Liposuction is probably the most frequently performed procedure in cosmetic surgery overall. In our plastic surgery practice in Mississippi, USA, we however like the last term in the title best. Liposculpture reflects best how we look at the procedure.
We mentioned a couple of times that our credo here is “Structure is beauty”. We need the skin and the fatty tissue underneath to be like a body glove, showing the underlying structure. Too much fatty tissue in certain areas blunts this effect of skin just draping over structure.
A good example is the waistline. The ideal is one smooth, uninterrupted curve facing inward towards the belly button. An outward bulge from excess fat disrupts this aesthetic appearance. The process of reducing fat by suctioning with a cannula is just a tool to sculpt the fat in the location of the bulge so that the curve at the waistline again becomes smooth, inward facing, without a hump.
The same philosophy and treatment strategy is applied to other areas where liposculpture may be beneficial to restore the “ideal, beautiful, normal” contour – in the neck, around the bra line, the belly, hips, thighs, knees and ankles to name a few. We want to achieve a pleasing contour, not just take fat off.
We in particular do not look at liposculpture as a weight loss tool. It is a body contouring procedure. Also the skin still must have enough retained contractile properties to reduce its redundancy over time and adapt to the new contour. Thus liposculpture is not a good procedure for obesity treatment or after massive weight loss or in areas where the elastic properties of skin have been damages as evidenced by striae, often seen in the abdomen after multiple pregnancies. In such instances removal of skin by say a full abdominoplasty or body lift procedures are more successful in restoring contour.
The ideal candidate for liposculpture is not overweight, does not smoke, has elastic skin and areas, where diet and exercise resistant fat deposits disrupt an otherwise ideal contour produced a an ideal underlying structure.