7 Essential Things to Know Before Getting the Best Liposuction in Bangkok Part 2/2

Liposuction is a major operation; a lot of thoughts should carefully be considered before making this life decision.

Behind Cosmetic Surgery By Dr. Piya

Welcome back to "Behind Cosmetic Surgery By Dr. Piya," where we answer your questions about cosmetic surgery by one of Thailand's Best Plastic Surgeons, Dr. Piya Rungruxsiri, MD, or Dr. Piya a board-certified plastic surgeon with recognition from the International Society of Aesthetic Plastic Surgery (ISAP) at Nida Esth' International where celebrities, royalty, and elites from over the world visit the premium laser & cosmetic surgery institute in South East Asia as we provide the latest laser technology and cellular surgical technique unlike somewhere else. 

Awarded by Global Health Asia Pacific as ‘The Advanced Laser & Plastic Surgery Clinic of the Year in Asia Pacific 2023’ and also guaranteed with a national award of The Medical Centre Trusted for Cosmetic Surgery Results from Global Patients and the World Leader in Aesthetic Laser Technology" by Hello Magazine’s editors of Thailand in 2022. 

Today, we will continue the topic from my last article: ‘7 Essential Things to Know Before Getting the Best Liposuction in Bangkok Part 1/2’ to answer the rest of the questions asked by my patients to get the best liposuction in Bangkok as a solution to a perfect body. If you have not finished the first article, please visit the link above so you won’t miss a single detail.

5. Can Liposuction Eliminate Cellulite? Yes or No?

Some patients have unrealistic expectations about liposuction and have misunderstanding that they will have the perfect smooth skin after liposuction, but the answer is ‘NO’. Many patients still get confused between Cellulite and excessive fat which can be treated by liposuction. So today I will clarify what cellulite is and why it can’t be treated successfully by any kind of liposuction.

Cellulite is the term describes pockets of fat deposits surrounded by fibrous connective tissue just below the skin surface. When the fat cells grow, the compartments holding those fat cells get crowded, the fibrous septae pull down on the skin creating uneven surface of cellulite. It makes the skin surface puckered, lumpy and dimpled, commonly found in thighs, hips, buttocks and abdomen. Approximately 80-90% of women develop cellulite at some point after puberty. Only 10% of men develop cellulite.

Grading of cellulite is shown in below photos. While primary cause of cellulite is still inconclusive, weight gain, hormone, genetics, aging process, smoking, dietary and lifestyle are found to play important roles. If liposuction had the ability to completely remove cellulite, it would be extremely desirable due to its dual advantage of eliminating both fat and cellulite. Regrettably, that is just NOT TURE.

Information from American Academy of Dermatology association. Cellulite treatment: what really works? said that It’s important to note that the procedures that just remove fat often have no impact on cellulite. It needs specialized procedures to change its appearance .”

However, this does not imply that liposuction is not a helpful operation in plastic surgery. Liposuction is widely esteemed among plastic surgery patients due to its ability to reshape and re-contour their bodies, and perhaps enhance, but not entirely remove the visibility of cellulite as it’s fat pockets are located in the upper part of skin closed to dermis layers while all kinds of liposuction can remove fat only in deeper subcutaneous layer.

From a personal standpoint, it is not advisable to use conventional liposuction for eliminating cellulite since it might accentuate the appearance of cellulite. Since conventional Liposuction is an option to eliminate unwanted excessive fat in deep subcutaneous layer only!

NEW Option: Best Cellulite Reduction in Bangkok by Fotona TightSculpting®

There are many optional treatments for cellulite from manual massage to RF and ultrasonic massage. Since Nida Esth’ has been awarded as the most advanced laser technology in Asia Pacific by Global Health Asia Pacific Award 2023,I would like to recommend the Best Cellulite Reduction in Bangkok which is Fotona TightSculpting® which is a non-invasive dual-wavelength laser technique for sculpting body ,tightening and smoothening skin on all body areas that works through an individualized dual laser energy system. It has been proven to directly and effectively eliminate fat cells (adipose tissue) in upper and lower skin layer while stimulates collagen formation and blood circulation for slimming, firming, and smoothing results as well as reducing the appearance of cellulite effectively. 

By advanced laser scanning controlled by AI, the treatment is entirely safe and effective and does not require any injections, so there is no reason to be concerned about pain or scars at all. 3-5 treatment sessions are recommended one week apart, then the result will last long.

- Read more: Fotona TightSculpting

6. Conventional Liposuction in Small Areas. Is it too painful?

Liposuction may be limited in its ability to remove extra fat from the small curving area under the chin and jawlines due to its potential unsatisfied results caused by the large and rigid metal tip used during the process, such as mechanical trauma, nerve damage, and bruising. And there is higher possibility to have rippling skin on treated area which is the most unwanted result! Moreover, using rigid metal tip can cause intolerable pain during the procedure. Thus, in order to get a more defined and chiseled neck and jawline with firmer and smoother skin, alternate laser methods are recommended.

