Op. Dr. Barış Çin

Liposuction

Liposuction is a procedure to collect the fat tissue (adipose tissue) under the skin and shape the body, using a blunt cannula and negative pressure which is introduced through a 3-5mm incision. Liposuction is used to remove regional exces fat, correct the contour and shape the body by thinning specific areas.  Liposuction is not a weight loss surgery. In order to see Liposuction operation results and Liposuction before-afters, please visit our INSTAGRAM page. 

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Is Liposuction surgery performed under local or general anesthesia?

Liposuction procedure is performed under local anesthesia for single area operations and small areas, whereas if the area is large and multiple areas are included general anesthesia is more convenient in terms of comfort and speed of the operation. More aggresive liposuction can be performed under general anesthesia and faster operation means less bleeding and edema after the operation.

How much does Liposuction cost? How much does Liposuction surgery cost in Turkey?

Liposuction operation can cost anywhere between 300 euros to 30000 euros depending on areas, anesthesia type, hospital admission, surgeon’s expertise and fame. In our clinic liposuction costs start from 500 euros (single area, small area, under local anesthesia) and can increase up to 8000 euros depending on the number for areas and combination of other procedures. The price can vary depending on the number of areas, length of the procedure, hospital stay, being overweight or obese, anesthesia type, blood tests and blood transfusion after the opeation. Liposuction of belly fats can cost around 1750 euros under general anesthesia with 1 night hospital stay in Istanbul. In order to get up to date price quotes about Liposuction price list 2023 please contact us using whatsapp or the website form.

Where should I have liposuction surgery in Turkey?

Biggest number of liposuction surgeries are performed by the plastic surgeons in Istanbul city of Turkey. As a general rule, when the number of surgeries and expertise increase, the surgeons have less complications, that is why you should choose Turkish Plastic Surgeonss working in Istanbul to get the best result from you liposuction surgery.  But the costs of the surgery can be slightly higher than the surgeons in other regions. We aim to give the best quality service with affordable prices for Liposuction in our clinic. Please contact us.

Is it safe to travel Turkey for Liposuction surgery?

The private hospitals in Turkey give a higher quality service than most hospitals in Middle East and Eastern European countries.  Sterilization of the equipment, education of the doctors and quality of the services given are similar to most of the western countries.  These hospitals have  quality controls from JCI  (Joint Commission International)  and affiliated with American Universities such as Harvard – John Hopkins. You can visit the websites of the hospital you will be having your operation and see the certifications and affiliations of the hospital. In any surgical procedure, complications can happen and most of the are impossible to foresee. But to have the safest health travel you can control the following to make sure you are having your operation with best doctors, hospitals with minimal risks:

  • Before you travel, you must contact the Doctor who will operate on you and tell him/her your requests, and give him/her information about your current disorders and the medications you are taking.
  • 2) Make sure your doctor has the right qualifications of his/her specialty such as BOARD certification for Plastic, Reconstructive and Aesthetic Surgery
  • Before you come to Turkey, ask you doctor about alternative treatments, possible complications and extra charges related to these (extended hospital stay, blood transfusion, extra surgeries..).
  • Avoid getting services from agencies and middleman even though their name says “clinic”. Search the names of the doctor and the hospital you will be having your surgeries online and make sure they exist. All of the doctors and hospitals have websites that can be searched from search engines such as Google. Don’t forget, you can be scammed by agencies and middleman.
  • Ask for bills of you payments.

Spare at least 4 days for liposuction procedure, don’t rush back home. Early airplane ride may cause extra edema and may increase tromboemboli risk.  

Who are good candidates for Liposuction operation?

Liposuction surgery is the ideal procedure for patients who want regional thinning or body shaping. There is no procedure that can be an alternative to liposuction for the removal of regional fats under the skin. Although methods such as RF, HIFU, Coolsculpt (cold lipolysis), EMS aim the same thing non-invasively, none of them can remove and shape fat as fast and radically as liposuction. You can visit our INSTAGRAM page to see before and after liposuction photos and patient experiences.

In terms of procedure safety, the general health condition of the person must be good in order to perform any aesthetic surgery. It can be dangerous to have liposuction in people with diabetes, advanced heart disease, advanced lung disease, advanced liver disease. Liposuction surgery is not a weight loss surgery. It can be dangerous if more than 5-10 liters of fat (and accompanying blood and edema fluids) or more than 10% of the person’s body weight is taken away. This can disrupt the body’s fluid-blood balance. This procedure is not recommended for children, very old individuals >80 years old, those with chronic diseases, those who want to have liposuction for weight loss, those who have a disease related to blood clotting, and those who have to use chronic steroids or blood thinners. On the contrary, it is the ideal method for young-middle-aged patients who are in good general health and who want to get rid of regional fats who demand regional thinning or contour correction.

Does liposuction remove all the fat in the body?

