Some patients with “fat flabs” on their knees can benefit from knee liposuction, which is essentially a minor surgery. It is important to note that the superficial fat (it lies beneath the skin) is often genetically predetermined and so it may not always respond to exercise and diet.
The deeper visceral fat, meanwhile, will only respond to weight loss—i.e., superb diet combined with regular exercise. For this reason, liposuction or any form of body contouring surgery is only reserved for patients of normal weight, says leading Los Angeles plastic surgeon Dr. Tarick Smiley.
In his recent Snapchat video post, Dr. Smiley has showcase a female patient undergoing knee liposuction. Her inner thigh was also included in the surgery to achieve a more attractive contour. The idea is to create a smooth transition between the knee and its adjacent areas, which is seen in “supermodels,” he explained.
The celebrity plastic surgeon positioned small round incisions on the inner side of the knees; these are expected to fade into scars that are almost invisible. This has become possible thanks to microcannula, a stainless steel tool with an outside diameter of less than 2-3 mm.
Dr. Smiley said he prefers the use of microcannulas to large cannulas because they remove fats in smaller, more “precise” bits and so the risk of over-correction is significantly reduced, if not almost eliminated.
To further improve “precision” during fat extraction, Dr. Smiley injected the knee and its adjacent areas with tumescent fluids, which contained local anesthesia for numbing effects, and epinephrine to reduce the amount of bleeding.
Dr. Smiley also performed liposuction along the inner thigh to achieve proportionate results. He has warned that the area is highly susceptible to surface irregularities (dents and cellulites) and thus a layer of fat must remain afterwards.
“In liposuction, regardless of the treated area, the most important thing is to leave a layer of fat beneath the skin in order to deliver a smooth result,” he said.
Furthermore, the volume of fat removed during liposuction should always take into account the skin shrinkage; it is important for the skin to “snap back” to achieve a tight and smooth appearance, he further explained.
After removing the “unwanted fat,” Dr. Smiley wrapped the liposuction sites with bandages and compression garment to control swelling and to speed up healing.