Expert Body & Facial Plastic Surgeon

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Liposuction Surgery

Liposuction SurgeryLiposuction treats disproportionate localized fatty deposits that are resistant to exercise and dieting. The process is a means of body contouring rather than a method of weight loss. Liposuction can be conducted on multiple areas of the body, including the face, arms, abdominal area, and legs, and is an excellent option for the treatment of gynecomastia, the condition in which a man grows abnormally large breasts.

Although the procedure can be performed on most age groups, the results are often best in a more youthful generation with firmer and more elastic skin. In this case, it can be assured that the skin does not become excessive or loose. For patients who have lost skin elasticity, procedures such as a tummy tuck or thigh lift may be more suitable.

Liposuction can be performed either under local or general anesthesia. The surgery usually lasts a day, and no stay is required. Typically, liposuction involves multiple small incisions which allow Dr. Backstein to first infiltrate each area with solution containing local anesthesia and a vasoconstrictor (to decrease bruising), and then to aspirate unwanted fatty deposits using a liposuction cannula. The duration of the procedure depends on the amount of fat that requires removal.

Preparation for Liposuction Surgery

Liposuction surgery usually involves mental preparation, a review of your current medications and vitamins, as well as a careful examination of standard pre-operative instructions.

Mental Preparation

The most important key to a pleasant post-operative recovery is mental preparation. It is extremely crucial to understand that you are undertaking a very commonly performed procedure and that Dr. Backstein will have screened you pre-operatively to ensure you are a safe candidate to proceed with. Liposuction is a safe procedure by nature, considering the surgical work is carried out well away from large blood vessels or major organs. It is important to understand that immediately after the surgery, your body will look swollen, bruised and less natural than it will several weeks post-op.

Review of Current Medications and Vitamins

Make sure you review any medications and vitamins at least two weeks prior to your surgical date. Medications such as anti-inflammatory drugs, blood thinners/anticoagulants, and vitamin E products such as multivitamins should be discontinued completely for at least two weeks prior to the surgery in order to minimize the risk of extra bleeding during or after the procedure.

Finally, carefully examine the pre-operative instructions, and make sure not to eat or drink anything as of midnight the day before your liposuction surgery, so as to ensure you enter the room on an empty stomach.

Liposuction Post-Op Care

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    Keep your garments on until your first follow-up appointment with Dr. Backstein

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    You can sponge bath but don't get the garment wet

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    Make sure you move around and get the circulation going, especially in your legs

  • 4

    Do not lie in bed for hours at a time (except when sleeping at night)

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    You will very likely encounter leaking of reddish fluid onto your garment. This is not bleeding but is the release of some of the fluid infiltrated into the areas during the procedure. This can cause anxiety because it appears to be active bleeding but is not. Bear with it, it will stop after 24 hours or so. It is not unusual for one body area to leak more than other areas

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    Contact Dr. Backstein at if you have significant concerns

    • Can men have liposuction?

Liposuction can play a role in the treatment of gynecomastia. Deoending on the sub-type of the individual gynecomastia case, Dr. Robert Backstein, Toronto Liposuction Surgeon may need to perform liposuction at the periphery of the male breast in order to optimize and perfect the surgical results. In particular, if a man's gynecomastia is isolated to a simple sub-areolar (behind the nipple) mass, but the rest of the breast is normal, supplementary liposuction will likely not be required. On the other hand, if the firm gynecomastia is associated with fatty tissue toward the periphery of the breast, Dr. Backstein will generally suggest supllemental liposuction of this fatty tissue in order to give the final result a perfected look.

    • How long does the surgery last?

Toronto Liposuction Surgeon Dr. Robert Backstein will take variable amounts of time to perform liposuction depending on the extent of work required for an individual patient. Typical surgical times are forty-five minutes up to as long as several hours.

    • What should I do to maintain my Liposuction results?

