Liposuction Approximately cost 35,000 - 140,000 THB (1,000 - 4,000 US$) Based on 1 US$ = 35 THB 
Liposuction
Liposuction is a routine cosmetic surgery procedure that vacuums fat deposits from under the skin. Liposuction removes fat deposits under the skin by vacuuming fat tissue through a long, hollow needle called a cannula. It is inserted through incisions then scraped along the underside of the skin, dislodging the deposits while a strong vacuum removes the deposits through the cannula.
Fat deposits accumulate under everyone's skin. The best candidates for Liposuction may have bulging and flabby areas of the body from these fat deposits, especially the abdomen, arms, thighs, and neck. These fat deposits can persist even in people who eat a healthy diet and stay physically fit. They can result from genetic factors, body chemistry, or other causes.
The ideal candidates for Liposuction are physically fit, exercise regularly, and are not more than 20 pounds overweight. Patients should be aware that the flabby appearance of the area being treated may not disappear completely. Crashes diets, before or immediately after this plastic surgery procedure, are not recommended.
An ideal candidate is also someone who has made an effort to eliminate the fatty deposits through extensive exercise and diet. These candidates may spend a great amount of time on exercise programs or with excessive diets just to reduce or eliminate one final, persistent bulge. Some bulges are exercise resistant, and Liposuction may be the solution.
Liposuction is not designed for weight loss. Patients who are very overweight or who have large areas of fat deposits are not good candidates. It is best for these patients to lose weight first and reduce the fatty area through diet or exercise before considering Liposuction. If a patient loses considerable weight and has excess skin after the weight loss, then an abdominoplasty (tummy tuck) may be performed to remove excess tissue, and tighten muscles, and Liposuction can be performed at the same time for the removal of excess fatty deposits. In some cases, post-bariatric patients are left with a remaining apron of fat that may be better served with a panniculectomy procedure.
Liposuction should be used in conjunction with diet and exercise, not as a substitute. Liposuction, like other cosmetic techniques, is a means to enhance body shape, but it cannot completely change your shape.
One of the most common of all cosmetic procedures, abdominal Liposuction is a technique for re-contouring the body by permanently removing fat deposits from the abdomen.
Many patients become discouraged at having lost unwanted pounds without seeing a flatter abdomen. The overall proportions of the body may be unbalanced, or the abdomen may simply have retained areas of fatty tissue that cause it to protrude. In these cases, Liposuction can successfully trim excess fat in the abdomen for a flatter abdomen and more slender, balanced shape.
The surgeon will begin with a physical examination to evaluate your overall weight, your skin and muscle tone, and the pattern of distribution of fat deposits. He will also record a complete medical history, including your diet, exercise, and weight history. You will need to let him or her know about any medications that you are currently taking.
How is it performed?
Before surgery, the surgeon will mark the precise areas of the body where the fat is to be removed. An intravenous (IV) line will be inserted in a vein in your arm to make sure the fluid level in your body stays within healthy limits throughout the procedure. If you are not undergoing general anesthesia, you may be given a sedative for relaxation.
During abdominal Liposuction, the surgeon makes a tiny incision in the skin, typically in the navel or just below the bikini line, and inserts a thin tube called a cannula into the fatty area. The cannula is used to break up the fat deposits and sculpt the area to the desired proportions. The unwanted fat is removed with a powerful vacuum, leaving the skin, muscles, nerves, and blood vessels intact.
In the super-wet Liposuction technique, a saline solution containing a local anesthetic and adrenaline is injected into the area to be treated, which makes the fat deposits easier to break up and extract. This extra fluid also minimizes trauma to the surrounding tissue, reducing swelling and post-operative pain. The administration of adrenaline also decreases bleeding during surgery, further reducing risks.
The tumescent technique, in which even larger amounts of liquid solution are injected, has similar benefits.
Ultrasound-assisted Liposuction (UAL), a newer method, uses sound waves to liquefy the fat after the injection of fluids. UAL also minimizes trauma, causing less bruising and blood loss. UAL is particularly useful on fibrous areas of the body, such as the male breast, the upper abdomen, and the upper back, which are difficult to treat with traditional techniques.
An earlier method of Liposuction, called dry Liposuction because no liquefying agent was used, required general anesthesia. This technique is not in frequent use today.
The technique chosen for your operation will be determined by a combination of factors, including the precise area to be treated, the amount of fat to be removed, and your preferences.
On average, abdominal Liposuction takes 1-2 hours per area treated.
If the amount of fat to be removed is fairly small, your surgery can usually be performed on an outpatient basis, either in your doctor’s office or in an outpatient surgery clinic. If large amounts of fat has to be removed, or are undergoing several procedures at once, you may need to spend the night in the hospital so that medical staff can monitor your initial recovery.
The procedure may be performed under local anesthesia with light sedation, local anesthesia and deep sedation, or general anesthesia.
Because a portion of the fat cells are permanently removed by Liposuction, so you will not tend to regain weight in that area. It is important to note, however, that abdominal Liposuction does not guarantee that you won’t gain weight or fat deposits in other areas of your body. Moreover, since fat cells have been removed from the treatment site but not from surround areas, this weight gain can appear uneven. It is important to maintain your weight and contour with exercise and proper diet.
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