Liposuction can provide an efficient solution for the removal of unwanted fat from specific areas of the body, leaving a more defined shape. In particular, liposuction is especially effective in areas such as the buttocks, hips, thighs, abdomen, chin, upper arms, breasts and knees.

Since introducing liposuction to the UK over 30 years ago, Cadogan Clinic founder, Mr Bryan Mayou, has pioneered its use of it in the UK. He has assembled a world-class team of surgeons, all based at our clinic in Sloane Street, Chelsea. Due to our expertise in this procedure, we treat more liposuction patients each week than any other clinic in London, and have perfected our technique to ensure a minimally invasive procedure with the best results. 

As our founder pioneered liposuction in the UK, we are selective in the types of liposuction we offer, and only provide the most effective liposuction techniques, all suitable for both men and women. These include:

+ Traditional liposuction: Which is where a local anaesthetic is used to numb the area of your body where the tube will be inserted. Next, a large amount of an anaesthetic solution containing lidocaine and epinephrine is injected into the fatty tissue before the procedure is started.

+ MicroLiposuction: This is where traditional liposuction is used to remove small pockets of fat, but under local anaesthetic instead of general. This is a quick and effective method to ensure the patient has very little downtime and is back to normal as soon as possible. Good areas include the chin, underarms and jawline.

+ SmartLipoMPX or Laser-Assisted Liposuction: This technique works by liquefying fat with a laser and removing the fat with cannula. In addition to liquefying fat, the laser also smooths and tightens the skin and seals blood vessels, reducing swelling, bleeding, and bruising.

After carrying out extensive research into other techniques, the clinic has abandoned Vaser or Ultrasound Assisted Liposuction, as we consider it to offer no advantage and add unnecessary complications. 

 

 

 

Frequently Asked Questions

Cadogan Clinic was founded by Mr Bryan Mayou, the surgeon responsible for introducing liposuction into the UK more than 30 years ago. As such, he has more experience of the various techniques than anybody else in the country and now leads the country’s leading team of experts in performing more liposuction surgeries than anybody else in the UK.

We carefully evaluate all available liposuction techniques and are able to offer different kinds, depending on your specific condition and needs. We currently offer Lipomatic, MicroAir, BodyJet and MicroLiposuction techniques. We also offer SmartLipoMPX, which is liposuction done via ultrasound.

After carrying out extensive research into other techniques, the clinic has abandoned all laser liposuction techniques (such as Vaser) as we consider them to offer no advantage and add unnecessary complications.

Everyone has a genetically predetermined distribution of body fat cells. Some have wide hips and other thick ankles. Eating more increases the size of these cells and diet or exercise decreases the size. However, the relative proportions do not change. We often call the areas that we do not like and cannot diet away, stubborn areas of fat. It is this fat that can be so successfully removed by liposuction. We like to remove these limited areas as they are easily defined and photographed. Patients are delighted. Very often, we remove multiple areas of stubborn fat at one operation.

 Liposuction is suitable for fat removal from virtually any part of the body, but popular areas include:

Liposuction is suitable for fat removal from virtually any part of the body, but popular areas include:

+ chin and neck
+ upper arms
+ breasts
+ gynaecomastia (man boobs)
+ stomach
+ mons pubis
+ upper and lower back
+ buffalo hump
+ inner thighs
+ hips
+ loins
+ front of thighs
+ knees
+ ankles (cankles)

We can remove fat from anywhere so long as it is not too deep. That is subcutaneous fat, which is accessible. So, for instance, we can reduce the bulging abdomen, the beer belly, by removing the fat you can pinch between your fingers, but the visceral fat inside the abdominal cavity around the bowel remains. We can dramatically reduce the jawline and neck (double chin), but fat cheeks may require the surgical removal of the deep Buccal fat pads of Bichat.

Another concept is body sculpting, where we change the whole silhouette rather than just removing a bulge. A good example is to change the shapeless lower back, loins and buttocks of middle age back into the sinuous lines of youth. In this case, it is often advantageous to increase the pertness of the buttocks by transferring the fat removed as a graft to the upper buttocks (BBL, Brazilian Buttock Lift)

All treatments are done as day cases, small areas under local anaesthesia (Tumescent Technique). Most patients prefer to be asleep with the Cadogan TIVA (Total IntraVenous Anaesthesia). **Please insert link to the TIVA page**. They are quickly awake and fitat the end of the procedure, ready to go home.