Toronto Liposuction Surgeon Dr. Robert Backstein believes that knowing how to maintain your liposuction results is a key to an excellent long-term result. Maintaining the results of liposuction involves well-established lifestyle factors. To maintain liposuction results, one must watch his/her diet. Areas that have undergone liposuction fat removal can begin to accumulate fat over time if a healthy diet is not followed. While an area that has undergone liposuction absolutely can regain the fat volume if weight is put on in general, those areas that underwent liposuction will always be better off than they would be had liposuction not been done? The second lifestyle factor helpful to maintain liposuction results is cardiovascular (aerobic) exercise. By involving him/herself in regular exercise, a person will find that weight in general is maintained at a desirable level and that the areas that have undergone liposuction will also maintain their post-operative appearance.

    • Does Liposuction have an effect on weight loss?

Toronto Liposuction Surgeon Dr. Robert Backstein believes that all patients need to understand that liposuction is not a weight loss procedure but is instead a body contouring procedure. In other words, liposuction should never be used as a means to reduce ones overall weight, although patients will notice some loss of weight on the scale after a liposuction surgery. Surgeries designed for weight loss include gastric bypass surgery or gastric bands, surgeries not done by plastic surgeons but by abdominal/general surgeons. Liposuction is intended to address very specific problem? areas or zones that are aesthetically out of proportion with the rest of a patient's body. Dr. Backstein will literally draw marks around these areas prior to beginning liposuction surgery and then use the liposuction cannula the way a sculptor might use a chisel to carefully reduce these marked areas and bring them into better proportion with the rest of your body.

    • Can Liposuction Remove Cellulite?

Unfortunately, the answer is no. Contrary to popular belief, liposuction is not an effective treatment for cellulite. Cellulite is a dimpled appearance of the skin similar to the texture of an orange peel that is a result of fibrous attachments of the underside of the skin to the underlying muscles. Cellulite is not only found in people that are overweight but is also seen in fit and slim individuals. Because cellulite is not a result of excess body fat, liposuction is not effective in treating it. In fact there is no proved treatment for cellulite. All of the creams and topical ointments advertised on television are of little to no use for treating cellulite. A more recent treatment called endermology attempts to treat cellulite using a roller/suction device but the results are highly questionable and likely not significant. In short, we don't have a very good treatment for the problem of cellulite. Liposuction should not be advertised to patients as a means to treat cellulite because it will not work.

    • Is Liposuction Dangerous?

Liposuction has been at the centre of several high profile cases in which patients have died or had terrible cosmetic outcomes. In my opinion, the major reason for this is that liposuction is a rather unique cosmetic surgery procedure in which the liposuction machine does a great deal of the work involved with the liposuction procedure. Classic cosmetic surgery skills and techniques such as surgical dissection, meticulous incisions and suturing (stitching) do not play a large role in a liposuction procedure. Because of this, many untrained (ie. no Royal College of Canada certification in Surgery) doctors have developed unfounded confidence to purchase liposuction equipment and perform liposuction procedures in their offices. There are several doctors in Toronto and the GTA that have large practices in cosmetic surgery but are not qualified surgeons. Always remember to ask your doctor for his or her qualifications and make sure they are board certified in surgery.

    • What is the Recovery Period for Liposuction ?

Liposuction is typically not overly painful. Areas treated experience a dull ache that fades over the first 7- 10 days. Very few patients need to stay overnight unless they are from out of town or have no assistance at home. Patients can return to jobs requiring minimal physical activity after 3-7 days. Patients with more rigorous jobs may need 2 weeks off prior to resuming full duties Work outs can begin as soon as you feel able and comfortable. This is usually after the first week following liposuction surgery. Patients should wear a compressive garment provided by Dr. Backstein for the first 3-4 weeks post surgery.

    • Can scars be removed?

A common question I am asked by cosmetic surgery patients is if it is possible to use plastic surgery to remove scars. The short answer is "no". Cosmetic surgeons and plastic surgeons are trained to use meticulous, careful techniques to minimize scars and to place scars in inconspicuous areas on the body but we are unable to remove scars. Several treatments are available to improve the appearance of scars such as cortisone and laser treatments, but to date, full removal of scars is not possible.

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