10 Liposuction Myths Debunked

By Dr. John Zannis

Liposuction is one of the top five most common surgical procedures in the United States. Approximately 363,912 procedures are performed each year. While every lay person knows that liposuction sucks out fat, many are misguided about the procedure in terms of who is an appropriate candidate, how long the results last, and what the procedure can and cannot accomplish. Here, I set the record straight:

Myth: Fat Will Come Back Somewhere Else After Lipo.

The “fat return” fear is something plastic surgeons hear about pretty often. New fat does not find its way elsewhere after liposuction. This is one of the most common liposuction myths out there.  Liposuction removes part of the fat in an area, but if the body is overwhelmed by a large amount of calories that are not burned they are stored proportionately in every remaining fat cell in the body, Fat cells aren’t distributed evenly to begin with, and after lipo (or any type of fat cell removal) they definitely won’t be distributed evenly. Even though individual fat cells grow evenly, there will be fewer in the places where the lipo happened, so those places won’t fill out the same way they used to, which is what lipo patients want. Remaining fat cells in the rest of the body will pick up the slack. These cells will gain fat evenly, but not in the areas you’re used to gaining in, since the fat cells in those places were liposuctioned out. The more fat cells removed, the more the remaining fat cells will gain when you gain weight.”

Myth: Results of Liposuction Aren’t Permanent.

The results of liposuction are intended to be permanent. What this means is that the fat cells that are removed will not reappear. However if you gain weight in the future, fat can accumulate in surrounding areas and the remaining fat cells in your treatment area can become larger. While the fat cells are permanently gone, you can once again find yourself with unwanted fat if you gain weight, so your healthy habits will determine whether you maintain your liposuction results.

Myth: Liposuction Is a Reasonable Treatment for Obesity.

Liposuction is not a good treatment for obesity. Liposuction is not effective, even as a last resort, for people who are unable to lose weight by dieting and exercise.

Myth: Non-Surgical Alternatives to Liposuction Are Just as Good.

Liposuction is still considered the gold standard for body contouring, It’s the most predictable, and it’s performed in a single treatment. There are minimally invasive alternatives, but they won’t give you as dramatic results and treatments may need to be repeated for the desired effect. The most effective non-invasive options use heat, cold, or ultrasound on the surface of the skin. These alternatives include, but are not limited to:

CoolSculpting

UltraShape

Vanquish

Liposonix

Kybella (currently only FDA-approved for use underneath the chin) 

Myth: I Will Lose Weight from Liposuction.

Liposuction actually has little effect on the number on your scale. It is not a method for weight loss but is instead a way to address specific areas of stubborn fat, also known as body contouring. However, many patients who want to lose weight find great success by reaching their goal weight first and then using liposuction to fine-tune the appearance they’ve worked so hard for.

Myth: Liposuction Will Reduce Sagging Skin.

Liposuction solely focuses on removing fat, so it will not tighten excess skin. However, some patients benefit from a surgery which combines both fat removal and skin excision, like a tummy tuck or arm lift accompanied by liposuction

Myth: I Will Have Noticeable Scars after Liposuction.

Any surgery will leave a scar, but the scars from liposuction are particularly small and subtle. The incisions only need to be large enough for the tiny tube which removes the fat, so the incisions are very small and are strategically placed in areas that are as discreet as possible.

Myth: Liposuction Treats Cellulite.

Cellulite is the fat right below the surface of the skin. It typically looks bumpy and uneven because the fat pushes through the connective tissue. While many people think it is unattractive, cellulite doesn’t present any health concerns. It’s also not removed by liposuction, although the procedure might make your cellulite less visible. If it’s a concern for you, you can discuss options for reducing the look of cellulite with your doctor.

Myth: Instant Six Pack Abs and Breast Reductions are Possible with Liposuction.

To some extent, this is true but it’s important to manage your expectations. The less fat you have, the more likely you will achieve sculpted, six pack abs than patients with higher body fat (despite having more fat removed).

Myth: The More Fat Removed, the Better.

Actually, the more fat you remove, the higher the chances for risks you don’t want to deal with such as lumps and bumps. These fears are most likely driven by the fact that patients request aggressive treatment of localized fatty deposits. The more fat that is removed, the greater the potential risk of developing these problems. The American Society of Plastic Surgery recommends limiting liposuction to five liters (about 11 pounds) in an outpatient setting.

Dr. John Zannis is board certified by the American Board of Plastic Surgery. He studied human biology and studio art at Stanford University and medical degree from the University of Cincinnati College of Medicine. Zannis received his formal training in general surgery and plastic and reconstructive surgery at Wake Forest University under the guidance of world-renowned plastic surgeon Dr. Louis Argenta. During this time, he performed more than 5,000 surgical procedures and covered all aspects of plastic surgery. He has given numerous national academic presentations and keeps abreast of the latest technologies in plastic surgery at symposia across the country. His studies in art and art history in Florence, Italy cultivated a passion for the Renaissance and geniuses of that time, such as Leonardo DaVinci, which continues to inspire and inform his practice of surgery. Please visit www.zannisplasticsurgery.comhttp://www.zannisplasticsurgery.com