The abdomen is the most commonly treated liposuction area because it is where the fat “rolls” and “bulges” tend to accumulate even in healthy, normal weight individuals who exercise regularly and eat a balanced diet.
A good surgeon, Dr. Smaili said, should be able to know the risk factors in an attempt to make the abdominal liposuction safer and help patients achieve a cosmetically pleasing result.
To better understand the procedure, particularly in terms of safety, the world-renowned plastic surgeon has explained the risk factors in abdominal liposuction, and ways to minimize the likelihood of developing a complication:
* Abdominal hernia or muscle separation increases the risk of accidental penetration of the liposuction cannula into the intestine or liver in the abdominal cavity. For this reason, a good doctor will not attempt the procedure unless the condition is repaired.
In most cases, an abdominal hernia repair is a simple procedure performed under local anesthesia. A CT scan can help doctors diagnose the condition prior to a liposuction surgery.
* While the risk of accidentally penetrating the abdominal cavity is very small with liposuction, another surgery performed inside the abdomen may result in unnecessary risks. Simply put, performing abdominal liposuction-alone is the best way to make the surgery safer.
* The standard liposuction technique, which injects a tumescent solution into the fatty area, has allowed plastic surgeons to perform the procedure under local anesthesia, which is safer than general anesthesia.
But some doctors use general anesthesia, particularly if liposuction is performed simultaneously with other procedures such as tummy tuck, or if it involved multiple areas of the body. However, this approach may be counterintuitive if the goal is to minimize the risk of complications.
* While a secondary abdominal liposuction can still provide good results, each time the procedure is repeated the more difficult it becomes due to the presence of internal scar tissue within the remaining superficial fat. For this reason, a good patient should stick to a healthier lifestyle after surgery to preserve its result.
* Over-liposuction, or removing more than 3-4 liters of body fat in one session, is generally avoided by good surgeons because of the “unnecessary” risks. Just to be on safe side, they prefer two or more separate procedures performed months apart to minimize the surgical trauma and bleeding.