What is Liposuction?

Dr. Cappuccino uses the latest methods and equipment including power assisted liposuction (PAL), the SAFE method (separation, aspiration, fat equalization), the tumescent technique, and the super-wet technique. These advances in liposuction help plastic surgeons to provide patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, our treatment of power-assisted liposuction in Maryland can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

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What Areas Can Be Addressed With Liposuction?

Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas. It can address these problem areas with an impressive level of precision, enabling you to touch up a wide range of sections, including the:

  • Abdomen
  • Back
  • Hips
  • Buttocks
  • Thighs
  • Knees
  • Upper arms
  • Chin
  • Cheeks
  • Neck

Liposuction Before & Afters

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Is Liposuction in Maryland Right for Me?

The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable, and have realistic expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as younger patients with tighter skin.

Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured. Dr. Cappuccino will get to know your health history during your in-person consultation, and he’ll advise you if he thinks that another procedure might be better for you.

Getting the Answers You Need

Individuals considering liposuction in Maryland often feel a bit overwhelmed by the number of options and techniques being promoted today. Dr. Cappuccino is here to help. In deciding which is the right treatment approach for you, he’ll consider effectiveness, safety, cost, and appropriateness for your needs. Dr. Cappuccino uses his surgical judgment to prevent complications, handle unexpected occurrences during surgery, and treat complications when they occur.

Dr. Cappuccino’s education, training, and years of experience have helped him develop an exceptionally keen sense of surgical judgment, so don’t hesitate to ask as many questions as you can during your consultation. This is your chance to learn about everything from incision placement to the scarring you’ll have after your recovery. Dr. Cappuccino will make sure that you have all the information you need.

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Preparing For Your Surgery

You’ll receive specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed.

While making preparations, be sure to arrange for someone to drive you home after the procedure and help you at home for a day or two.

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Anesthesia for Power-Assisted Liposuction

If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs only the affected areas. 

However, if you prefer, the local is usually used along with intravenous sedation to keep you more relaxed during the procedure. However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed.

The Power Assisted Liposuction Surgery

The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia, and the technique used. There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcomes.

Liposuction is a procedure in which localized deposits of fat are removed to contour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out.

The suction action is provided by a vacuum pump or a large syringe, depending on the specifics of your surgery. If many sites are being treated, Dr. Cappuccino will then move on to the next area, working to keep the incisions as inconspicuous as possible.

Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.

Technique Variation

The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been developed and refined, several variations have been introduced.

Fluid Injection

Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid — a mixture of intravenous salt solution, lidocaine (a local anesthetic), epinephrine (a drug that contracts blood vessels), and TXA- tranexamic acid (reduces bleeding) — helps the fat be removed more easily, reduces blood loss, and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.

Tumescent Liposuction

Large volumes of fluid — sometimes as much as three times the amount of fat to be removed — are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as four to five hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or tumescent state of the fatty tissues when they are filled with solution.

Super-Wet Technique

The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.

Power-Assisted Lipoplasty

This technique requires the use of a special motorized handpick that creates a fast reciprocating motion of the cannula.  This helps move the cannula through the tissue helping your surgeon achieve more precise results. This improves the ease and effectiveness of liposuction.

SAFE Technique

The SAFE technique (separation, aspiration, fat equalization) is a sequence of steps designed to achieve the safest and best looking liposuction results. Specialized equipment is used to create a reverse flow through the microaire power-assisted liposuction system for injection of the wetting solution.  This helps to separate the fat which eases removal and decreases bleeding. After removal of the fat, a final pass without suction is performed to smooth out and equalize the remaining fat across the treatment area, yielding the most natural looking contours.   

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After Your Liposuction Surgery

After surgery, you will likely experience some fluid drainage from the incisions. Occasionally, a small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. You may also prescribe antibiotics to prevent infection.

Pain, burning, swelling, bleeding, and temporary numbness are all a normal part of the recovery process. Pain can be controlled with medications prescribed by Dr. Cappuccino, though you may still feel stiff and sore for a few days. Dr. Cappuccino will schedule follow-up appointments with you so that he can monitor your healing process and ensure that you are recovering properly and expediently.

BMI Limitations for Liposuction Surgery

Prior to your surgery, we recommend that our patients be at or near their goal weight, ideally within 10-20lbs of the target. This applies not only to our procedure for liposuction in Maryland, but virtually any kind of surgical procedure, especially when focuses around body contouring surgeries, such as an abdominoplasty, liposuction, or Brazilian butt lift (BBL). These surgeries often address developments that have resulted from significant weight loss, such as stubborn pockets of fat and sagging skin. Being near the goal weight prior to surgery ensures that the procedure will attain the desired result. 

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Secondly, it is essential that our patients maintain a healthy weight after the procedure, as any significant weight fluctuations, be it weight loss or weight gain, can negatively impact the final results. 

And lastly, and more importantly, the biggest reason that physicians emphasize the need for patients to be within BMI limits is it plays a major role in the potential complications associated with surgery. Taking these factors into account is paramount for both the plastic surgeon and the patient, as reducing any possible surgical risk ensures a successful procedure.

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Enjoying Your Incredible Results

If you’re wondering how you can eliminate those problem areas that just aren’t responding to diet and exercise, Dr. Cappuccino is here to help. He’s proud to be offering liposuction in Maryland to patients in both Mount Airy and Frederick Maryland, and around the world. When you’re ready to learn more, simply reach out and set up your consultation with a member of our devoted team.

Recovery from Liposuction

Healing is a gradual process. Dr. Cappuccino will probably tell you to start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery. The stitches are removed or dissolve on their own within the first week to 10 days.

Activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappear within three weeks, some swelling may remain for six months or more. If you have any unusual symptoms between visits—for example, heavy bleeding or a sudden increase in pain—or any questions about what you can and can't do, don’t hesitate to reach out to us.

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Liposuction FAQs:

Is liposuction dangerous?

How long is the recovery process?

How long until I can exercise after liposuction?

Does liposuction provide permanent results?

Is liposuction dangerous?

In the hands of a skilled, experienced body sculpting authority such as Dr. Cappuccino, liposuction is a safe, effective procedure. The doctor does everything possible to minimize your risks through a careful, conservative approach. During your consultation, we will discuss the safety of liposuction in more detail.

How long is the recovery process?

Most patients can expect to resume work within the first week after liposuction. However, they’ll need to wait at least 4-6 weeks before resuming strenuous activities and exercise. Swelling slowly subsides over the course of around 3 months.

How long until I can exercise after liposuction?

Directly after surgery, you can begin taking gentle walks to boost circulation and promote healing. Most patients can resume light exercise within several weeks, reserving strenuous activities and heavy lifting for around week 4, or as advised by Dr. Cappuccino.

Does liposuction provide permanent results?

The fat cells removed through liposuction will not return. However, new fat cells can arise as you gain weight, although it will be in the untreated areas of the body. To maintain your physique, Dr. Cappuccino suggests a healthy diet and exercise regimen, minimal sun exposure, and plenty of fluids and quality rest.

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