Individual results may vary.

9 questions before liposuction

Although liposuction is a minor surgery, patient can go home within that day. However, the surgery should be well prepared for safety and better treatment (Guidelines of care for liposuctionby the American Academy of Dermatology).


Individual results may vary.

      1. What is Liposuction?

In order to reshape or reduce excess fat, it is not a weight loss. The best weight loss is to exercise together with diet. So after liposuction, patients should exercise together with control their diet.
(More liposuction reviews; questions before liposuction


       2. What kind of patients should do and how therapeutic effect should be?

Patients who regulate body weight but still have excess fat and want to have good shape with more concave are considered as good candidates for liposuction. Doctor will perform a physical examination to assess the treatment effect. Therefore, physicians should advise patients whether this liposuction is appropriate or other methods are more appropriate, and importantly, whether patients get the result that they require or not. You can ask your doctor.



Individual results may vary.

Fig1: Pictures before and after treatment. This is considered as good candidate for liposuction.

3. Do I need a blood test?

The best way is to have a blood test such as CBC with platelet count, blood coagulation (PT, PTT and TT), electrolyte, liver function test, pregnancy test and infection such as Anti-HIV and hepatitis B, including electrocardiography (EKG).

All these for patient safety prior to the procedure (Examination may be much less according to the patient's underlying disease)


4. Should I abstain from drugs before surgery?

Patient should stop taking, for example, fibrinolytic or drugs interfering with blood coagulation (Aspirin, Warfarin), Analgesic (NSAID), Vitamin E and drugs that affect liver such as herbal remedies before surgery.


5. How about the cost of treatment and after treatment?

The cost depends on location and delicacy skill of medical specialists.


6. How will you feel during treatment?

You can use general anesthesia or local anesthesia, typically done using local anesthesia together with the sleeping pills. Patients can go home on that day after that and rarely feel hurt (Most operations finish when the patient wakes up). But general anesthesia may be necessary in patients who need liposuction in larger quantities such as up to 5 liters or patient must lie prone during liposuction (afraid of respiratory problem).


7. Risks and side effects?

All surgery has risks. Therefore it should be well prepared with knowledgeable and specialize physicians. It may cause infection, swelling, tool puncture trough peritoneum, feeling numb around liposuction area. The most serious side effect is the fat that clogs up your arteries which may result in death (U S Food and Drug Administration, 2012). But after treatment, patients often say that it’s not horrible as you think.
There are people questioning what causes uneven skin. It’s due to the liposuction technique. If the doctor is skilled and liposuction in the same fat layer is consistent, there’s less potential for side effects.



Individual results may vary.

8. What should I do the night before surgery?

Take enough rest, sleep well and do not worry. If you have planned and prepared for treatment well, the result will surely be good (Some patients may be offered sleeping pill the night before treatment because of excitement and concerns may cause insufficient sleep. We can discuss about this case by case.


9. Do I have to stop working?

It’s recommended to take three or more days off work for wound dressing and the convenience of patient. But after treatment, patients can walk or do daily activities as usual (you may work if you can, but should take a rest for 2-3 days) After treatment most patients are able to return home without the need for hospitalization, except for the case of liposuction in larger quantities or a disease that needs to be closely monitored.


Individual results may vary.

Fig 2 Exercise together with the diet is important for health.


All these came from the liposuction experience of the author in order to provide the patient understanding and safety in treatment to carefully consider before liposuction and, importantly, to get the best treatment.

Article By
Wutinan Sithipolvanichgul, MD

Specialized in Dermatologic Surgery and Laser
- Dermatologist, MSc UK
- Specialized in Dermatologic Surgery and Laser
- Member of American Society for Laser Medicine and Surgery
- Master class: Surgical Laser Procedures and Pigmented Laser in Amsterdam, the Netherlands
- Education in laser from such medical professional as Richard Rox Anderson M.D., who has been praised for his expertise in the global skin laser.