is liposuction plastic surgery

Lipo Explained

A beginners guide to Liposution

Many get confused on all the different names for Liposuction. Which one is the right one and how will you know you are getting what you are supposed to get?

The real fact is, results from liposuction, are most determined by who is doing the surgery.  Start with a consult with a plastic surgeon who is certified by ‘Malaysian Association of Plastic, Aesthetic, and Craniomaxillofacial Surgeons (MAPACS). who has the years of training in liposuction necessary to give you the safe experience and superior outcome you deserve and desire. Behind the amazing number of machines now available to remove your fat, there has followed an army of their sales representatives and an equally impressive number of providers marketing themselves as “liposuction experts”.

The Wet Technique (Modern Lipo)

All forms of liposuction use what is called a “wet” technique, in which the fat to be removed is injected with a dilute numbing solution. If that is the only anesthesia used, it may be called “tumescent” technique, but that is an anesthesia method, not a different lipo method. It has its own risks and potential benefits. Many patients opt for intravenous sedation for more comfort, and another option is general anesthesia. Where it starts to get more complicated is with lasers; these are all the brand name procedures. However, lasers carry the risk of burns and the advantages are not as well proven as the ads would lead you to believe. Finally there is ultrasonic lipo, which is usually VASER.

However, since the tumescent technique can sometimes leave behind areas of loose skin. For better skin tightening, laser assisted lipolysis is often a perfect complement.

Laser Liposuction, Smart Liposuction are the newest technics introduced in the field of liposuction. It has its own merits especially when liposuctions are done on head and neck areas. Because of skin contraction , smart liposucion is commonly used as an ancillary procedure in  the modern face lift operations. Recovery is als quicker when compared with conventional liposuction.


The laser manufacturers have almost outdone themselves with their claims of “quicker recovery, less down-time, less bruising”, etc. In truth, laser-assisted liposuction is LIPOSUCTION–you just add the extra step of applying the laser energy before using the liposuction cannula to remove what has been treated with the laser.

In properly-selected cases, laser-assisted liposuction is used to treat small problem areas under local anesthesia in the office. This may be part of the reason it’s considered to have “quicker recovery” than “regular” liposuction, which is often used to treat larger areas or more concurrent areas at the same time.

You may or may not be a great candidate for laser-assisted liposuction.

Dr Jalil

Types of Liposuction

1Tumescent liposuction (modern approach).
is the surgical removal of subcutaneous fat by means of aspiration cannulae introduced through small skin incisions, assisted by suction. Synonyms used in literature include liposuction surgery, suction-assisted lipectomy, suction lipoplasty, fat suction, blunt suction lipectomy, and liposculpture.

2Ultrasound-assisted liposuction.This technique uses ultrasound to liquefy the fat, which makes it easier to remove. This technique may be particularly helpful in removing fat from the upper abdomen, sides, and back.

3Laser-assisted liposuction.This technique uses low-energy waves to liquefy the fat, which is removed through a small cannula. There are other sub-types of lasers like VASER Lipo, Smart Lipo, Cool lipo, Pro Lipo, Slim Lipo, Water Jet lipo… which you can click any to read more about each one.

It is first important to realize that all of these devices will require you to undergo a liposuction procedure. The only difference is the approach to the treatment of the fat prior to its removal.

Tumescent Liposuction

This technique involves subcutaneous infiltration of large volumes of crystalloid fluid called Klein’s solution, which contains low concentrations of lignocaine and epinephrine, followed by suction-assisted aspiration of fat by using small aspiration cannulae called microcannuale . The term tumescent liposuction specifically excludes the use of any additional anaesthesia, either intravenous or gaseous, and by definition, is a method for performing liposuction surgery with the patient totally under local anaesthesia.

Steps of Tumescent Liposuction Surgical Procedure



Medications are administered for your comfort during the surgical procedure. The choices include local anesthesia, intravenous sedation, and general anesthesia. Your doctor will recommend the best choice for you. However, commonly local anesthesia is used and general anesthesia in very rare cases. Making 4–8 small incisions called adits (1–3 mm in size)

  • Introduction of a large amount (1–4 L) of Klein’s solution into the fat. Klein’s solution contains lignocaine, epinephrine, and large amounts of saline. The saline balloons the fat tissue, epinephrine causes vasoconstriction, thus, decreasing bleeding, and lignocaine induces local anaesthesia. This procedure usually lasts 45–60 minutes.
  • Allowing the fluid to percolate uniformly through all layers, a process called detumescence, lasts 30 minutes.



Once the anesthesia is working, the surgeon will make an incision (cut) in the area where the liposuction will be performed. A canula, a hollow tube that is about the size and shape of a skinny pen, will be inserted into the incision. The physician moves this canula back and forth to suction out the fat. The fat, and liquid that has been injected, are collected in a flask. The physician will monitor the amount of fluid and fat that are removed. Because you will be losing liquid and fat from your body, it may be necessary to replace some of that fluid. This is done with an intravenous (i.v.) line for the replacement of fluid.


Recovery Time

Most of my patients are usually back to work 1 week after Liposuction.  It does depend on how much Liposuction is done and how many areas are being treated but the typical time frame is one week.  Keep in mind you will still be sore after one week and it is not uncommon to have additional swelling after a long day at work.  If you are planning a large Liposuction with multiple areas treated and you have a strenuous job you may consider taking a little more time off. You may have to take antibiotics straight after the procedure to reduce the risk of infection. Most people also take mild painkillers (analgesics) to ease the pain and swelling afterwards. After the procedure, you’ll be fitted with an elasticated support corset or compression bandages for the treated area. This helps reduce swelling and bruising, and should be worn constantly for several weeks after the operation. It can be taken off while you clean and shower. Your surgeon will advise you about how long you need to wear it for.


Where To Get The Best Tumescent Liposuction With Low Cost

  • Not until recently, users decided to leave their hometown on the weekends for one or two nights to get their liposuction in Malaysia. The Average Price in most countries starts from : 5,950 USD
  • In Malaysia the average price for the same procedure with international recognized plastic surgeon and no waiting time starts from 2,000 USD.

You can first get your free consultation to describe your situation and your medical history from #1 medical tourism company recognized by Malaysian MHTC. You can go directly to their official website to know more or simply click the button below to reach directly to Client Care specialist who will replay to you with all details needed and connect with the nearest surgeon directly to assist with your questions.

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