In general, there are two main groups of people who seek and are helped by liposuction at my Champaign, IL, and Bloomington, IL practices. While the main purpose is to improve their appearance and contours, the first group is in their normal or near-normal weight range and the second group is above their normal weight or overweight.
Both groups are helped by liposuction, creating better body proportions and a more sculpted figure. The first group seeks liposuction mainly for purposes of looking better, while the second group has the goal of decreasing volume and/or weight.
The first group typically seeks correction of contour deformities that remain unchanged after normal development and exercise. Examples of these would be saddle bag deformity (excess fatty tissue in the lateral thighs and buttocks), excess fatty tissue on the hip and/or waist areas, and abnormal deposits of fatty tissue in the stomach area. These all tend to be easily corrected with tumescent liposuction. These contour deformities are, for the most part, resistant and cannot be corrected through normal exercise or dieting. The results for this group are generally excellent with minimal recovery time and good contouring of the skin without undue skin relaxation.
The second group of candidates tends to have not only the same bulges and/or excess fatty tissue but also above-normal weight, placing them in the overweight or obese categories. In this group of patients, the goal is not only to remove the contour deformities but also to remove the excess volume. Generally, in my cosmetic plastic surgery practice, I can remove between 8 and 15 pounds. This is a significant volume reduction, equaling between 1 gallon and slightly less than 2 gallons of body volume.
An additional benefit that was just reported on September 30, 2011, is that of improved metabolic profiles regarding cardiovascular disease in a group of 322 individuals who presented with an increased body mass index and who underwent liposuction. The levels of triglycerides (bad fats in the blood) and the levels of leukocyte counts (abnormal white blood cell formations) after fat reduction surgery through liposuction show the beneficial effect of a reduction in the generalized inflammatory status. Patients with levels greater than 150 mg of triglycerides showed a 43% reduction after liposuction. In fact, 62% of these patients whose levels were at risk before liposuction had normal levels after liposuction. As we know, abnormal triglyceride levels of over 150 mg have been associated with elevated risk for metabolic syndrome, type II diabetes, stroke, coronary artery disease and peripheral vascular disease.
To summarize, candidates for liposuction fall into two groups. However, both have the abnormal levels of fat accumulation in multiple areas of the body that create contour deformities, bulges, etc. and make the body unattractive. Liposuction helps individuals with esthetic or cosmetic problems, as well as those who are overweight, in reducing body mass. In addition, it may well have beneficial metabolic effects by reducing triglyceride levels in people with abnormally high triglycerides.