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Surgery Methods for liposuction

Currently there are a number of different surgical methods for liposuction. What all the methods have in common is that the body fat is extracted through a cannula which is inserted through small incisions in the skin. However, the individual methods differ in terms of costs, physical stress for the patient and possible aesthetic outcomes.


Tumescent Liposuction

In Germany this surgical method is considered as standard. Through tiny incisions, cannulas are inserted into the areas to be treated. A mixture of saline solution, adrenalin and a local anaesthetic is then injected into the tissue.

This compresses the connective tissue cords, so that they remain intact during liposuction. The adrenalin causes the blood vessels to contract, thereby minimizing blood loss during the surgery. The saline solution softens the fat cells and removes them from the connective tissue, the lymphatic and blood vessels and the nerves. The cannula extracts the liquid including the fat cells.


Tumescent liposuction is mostly performed under local anaesthesia. This allows moving the patient during surgery, and the liposuction can be completed in a standing position.

Vibration Lipolysis

Vibration lipolysis is developed from tumescent liposuction. Due to electricity the cannula vibrates and therefore “shakes” the fat into the cannula. This method, which can be performed under local anaesthesia, is also suitable for difficult areas like the ankle cuffs.

Super-wet technique

Liposuction with the super-wet technique is similar to tumescent liposuction.

However, in this method more liquid – equal to the amount of fat which needs to be extracted – is injected into the tissue. The super-wet technique has to be performed under general anaesthesia, because no or only small amounts of local anaesthetic will be added to the injected liquid.

Ultrasound-Assisted Liposuction

Ultrasound-assisted liposuction delivers ultrasonic energy directly to the fat by a special cannula inserted through an incision in the skin. This method is often used in combination with the tumescent technique.

Traditional liposuction - Dry Method

Traditional liposuction, also called dry liposuction, is considered out-dated. Since during this procedure no fluid is injected into the tissue, the cannula extracts the fat in "dry" form. Tissue injuries as well as unsightly dents may result.

Liposuction by Plastic Surgeons

Basically, the smaller the cannulas used, the gentler the liposuction will be, and the more satisfying the aesthetic result.

If the surgeon uses micro-cannulas with a diameter of 3 to 8 millimetres instead of cannulas with a diameter of 2 millimetres, liposuction will indeed be faster - but also much more burdensome for the body. In addition, unsightly dents may result in the treated tissue.Therefore, it is preferable to use micro-cannulas, even if the liposuction may take two to three hours. To ensure symmetry of the result, the extracted fat should be collected in containers and measured after the liposuction.

If you are considering liposuction, our specialists in surgery and plastic surgery will be pleased to counsel you. The plastic surgery specialist will explain the individual methods of liposuction surgery with all its advantages and disadvantages.

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