 Sessions may include multiple treatment areas at one time and can be added onto other surgery, as for instance the Mummy Makeover, breast augmentation or face lift. Most surgeons do have a limit on the amount of body fat that can be lifted from the patient’s body in total, to a maximum of 5 litres. This is for the patient’s safety. The length of surgery is not so important.

You may be wondering if liposuction really works – to put it simply, yes!

Liposuction provides a quick, safe and effective solution for permanent removal of unwanted excess fat deposits from the body. When you lose weight, by diet or exercise, all your fat cells shrink in size, but they do not disappear.

With liposuction the cells themselves are removed and are therefore not available to become enlarged again under any circumstances. Even if you put on a lot of weight the new relative shape remains.

Whilst liposuction is not a major operation, it is still to be taken seriously. Small areas can be treated under Local Anaesthesia. Most of our patients prefer the comfort of being asleep. We use TIVA (Total IntraVenous Anaesthesia) which allows you to be monitored to be just asleep and to wake up quickly without nausea.

Immediately afterwards, pinch up the skin and fat of the area treated. It will be numb and reassuringly thin. It won’t be long, however, before it becomes bruised and a little swollen. You will have to wait 3 weeks for the visible bruising to fade and a few months for the end result

. In the meantime, there is some swelling, firm almost lumpy areas, more to the touch than in appearance. Treated areas may be temporarily numb and dusky grey pigmentation, the remains of bruising, occurs, particularly in the thighs and ankles, (cankles) and fades over months. The ankle treatment can be life-changing, but it is the longest to settle. Ankle swelling needs support stockings for a few weeks, until swelling has subsided and, although you will feel really happy after a few weeks, the improvement continues for up to a year.

Lycra supportive garments may reduce bruising, but we use them less these days, as visible bruising settles anyway in three weeks and the end result is the same with or without expensive support.

I have not mentioned pain. It is not significant. Half our patients do not need painkillers and others usually take simple ones such as paracetamol (Panadol). There are no restrictions on exercise. You probably won’t feel like it for a few days, but if you do it will not affect the result.

If a lot of fat is to be removed, you could become anaemic. We would advise taking iron for a couple of weeks before and after surgery. Infection is exceptionally rare.

In summary, liposuction is remarkably free of problems, when performed properly. Unevenness should not occur. Nonsurgical fat removal is, however, a good option for limited areas where not too much fat needs to be reduced. We have found Sculpsure to be the most effective and without the complications of other popular methods.

The results of liposuction typically come in stages, varying by individual. You’ll likely see some results immediately after surgery, but swelling and bruising are normal and can take weeks to resolve. Soreness diminishes after two weeks and most patients no longer are relieved of taking pain medication after a week. Some residual swelling can persist for several months. Most people see good results from 6 weeks but final results 6 - 12 months after surgery.

It is completely normal to experience minor swelling, bruising and tenderness following liposuction, but bruising will subside completely within 3 weeks. Recovery period can also depend on several factors. There include the areas which were treated, adherence to the surgeons instructions, scar care and consistence in taking medications. The amount of fat removed by your surgeon is also important in determining the recovery period.

Compression garments reduce swelling, and provide support and protection to improve long-term liposuction results. It should be worn for a minimum of two weeks. Most patients can shower after 2 to 3 days but bathing is normally discouraged and the compression garments should not be worn during showers.

You can usually commence normal daily activities and exercise as soon as you are comfortable, but in general, the only restriction is to wait until your stitches are removed (7-10 days post-surgery). Sometimes when large amounts of fat are removed patients are somewhat anaemic and need to take iron for a few weeks and you may be asked to wear a support garment to reduce bruising and swelling.

Most patients return to work after a week. But slight variations may occur depending on the extent of liposuction and the number of areas that have been treated. Strenuous activities are discouraged for a minimal period of two weeks. Light walking before your procedure prevents blood clotting and minimizes swelling.

