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What is Liposuction

Liposuction is one of the five most common cosmetic surgery procedures in the UK, accounting for roughly 10% of all cosmetic procedures in 2019 alone.

Liposuction involves the removal of unwanted or stubborn areas of fat from specific areas of the body that do not respond to either a healthy diet or exercise.

Liposuction is a highly efficient solution in a variety of areas of the body, leaving a more defined shape and more balanced proportions. These include the buttocks, hips, thighs, abdomen, chin, upper arms, breasts and knees.

We offer the most effective liposuction techniques, all of which are suitable for both men and women: traditional liposuction, Body Jet liposuction and laser liposuction.

Introduction to Liposuction

Liposuction, or 'lipo', was brought to the UK 30 years ago by our founder, world renowned plastic surgeon Mr Bryan Mayou.

Since founding the Cadogan Clinic, Mr Mayou has assembled a world-class team of surgeons at our clinic in Chelsea, and overseen their development as specialist surgeons in this procedure. Consequently, we treat more liposuction patients than any other clinic in London and have perfected a technique that ensures excellent results via a minimally invasive procedure.

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.

At A Glance

Liposuction

At A Glance

  • Surgery Time

    1+ hour (depending on the number of areas to be treated)

  • Bras & Garments

    Worn for 6 – 8 weeks

  • Time Off Work

    1 week if needed

  • Exercise Including Gym

    4 - 6 weeks

  • Hospital Stay

    Day case

  • Sexual Activity

    Restricted activity after 2 weeks

  • Washing

    Shower after 1 day

  • Full Recovery

    2 weeks

  • Reasonably Mobile

    Immediately

  • Driving

    1 week

  • Sleeping Position

    Sleeping on back recommended for 2 weeks

Liposuction
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My Face My Body Awards Finalist 2017 Aesthetics Awards Winner 2017 Highly Commended 2018 My Face My Body Awards Winner 2016

Liposuction Surgeons

We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.

Mr. Hazim Sadideen

Aesthetic Plastic And Reconstructive Surgeon / GMC: 6143207

Mr. Hazim Sadideen is a Consultant Plastic and Reconstructive Surgeon. He graduated from Guy's, King's and St. Thomas' (London, UK) with double distinctions, the Riker's award, the George Leach Cup and King's College London Laurels...

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Mr. Naveen Cavale

Plastic, Reconstructive & Cosmetic Surgeon / GMC: 4190952

Mr. Naveen Cavale is a fully qualified and fully accredited UK Plastic Surgeon who graduated from University College London and the Royal College of Surgeons in Edinburgh...

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Mr. William Van Niekerk

Aesthetic Plastic And Reconstructive Surgeon / GMC: 4362791

Mr. William Van Niekerk is a consultant plastic, reconstructive, aesthetic, and burn surgeon with over 20 years of medical experience...

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See all Plastic Surgeons

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Types of Liposuction Procedure

As leaders in the field, we're highly selective in the types of liposuction procedure that we offer at Cadogan Clinic:

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.

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. This method works well on areas including the chin, underarms and jawline.

This technique works by liquefying fat with a laser and removing the fat with a cannula. In addition to liquefying fat, the laser also smooths and tightens the skin and seals blood vessels, reducing swelling, bleeding, and bruising.


Liposuction Areas

Common Liposuction Treatment Areas for Men

Men have distinctly different issues with fatty deposits, which women do not have.

Common Treatment Areas:

Like women, these are two of the most common areas for liposuction.

These are less common areas for liposuction, for both men and women, and among the more difficult areas to target. The sculpting impact can however be meaningful, when performed by an experienced specialist.

Chin and neck fat is largely hereditary, but with age, these fat cells increase in size and become more of an issue. Chin liposuction and neck liposuction has to be carried out with care to avoid injury to the branches of the facial nerve and to obtain an even result. The simpler and more precise the technique is, the better, as the skin is relatively thin and because of the beard, is not quite as elastic as in a woman.

Skin retraction is therefore slightly less following chin liposuction and neck liposuction. However, the scarring created under the skin will pull the skin back up into the chin and neck giving a better neckline. In older patients, we might consider skin excision instead of chin liposuction or neck liposuction

Non surgical treatments do not have the same effect on the surrounding skin as chin liposuction and neck liposuction, and will tend to leave more obvious laxity.

Male breast liposuction is very effective and avoids the common deformities of direct excision. In some cases, we combine male breast liposuction with direct excision of the firm breast disc immediately behind the nipple which is termed Webster’s Procedure.

Male breast liposuction is one of the most common male cosmetic surgery procedures

A bulging abdomen can be due to fat within the abdominal cavity or fat beneath the skin. It is the fat beneath the skin which we can treat by stomach liposuction. There is often a combination of the two fatty deposits in which case there is a limit to the improvement possible. We often perform an abdominoplasty alongside stomach liposuction for these patients.

