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Dr. Beverly Friedlander

Liposuction

What is Liposuction?


Contrary to popular belief, liposuction is frequently performed on men and women who are not overweight. These people lead a healthy lifestyle and workout regularly. They have problem areas, such as their hips or thighs that are resistant to diet and exercise. Liposuction is one of the most common plastic surgery procedures performed today in New Jersey. It will remove fat from problem areas and help to give you curves where you want them and remove curves from areas that you don’t, resulting in a more shapely and confident you.

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Am I a good candidate for Liposuction?


Liposuction is an excellent procedure for body contouring. It can provide an improvement in body image whether you are looking for a spot reduction of a small area or more comprehensive improvement. Liposuction is frequently performed on men and women who are not overweight, who lead a healthy lifestyle and workout regularly, but have problem areas, that are resistant to diet and exercise. The procedure also works well on patients who are over their ideal body weight but have localized fat deposits. It is not a substitute for weight reduction. It is ideally suited for the lower body but can also be used on the neck, arms, and even breasts in men (gynecomastia) and women (reduction mammoplasty or breast reduction).

Fat reduction and sculpting can benefit many people. Small areas may be treated with non invasive techniques such as CoolSculpting. Larger areas and multiple areas typically respond better and faster to liposuction. The results are more consistent and predictable and only one treatment is needed.

The surgery is individualized to meet your needs. After examining you, New Jersey Plastic Surgeon, Dr. Friedlander will recommend the procedure that will best address your needs, and review that procedure in detail. Often times, several areas are treated simultaneously to provide a balanced appearance and to reshape your torso.

What areas can be treated with Liposuction?


There are many areas that will respond to liposuction treatment. The most common ones include:

  • Abdomen (Men and Women)
  • Hips -Muffin Top (Women)
  • Love Handles (Men)
  • Thighs (Outer and Inner)
  • Inner Knee
  • Back (Bra Roll)
  • Upper Arms
  • Chest (Men Gynecomastia)
  • Chin and Neck
  • Axillary Fat

Before and After Photo

Before Patient Photo After Patient Photo

6 weeks after surgery. She also underwent Lipoabdominoplasty. This photo demonstrates the importance of performing circumferential liposuction and the contribution of abdominal fat to the hips and vice versa

*Individual results may vary.

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What types of Liposuction are available?


There are many types of liposuction. They all have 2 things in common. They remove fat with a thin tube called a cannula which is attached to a surgical vacuum and they require an infusion called a tumescent fluid which contains a local anesthetic and dilute epinephrine. All types of liposuction require the tumescent infusion which helps to achieve an even removal of fat, helps to reduce pain and which reduces bleeding. Dr. Friedlander prefers power assisted liposuction (PAL) which uses tiny vibrations to gently break up fat cells and remove them. This is a very efficient process allowing a more rapid fat removal with less trauma to the tissue. She also uses SAFE liposuction which is an acronym for Separation, Aspiration, and Fat Equalization. SAFE lipo not only removes fat, but it redistributes it allowing for a smoother more consistent result.

Other types of liposuction use ultrasound, lasers or even radiofrequency, which create heat that injures the surrounding support structures. This can lead to scarring or an uneven surface. PAL with the addition of SAFE lipo can be used to improve lumpiness or irregularity associated with prior procedures by equalizing the residual fat. It is a multi-step process that starts with gently separating the fat from its bed, followed by removing it using PAL. The final step redistributes the remaining fat by repositioning the fat as micrografts. All of this is done using tiny liposuction incisions placed in relatively inconspicuous locations.

What happens during the Liposuction procedure?


The procedure is performed by placing small incisions (about ½ inch in size) in natural skin folds, where possible. A tumescent fluid which contains a local anesthetic for pain relief and dilute epinephrine which significantly reduces any bleeding is infused, permitting gentle removal of fat. Power assisted lipectomy (PAL) uses small vibrations to loosen it up and separate it from the surrounding tissue. A thin hollow cannula (tube) is attached to a surgical suction machine and is passed repeatedly through the incisions to remove the fat. The remaining fat is equalized by redistribution. The empty spaces once filled by fat will coalesce and flatten to recontour the region. Often, multiple areas are treated with liposuction at the same time. Upon completion of the procedure, Dr. Friedlander will apply a compression garment which will help to control post operative swelling.

What can I expect after Liposuction?


Everyone reacts to surgery differently, but it is important to be up and walking around with assistance on the day of surgery. This reduces the risk of blood clots and pulmonary problems after surgery. Post operative swelling is normal and can last several weeks. The swelling may increase for a few days after surgery before beginning to improve. A compression garment or girdle must be worn to help minimize swelling. Dr. Friedlander applies the garment in the operating room. The garment can be removed to shower but must be replaced immediately afterwards. The surgical garment can be replaced with a “spanx” type garment after a few weeks for ease and comfort under clothing.

Liposuction removes unwanted fat. It is not a treatment for loose skin or cellulite. Both of these may appear better after surgery since the natural elasticity in the skin is retained, and will permit tightening after the procedure. Conditions which alter this elasticity such as pregnancy, weight change or age will affect the amount of skin tightening that occurs. Dr. Friedlander may indicate that a Tummy Tuck or Cellfina is more beneficial for treatment of extra fat located on the abdomen or thighs. When the extra fat is found on the neck, she may recommend a neck lift or facelift

Is there anything that needs to be done after Liposuction surgery?

Liposuction is an outpatient procedure unless performed with Tummy Tuck, Brazilian Butt Lift and some others. When you go home, it is important to stay well hydrated and drink a lot of liquids to replenish your bodies fluid loss.

Are there any risks or complications involved with Liposuction?

In well selected patients, the risks and complications are minimal. Most people are concerned about the incisions which are 1/2 inch in size and are relatively inconspicuous when healed. Dr. Friedlander is concerned about safety and takes all precautions during surgery.

When will I be fully healed from Liposuction?

The healing process takes time. Most people see an immediate change in their body contour after the surgery, even though swelling is present. Most of the swelling disappears 2-3 months after the surgery, but skin tightening can lag behind. There is a subtle change in appearance a few months after that which typically indicates that everything is completely healed.

How much time do I need to take off of work after Liposuction?

Liposuction is a relatively easy procedure to recover from. Since the incisions are small and the muscle is not directly involved, the post op discomfort is well tolerated. Most people are surprised at the recovery and will complain of a “bad charley horse” or of felling sore similar to muscle pain after an intense work out. This discomfort resolves quickly, allowing a rapid return to work. Patients can “remote” in to the office the day after surgery if so inclined. It is best however to take a few days off as you may fatigue more easily. Strenuous activities are not permitted for 3-4 weeks.

Schedule a consultation for Liposuction


For more details and to find out if you are a candidate for liposuction please contact us to schedule a consultation or call our New Jersey office at 973-524-7124. You may also use our online consultation tool provided on this page.

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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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