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Liposuction vs. dieting

 

Some people struggle with repeated yo-yo dieting and with fat that just won't come off the areas they want. At the same time, choosing liposuction may feel frightening and seem risky. Yet liposuction has become an almost inevitable procedure for modern people, who live in environments of plenty with too little exercise, and it is now one of the most frequently performed and most popular cosmetic surgeries worldwide.

During consultations at Venus Clinic, we find that many people seem to think liposuction is a dangerous procedure. Thanks to continuous technical advances, modern liposuction is a generally safe procedure that can be performed under local anesthesia alone.

In 2002, Housman et al. reported that among 94,000 people who underwent liposuction under local anesthesia, there were no liposuction-related deaths at all, providing strong support for the safety of tumescent local-anesthesia liposuction.

Comparing the risk of liposuction with that of other operations, hysterectomy has been reported to carry a mortality rate of 1 in 1,000 (Sloan, 1986) and mastectomy 1 in 333 (Sloan, 1986). Even compared with procedures for conditions that are commonly treated by surgery, liposuction is a relatively safe procedure.

Compared with other cosmetic surgeries, face lifts have been reported at 1 in 5,000 (Baker, 1997) and abdominoplasty at 1 in 600 (Grazer, 1977).

References

Is Liposuction Really a Dangerous Surgery?The Safety and Complications of Liposuction

 

First, liposuction can reduce size without cutting away skin.

Liposuction is a generally safe procedure, and beyond the point that "it can reshape the areas you want in a short time" compared with diet or exercise, it has this important advantage as well.

It is easy to assume that because liposuction removes the fat layer between the skin and the muscle, the skin will lose elasticity and sag after surgery. On the contrary, in many cases the skin actually gains firmness and contracts after liposuction. Even in people with excessive fat accumulation whose skin has stretched and sagged, the loose skin often contracts after surgery, giving a cosmetic improvement along with size reduction.

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The photos above show a woman in her 30s treated at Venus Clinic, 4 weeks after liposuction of an abdomen whose skin had lost elasticity, developed stretch marks, and become loose after childbirth. The skin contracted well after surgery, and the looseness has improved.

Especially after middle age, loss of skin elasticity and sagging inevitably come along with obesity. Many people already have glucose intolerance, which makes them resistant to dieting, so losing weight is not easy. Even if a diet succeeds, areas such as the face lose fat and look older, and the slimmed areas often end up with loose skin that has lost elasticity, producing a poor cosmetic result.

In such cases, liposuction can be a good option. Unlike dieting, it removes fat from the desired areas while keeping the face as it is, and the loose skin can contract so that sagging is reduced. Why choose liposuction when you could just diet and exercise? This seems to be why people who struggled with dieting and then chose liposuction often become even more eager to have another area treated after their first.

In addition, if fat removed during liposuction is grafted to the face, it can give a natural look and perhaps even bring back something of a youthful face. In this respect, I think liposuction could also make a wonderful "filial gift" — cosmetic surgery that children give their parents.


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The before-and-after photos above show a woman in her mid-60s who had not only fat accumulation but also poor skin elasticity and a lax abdominal wall. Her body was reshaped without noticeable skin sagging even after the fat was removed.

 

Another reason to choose liposuction over dieting is body contouring.

The photos below compare the arms before liposuction with the result after liposuction of the arms, flanks, and thighs. They were taken in the same pose and sized almost identically. The outer line of the arms, the inner thigh line, and the lines of the flanks and love handles have changed.

Should I call it "that extra 2 percent"? The curves of the arms, the waistline, and the thigh and buttock lines feel as if they have come alive.

 

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Even people who are as slim as models can achieve a balanced figure by removing just a little excess fat, without going on a grueling diet that could harm their health.

Even among the skinny, not all skinny is the same.


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