Liposuction is a technique for removing fat deposits from the chin, abdomen, thighs, buttocks and other sites. This method, which utilizing a suction device, is also used to remove fatty tumors called lipomas. Liposuction originated in France in the late 1970's and was introduced in the United States by 1982 by physicians from multiple specialties, including dermatology.

The OHSU Dermatologic Laser and Cosmetic Surgery Center practices the "tumescent" technique of liposuction. This technique uses local anesthesia, reduces pain and bleeding and causes less swelling and bruising. Since the procedure is performed in the minor surgery suite, the expense is minimized.

Liposuction of thighs, hips and buttocks
BEFORE	AFTER
Liposuction of chin and jowls
BEFORE	AFTER

The Procedure. Patients should arrive with a companion to drive them home. Plan on spending two to three hours in the surgical suite. Wear bikini-type underwear and loose clothing such as a sweatsuit. Please eat a light breakfast prior to the procedure. Avoid aspirin, ibuprofen and other blood thinners 10 days prior to the procedure.

Patients are premedicated with a sedative and antibiotics. Prior to removing fat from the body, the doctor will anesthetize the site with a very dilute concentration of local anesthesia with epiniephrine (to minimize bleeding and prolong the anesthetic effect.) This fluid enables the fat to be suctioned through the instruments.

After the local anesthesia mixture is infused into the fat compartment, the fat is suctioned out with special instruments. Patients remain alert and cooperative throughout the procedure. They may be asked to move into various positions, depending on the site being treated. For example, they may be asked to stand.

After the procedure is completed, a compression garment must be worn at all times, for up to a month. The treated site will appear large and swollen underneath the garment, and the skin will feel hard when pressed. This is normal and temporary -- usually resolving over several weeks.

Are there any risks to the procedure? As with any surgical procedure, complications may occur. These rare occurrences include bruising, infection, dimpling or asymmetry of the treatment site.