A physically fit patient looking for a six-pack will find that stomach liposuction removes fat very effectively but will not define muscles to this extent and exercise will be required

The loins or flanks are another male problem and of course spill out over the waistband. Stomach liposuction is very effective for this, but in an older patient the skin may also be loose and still tend to fold.

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If you have any questions or queries please call to speak to one of our advisors or request a call back to speak at a time that suits you.

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Why Do People Have It?

For many people, both male and female, their size and shape can cause unhappiness and insecurity, particularly if they are not responding to a healthy diet or exercise.

Liposuction is a short and highly effective procedure to achieve these changes and can deliver both an improved physical and psychological sense of wellbeing.

Who Is Suitable

Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:

  • Physically and psychologically fit and healthy
  • Bothered by their size or shape
  • Have realistic expectations of what can be achieved by surgery

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The Process

The first step for all of our patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation.

At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing shape and skin and fat levels.

Having established how much fat will be removed, several key measurements will be made and standard clinical photography will be taken.

Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.

If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.

Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.

If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure.

Before admission the following behavioural changes are recommended / required:

  • In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and complications
  • In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin
  • In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission)

On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.

The procedure itself is straightforward and takes place under general anaesthetic over the course of between one and three hours. The surgery involves the placement of a cannula into the area of the body where the fat is to be removed. The tube is moved back and forward to break the fat down, and high pressure suction is then used to remove the loosened fat cells out of the body. The incision sites are very small (several mms) due to the fineness of the cannula, and scarring will be very minimal.

Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.

Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control and are there to field any questions you may have in the immediate post-operative phase.

Liposuction recovery is relatively quick and any residual pain should subside in a matter of days. We advise total rest for several days after treatment, as well as strict adherence to the wearing of a compression garment to support healing and comfort levels, as well as the redistribution of the remaining fat cells in the area affected. We recommend at least 1 week off work to allow adequately for this process. We also recommend avoiding UV light for 2 -4 weeks to aid the scarring process.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture, we also recommend you meet with one of our on-site aestheticians to discuss ongoing treatment to support the healing and scarring process, in particular massaging of the treated areas.

We ask that you come in to see your surgeon after 6 weeks for a post-procedure for a final check-up.

What are the risks

Complications are unlikely. That said, as with all surgery, some complications are possible, your surgeon will discuss each of these risks comprehensively at your consultation.

Why come to The Cadogan Clinic for your Liposuction?

What Can I Expect From My Surgery?

Our Surgical Patient Advisor, Ellie, answers our patients most frequently asked questions.

What can I expect from my surgery?

Frequently Asked Questions

Liposuction is surgery to remove unwanted pockets of fat from different areas of the body. The most common areas can include:

+ Arm Liposuction
+ Breast Liposuction
+ Calf Liposuction
+ Chin Liposuction
+ Facial Liposuction
+ Hip Liposuction
+ Knee Liposuction
+ Neck Liposuction
+ Stomach Liposuction

The most common areas of the body to be treated by liposuction are:

+ Arm Liposuction
+ Breast Liposuction
+ Calf Liposuction
+ Chin Liposuction
+ Facial Liposuction
+ Hip Liposuction
+ Knee Liposuction
+ Neck Liposuction
+ Stomach Liposuction

Everyone has a genetically predetermined distribution of body fat cells around their body. Whilst external factors such as diet and exercise can impact this, relative proportions do not change. Liposuction is a very versatile technique suitable to remove these stubborn areas of fat virtually anywhere on the body, and typically we can remove multiple areas in one single procedure.

Yes. For the right patient and with the correct planning, a tummy tuck and liposuction can be carried out simultaneously.

The Cadogan Clinic was founded by Mr Bryan Mayou, the surgeon responsible for introducing liposuction into the UK more than 40 years ago.

We now have the country's leading team of liposuction experts working here at the Clinic, and more experience than anyone else in the various techniques available. We perform more liposuction surgeries than any other private clinic 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.

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. Liposuction is perfect for exercise-resistant fat deposits in areas like under the chin, in the cheeks, saddlebags, ankles, and others.

The fat cells themselves are removed by liposuction 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. This procedure makes your clothes fit better, gives you a more ideal shape, and uses small incisions that will not leave major scarring.

The amount of weight you lose is directly proportional to the amount of fat removed from your body. This means if you have a single procedure removing five pounds of fat, your weight will be down by five pounds.

The liposuction operation targets a specific area of the body, but if you are looking for significant reshaping in multiple areas on your body, you can address multiple problem areas during one larger procedure.

Liposuction is a predictable and low-risk solution for fat removal. At the Cadogan Clinic, the procedure can be done under general or local anaesthesia, and as a result, puts your body under relatively little stress. It’s done as a day case procedure and you’re able to go home afterwards to rest.

