This article has been medically reviewed for accuracy by Marietta, GA plastic surgeon Dr. Stanley Okoro on August 13, 2024.
While noninvasive body contouring methods are currently trending, liposuction remains a significant and valuable option in the realm of cosmetic procedures. The primary aspect of liposuction involves the surgical removal of fat through incisions in the skin. However, the procedure is more nuanced than just that. For instance, general anesthesia may not always be necessary, depending on the specific body area being treated. Additionally, liposuction stands out as one of the few treatments where noticeable results can be achieved in a single session. Given the numerous misconceptions surrounding this procedure, we consulted seven plastic surgeons to debunk the most common myths they encounter.
Misconception: Liposuction yields instant results
Reality: The reality is more complex. During the surgery, your surgeon can directly observe the results, such as the amount of fat being removed and when to halt the procedure to ensure proportionality. However, post-surgical swelling often delays the full realization of these results. Plastic surgeons note that "the treated area may remain swollen for up to two to six weeks." To mitigate this swelling and help balance body fluids, patients may need to wear a compression garment for several weeks. Dr. Parcells emphasizes that "the final results from liposuction are best observed 12 weeks post-procedure."
Misconception: If you undergo liposuction in one area, the fat will relocate elsewhere
Reality: Contrary to popular belief, fat cells do not "migrate" or randomly relocate after liposuction. As we age, fat accumulation increases, making untreated areas appear larger while previously treated areas maintain their improved appearance. This phenomenon often leads to the misconception that fat has moved. Dr. Michelle Copeland, a board-certified plastic surgeon in New York City, clarifies that "the number of fat cells in our body is fixed, so the fat won't relocate elsewhere as long as weight is maintained." Fat cells can vary in size due to diet and exercise, but their number remains constant. "Genetics determine the distribution of fat cells," Dr. Copeland adds. "By removing some of these cells from a problem area, we permanently reduce the potential for fat accumulation there."
However, Dr. Allen Gabriel, a board-certified plastic surgeon in Vancouver, Washington, points out that this misconception has a partial truth. In some cases, "remaining fat cells in other areas may enlarge as the fat needs to be deposited somewhere." This is why some individuals notice increased size in arms or legs after abdominal or back liposuction. Dr. Gabriel often re-injects the removed fat into more desirable areas, such as the buttocks or breasts, to prevent it from affecting other parts of the body.
Misconception: You’ll have flabby skin in the area where the fat was removed
Reality: The analogy of an inflated balloon deflating and sagging is not entirely accurate. Dr. Chris Funderburk, a board-eligible plastic surgeon in New York City, explains that "the skin contains a network of collagen and elastin proteins, which allow for contraction and tightening." This natural mechanism is usually sufficient to tighten the skin, particularly in younger patients. Furthermore, various skin tightening devices are now available on the market. These devices work by applying energy to the skin's collagen and elastin network, causing it to contract. Dr. Funderburk particularly favors Renuvion, which he describes as safe, efficient, and usable without general anesthesia.
Misconception: Liposuction will assist in weight loss
Reality: Liposuction is not a weight-loss solution. Dr. Andrew Cohen, a board-certified plastic surgeon in Los Angeles, states that "liposuction is intended for body contouring, not for weight reduction." He advises against performing liposuction on obese or overweight individuals, as excessive fat removal can lead to complications. "Ideal candidates are those with specific problem areas," Dr. Cohen explains. "A combination of liposuction, diet, and exercise is necessary for optimal results." While some weight may be lost during the process, the overall impact on the scale is usually minimal.
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Misconception: Liposuction will address cellulite
Reality: Cellulite and fat are not as interconnected as commonly believed. Cellulite is a complex issue related to dermal skin attachments rather than fat. Dr. Carmen Kavali, a board-certified plastic surgeon in Atlanta, explains that "excessive fat does not significantly contribute to cellulite, so removing fat won't improve it." Even very thin individuals can have cellulite. However, an excess of fat in a particular area can make cellulite more noticeable.
Misconception: Liposuction is not a significant matter
Reality: Despite its numerous benefits, liposuction is not a simple procedure. Dr. Niki Christopoulos, a double board-certified plastic surgeon in Chicago, emphasizes that "liposuction is a surgical procedure and should not be taken lightly." It carries the same risks as any surgical operation, making it crucial to choose the right provider. "When performed by a board-certified plastic surgeon with appropriate training and experience, liposuction is a very safe and rewarding procedure," Dr. Christopoulos concludes.
