This article explores the best liposuction techniques for post-bariatric surgery patients, helping you make an informed decision about your options after bariatric surgery.

What Liposuction Techniques Are Best for Bariatric Surgery Patients?

Vaser Liposuction

Vaser liposuction uses ultrasound technology to break down fat cells before suctioning them out. It’s commonly used to combat excess fat and skin following bariatric surgery. This method is less invasive compared to traditional liposuction methods1https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335824/ and allows for precise targeting of stubborn fat areas. Vaser is especially effective at targeting stubborn fat deposits that remain after significant weight loss from bariatric surgery. However, for those with significant loose skin or muscle laxity, combining Vaser with procedures like a tummy tuck might be necessary to achieve the desired outcome.

Power Assisted Liposuction

Power-Assisted Liposuction (PAL) can be an option for post-bariatric patients. This technique uses a mechanised cannula that moves rapidly to break up and remove fat more efficiently. PAL is particularly useful for removing larger volumes of fat, which can be common after bariatric surgery. It offers precise fat removal and often results in less bruising and swelling compared to traditional methods2https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586. However, while PAL can target stubborn fat, it might not address significant loose skin or muscle laxity.

Lipo-Abdominoplasty

Lipo-abdominoplasty combines liposuction with a tummy tuck, making it a good option for those dealing with both excess fat and loose skin around the abdomen after bariatric surgery. This procedure removes fat and tightens the abdominal muscles, providing a more comprehensive solution.

Liposuction vs Tummy Tuck

After bariatric surgery, you might find that you’ve lost a significant amount of weight but are left with loose skin and stubborn fat deposits. So, what’s the solution to address these concerns?

Liposuction is beneficial if your primary concern is leftover fat in specific areas, such as the abdomen, thighs, or hips. This option may be suitable if your skin has good elasticity.

However, if you’re dealing with significant loose skin and weakened abdominal muscles, a tummy tuck (abdominoplasty) might be more appropriate. This procedure is designed to not only remove excess fat but also tighten the skin and muscles, offering a more comprehensive solution.

Consulting with a professional can help you make an informed decision.

Do You Need Liposuction After Bariatric Surgery?

According to research, patients with low BMI generally require skin excision alone3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140063/. However, those with a BMI over 30 may benefit from liposuction in combination with skin excision procedures to remove or debulk some areas.

Deciding whether you need liposuction after bariatric surgery also depends on your specific goals and the challenges you face after significant weight loss.

Ultimately, the decision to undergo liposuction after bariatric surgery is personal and should be made in consultation with a qualified doctor. They can evaluate your personal situation, discuss your goals, and recommend the best approach to help you achieve the best possible outcome.

Non-Invasive Skin Tightening Options After Bariatric Surgery

When it comes to non-invasive/non-surgical treatment options post-bariatric surgery, you’ll find some offer a certain degree of skin tightening. However, most will not fully address the loose skin that comes from bariatric surgery. So, in general, surgical options might be necessary. However, here are some non-invasive skin-tightening options you may consider:

1. Radiofrequency (RF) Treatments

RF treatments use energy waves to heat the deeper layers of your skin, which helps to stimulate collagen production. This can gradually tighten and firm your skin. It’s usually painless and has minimal downtime.

2. Ultrasound Therapy

Ultrasound therapy, such as Ultherapy, uses focused ultrasound energy to reach deep into the skin. This boosts collagen production, which tightens the skin over time. It’s a non-invasive option that doesn’t require recovery time, though you might need a few sessions to see the best results.

3. Laser Skin Tightening

Laser treatments work by using laser energy to heat your skin, which stimulates collagen and elastin production. This can lead to smoother and tighter skin. Laser sessions are typically quick and come with minimal discomfort and downtime.

4. Infrared (IR) Therapy

Infrared therapy uses IR light to heat the skin, encouraging collagen remodelling. It’s non-invasive and can help improve skin tone and texture. This treatment is often used for mild to moderate skin laxity.

5. Microneedling with Radiofrequency

This treatment combines microneedling and RF energy. Small needles create micro-injuries in the skin while delivering RF energy deep into the tissue. This stimulates collagen production more effectively, helping to tighten the skin.