With liposuction, subcutaneous fat is removed. And all of these fats can not be removed. The fatty tissue, in the lines through which the cannula passes are gone. Your doctor scans the skin in the form of tight lines parallel to each other so that there is no wavy appearance after the surgery. If possible, doctor will scan the same area from different incisions and angles from more than one cannula entry hole. But despite all this effort, some fat tissue remains between the cannula transition areas. In cases such as high weight gain in the future, these fatty tissue may grow and may cause contour defect.

Liposuction does not affect visceral fat, in other words, the fat between your internal organs, the fat between the organs such as the intestines, liver, kidneys, adipose tissue such as mesenteric fat will not be absorbed with liposuction. The fat under your muscles cannot be removed by liposuction because cannula does not pierce your muscles to enter your body cavities. If it did, this procedure would be extremely dangerous. Liposuction cannot thin out the protruding areas of the body, such as the ribs and pelvis, and has no effect on the bones. Liposuction cannot thin the muscles or correct muscle asymmetries. Symmetry can be tried to be corrected by taking fat from one side and leaving fat on the contrary side.

Am I too thin for liposuction surgery? Am I too overweight for liposuction surgery? What is the ideal weight for liposuction?

Normal weight in the body is measured by a value called the Body Mass Index. This value is measured by dividing the weight by the square of the height. For example, a person who is 165cm tall and weighs 65kg will be approximately 65/1.65/1.65=23.87. Normal BMI is between 20-25. A BMI of 30 and above is considered overweight and 35 and above is obese. If the BMI is 19 and below, or if the BMI is 35 and above, liposuction surgery can still be performed, but the result you will get will not be the best. People with a BMI between 20-35 are the patient group that will get the best results for liposuction.

Am I too old for liposuction? Am I too young for liposuction?

In our liposuction clinic, we do not apply to people under the age of 18. The reason for this is the legal problems that may arise due to the individual’s underage, and the possibility of the operation to have a different result over time, since the children’s body growth does not end before 18 years of age. Our oldest patient who underwent liposuction is 78 years old. In patients over 70 years of age, it is necessary to discuss the patient’s request, the benefits and harms of the procedure and make a risk assessment beforehand. High-risk procedures should not be preferred, especially if liposuction is performed for non-functional but aesthetic/cosmetic purposes.

Process:Liposuction Surgery
Time:2-3 Hours
Anesthesia:General Anesthesia
Hospital:European Approved Hospitals
Recovery Time:1-2 Week
Expected Result:Removal of fatty tissue deposits that cannot be removed by exercise or diet.

In which areas is liposuction performed?

Liposuction can be performed on areas such as abdomen, waist, back, inner thigh, outer thigh, inner knee, legs, arms, jowl. Slimming the waist and thinning the inner parts of the thigh are the most common reasons for preference. It is not recommended to perform liposuction on the breast, genital area, scalp, hands and feet.

Is liposuction safe?

There are some risks in liposuction surgery, as in any surgery. If we classify them;

Anesthesia-Related Risks: local anesthesia poisoning, allergy, drug reaction, etc. General anesthesia related respiratory problems, pulmonary edema, intensive care hospitalization or life-threatening anesthesia complications.

General surgical procedure risks: Bleeding, Infection, Scar tissue, Wound healing problems, Numbness areas on the skin, Edema-Bruise

Risks specific to the liposuction procedure: Asymmetry, Contour Deformity, Hemodynamic disorders in case of excess fat removal, perforation of the deep structures of the cannula (lung, intestines, etc.) and damage.

Risks specific to energy-used liposuction methods (LASER, VASER, J-PLASMA): burns, scar tissue under the skin or on the skin, and hardness/stiffness in the connective tissue.

Is liposuction a painful operation?

Although liposuction surgery is not a very painful operation, sensitivity can be seen especially in areas close to the bones. There may be a burning sensation under the skin, especially when moving. It is necessary to use mild to moderate pain relievers for the first 3 days. Rarely, some patients may be more sensitive and need narcotic pain relievers.

Where should liposuction be done?

Liposuction can be performed both in the doctor’s Office settings, in small surgical medical centers and in large full-fledged hospitals. The important thing here is the type of anesthesia to be used and the amount of liposuction to be performed.

What should be considered before liposuction surgery?

It is absolutely necessary to inform the doctor about all drugs used before liposuction, all diseases, and all other cigarette-alcohol-pleasant substances, vitamins-minerals, food supplements and medicinal plants-herbs, and about when these medications were stopped. 

It is recommended to terminate hormonal treatments such as contraceptives or HRT 1 month before liposuction.

It is recommended to stop taking blood thinners such as asprin 1 week before liposuction.

It is recommended not to use alcohol or substances 24 hours before liposuction.

It is recommended to stop taking food 8 hours before liposuction and 4 hours before fluid intake.

How long does the liposuction procedure take?

Liposuction usually takes about 20 minutes on each body area. If the patient needs to turn during the procedure, this may take up to 15 minutes (removal of drapes, turning the patient over, sterile cleaning and draping). For example, it may take about 2-2.5 hours for a person to have abdominal, waist, back liposuction. If general anesthesia was used in the surgery, the patient can be kept under observation in the recovery room for 20-30 minutes after the surgery. If the area of the operation is small, the patient can be discharged on the same day. If a large amount of more than 2-3 liters of fat is removed from the large area, it is safer to keep the patient under observation in the hospital for at least one day. If the patient’s blood level drops, blood transfusions may be required. In such a case, additional costs may arise.

