Excess fat detracts from a beautiful figure, so it is no surprise that most women and men look for ways to reduce it once and for all. Liposuction prevents a suitable option, allowing us to remove fat deposits from typical problem areas. Liposuction is not a solution to obesity and definitely does not represent a way to lose weight. Our clients include even people of healthy weight who form fat deposits due to hereditary predisposition, and thus diets and regular exercise do not work on them. Liposuction is often performed as a supplement to augmentation (breast enhancement), breast lift, abdominoplasty, or it can be performed as a separate procedure.
Several types of liposuction exist, each with its own set of pros and cons. All types of liposuction work based on the same principle. First a tumescent solution is injected into the area to fill and spread through the area where the fatty tissues are to be disrupted. The tumescent solution is made up of a physiological saline solution with a local anesthetic and other components such as adrenaline. Next cannulas are used to physically break up and suction the fat tissue. Conventional liposuction, a simple technique with good post-operative results, uses a metal cannula, for instance, which the surgeon moves and uses to suction fat from the subcutaneous tissue.
First the plastic surgeon will advise you on whether liposuction is a suitable method for you given your body type and the scope and location of excess fat. If it is, the surgeon will tell you whether liposuction can be done under local anesthesia or it would be better to use it with analgosedation (medication that induces a short-term state of relaxation where you do not perceive pain) or you will need general anesthesia instead.
After consulting with the plastic surgeon you will choose the most suitable liposuction technique – either conventional tumescent liposuction, vibration liposuction (PAL – power assisted liposuction), UAL (ultrasonic assisted liposuction), or Body-Jet liposuction.
Depending on the quality of your skin and subcutaneous tissue you will also consider whether to end the procedure with Plasma Lipolysis. This technology makes use of heat to prevent small uneven areas and tighten skin that has lost some of its elasticity, which would otherwise make liposuction impossible.
Finally our plastic surgeon will inform you of suitable supplementary therapies for after the procedure to help you heal faster and improve the end result. Our clinic offers a number of medical devices for this very purpose (LPG, Revitex, Lipotouch, Ultra Cell). In specific cases one of these therapies may be recommended for you before the operation as well – this has the advantage of making liposuction possible in areas that would previously have been impossible.
If the plastic surgeon does not recommend liposuction for you, then you can select a different method together that will be more suitable for your problem. For small, localized areas of excess fat you may be best served with non-surgical removal, called lipolysis. Essentially lipolysis involves dissolving the fat either using an enzyme, which the doctor injects directly into the affected area, or ACRYOS, a unique method by RENEVE involving cryolipolysis along with electrolipolysis. As with liposuction, all methods can be performed alongside device therapy to give optimal and long-lasting results (LPG, Revitex, Lipotouch, Ultra Cell).
If liposuction would not bring about the desired effect due to the volume of fat and loose skin, our plastic surgeon may also suggest a more extensive procedure such as abdominoplasty (tummy tuck), thigh lift, arm lift or buttocks lift.
Conventional liposuction cannulas are just 3-5 mm wide and suction fat tissue as gently as possible.
Before and during liposuction a tumescent solution is injected into the relevant area. The body-jet® uses up to 70% less tumescent solution than conventional liposuction. This makes the results visible almost immediately after the procedure, since the body does not retain excess fluid.
This is a gentler method due to the stream of water that dislodges fat tissue while simultaneously injecting tumescent solution and suctioning fat cells. Less extensive bruising is a positive side effect.
Another advantage of this method is the fact that the fat cells can be carefully collected in a container and cleaned to separate pure fat tissue from other water-based components without any mechanical damage. Once separated, the fat is ready for immediate transfer to the desired part of the body.
The results are visible immediately after the procedure with minimal damage to surrounding tissues.
Power assisted liposuction (PAL) removes fat using a vibrating cannula. This means the procedure requires much less force than other types of liposuction. Unlike laser and ultrasonic liposuction systems, this method does not create heat and thus does not risk damage to the surrounding tissue.
PlasmaLipo features new patented technology with two big advantages: the surrounding tissue can be treated with plasma, which has a positive effect on collagen in the subcutaneous tissue, and it does not lead to high temperatures, thus avoiding the risk of damage to the surrounding tissues, which is a concern when using laser. PlasmaLipo is most often used along with body-jet® liposuction, where the tissue is treated with a plasma laser after the fat is suctioned out. The plasma laser activates the collagen in the subcutaneous tissue, which tightens the skin. The plasma laser also helps post-trauma tissue to recover more quickly.
PlasmaLipo can be used on small areas such as under the chin or the knees or arms, dissolving fat while stimulating collagen fibers at the same time. This causes adhesion and tension in the tissue being treated without risking any uneven areas.
