Liposuction is a frequently preferred method in the field of aesthetic surgery, aiming to remove excess fat tissues from the body to achieve a more aesthetic and balanced appearance. This procedure is applied not as a weight loss method but to shape body contours. Stubborn fat accumulated in areas such as the abdomen, hips, thighs, arms, and chin is removed using special cannulas. Modern techniques used today have made the liposuction procedure both safer and more effective. However, like any surgical procedure, it carries risks such as infection, bleeding, and skin deformities. Proper patient selection and an expert team minimize these risks.
Reducing stubborn fat accumulations in specific areas to improve body contour.
Indications
Fat deposits that cannot be reduced by exercise and diet, need for body shaping, aesthetic concerns.
Treatment Areas
Abdomen, waist, hips, back, buttocks, thighs, knees, arms, under the chin, and other areas.
Types of Methods
Classic Liposuction: Removal of fat using cannulas and vacuum.
Laser Liposuction: Removal of fat tissue by melting it with laser.
Vaser Liposuction: Liquefying fat using ultrasonic energy.
Tumescent Liposuction: Easier fat removal using anesthetic fluids.
Type of Anesthesia
Local anesthesia (for small areas) or general anesthesia (for larger areas).
Duration of the Operation
1-4 hours, depending on the treatment area and amount of fat removed.
Recovery Time
First 1-2 weeks: swelling and bruising, full recovery takes about 4-6 weeks. Return to daily activities is usually possible within 1 week.
Possible Complications
Bleeding, infection, irregular skin surface, asymmetry, loss of skin elasticity, swelling.
Hospital Stay Duration
Usually discharged on the same day, sometimes an overnight stay may be required.
Longevity of Results
Can be long-lasting if a stable weight is maintained; however, weight gain can affect the results.
Preoperative Preparation
Blood tests, quitting smoking, avoiding blood-thinning medications, planning the areas to be treated.
Postoperative Care
Use of special compression garments, recommended light walks, avoiding heavy activities, regular doctor check-ups.
What is Liposuction?
Liposuction is considered one of the most important milestones in aesthetic surgery and has continuously evolved over the years to reach its modern form today. The first attempts were made in 1921 by French surgeon Charles Dujarier. However, the primitive techniques used at that time caused serious complications and stalled progress in this field for decades. In the 1960s, Brazilian surgeon Ivo Pitanguy revolutionized body shaping by removing both the skin and underlying fat tissue together with a method called dermolipoectomy. While this method was effective, it left noticeable surgical scars.
In the 1970s, Italian surgeons Arpad and Giorgio Fischer introduced the “liposculpture” technique, laying the foundation for modern liposuction. However, this dry technique caused complications such as bleeding, hematomas, and seromas. In 1977, French surgeon Yves-Gérard Illouz managed to reduce most of these issues with a method he named the “wet” technique. By injecting saline solution into the fat tissue, blood loss was minimized, making the procedure safer.
In the 1980s, American dermatologist Jeffrey A. Klein developed the tumescent technique. This innovation allowed liposuction to be performed under local anesthesia while significantly reducing the risks of bleeding and infection. In the following years, ultrasound and laser-assisted techniques were introduced for more precise results. Today, liposuction has become one of the indispensable procedures in aesthetic surgery, thanks to continuously developing technologies.
Who is Liposuction Suitable For?
Liposuction offers an effective solution for individuals who are unable to eliminate certain fat deposits from their bodies despite diet and exercise. This method is applied not for weight loss but to improve and shape body contours. The best results are generally achieved in patients with good skin elasticity and muscle tone, as these factors support the skin in achieving a smoother appearance post-procedure.
Liposuction is preferred for treating localized fat deposits in areas such as the abdomen, thighs, hips, arms, and neck. Additionally, it can be effective in treating chronic conditions like lipedema, which is characterized by symmetrical fat accumulation in the legs and arms. Moreover, liposuction can be used for the surgical removal of benign fat tumors known as lipomas.
However, liposuction is not a suitable method for treating obesity or metabolic disorders related to obesity, such as insulin resistance. Therefore, different treatment approaches are recommended for patients aiming for weight loss. Additionally, individuals with cardiovascular diseases, diabetes, or a weakened immune system may not be suitable candidates for liposuction, as the procedure can lead to serious complications in such patients.
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Liposuction is a surgical procedure aimed at body shaping and is not a suitable option for every patient. Especially individuals with severe systemic diseases are not recommended for this procedure. Cardiovascular disorders such as heart diseases can increase life-threatening risks during surgery. Similarly, individuals with bleeding disorders (coagulopathy) or those taking blood-thinning medications become a risky option for liposuction.
