find videos on my social networking accounts that highlight the difference between the latest techniques.
It’s worth mentioning that liposuction (especially WAL liposuction) is considered the most effective treatment for lipedema, apart from conservative treatments such as pressotherapy and compression therapy etc.
Whatever the evolution of technology today, one question remains one of the most frequently asked:
“How much fat can be removed during liposuction?”
First and foremost, you need to differentiate between the pure fat that will be removed from the patient and the total volume aspirated, which is viewed in the operating room and ends up in the aspiration bottles.
In suction flasks, you end up with a difference in sedimentation between the volume of water that ends up at the bottom of the jar and the lighter fat that floats to the top.
So, in the end, it’s all about calculating the volume of fat that floats to the surface, which represents the true volume of fat sucked in.
The bottom of the aspiration jar will represent water and blood. The problem lies in the blood we’re going to remove. The ultimate limit of removal is blood, because there is no limit to the volume of pure fat removed.
So we need to answer the question: how much fat can liposuction remove? Liposuction will remove as much fat as possible, while taking care not to remove too much blood.
This is where the surgeon’s work comes in, as he or she must take care to remove as little blood as possible during the operation, so as to be able to remove as much fat as possible. One thing needs to be said, however, and that is that the important thing is not really how much fat is removed, but rather how much volume and figure is left for the patient?
The important thing is to see what the resulting shape of the liposuction is, and therefore not to focus on a particular volume, as if you had to perform a feat? As if you had to achieve the maximum. The important thing is to give shape and volume to the aspirated body.
Another related question:
“Is the result of liposuction permanent? Do fat cells reappear after liposuction?”
In the human body, a stock of fat cells or adipocytes (which is the medical term) is fixed at puberty. From puberty onwards, the stock of cells will not move, so we’re talking about a stable number of fat cells.
It has long been known that fat cells are not cells that reproduce or multiply. Adipocytes are cells that grow, expand and hypertrophy.
There is no cell multiplication among the adipocytes. As liposuction is a technique that removes a certain amount of fat volume, and therefore a certain number of adipocytes, it can be said that liposuction empties a specific area of fat storage. Since fat cells do not reproduce themselves, the aspirated area cannot be repopulated with fat cells.
Obviously, the remaining adipocytes can grow back… An area is never completely emptied by liposuction, and the remaining adipocytes can continue to grow and hypertrophy as part of overweight or weight gain.
Of course, in cosmetic surgery and after any liposuction, what’s hyper-important is weight stability… So the balanced diet of the person undergoing liposuction is essential.
Liposuction empties the targeted areas of fat cells, with no possibility of fat returning to the area.
Now, the importance of the plastic surgeon’s work is to focus, with the right technique, on the targeted areas. For the patient, this means choosing the most experienced surgeon possible, so that he or she can do the best job with the minimum of aspiration defects.
If we’re talking about fat cells aspirated from an area, what we want is for the area to be emptied, but of course we have to be careful not to empty the area too much, since we know that fat cells don’t reappear. Sometimes you can see the flaws of too much liposuction; you’re forced to put fat cells or fat back into areas that have been drained too much. This doesn’t make sense, since the aim was to remove fat from these areas.





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