Localised Fat Deposits

It is common for individuals to note areas of localized fat deposits that are resistant to weight loss, even after achieving normal weight. These areas of fat deposits may be create abnormal trunk or extremity contours and may be aesthetically displeasing. They may also make it difficult for individuals to find well-fitting clothing. Many individuals seek removal of these fat deposits as part of erasing the legacy of their obese past.

Liposuction is complementary to circumferential body lift and has synergistic effects on the body form when performed together. Achieving a good body contour improves one’s body image and self-confidence.

 

How Does It Manifest?

Common areas for persistent fat deposits include the side boobs, lower chest, inner arms, the hips, the inner thighs, and around the knees. The distribution and severity of fat deposition varies from between individuals.

 

Liposuction - Post Weight-Loss Contouring Surgery by Singapore Plastic Surgeon

How does it arise?

Adipocytes (fat storage cells) multiply and enlarge in response to obesity, and result in thickening and volume increase of the subcutaneous fat layer. Adipocytes in the inner arms, hips, and inner thighs undergo metabolic changes that render them much more resistant to weight loss, hence these persistent areas of fat deposits despite achieving normal weight.

 

Liposuction

Liposuction is a safe procedure in trained and experienced hands. Common areas for liposuction include the arms, the side boobs, the flanks and abdomen, hips, thighs and calves. It may be performed as a standalone procedure or as a complementary procedure together with other body contouring procedures such as circumferential body lift, arm lift, breast lift, or thigh lift. It is performed through small, hidden incisions to minimize scar visibility. Liposuction is an ambulatory procedure that is performed under intravenous sedation or general anesthesia.

The following are good candidates for liposuction:

  • Stable weight for at least 3 months
  • Normal or near-normal BMI with localized fat deposits
  • Good skin elasticity

Individuals who have a high BMI may wish to consider other forms of weight loss interventions (e.g. diet and exercise interventions, or bariatric surgery) to achieve ideal weight prior to liposuction for best results. Individuals with loose skin folds may wish to consider other procedures, such as abdominoplasty, brachioplasty or thighplasty as liposuction does not reduce skin excess.

Liposuction sculpts an aesthetically pleasing body silhouette by localized reduction of localized fat deposits and restores gender-appropriate aesthetic body contour ideals. It minimizes scar visibility by the use of small, well-sited incisions.

Individuals are advised to stop herbal supplements and traditional medicine, and start special medications 7 days prior to surgery to minimize bruising and swelling.

Small incisions are made near the areas of intended liposuction, and local anesthetic is infused for optimal intra- and post- operative pain relief. Using specialized cannulas and equipment available at Picasso Plastic Surgery, the fat is broken up and aspirated under negative pressure. The optimal amount of fat to be removed is a fine art: sufficient to restore an aesthetic contour, yet within appropriate limits to permit the skin to shrink postoperatively and prevent formation of loose skin folds. Proprietary techniques are used to achieve further contour definition (high definition liposuction) in specific areas. In cases where concurrent fat grafting is to be performed to other areas, the fat is extracted, processed, and grafted into the relevant areas through small incisions. Individualizing the surgical approach produces natural-looking, elegant, and bespoke outcomes.

Many individuals are able to return to work between the 5th and 7th postoperative day. Depending on the extent of liposuction performed, most of the swelling and bruising will resolve by the 14th postoperative day. Stitch removal is usually performed on the 10th postoperative day.

Showering is possible from the 2nd postoperative day onwards. Specific post-operative compression garments may be required in the first 2 weeks to minimize postoperative bruising and swelling, guide the shrinkage of the skin and prevent formation of irregular skin folds. Bruising may be minimized by avoidance of strenuous activity for the first 2 weeks.

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The Picasso Advantage

Dr Yeo is experienced with liposuction and incorporates proprietary techniques to deliver exquisite and sustained results while minimizing the postoperative recovery time. Our clinic has an en suite operating facility that has MOH certification as an Ambulatory Surgical Center (ASC). This assures your maximal privacy and convenience while keeping facility and equipment costs contained. Our operating room carries a full range of liposuction equipment tailored for liposuction and structural fat grafting aimed at delivering optimal results.

Is liposuction safe?

Delivering effective and safe treatments are the cornerstones of care delivery at Picasso Plastic Surgery. MOH has a set of stringent regulations to ensure patient safety. In accordance with these regulations:

  • Liposuction may be performed by plastic surgeons, or non-specialist practitioners possessing appropriate MOH licensing. Dr Yeo is a plastic surgeon with extensive experience with liposuction for both aesthetic and reconstructive purposes
  • Liposuction cases need to be performed at certified Ambulatory Surgical Centers. Our clinic operating facility has received MOH certification as an ASC
  • Outpatient liposuction may be performed up to a maximum volume of 2 liters of supernatant fat (the fat fraction after separation from the fluid). Overnight stay in the hospital for monitoring is required for individuals desiring liposuction involving larger volumes. Dr Yeo has specialist credentialing at a broad range of private hospitals to facilitate overnight admission should individuals wish to perform liposuction beyond the 2 liter stipulation
Liposuction - Post Weight-Loss Contouring Surgery by Singapore Plastic Surgeon
 
 

Complementary procedures

Complementary procedures enhance the result of the liposuction, and often utilizes the fat that has been suctioned out, and grafted into hollow areas. These include: