4 Mistaken Ideas About Liposuction

Dr. Kevin Johnson’s Advanced Aesthetics

Like any other cosmetic surgery procedure, laser liposuction is associated with many myths. My laser lipo patients from Spokane and Kennewick, WA, Couer d’Alene, and beyond often ask me about these preconceived notions. Myths frequently come from hearsay handed down via the “I know someone who knows someone who had it” chain and from not-altogether-accurate portrayals of cosmetic surgery in popular culture.

These are the ones we hear most often.

Myth #1: Liposuction can help you lose weight.

It’s easy to see why someone may think that this is true: We are, after all, removing fat from the body. But the myth is really rooted in a larger narrative of seeing liposuction as “the easy way out” of getting down to your ideal weight.

To put it plainly: There is no easy way out.  Although liposuction can be performed on patients who are overweight as a jumpstart in the right direction, we prefer to see a willingness and a plan to lose weight and maintain their results after the procedure. However, a more ideal patient for liposuction is already at (or very near) their ideal weight—and in most cases, they’ve gotten there through a diligent fitness regimen and a healthy diet.

Rather than thinking of liposuction to reduce your weight, it’s more accurate to think of it as sculpting your body in a way you’re unable to on your own. Liposuction is meant for those stubborn pockets of fat that diet and exercise alone can’t address, not for removing any and all fat.

Myth #2: After liposuction, you’ll have loose, sagging skin.

This one is closely tied to the first myth. The logic goes something like this: Because you’re removing so much fat, the skin left behind will become saggy.

Here’s what actually happens:

Learn about liposuction in Spokane.

In a liposuction procedure, the amount of fat removed is noticeable, but it’s not enough to overwhelm your skin’s ability to retract around your new body contours. Patients with good skin elasticity prior to liposuction retain that elasticity afterward.

Smartlipo®, my preferred liposuction method, has an added benefit. The laser technology used in a Smartlipo procedure actually triggers collagen production in the skin cells after the fat is removed. Those skin cells then naturally tighten, producing smooth contours like those in the example above.

Myth #3: Liposuction can treat cellulite.

What’s important here is to understand what actually causes cellulite. Contrary to popular belief, it’s related to fat, it’s not just the fat that causes the lumpy appearance. Bands of connective tissue pull down on the skin from underneath, and this can cause the fat cells pushing up against that tissue to form the bumps we know as cellulite. Our noninvasive cellulite treatments typically focus on the more superficial fat and skin layers, as opposed to the deeper areas of fat removed via liposuction. The use of the laser, not the suctioning, is really the reason cellulite improves during laser-assisted liposuction.

Because we are removing pockets of fat through Smartlipo, it can reduce the appearance of cellulite as an ancillary benefit, as in this case:

Learn about liposuction in Spokane.

Myth #4: Liposuction is for large areas of the body.

The myth here is that liposuction is only for large areas of the body. Smartlipo can certainly be effective in the most common liposuction treatment areas (e.g., the midsection, the flanks or “love handles,” the thighs), but its especially narrow cannula (only 1 millimeter wide) makes it adept at addressing smaller areas with a minimal incision, too.

Before-and-after photos of a female patient showing visible reduction of fat under her arm after liposuction.

You can see an example with this past patient, who wanted targeted liposuction on the fat under her arms. Smartlipo is also a good choice for chest or neck fat, and we discuss this and other options in our neck liposuction page.

In general, liposuction is a very versatile tool with multiple applications in cosmetic surgery, and the science behind Smartlipo at our Coeur d’Alene practice provides many benefits. If there are myths about liposuction, or any other cosmetic procedure, that you’d like to have cleared up, leave a comment below.

3 Responses to 4 Mistaken Ideas About Liposuction

    • advancedadmin says:

      Hi Kris, thank you for your question.
      Typically after gastric bypass and significant rapid weight loss the skin is stretched to the point that liposuction is probably not the correct procedure. If your concern is mostly loose skin, then a body lift procedure where the excess skin is removed is the most common procedure.
      Feel free to call us directly and we can discuss the situation further at (509) 209-2171.
      Thank you!

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