Liposculpture taking Liposuction to the Next Level. What you can do to maximize your result!

Liposuction is a procedure to remove areas of excess fat.  Liposculpture takes liposuction to the next level by  not only removing fat but sculpting a new figure or physique by working well beyond the contours of the fatty deposits.

What happens then when the surgeon sculpts and removes this unwanted fat is that the contours underneath are exposed.  Did you ever hear the old saying, the more you put into something the more you get out? It seems this holds true for many things in life including your health; even when it comes to cosmetic plastic surgery.

In liposculpture, a plastic surgeon with vast experience and expertise in this procedure like Dr Hodgkinson will spend a great deal of time pre-operatively drawing a contour map of the various elements of your body.  He maps out the bony contours of the area to be sculpted then assesses the musculature as well as the volume of fat and of course the laxity of the skin.  From these elements he is able to design the optimal result that he can achieve given each individual’s shape.  This is where you come in.

Your role in achieving the best result possible:

A prospective patient who is not only fit and healthy but who has maintained a reasonable level of exercise will have more shape to their figure or physique even if they are carrying pockets of fat either from genetic predisposition or being slightly to moderately overweight.  The removal of the excess fatty deposits and sculpting of the affected areas will expose the patient’s musculature.  If a person has been predominantly sedentary and inactive, whilst liposuction/liposculpture can reduce the pockets of fat and improve shape, it can not optimise shape. Therefore, when the fit person undergoes liposculpture, their potential shape is maximalised both by their health and their efforts as well as the skill of the surgeon.

Liposculpture to the torso must be circumferential!

Liposuction to Waist, Buttocks and Thighs by Dr Hodgkinson

Circumferential Liposculpture to Saddle Bags and Buttocks by Dr Hodgkinson

In performing liposculpture to the torso, it is absolutely critical that the patient be assessed circumferentially; all the way around – the full 360 degrees.  Patients will often present asking just to have their love handles removed and grasp at the fat that sits on top of their waist of their trousers; aka their “muffin top”.  What they don’t realise is that if this fat alone is removed and the body is not sculpted “in the round” and both above and below the area of concern that the shape will be neither smooth nor natural.  Instead of a “VPL” (visible panty line) the surgeon would be creating a visible border of the sculpted area.

Skin Etching

Liposuction for men by Dr Hodgkinson

Before and after abdominal liposuction and etching by Dr Hodgkinson

An adjunct to liposculpture that is especially popular for men is known as “skin etching”.  Skin etching is a technique which literally carves into the superficial fat to create definition or the semblance of definition of musculature.  This technique is especially useful in sculpting the muscles of the abdomen; what we commonly call the “six pack”.  Again, the better the underlying muscles, the better the potential result from liposculpture combined with skin etching.

Areas of fat that will not respond to diet or exercise

Liposuction to the Neck by Dr Hodgkinson

Before and after Neck Liposuction by Dr Hodgkinson

There are areas of the body, however, that are suitable for liposculpture where the patient’s underlying musculature does not apply.  These areas would include thick ankles (or cankles as they are commonly referred to) fat around the knees and a thick neck.  Excessive fat or bulk in these areas in a person of moderate weight are usually due to genetic predisposition.  If you are a woman with thick ankles it is likely that your mother, grandmother or an aunt had thick ankles too.   If you have a thick neck or double chin and also are of normal weight, look at family photos and more than likely you will see that you are not alone.  Where the fat disposition is genetic, it is unlikely that any amount of diet or exercise will help but liposculpture can.

Areas of the body that are commonly addressed by liposculpture in patients with adequate elasticity of skin from the head to the toe include:

  • Neck
  • Arms
  • Male breasts (usually combined with gynecomastia surgery)
  • Stomach
  • Back
  • Waist
  • Love handles
  • Outer thighs
  • Inner thighs
  • Knees
  • Ankles
What else can you do?

Aside from diet and exercise there is more that you can do to maximise your result from liposculpture and in turn your health.  If you smoke, stop now!  It has been proven that smoking damages your tissues, decreases vascularity (blood flow) and impairs healing.  Excessive consumption of alcohol is not only bad for your general health but dehydrates your tissues.  If you drink, do so in moderation.  Protect your skin from the sun.  Sun damage not only can lead to cancers of the skin but will decrease the elasticity of your skin meaning that it will not retract as well when you either lose weight or have liposculpture.

As in all surgery, the number one factor in your surgical result is the expertise of your surgeon so choose wisely.  Make sure that your surgeon has vast experience in liposuction and liposculpture and to the area of the body that concerns you.  You, too, however, do have a role that you can play in maximising not only your health but your result.


About Dr Darryl Hodgkinson

Dr. Darryl J. Hodgkinson is recognized world-wide as an expert in cosmetic plastic surgery with more than thirty years of experience in both cosmetic and plastic/reconstructive surgery.

Dr. Hodgkinson did his plastic surgical training at the prestigious Mayo Clinic in the United States and is amongst an elite group of a very few surgeons to hold two degrees in plastic surgery from American Board of Plastic and Reconstructive Surgeons and the Royal College of Surgeons, Canada.

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