You should meet several criteria for our plastic surgeon to recommend liposuction for you. Important factors include maintaining a healthy and constant weight as well as being in good health physically and mentally. Skin elasticity is another important factor. In order for us to perform the procedure, your skin must be able to adapt, or else you risk developing dimples and wrinkles in the skin.
Like with every aesthetic operation, you need a personal consultation with a plastic surgeon beforehand. If you are traveling to ABClinic Art & Beauty for liposuction from another country, the first consultation can take place using photographs. Your plastic surgeon will recommend you for liposuction or help you choose another technique (abdominoplasty, thigh lift, arm lift, neck lift, etc.). Before the operation in Prague you will have another consultation with the surgeon, this time in person.
Liposuction is performed under some level of anesthesia (local, general, or local plus analgosedation, which is a pharmaceutically induced state of calm), so you will need to have a pre-operation examination at our clinic or with your GP. This examination should be done one week before the operation and includes blood work, including coagulation values, and evaluations of the heart, liver function, mineral content, etc.
On the day of the operation you arrive at our clinic. If the procedure is to be performed under local anesthesia, you will not need to arrive on an empty stomach. If the procedure is to take place under local anesthesia with analgosedation or under general anesthesia, it is important that you not eat or drink anything for at least six hours before the operation. Immediately after you arrive, our staff will take you to your room and the surgeon will go over the operation procedure and liposuction technique with you once again, take photographs and draw the lines for the procedure. Lastly you will both sign the informed consent form. You will also have a brief meeting with the anesthesiologist, who will go over the anesthesia questionnaire with you. Shortly before heading to the operating room, our nurses will get you ready for the operation.
The length of the operation depends on the anesthesia type used as well as the scope of the procedure, varying between 30 minutes and 2-3 hours. Based on prior agreement and the lines drawn on the skin beforehand, the plastic surgeon makes a small incision with local anesthesia and injects a tumescent solution into the area. You will need to wait 30–45 minutes for the local anesthesia to take effect before the surgeon begins the procedure. General anesthesia takes effect more quickly. Then the surgeon suctions the appropriate amount of fat tissue. After liposuction is complete, the small wounds left by the cannulas are stitched or taped up. Sterile dressings are put on the wounds and a compression garment is put on the area.
Immediately after the operation you will be put in an observation room for a short time so our experienced nursing staff can keep a close eye on you. If your procedure took place under local anesthesia, after 30 minutes to an hour the doctor will check on you and you can be released to recover at home. If you had analgosedation or general anesthesia, after you wake up fully you will be moved to your own room, where you will receive medication for pain relief, antibiotics and anti-thrombosis medication as needed. After four hours (or 24, depending on your condition) you can be released to home care with the approval of your operating surgeon.
Instructions for caring for your operating site will depend on the operating surgeon’s chosen technique and preferences. In general we recommend keeping the compression garment on for three to seven days, which you will exchange for a second set at the first or second outpatient check. The stitches or tape are usually removed after one week. We consider the best post-surgical compression garments to be those by the France-based MEDICAL-Z, available for purchase at our clinic or e-shop.
You will have three to four checkups with your operating surgeon during the first month to six weeks after the operation. During that time you will need to wear the compression garment, as mentioned above, and you can wash as usual provided that you carefully dry and disinfect the area. After one or two days, depending on the scope of the procedure, you can resume light office work.
We recommend beginning post-surgical lymphatic drainage and regular massage about 10–14 days after surgery. In addition to daily home care, we also recommend twice weekly therapy using our LPG device for as long as you wear the compression garment. The length of time to wear the compression garment depends on the scope and type of procedure as well as the quality of the skin and subcutaneous tissue. This usually means 10-14 days for liposuction of the chin and 6-8 weeks for more extensive liposuction or if lipedema is present.
Over the next six to 12 months you will have checkups with your operating surgeon, who will keep you informed as to the healing process in your skin and subcutaneous tissue at the operation site. Regular care will help ensure good results from your liposuction.
The final price of your operation will be set after a personal consultation with a doctor at our clinic. The price will reflect your individual needs based on your anatomy, the recommended operating technique chosen by your operating surgeon and the difficulty of the operation. The price given in our price list for liposuction (removing fat by suction) is for the purposes of orientation only.
Every medical procedure involves a certain amount of risk and potential complications. While your surgeon and our clinic’s surgical team will do everything in their power to ensure no complications arise, certain adverse effects cannot be ruled out entirely.
Swelling and bruising is temporary and quite normal in the first few days after the procedure. The tumescent solution injected into the area will seep through the operating wounds for a short time along with a small amount of blood. Persistent bleeding can be considered a complication, along with some risk of infection, which however can be avoided with preventive antibiotics. Impaired healing or changes in sensitivity are rare but not irreversible complications of the healing process. Any minor unevenness in the subcutaneous tissue you may observe after liposuction usually disappears during the healing process. If it does not, we have non-invasive methods to even it out.