You should be aware that liposuction is not an effective solution to cellulite or obesity. If you need treatment for cellulite you should discuss combining procedures with your expert surgeon. Consult with your surgeon if you are looking for major weight loss. Liposuction may be part of a long-term treatment plan.

Make sure you follow all directions provided to you by your surgeon at the Cadogan Clinic to ensure you see the best results. These may be as simple as wearing your specialized compression garment, staying hydrated, and maintaining a healthy diet.

Liposuction recovery is relatively swift due to the relatively straightforward nature of the surgery.

Liposuction recovery starts the moment you come around from sedation. We use advanced TIVA anaesthetic techniques to ensure that you wake up quicker and with less nausea, and your liposuction recovery can start immediately.

We recommend taking a week of work to allow for slight bruising and swelling to subside. Pain should be fairly minimal and you can usually resume normal daily activities and exercise within a few weeks. Strenuous activities are discouraged during this period. Light walking before your procedure prevents blood clotting and minimizes swelling.

Liposuction recovery involves minimal pain, but any excess pain can be managed with over the counter painkillers. You will be issued with a compression garment to reduce the swelling, and this should be worn for 6 weeks.

Liposuction recovery is finally complete form around 6 weeks when results should start to be visible. Full results will take between  6 – 12 months.  

How much liposuction costs at the Cadogan Clinic depends on the number of areas to be treated.

A single area of liposuction costs £3,950. Each additional area of liposuction costs less than the previous area of liposuction costs. Your patient advisor can you talk you through liposuction costs in full.

We were founded by the pioneer of liposuction in the UK. He has hand picked a selection of the top liposuction surgeons in UK. Liposuction cost of surgery includes your all your post-operative care and 24/7 nursing assistance and ongoing scar management. 

Additional treatments that can complement your liposuction surgery and assist with healing can be purchased separately. These include laser scar management, a course of lymphatic drainage massages and accent laser skin tightening.

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 chest and 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 alternatives do exist, although for substantial areas of fat reduction we would recommend traditional liposuction. This is because this technique is more effective at removing fat cells, tightening the skin and permanently changing the shape than other liposuction alternatives.

Liposuction alternatives include:

+ Surgical Fat Excision - the fat is removed, but it is not easy to thin large areas via this technique without multiple operations. This is really only useful if one is also removing the skin as in a breast reduction
+ Chemical injections  - Desoxycholic acid (Kybella, Lipodissolve, Aqualyx) destroys fat but is painful and requires multiple treatments. There is also little 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.
+ Non-surgical treatments – good for those who do not want a surgical operation. These are significantly less effective when it comes to achieving meaningful results, and are not recommended for those looking for significant outcomes

Our founder, Bryan Mayou, pioneered Liposuction and introduced it into the UK 40 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 of 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.

Liposuction scars are caused by the tiny incisions required through which the very fine cannulas are inserted to perform the fat removal procedure. These are typically very small, and liposuction scars are typically very minimal as a result.

At the Cadogan Clinic we have many years experience with liposuction scars and are able to make these tiny scars as inconspicuous as possible.

We also use as few incisions as possible, and employ a gentle technique to avoid unnecessary trauma at the incision.

For those who naturally scar badly, such as keloid and hypertrophic scar formers, we have a comprehensive after care scar management programme that is designed to help manage liposuction scars as effectively as possible via the use of high energy devices and lasers.

Liposuction side effects are limited due to the relatively straightforward nature of the procedure. That said, liposuction side effects and risks do exist and it is important to be aware of them before going ahead with surgery

Liposuction side effects and risks, include (but are not limited to):

+ Numbness
+ Infection
+ Embolism
+ Edema
+ Allergic reaction

We have over 40 years of experience of liposuction at the Cadogan Clinic and we take extensive steps to manage these.

Our 24/7 nursing on call service is available for anyone experience liposuction side effects following surgery.         

All techniques of liposuction tighten the skin, but it is not a solution for already sagging skin. The 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 just 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, as liposuction cannot repair already significantly loose skin. However, where there are folds of heavy fat over the lower back, liposuction can make a very significant improvement. If your skin has good elasticity at the time of the liposuction procedure you will see immediate tightening results once the fat is removed.

Where large amounts of fat are removed and 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 will not remove already existing stretch marks.

Body contouring includes non-surgical procedures as well as liposuction and skin excision. Non-surgical fat removal (Sculpt-Sure and CoolSculpt) does not however significantly shrink skin.

Other non-surgical options can be used to tighten the skin and improve quality. Stretch marks are now treatable at the Cadogan Clinic.

During your initial consultation at the Cadogan Clinic, your surgeon will go over all treatment options available to you for achieving your desired results. Whether it be non-surgical or liposuction, with or without skin excision, will be determined with your surgeon.

Vaser Liposuction is liposuction that uses ultrasound waves to break up and liquify fat cells, in order to make them easier to extract.

We do not offer Vaser at the Cadogan Clinic given the very limited outcomes possible via this technique.

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