Liposuction Surgery

Liposuction, also known as liposculpture and lipoplasty,

Although a good diet and plenty of exercise go a long way towards improving our health and enhancing our body’s appearance, there are those times when that extra bit of stubborn fat in our bodies’ problem areas simply won’t budge no matter what we do. Thankfully, technology and cosmetic surgery  have evolved over the years to allow a solution to this dilemma.

toronto cosmetic clinic liposuction procedure

What exactly is Liposuction?

Liposuction is body-contouring procedure in which unwanted fat is surgically removed from the body. This is done by suctioning the fat out of the body by various types of tubes (known as cannula).

Although it is most widely known as a cosmetic procedure, Liposuction is also used to treat other medical conditions such as

  • Pseudogynecomastia/ Gynecomastia  (Abnormal enlargement of the male breasts)
  • Axillary Hyperhidrosis (Excessive sweating in the armpit area)
  • Lipomas (Benign fatty tumors)
  • Lipodystrophy (Problems with metabolism of fat in the body )

Even though liposuction is a surgical procedure and carries the risks of the surgery and anesthesia. This procedure has evolved over the past few decades to become safer and more effective. The risks are minimal and our cosmetic/plastic surgeons at Toronto Cosmetic Clinic are more than capable of forming your liposuction procedure of choice, safely and effectively.

Liposuction Procedure Video

A Brief History of Liposuction:

Liposuction was officially invented in 1974 by Doctors Giorgio and Arpad Fischer, two Italian-American surgeons who worked in Italy at the time. However, this new procedure was built upon the methods of body-contouring, involving fat-removal, which first came about in the 1920’s through the work of French surgeon, Charles Dujarier. In 1926, Dujarier originally attempted to help reconstruct and contour the leg of a model who was left disfigured after having suffered a terrible case of gangrene. This particular surgery started the ball rolling towards the advancements in surgery which would eventually lead to the invention of liposuction.

Over the decades, surgeons would continue to experiment with various types of body-contouring techniques, including some primitive curettage techniques, which unfortunately lead to some irregular results and to excessive bleeding and even morbidity. Then, in 1982 a French surgeon, Dr Yves-Gerard Illouz, presented his method, The "Illouz Method" which set the way for a lot of the liposuction techniques employed in clinics today. This technique included infusing fluid into the fat tissue using a cannula, followed by  a suction-assisted lipolysis and high vacuum suction. This technique gained popularity quickly as it was effective and led to very few cases of morbidity.

In 1985, "tumescent technique", still one of the most popular methods used today, was introduced by Klein and Lillis.

This is the first method which allows Liposuction to be performed without the need for general anaesthesia. Liposuction can be performed in an office setting using Intravenous sedation. Although generally effective and safe, there were still toxicity concerns with the high levels of medications needing to be injected. This gave rise to variations containing lower volumes of these medications to make this method a lot safer today.

It was in the 1990’s that ultrasound-assisted liposuction was introduced, to mixed reception. Although effective, there were certain concerns about the safety and risk of complications involved.

The past two decades have seen numerous variations emerge  such as laser tipped probes, Power-assisted Liposuction, water-assisted liposuction as well as Vaser Liposuction and Ultrasound Liposuction. Now there are many different types of liposuction which cater to a wider range of patient needs and medical conditions to ensure the most effective and safest measures.

Liposuction Candidacy

Not everybody is the best candidate for liposuction. There are factors to take into consideration as they will affect the possible results of the procedure as well as safety.

The best candidate:

  • Should have firmer and more, elastic skin. As older patients tend to have less elasticity in their skin, they should be aware that their results may vary to that of a younger person
  • Is not extremely over-weight, of average or only slightly above-average weight
  • Is in overall good health as those with certain existing health conditions may experience exacerbated symptoms due to the strain of this surgery
  • Has specific concentrated pockets of fat that they are targeting with this procedure. These areas targeted have just not responded well to diet and exercise
  • Does not have too much cellulite in their intended target areas as this may lead to skin irregularities

lthough liposuction is a fat removal procedure, it is not intended to directly obesity and it is not intended to take the place of a healthy diet and exercise regime.

It is aimed more at treating the trouble areas of the body that have simply not responded that well to diet and exercise measures. Those areas usually include the hips, abdomen, thighs, buttocks as well as the chest and back and sometimes can form part of facial reconstruction.

A General Overview of the Liposuction Procedure:

Consultation:  You surgeon will assess you as an individual, taking into account you needs and medical history and then extensively discuss your options and inform you on everything you need to know before your procedure.

After you have had your consultation(s) with your surgery, and have made your choices you are ready to get going. As further detailed in other pages, there are several different types of liposuction procedures. Each with their unique set of instruments required and steps of their own. This is just a general overview of how liposuction works.

Marking: While you are standing, your surgeon will make markings on your body to demonstrate the desired targeted areas. These markings will be used as guidelines throughout the procedure.

Anesthesia: You will either be asleep under general anesthesia or the targeted area only will be numbed with a general anesthesia. This is the case with tumescent liposuction in which targeted areas are injected with Lidocaine along with fat shrinking drugs are injected directly into the skin.

Incision: Several incisions are made to make way for the cannula. These are made to be as inconspicuous as possible.

Pre-suction Assistance: This depends on the method used. There are several methods to help break down the fat cells before removed. This can be done using ultra sound, laser, water beams and chemicals. In some methods, there isn’t any assistance and fat is simply suctioned out.

liposuction: A cannula ( again, the type of specialized cannula is determined by the method employed) is inserted into the skin, to the layer of fat and gentle, back and forth movements are made to manipulate the fat out of the body, into the cannula and out of the body.

Post-Op Care: The incisions made during the procedure are either sewn closed or left open to drain. The patient will have to wear a compression garment every day for several weeks after the procedure. This will help to reduce the swelling and also help the body to re-adjust to the new contour created.

Pros and cons of liposuction


  • Targeted weight loss: While diet and exercise may help you lose weight in general there are times when you lose weight in every area of the body except where you really want to. Liposuction helps to contour your body the way you want in contoured. You can remove fat from one area and with some techniques ( such as Power –assisted Lipo) the fat removes can even be cleaned and re-inserted into the body in the desired areas.
  • Fat-cells permanently removed: Losing weight the traditional way simply shrinks existing fat cells. Since they are still there, they can easily be enlarged again. Liposuction removes the fat cells completely making it increasingly difficult for fat to be re-gained in the areas treated.
  • Increased health: As excess weight can cause a multitude of health risks, liposuction reduced these as fat is removed.


  • Initial Discomfort: Like the saying goes, it gets worse before it gets better. You will have to endure post-op discomforts before you can fully enjoy the results of liposuction. There will be bruising, pain and swelling after surgery. You may be restricted for a few days after the surgery.
  • Results not always immediately available: Even though fat is removed in one treatment, the area of the body treated will need time to re-adjust and contour itself. Sometimes, it can take several weeks to months to see noticeable results….but boy, are they worth it?
  • Risks: Although minimal, it is still a surgical procedure and there is always a risk of complications. Your surgeon will be sure to assess your health before-hand to evaluate and discuss your specific risks.

As you can see, there is a lot to consider when making the decision to undergo liposuction. If you still have more queries and would like to book a consultation, don’t hesitate to call us on  416-221-5554.

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