How is the procedure performed?
Before surgery, Dr. Kremer will mark the precise areas of the body where the fat is to be removed. An intravenous (IV) line will be inserted in a vein in your arm to make sure the fluid level in your body stays within healthy limits throughout the procedure.
During the procedure, Dr. Kremer makes a tiny incision in the skin, typically in the navel or just below the bikini line, and inserts thin tubes called cannulas into the fatty area. The cannulas are used to break up the fat deposits and sculpt the area to the desired proportions. There are a number of different cannulas available today that differ in length, diameter and the shape of their tips. The unwanted fat is removed with a powerful vacuum, leaving the skin, muscles, nerves, and blood vessels intact.
In the tumescent technique ("wet technique"), a saline solution containing a local anesthetic and adrenaline is injected into the area to be treated, which makes the fat deposits easier to break up and extract. This extra fluid also minimizes trauma to the surrounding tissue, reducing swelling and post-operative pain. The administration of adrenaline also decreases bleeding during surgery, further reducing risks.
An earlier method of liposuction, called dry liposuction because no liquefying agent was used, required general anesthesia. This technique is not in frequent use today and is not used by Dr. Kremer.
The technique Dr. Kremer will choose for your operation will be determined by a combination of factors, including the precise area to be treated, the amount of fat to be removed, or the quality of your skin.