Liposuction Risks & Complications After Bariatric Surgery

While liposuction is generally considered a safe surgery, like any surgical procedure, it comes with potential risks and complications. Understanding these risks can help you make an informed decision about whether liposuction is the right choice for you.

Risks & Potential Complications:

  • Infection: Any surgical procedure carries a risk of infection. Proper post-operative care and following your surgeon’s instructions can help minimise this risk.
  • Scarring: Liposuction involves small incisions, which can lead to scarring. While most scars are small and fade over time, they can sometimes be more noticeable, depending on your skin type and healing process.
  • Uneven Results: There’s a possibility of uneven fat removal, which can result in lumps or irregularities.
  • Blood Clots: Surgery increases the risk of developing blood clots, which can be dangerous. Your surgeon will take steps to reduce this risk, such as recommending movement soon after the procedure and possibly prescribing blood thinners.
  • Numbness: Temporary or permanent numbness in the treated area can occur due to nerve damage during the procedure.
  • Fluid Accumulation: Sometimes, fluid pockets (seromas) can form under the skin. These might need to be drained to prevent complications.
  • Reaction to Anesthesia: As with any surgery, there’s a risk of an adverse reaction to anaesthesia. Discussing your medical history with your anesthesiologist can help mitigate this risk.

Is It Safe for Bariatric Patients?

Liposuction after bariatric surgery can be safe when performed by a qualified and experienced surgeon. It’s essential to make sure you are in good overall health and that your body has had sufficient time to recover from the bariatric procedure. Typically, doctors recommend waiting at least 12 to 18 months after bariatric surgery before undergoing liposuction. This allows your weight to stabilise, making the results of liposuction more predictable and effective.

Post-Bariatric Surgery Liposuction FAQs

Can you have liposuction after bariatric surgery?

Yes, you can have liposuction after bariatric surgery. Usually, it’s best to wait 12 to 18 months after your bariatric surgery to let your weight stabilise first.

How to get rid of belly fat after bariatric surgery?

To tackle belly fat after bariatric surgery, start with a healthy diet and regular exercise. If you still have stubborn fat, liposuction can help target and remove those areas. A personal consultation with a liposuction surgeon can give you more personalised advice.

What is the best skin tightening after bariatric surgery?

The best skin tightening method depends on how much loose skin you have. For minor loose skin, non-invasive treatments like radiofrequency or ultrasound therapy may help. For more significant loose skin, surgical options like liposuction, tummy tuck or body lift may be more effective.

References:

  • 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335824/
  • 2. https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586
  • 3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140063/

Why Choose Levant Cosmetic Surgery?

Your Choice of Doctor:
Our highly skilled medical team consists of plastic surgeons, FRACS surgeons, and liposuction doctors, and it's your choice who you decide you want to operate on you.
Patient Satisfaction:
We strive to meet our patient's expectations and prioritise their safety and satisfaction with our services.
Fair and Transparent Pricing:
During your consultation you will be provided with transparent pricing and a detailed breakdown of the costs incurred for the treatment choices that align with your desired result outcomes.
Thorough Consultations:
Every consultation is comprehensive, giving you ample time to discuss your procedural options with your doctor and receive personalised patient information inclusive of potential risks, side effects, and complications.
Exceptional Post-Operative Care:
We perform your follow-up appointments with care as we believe your aftercare is as crucial as the procedure itself. Your recovery will be guided by your doctor in collaboration with our post-operative nursing team.
24-Hour Doctor Assistance:
For any concerns or queries post-surgery our doctors are available 24-hours including after hours for their patients. In the event of a medical emergency, please call 000.
This patient of @dr_chris_lee had VASER liposuction to her lower abdomen and flanks. These are her results after 6 weeks. 

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from a qualified health practitioner.

Results, recovery & potential complications will vary for each individual patient. Read more here:
https://www.levantcs.com.au/risks-and-recovery/

Photos & videos featured are not a guarantee that your results will be the same & do not guarantee a particular surgical outcome.
Content on our Instagram page is published with the consent of our patients.
The content featured is general in nature and does not constitute medical advice.
Images taken immediately post-operatively may not reflect final results.

Surgery performed by Dr Christopher Lee AHPRA MED0000947000, General Registration

If you have any questions, please contact us at 1300 323 772 and choose the clinic of your choice.
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Happy birthday to @dr_chris_lee of Levant Clinic Canberra!