NEW Option: Best Non-surgical Fat Reduction in Small Area:  Y-LOCK 360 degree
 
To get a perfectly well-defined or chiseled jawline through a non-surgical way, I have combined 4 programs that utilize state-of-the-art technologies from USA that can focus on 4 different levels of skin layer depth in various positions so it can be defined in all 360 degrees to solve all facial contour problems and aging appearance, creating an outstanding defined jawlines while still maintaining firmness and youthfulness. For this, I’d recommend 2 options out of 4 modes which are

• Double Lock: with Define Lock - To tighten facial jawlines at the depth of 5 mm under the skin with the MicroLipo technique to dissolve fat around jawline as well as under chin area to reveal a perfect well-defined jawline hidden under layers of fat cells. 
• Triple Lock: with Forma Lock - This energy specially penetrates to define jawlines at the 4 mm layer beneath the skin with the MicroLift technique, lifting and tightening the facial structure in both upper & lower Y-zone through the neck. It can also be used even in sensitive areas such as around eyes.

- Read more: Y-LOCK 360 degree

7. Can I have Conventional Liposuction safely under Local Anesthesia ?

Most patients believe that procedures under local anesthesia is safe and easy to carry on but actually it is NOT entirely TRUE. Every board-certified plastic surgeon including me considers liposuction as a major operation that must be done under general anesthesia regarding to international standard for patients’ highest safety.  
As conventional liposuction is not able to melt fat into oil; therefore, we need to cause mechanical trauma for fat cells to be dissolved and suctioned out. 

A large metal tip must be used to create such trauma, resulting unbearable pain during the procedure. Thus, if local anesthesia is used in this scenario, a lot amount of lidocaine  must be used to relieve such pain. Such amount of lidocaine may cause lidocaine intoxication which could lead to life threatening condition in some cases.

That’s why board-certified plastic surgeons choose general anesthesia instead to avoid this condition. It is also easier for the surgeon to perform the  liposuction procedure  since they do not have to ensure total numbness of the operative region. The primary advantage for patients is that it enables the completion of more extensive procedures in a single operation. So higher amount of fat can be eliminate during conventional liposuction under general anesthesia . That means patients can be slimmer under GA compared to local anesthesia . Moreover , if the idea of being conscious during surgery is intimidating, general anesthesia may be a more desirable option.

However, there are also sometimes where I find that some patients have limitations to be under general anesthesia due to health concerns. So, every time before liposuction, a physical check-up should be done to ensure patients’ safety.

NEW Option Best way to avoid risks of general anesthesia: Robotic Fat Killer by SculpSure

So, for those seeking an alternative to avoid both local and general anesthesia but still desiring fat removal for an ideal physique, I suggest considering the Robotic Fat Killer by SculpSure. This method is highly regarded and does not require the use of general anesthesia.

This is a non-surgical alternative to liposuction surgery. Compared to other devices, it provides a higher level of fat reduction efficacy and innovative features. By employing laser radiation in the 1060 nm wavelength range inside fat cells at 42–47 Celsius until the fat cells are shocked and dissolved, it uses laser energy to introduce heat to reach and destroy extra fat cells without causing any damage to the surrounding tissues. The body disposes of these dead fat cells through the lymphatic and urinary systems.

Patients can lose up to 25% of their body fat in the targeted area after treatment; for new mothers, this almost often means the belly. They may go down one or two dress sizes and a pants size, depending on where they are treated. Regarding the degree of discomfort, most people describe the procedure as "quite warm but relaxing." Sedation is not necessary. Because the fat cells must be released over time, following treatment, results usually become apparent six weeks in, with the fat reduction peaking at twelve weeks.

- Read more: Robotic Fat Killer by SculpSure

Therefore, for those interested in finding the greatest option to achieve the ideal facial and body of your desires. You are more than welcome to come in for a more thorough private consultation with "Dr. Piya" in order to co-design your future physique with him. The first crucial phase in the laser fat removal method is Body Simulation Design by Vectra 3D, which involves designing the dimensions of your body to simulate a virtual 3D image before the fat is removed by laser energy. Vectra 3D is also the only technology available in South East Asia with this exclusivity. Patients will experience as though they are traveling through time to observe the shape before making a choice. Vectra 3D's Body Simulation Design

Author:  
Dr. Piya Rungruxsiri, MD, or Dr. Piya at Nida Esth' International
Best Plastic Surgeon in Thailand
A Board- certified Plastic Surgeon of Thai Medical Council & the International Society of Aesthetic Plastic Surgery (ISAP)  
 
Membership:

• Member of Thai Society of Plastic and Reconstructive Surgeons of Thailand
• Member of Thai Society of Aesthetic Plastic Surgeons of Thailand

Education:

• Doctor of Medicine, Chulalongkorn University
• Board of General Surgery, Chulalongkorn University Hospital
• Board of Plastic & Reconstructive Surgery, Chulalongkorn University Hospital