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Liposuction

Liposuction | Forth Worth TX

(model, not an actual patient)

Dr. Kunkel offers liposuction to patients from Fort Worth, Colleyville, Southlake, Mansfield, Arlington, across Texas and beyond.  Fort Worth physicians have recognized Dr. Kunkel’s outstanding care of patients and have voted him a TopDoc 19 times!

Among the most popular cosmetic surgery procedures, liposuction sculpts the body by tailoring fatty bulges. Liposuction is not a substitute for a healthy diet and exercise, but the procedure can enhance contours in areas where fatty fullness just won’t go away.

The liposuction consultation

The initial office visit usually takes about 1½ hours.  You will have a lot of direct interaction with Dr. Kunkel.  After examining you and listening to what you hope to achieve, a custom tailored treatment plan is made.   Dr. Kunkel will not try to sell liposuction or some other procedure to you.  He will help you understand what you need to know.

Am I a good candidate for liposuction?

The best candidates for liposuction are

  • near their ideal body weight
  • in good health and have an active lifestyle
  • have some bulges in certain areas but are not heavy and substantially overweight
  • women often have fullness in their thighs, abdomen, and flanks
  • men tend to have fullness in their abdomen, flanks, and breasts

Liposuction is not weight loss surgery but rather a procedure to help reduce fullness and bulges in a few specific areas.

Liposuction Technique

Dr. Kunkel performs liposuction in an outpatient surgery center or hospital.  You are put to sleep under the direction of an anesthesiologist (general anesthesia) for optimal comfort. The procedure usually takes from one to three hours, depending on the amount of fat being removed and the number of areas being treated.

Liposuction begins with injection of a saline (salt water) combined with a local anesthetic (lidocaine) and adrenaline (epinephrine) into the areas being treated. This is known as tumescent technique.  Almost all liposuction is performed using tumescent technique.

Today there are several technologies available for liposuction, including different types of ultrasound and laser-assisted devices.  Studies to determine which type of liposuction creates the best results are mixed.  Dr. Kunkel has found that power-assisted liposuction provides reliable results and uses this in most cases.

Liposuction collection tubing and cannisters

(liposuction cannisters)

The suctioning begins a few minutes after the fluid has been placed.  A thin tube called a cannula is attached to a suction device.  The tube is inserted into the tissues and moved back and forth rapidly.  Fat is suctioned through the tube and collected in a canister.

Fat grafting is common today.  Instead of discarding the fat that is suctioned, many patients choose to have some of the fat injected into other areas.  For instance, fat can be added to the breasts and buttocks to create more shape and contour.

Frequently a few Band-Aids are all that are needed for dressings.  Compression garments and topical foam pads are also usually placed.

What is Recovery like after Liposuction?

It’s usually relatively easy.  Most patients don’t have much pain after liposuction.  The day after surgery people usually feel sore, like they had a hard work-out.  The treated areas are swollen and bruised for a few weeks.  Many patients return to work within a few days. Strenuous activity should be avoided for about a month.  Dr. Kunkel suggests compression garments for at least three weeks, and many patients wear them for two or three months.

Risks of Liposuction

As with any surgery there are some risks. Some of the liposuction risks include:

  • Asymmetry of the results
  • Irregular contours
  • Numbness of the skin
  • Pigmentation changes of the skin
  • Infection
  • Delay in healing
  • Fat clots or blood clots
  • Shock
  • Fluid accumulation under the skin
  • Burns
  • Perforation injury
  • Lidocaine toxicity



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