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  Health Information Center  :  B  :  Body Contouring

 The Latest Techniques in Body Contouring

 


Body contouring
As the name suggests, body contouring involves re-shaping undesirable areas of your body. The two most common body contouring techniques are liposuction and abdominoplasty.

What is liposuction?
Liposuction is the most common plastic surgery procedure performed in the United States. Liposuction removes localized areas of fat through very small incisions and is followed by rapid patient recovery. Liposuction has replaced incisional "body contouring" surgery in most instances. However, if the patient has loose skin or excess skin, liposuction is generally not the ideal procedure, and traditional body contouring operations -- such as abdominoplasty or thigh lift -- would be a better surgical option.

Newer techniques of liposuction such as tumescent liposuction result in less bruising, less swelling and a quicker recovery than older traditional methods of liposuction. Tumescent liposuction is routinely performed at the Cleveland Clinic. Tumescent liposuction uses a large volume of dilute epinephrine to cause intense constriction of the small blood vessels, which leads to less bleeding, less bruising and less swelling.

The newest liposuction technique, ultrasound-assisted liposuction, uses ultrasound rather than mechanical action to elicit fat removal. This technique is the procedure of choice in certain areas of the body, such as the posterior hip, the back, and the male and female breasts. It also is frequently used in the traditional areas, such as the thighs and abdomen.

Why is liposuction performed?
Liposuction can slim your hips and thighs, flatten your abdomen, shape your calves and ankles or eliminate a double chin. Liposuction is especially useful for women and men who are of relatively normal weight but have isolated pockets of fat that cause certain areas of their body to appear disproportionate. These localized fat deposits may be an inherited trait and not responsive to dieting or exercise. Liposuction may be the only way to eliminate these fat deposits. Liposuction also may be used to treat a condition called gynecomastia, or male breast enlargement, which occurs among both teenage and adult males.

Who can have liposuction?
While it is possible to undergo liposuction at almost any age, you will obtain the best results if your skin still has enough elasticity to achieve a smooth contour following fat removal. When skin is inelastic, as in some older patients, it may not reshape well, and a skin tightening procedure may be necessary.

Liposuction should not be considered a substitute for overall weight loss, nor is it an effective treatment for cellulite, a condition that gives the skin an uneven, dimpled appearance. Liposuction can be performed on several areas of the body at the same time, and it can also be done in conjunction with other plastic surgery procedures.

What is abdominoplasty?
Abdominoplasty--better known as a "tummy tuck"--is an operation performed to improve abdominal contour. This procedure is performed when the patient has stretch marks, skin excess or weakening of the abdominal muscles. Most women who have had children will have some laxity of the abdominal wall. Abdominoplasty allows the abdominal wall muscles to be tightened, in addition to allowing removal of both skin and fat. The result is a flatter abdominal profile. Liposuction alone cannot treat abdominal wall laxity if it is due to loss of muscle tone.

Why is abdominoplasty performed?
Women and men who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from abdominoplasty. Sometimes these conditions are inherited. In other instances, substantial weight loss may cause abdominal skin to become loose. Abdominoplasty also can tighten muscles that have been separated and weakened by pregnancy. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.

What is endermologie?
Endermologie is a unique approach to improving your figure that combines diet, exercise and massage to stimulate your body and reduce the appearance of cellulite. Endermologie treatment uses gentle suction to fold and massage areas under the skin where cellulite accumulates. This increases circulation and stimulates the subcutaneous and deep layers of fat and muscle. The increased blood flow helps to shrink the fat cells. This is believed to be one of the reasons for the improvement in the appearance of cellulite. 








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