The procedure can be done under local or general anaesthesia, but can be uncomfortable, slower and more difficult to obtain good results under local anaesthesia.  We would reserve this for small areas, such as the neck, or smaller pockets of fat.  We use a variant anaesthesia called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists.  Intravenous delivery enables our anaesthetic team to monitor the depth of anaesthesia more closely using a measurement of the brainwaves.  The result is that you will wake up feeling much better than traditional anaesthesia and will be ready to go home the same day. 

Both men and women undergo liposuction every year to achieve a variety of different goals. For men, liposuction can often successfully treat gynecomastia and other fat areas around their torso, while women use it more commonly around the stomach, hips and thighs. If one or more of the following apply to you, liposuction is an option to consider:

1. You have excess fat deposits on your hips, belly, thighs, neck or chest that won’t respond to diet or exercise.
2. You feel like certain areas are out of proportion with the rest of your figure. Reducing excess fat on one area of the body can bring it into better balance with your natural features.

Liposuction is excellent for reducing areas of fat and sculpting a beautifully natural contour, and using liposuction to remove excess fat on one area of the body can make you seem more in proportion. The ideal liposuction patient has localised fat deposits & good skin tone.

However, it’s important to have realistic expectations about what liposuction can achieve. If any of the following apply to you, then liposuction may only offer limited success in helping you achieve your goals. Your cosmetic surgeon can recommend the options best suited to your needs.

1. You have loose, sagging skin. Liposuction is designed specifically to target fatty tissue, it will not significantly improve the appearance of loose skin. Other body contouring procedures, such as a tummy tuck or body lift, may be better options for you.
2. You want to lose a significant amount of weight. Liposuction can improve your shape, which can help you look thinner and more fit, but it’s not a weight loss method. While some overweight patients can benefit from the reshaping effects, the most satisfied patients tend to be happy with their weight prior to surgery.
3. You are just looking to address cellulite. While liposuction can remove fat, it cannot always remove the appearance of cellulite. If it is just cellulite and not fat removal that is your main concern, we recommend Cellulaze.

Liposuction removes fat cells, which cannot regrow and therefore permanently changes contours. It also tightens skin a little, perhaps 10%. What are the alternatives, which do not tighten skin, which might help in particular circumstances?

Surgically one can remove fat by simply excising it. The fat is certainly removed, but it is not easy to thin large areas without multiple operations, each with a significant risk of complications and an uneven result. This is really only useful if one is also removing the skin as in a breast reduction.

Another approach is to inject a chemical which destroys fat. Steroids destroy fat but generally regard this as an unwanted side effect. Desoxycholic acid, (Kybella, Lipodissolve, Aqualyx) has been popular, but can be painful, have side effects and needs multiple treatments. My personal reservation is that everyone has a different response to medications and it is impossible to know how much effect the injection will have. The other is that there is no control as to where the injected drug will spread, again potentially causing irregularities. We do not use them at the Cadogan Clinic for these reasons and we have better options.

There are non-surgical treatments that are useful for patients, who really do not want an operation. We found that external ultrasound systems do not work sufficiently. The two techniques that do work, reducing fat equally well are freezing (CoolSculpt) and laser (Sculpsure). We prefer SculpSure, which is free of awkward complications. Coolsculpt is more painful with longer treatments and slower results. The worst problems, however, that we have seen, are that CoolSculpt sometimes leaves patients with a hard lumpy result and the occasional patient actually has an alarming growth of fat, which we need to treat by liposuction.

In summary, Sculpsure works for limited fat reduction and avoids an operation. None of the nonsurgical treatments significantly contract the skin. We would use other treatments for this.

If you are looking for substantial fat reduction of several areas then consider liposuction. We have 4 different techniques to choose from at the Cadogan Clinic and can choose the best for you.

Our founder, Bryan Mayou, pioneered Liposuction and introduced it into the UK 36 years ago. The basic technique remains, but he has continued to develop and refine the procedure, so that now the Cadogan Clinic offers various liposuction techniques, but only those, which are considered safe and effective and have specific uses.

Traditional liposuction

We generally use traditional simple liposuction to remove small areas of fat and usually under local anaesthesia, such as a bulge or lipoma. It is particularly useful for treating the neck and the chin, as it is at least as effective as any other technique, is simple and has the fewest potential complications. We use this regularly to harvest fat for processing and re-injection as fat grafting.