Systemic conditions like uncontrolled diabetes can delay wound healing and increase the risk of infections. Moreover, individuals with a weakened immune system are more susceptible to infections post-surgery. The use of medications that affect the metabolism of lidocaine should also be evaluated before the procedure, as this can lead to anesthesia-related complications.
In cases where skin elasticity is poor, especially in older individuals, unwanted skin sagging can be observed after liposuction. Existing scars, hernias, or active skin diseases can also make the procedure dangerous. Additionally, individuals with a significant amount of internal fat in the abdominal area may not achieve the desired results, as the procedure targets subcutaneous (under the skin) fat.
Psychological conditions also play an important role. Individuals with mental disorders, excessive anxiety, or unrealistic expectations may face challenges in adjusting and being satisfied with the results post-liposuction.
How is Liposuction Performed?
Liposuction is a surgical procedure that requires careful planning and expertise. The procedure can be performed under local anesthesia, sedation, or general anesthesia, depending on the size of the treatment area and the technique applied. For smaller areas, local anesthesia may be sufficient, while general anesthesia is preferred for larger areas or when multiple areas are targeted.
Chirurgical Techniques and Stages
Tumescent Liposuction:
In this method, a special solution is injected into the fat tissue. The solution provides local anesthesia and reduces bleeding while making fat removal easier. Small incisions are made, allowing a cannula to aspirate the fat tissue.
Ultrasound-Assisted Liposuction (UAL):
Using ultrasonic energy, fat cells are liquefied and then aspirated. This method is effective in areas with stubborn fat deposits, such as the back or male breast tissue, and supports skin tightening.
Laser-Assisted Liposuction (LAL):
Laser energy liquefies fat cells while also stimulating collagen production. This method is advantageous in areas with thin skin or when additional skin tightening is desired.
Power-Assisted Liposuction (PAL):
A mechanical cannula allows for fat removal without manual effort. This method is preferred for large areas and dense fat deposits.
Water-Assisted Liposuction (WAL):
Using pressurized saline water jets, fat cells are gently moved and simultaneously aspirated. This technique allows for fat removal without damaging surrounding tissues.
Final Steps of the Procedure
Incisions can be closed or left open to facilitate fluid drainage. To support the healing process and reduce swelling, a compression garment is applied to the treated area. In experienced hands, liposuction offers safe and effective results.
What are the Side Effects of Liposuction?
Liposuction is generally considered a safe procedure, but like any surgical intervention, it carries risks of side effects and complications. The most common side effects are pain, swelling, and bruising, which usually resolve within a few weeks on their own. Additionally, temporary numbness in the treated areas may be observed.
More serious complications are rarely seen and usually occur in cases of extensive fat removal or when combined with other surgical procedures. Contour irregularities are among the most frequently reported complications after liposuction, manifesting as wavy or uneven skin surfaces, which may sometimes require corrective interventions.
The risk of infection can be significantly reduced through careful sterilization and adequate patient care, but severe infections require prompt medical intervention. Additionally, hematomas (blood collections) and seromas (fluid accumulations) are rare but can occur, necessitating medical interventions such as drainage.
Other potential complications include nerve damage, skin necrosis, and fat embolism. Deep vein thrombosis (DVT) and pulmonary embolism are rare but serious complications that can be life-threatening. Therefore, it is important to thoroughly evaluate the potential risks before deciding to undergo liposuction and to consult with an experienced surgeon.
How Successful is Liposuction?
Liposuction is one of the most frequently performed and successful aesthetic procedures, but like any surgical intervention, it carries certain risks and complications. Studies show that the overall complication rate for liposuction is around 2.62%, which is relatively low. The most common issues include contour irregularities, hyperpigmentation, and hematomas, while more severe complications are very rare. For example, deep vein thrombosis, organ perforation, and infections occur in about 0.02% of cases. Additionally, modern techniques like tumescent liposuction have significantly improved the safety and effectiveness of the procedure. The mortality rate associated with liposuction is very low, estimated at about 1 in every 10,000 procedures.
How to Prepare for Liposuction?
Liposuction is a surgical procedure aimed at body shaping and requires careful planning and preparation to ensure that the procedure is successful and safe. Here are the key steps to be taken before liposuction:
The preparation process begins with a detailed evaluation and consultation with a plastic surgeon. The surgeon reviews the patient’s medical history, identifies potential risk factors, and conducts a physical examination to assess body structure. During this step, aesthetic expectations are discussed, and a realistic understanding of the results is established. This step is crucial for creating an individualized surgical plan.
Before the operation, laboratory tests such as a complete blood count, coagulation profile, and metabolic panel are performed. These tests are necessary to assess the patient’s overall health status and confirm suitability for surgery. If needed, additional tests may be requested.
The patient’s medications and supplements are reviewed. Blood-thinning medications and certain herbal supplements should be stopped at least two weeks before the surgery. The use of prescribed medications should be discussed with the surgeon.