Patients usually wear a corset immediately after surgery. Even if it is not put on immediately for some reason, the patient should start wearing it within the first 2 days.

What should be considered after liposuction surgery?

After the liposuction procedure, it is necessary to dress the cannula entrance wounds daily or every 2 days.

Dissolving sutures are used in our clinic, and if they do not fall off on their own in 2 weeks, they can be removed. Or you can wait for them to fall off.  

It is recommended to use a corset for 6-8 weeks after liposuction.

Lymphatic massage or liposuction massage is recommended for at least 3 months after liposuction.

Scars usually become indistinct within 6-12 months. In order to accelerate this process and make it more obscure, scar removal creams and gels can be used after the wounds heal (such as contractubex gel, silicone gel..)

How many days after liposuction surgery can I start working and return to sports?

Usually, the first 2-3 days after liposuction is the period when the pain is highest. After the first week, the pain goes away to a great extent, only a tenderness is felt while moving. For desk workers, it is usually easy to return to work after 7-10 days. It should not be forgotten that although this varies from person to person, it can be on the 3rd day or on the 15th day.

After liposuction, light sports can be started within 20-30 days. Sports activities that will increase blood pressure are not recommended as bleeding, bruising and deformities may occur in the first two weeks of liposuction. It is recommended to wait 2 months for heavy sports and combat sports after liposuction.

Which methods are liposuction surgery performed?

Liposuction surgery is usually performed with stainless steel cannulas between 2-6mm, with a blunt tip and approximately 20-32cm in length. There may be 1-2-3-4-5-6 holes just behind the tip of these cannulas. These holes can be in the form of a cannula on 3 different sides in the form of a mercedes or on a protruding part (basket). In the method called classical liposuction, these cannulas are manually slid back and forth by hand, and they are performed by collecting the fats in a container thanks to the negative pressure attached behind them. In tumescent liposuction method, before starting liposuction, the subcutaneous fat tissue is infiltrated with a fluid solution using a cannula with a thickness of about 2 mm with tiny holes, which is called an infiltration cannula. This liquid contains a substance that causes the vessels to contract and shrink, such as local anesthesia, bicarbonate buffer, adrenaline or epinephrine. It makes it possible to remove fat tissue  with less bleeding.

In the laser-assisted liposuction method, there is a laser probe at the end of the blunt cannulas mentioned above, and with the heat generated by the laser (Light Amplification by Stimulated Emission of Radiation) energy, it both burns and melts the fats (instantly) and creates a scarring in the skin and connective tissue (within months) . This method can be used to create lines in surgeries such as making the abdominal muscle lines more prominent, such as “6 packs”, by giving more point energy compared to vaser.

VASER (ultrasound assisted) liposuction: In this method, there is an ultrasound system at the tip of the probe and with the energy created by sound waves, it both burns and melts the fats, liquefies them (instantly) and provides tightening by creating scars in the skin and connective tissue (within months). This method gives more controlled energy than laser. It can be used in more commonly, since it is safer than Laserand J-Plasma.

J-Plasma (helium) or Argon Plasma: In this method, Helium or Argon gas is infiltrated into the subcutaneous fat tissue by means of a liposuction cannula and stimulated with radiofrequency. This causes the helium or argon gas to be oxidized to the plasma (high temperature) phase. In this way, it liquefies the fat by burning the tissue and causes tightening in the skin and connective tissue. Due to the high heat generated in this method, the results may be more aggressive than other methods. Likewise, side effects may be higher. Due to its side effects, this method was not found suitable for use for aesthetic purposes with a statement made by the FDA in March 2023. However, it continues to be popular due to the advertisements of the companies and the radical results of those who have the procedure.

In energy giving liposuction methods, burns may occur in the body. It should be done by experienced doctors, calibrated devices of high quality companies should be used and the patient should be followed up continuously during the procedure. Despite all this, a burn may occur, and heat-broken fragments from the probe of the device may remain inside the patient. On the other hand, bleeding is lower in energizing liposuction methods. There is less bruising. But the edema may take longer.

Can I find out if a person has had liposuction?

It is very difficult to understand that liposuction is done. Some signs that can reveal a person who has had liposuction are as follows: hypertrophic healing of the cannula entry incision scar, contour deformity due to connective tissue scar after the procedure, contour deformity due to significant weight gain after the procedure. Exam by plastic surgeon, medical aesthetics doctor or esthetician may also reveal if a liposuction has been performed. 

Frequently Asked Questions

As with all surgical procedures, there are some risks associated with each of the above mentioned liposuction. During your consultation, your surgeon will be able to fully plan all the risks for the type of liposuction you choose.

However, generally speaking, liposuction is considered a safe procedure and you will rarely encounter serious complications if you follow your post-operative instructions closely.

Since the fat cells in the body cannot break down and multiply after the operation, no sagging or lubrication is observed.