BodyJet or Water Assisted Liposuction (WAL)

This is an enhancement of the traditional technique with the added ability to inject local anaesthetic fluid at the same time as carrying out the liposuction. This fluid pulses from the end of the cannula like a low-pressure washer helping to mechanically dislodge fat. Large volumes can be removed quickly and efficiently. It is particularly good with more difficult areas such as the breast, where the fat is more firmly fixed.

Power Assisted Liposuction (PAL).

MicroAire and Lipomatic are two of several mechanically enhanced techniques. They remove the fat as the motorised cannula moves back and forth, sideways or rotates. It is very effective and popular amongst surgeons, primarily because there is less physical effort involved.

Laser Assisted Liposuction (LAL)

The most successful of these techniques is the Smartlipo, now in its third generation, Smartlipo Triplex. We are lucky to have the pioneer of this treatment, Mr Al-Ayoubi, with his huge experience using the technique in all areas. As in all liposuction, there is skin tightening, but the laser enhances this, particularly around the inner thighs and arms where the skin is thin.

Cellulaze

Subcision is the standard minor surgical technique in which tethering fibres are cut through tiny stabs. It has been recently popularised by an expensive adaptation called Cellfina. Cellulaze however, does all this by laser, but in addition has a second laser which shrinks the skin. It can also treat large areas at a single session.

We do not use ultrasound techniques, popularised in the UK such as Vaser, as we consider that it has no advantage and adds unnecessary complications.

Why do we not use ultrasound liposuction?

The founder of the clinic, Bryan Mayou, carried out two years research in the early days of ultrasound liposuction and developed the technique which became the most popular in the United States. There were however, many potential risks and it was recommended that ultrasound should only be used for short periods of time necessitating the use of traditional liposuction to complete the procedure.

Ultrasound liposuction in Bryan Mayou's opinion was merely a marketing tool and he did not adopt it himself.

Since this time ultrasound has reappeared in different forms of which the most popular in the UK is Vaser. As a centre for liposuction, the Cadogan Clinic has built up huge experience and therefore does see a number of poor results from elsewhere, requiring reconstruction. Almost all of these are where Vaser has been used. Bryan Mayou believes that trained surgeons can make different techniques work well for themselves, but it remains our experience that Vaser has problems. It is claimed to be quicker, more effective and less painful than other techniques. This is simply not true. We see lumpy results, and occasional burns. The frequent complication is the development of seromas or collections of fluid requiring drainage. He has never seen this in the thousands of treatments that he has carried out, and it is only Vaser that is still producing them. The Cadogan Clinic does not recommend its use.

At Cadogan Clinic we have 30 years experience pioneering liposuction treatments and have developed the best protocols for the best results with lowest level of risk. Whilst there are always minimal risks associated with all types of surgery, we take direct steps to mitigate these:

  • We treat all our patients in our own dedicated hospital in which we control and maintain standards to the highest levels.
  • All procedures are carried out as day cases, allowing patients to get home to their own home environment and reducing the risk of infection. Our post-operative infection rates are among the lowest in the country.
  • We only allow surgeons to practice who have demonstrated a track record of being amongst the most skilled in the country. With carefully selected techniques, we avoid uneven results.
  • We avoid techniques such as ultrasound Vaser which can burn the skin and cause collections of fluid (seroma) which have to be drained.
  • We provide comprehensive post-operative care at the hands of our expert team of cosmetic nurses.

All techniques of liposuction tighten the skin.  This tightening will be more significant where the skin is thin, such as in the neck and arms.  Elsewhere, where the skin is heavier, it will generally be sufficient to take up the extra laxity due to the removal of fat.  In areas where the skin is already hanging in folds, such as the hanging bottom or abdominal apron, these folds tend to remain. However, where there are folds of heavy fat over the lower back, liposuction can make a very significant improvement. In extreme cases of fat removal, where the skin is loose, such as the abdominal apron, or where there has been significant weight loss, a combination of liposuction and skin excision may be the better option.

Liposuction Results

Click here to view our gallery of before and after and Liposuction

What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases, patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

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