Novel techniques in liposuction are rampant amongst the cosmetic medicine community these days. I see several advertisements for office liposuction procedures under local anesthesia offering significant contour changes. As many family medicine doctors and gynecologists are transitioning into aesthetic surgery, these new liposuction techniques are being performed much more frequently. This draws concern to me as liposuction has a very specific and limited role in cosmetic surgery. By not seeing a trained plastic surgeon, you may not be given the correct options or alternatives to reach your expected goal. If all your physician has is a hammer, every patient is a nail. Many liposuction companies market that they can tighten skin significantly and improve contours with a tiny incision and local anesthesia in the office. This can be appealing to the non-plastic surgeon, since it comes across as a simple procedure that can be applied to all patients. In my experience, this is simply not true. Liposuction can remove fat and tighten mild skin laxity, but will not treat significant skin excess or muscle looseness. This is where a plastic surgeon can create a tailored procedure to meet your goals and deliver the ideal aesthetic outcome for your body type. It is important that your physician discuss procedures that offer consistent and reproducible results from patient to patient. This is what you as a patient deserve.
So the take home message is to take into consideration that training and expertise of your liposuction provider. I very rarely utilize liposuction alone to deliver my best aesthetic results. Please take time to inform yourself of all the options prior to proceeding with any procedure.
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