 Patient Selection Criteria for Liposuction, include;
• Good physical and mental health.
• Cardiovascular disease or diabetes can increase complications.
• People with localised pockets of fat will have better results than those with generalised distribution of fat.
• Liposuction is not a substitute for a health diet or generalised weight reduction.
• Good skin elasticity and firmness give the best results. Tight skin is always seen in the very young and is gradually lost as we age. Even through middle age however, we retain some elasticity. The skin envelope always shrinks to adjust to the reduced contour in varying degrees.
• Have realistic expectations – your appearance after liposuction is influenced by general health, condition of skin, age, weight, hormonal and hereditary factors as well as the amount of fat removed. Full improvement is also not seen immediately - changes should be fairly dramatic, but on the day after surgery there will always be residual swelling from tissue trauma and some residual tumescent fluid that will be absorbed with time.
• Have little loose skin and musculature. If loose skin and lax musculature is present eg on the abdomen, additional procedures may be necessary such as an abdominoplasty (tummy tuck) or an inner thigh lift or upper arm tuck, or a total body lift to improve the hip contour and saggy buttocks.
• Not expect a cure for ‘cellulite'. The word ‘cellulite' has no precise medical meaning – most people use the term to refer to dimpling and irregularities that occur on the lower abdomen and thighs – it worsens with age and lack of exercise and may be associated with loose skin. Cellulite is due to protein degeneration in the skin and its supporting structures. Liposuction will not cure cellulite but it will remove fat and reduce contour. In mild cases, liposuction may lessen the intensity of cellulite. Severe cases however, require a tummy tuck or thigh lift for permanent improvement.
• Realise that liposuction is permanent. Adults become thinner or fatter by reducing or increasing the amount of fat in each cell. Liposuction removes fat cells and so reduces the ‘thickness' of the fatty layer. If weight is gained after liposuction, fat is deposited in areas other than those treated. The area treated may increase a little but will not reach the size it was before liposuction.
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