Smoking and alcohol consumption should be stopped before the surgery, and a balanced and nutritious diet should be followed. Additionally, adequate hydration is important to support the healing process.
Since liposuction is a procedure for body shaping and not weight loss, it is important to maintain an ideal body weight. Weight fluctuations before and after the surgery should be avoided.
On the day of the surgery, hygiene is very important. Patients should shower with antibacterial soap the evening before and the morning of the surgery, and should not use lotion, perfume, or deodorant. Comfortable clothing should be chosen, and jewelry and makeup should be removed. Additionally, patients should not eat any food and should stop fluid intake from midnight on the night before the surgery.
How Should Postoperative Care Be After Liposuction?
Postoperative care after liposuction is crucial for the recovery process and the maintenance of surgical results. After the surgery, it is important for patients to carefully follow the surgeon’s instructions and closely monitor their condition.
Early Postoperative Phase (First 24 Hours and First Week):
In the first few days after surgery, patients typically experience mild pain, swelling, and nasal congestion as the effects of anesthesia wear off. Cold compresses can help reduce swelling but should not be applied directly to the nose. Keeping the head elevated helps reduce swelling and regulate blood circulation. During this period, nasal splints or casts should be protected and removed at the time specified by the doctor. Physical activities should be avoided, and the use of saline nasal sprays should continue to keep the nasal passages moist.
Healing Phase (2nd and 4th Week):
During this period, swelling begins to decrease, and the patient can gradually return to light activities. However, strenuous exercise and physical exertion should still be avoided. The use of saline nasal sprays should continue, and the nose should not be strained. At follow-up appointments, the doctor will assess the healing process and may provide additional recommendations if necessary.
Late Phase (From 2nd Month to 6th Month):
During this period, the shape of the abdomen becomes more defined, but some swelling may persist and requires time to fully resolve. Patients should seek the doctor’s approval before resuming heavy physical activities. It is important to avoid abdominal trauma and minimize exposure to sunlight.
Long-Term Recovery (6th Month and Beyond):
Approximately six months after the surgery, the abdomen begins to take its final shape. Most swelling has subsided by now. However, if there is any aesthetic or functional dissatisfaction, it should be openly discussed with the doctor. In this phase, protecting the abdomen and continuing regular follow-up appointments are important.
How much does a Liposuction cost in Turkey?
An average Liposuction cost in Turkey is between 4,000€ to 5,000€.
All-Inclusive Liposuction packages include;
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Turkey has become the go-to country for liposuction abroad who performs 64,600 liposuction surgeries in 2022, making it the one of the most performed cosmetic surgery in Turkey. The country has the second most plastic surgeons in the world which helps patients in getting quality treatment. According to studies, patient satisfaction rates are pretty impressive, with estimates that patient satisfaction rates are 85% to 90%. Turkey’s medical tourism industry is strong and attracts many patients from Germany, Russia, UK, Netherlands, and more. In 2022, there was a big rise in inbound medical tourism. The country hosted 642,444 visitors (66% rise over previous year). Turkey comes in seventh in the world in health tourism thanks to its 40 internationally accredited health institutions. Turkey offers high-quality care, experienced surgeons, and a proven track record of patient satisfaction. All this makes it a great place for liposuction overseas.
Liposuction surgery in Turkey has a safety profile of 85-90% success rates. Successful liposuction procedure means fat is removed efficiently and body contour is done as wished without serious problems happening. The medical tourism industry in the country is quite regulated with good facilities and surgeons working under international safety standards. Like any surgery, there are risks of infection, bleeding, and odd-looking skin. Turkey has approximately 1 in 3,000 cosmetic operations result in death. In addition, liposuction accounts for many of these fatalities, having a reported mortality rate of 1 in 5,000. So, you must go at length to research on good clinics and surgeons to keep risks at bay.
Getting liposuction in another country may mean that you’re getting skilled surgeons and advanced techniques. Countries like South Korea, Brazil, Thailand, Turkey, Mexico, India and Spain are known for their medical skills and patient-oriented service. Individuals who have lasered-assisted liposuction demonstrate a satisfaction rate of approximately 89%, with 94% likely to recommend the procedure to another. Nonetheless, you should do your own research into the accredited medical facility that you’re going to visit for treatment. While lots of patients do get their work done and happy with the results, there are also many cases that experience different complications from procedures done overseas. Hence, it is always advisable to get these procedures done in proper clinics with experienced professionals.
If you have liposuction surgery in Turkey, you will be required to stay at the hospital for 1 to 2 days. Then, you will need to stay at a hotel for 3 to 5 nights. Most patients can do normal activities after 1 to 2 weeks of surgery. However, full recovery, swelling and bruising may take several weeks. After surgeries, follow your surgeon’s directions, and heal properly before traveling.
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