Liposuction in Seattle
We are proud to offer our Seattle patients our extensive experience and expertise in liposuction, the single most popular cosmetic surgery procedure in the U.S. today.
All liposuction procedures are done in Dr. Reichel’s AAAHC accredited Ambulatory Surgery Center, assuring the highest level of safety and care for her patients.
Liposuction is so effective that in 2006, more than 403,000 liposuction procedures were performed in the United States, according to the American Society for Aesthetic Plastic Surgery (ASAPS). Of those, more than 53,000 were for men and another 3,200 were for persons age 18 or younger.
Interest in liposuction remains strong because it is still the only way to re-sculpt the body in just one procedure. The technique is considered permanent because the fat cells that are removed can never re-grow.
What is Liposuction?
Liposuction sculpts the body by removing undesirable fat that has not responded to diet and exercise from the abdomen, waist, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Liposuction not only offers the opportunity to slim and contour chubby areas of the body; by removing the fat cells, it also ensures that these areas will not accumulate fatty deposits in the future.
Why Choose Pacific Dermatology & Cosmetic Center for Your Liposuction?
Our Seattle doctors know that all patients are different, both in their body shapes and in what they wish to achieve with liposuction. We take as much time as necessary during every pre-operative consultation to learn what each patient wants liposuction to do for them, and to decide which technique is best. In this way, every one of our patients enjoys a completely customized treatment designed with his or her specific goals in mind.
The liposuction procedure begins with the injection of a solution composed of saline (saltwater), a local anesthetic called lidocaine, and a small amount of adrenaline to decrease bruising and bleeding. This is known as either the tumescent or super-wet technique, depending on the ratio of the fluid to the fatty tissue being removed.
What is Tumescent Liposuction?
The technique that Dr. Reichel uses is "Tumescent liposuction".
Tumescent liposuction was coined and developed by a dermatologist (Dr. Jeffrey Klein) in the mid-1980s. It means to use a large amount of very dilute anesthetic to tumesce (swell) the fatty tissues. It allows for the removal of fat cells while patients are awake, and it greatly decreases the amount of bleeding and complications. Currently, almost all, or all, liposuction is done using tumescent anesthetic whether the patient is awake or under general sedation.
Liposuction Procedure Overview
Once this solution has been introduced into the area planned for liposuction treatment, the doctor proceeds with one of two different methods of liposuction currently approved by plastic surgeons: suction-assisted lipectomy (SAL) or ultrasonic-assisted lipectomy (UAL).
In both methods, a tiny incision is made in as inconspicuous a place as possible. In SAL, a cannula (small tube) is inserted and moved back and forth beneath the skin, breaking up the fat layer and suctioning it out. In UAL, ultrasonic energy is used to liquefy the fat before it is suctioned out with a cannula.
See Dr. Reichel perform neck liposuction
How Long Does a Liposuction Procedure Take?
The liposuction procedure may last from one to five hours, depending on the amount of fat being removed. The doctor will use either local anesthesia or general anesthesia, again depending on the size of the area(s) being treated, as well as several other factors. We will discuss which method is best for you during your pre-operative consultation.
After more than 10 years as America’s most popular surgical beauty fix, liposuction remains the only true method to permanently remove unwanted fat deposits and reshape the body.
Dr. Reichel is specially trained in the tumescent liposuction technique. Using the tumescent technique, Dr. Reichel is able to perform the procedure without general anesthesia. "I use moderate sedation so that you are breathing on your own and are able to communicate with me during your procedure." Because of this, you can eat and drink normally before the procedure.
How Should I Prepare for a Tumescent Liposuction Procedure?
We recommend that you do drink water the evening before and the morning of your procedure, as well as have a light breakfast. During the 1 – 2 hour procedure, areas to be treated are first injected with a dilute local anesthetic to eliminate any discomfort. Dr. Reichel then uses a small hollow stainless steel tube called a cannula to remove the unwanted fat. Using the small-bore cannula decreases the recovery time and allows patients to return to normal activity in just a short time.
What is Liposuction Used to Treat?
Results are especially good for those who have tried dieting and exercise but are still unable to lose areas of exercise-resistant fatty deposits. Liposuction can be used to smooth the tummy, thighs and love handles. It is also great for shaping the neck and jawline. Liposuction can reshape smaller areas like the arms and legs. This can provide more definition to these areas, creating a leaner and more graceful silhouette.
"I had a great experience with Pacific Dermatology! I was seen by Dr. Reichel and her nurse who were both professional and had a great bedside manner. It made me feel so comfortable with my first time getting my procedures done. I will definitely be returning and have already recommended them to friends!"- Chalsea Nerys
"Dr. Reichel explained that Liposuction allows her to customize and define with one treatment and the results are immediate. I was awake the whole time and had zero pain, which is what I was most nervous about! It was also a very quick procedure. Her staff made me feel so comfortable. After my procedure, I met with Cheryl immediately after to do my lower face and neck Ultherapy. Not only will I not have a double chin but I will have improvement on my jowling that was starting to happen. I can't wait to see my results! I would highly recommend Dr. Reichel for this treatment.- Kristi Sherlock
Liposuction Before & After Images
Recovery from liposuction
After liposuction surgery, drainage tubes, compression garments, and antibiotics may be needed to facilitate the healing process. Patients are encouraged to walk as soon as they are able, and many returns to work within a few days. Strenuous activity should be avoided for about a month.
Results of Liposuction
Results are visible immediately, and improvement often continues as swelling subsides during the first three months. We make sure that scars from the liposuction cannula insertion point are small and inconspicuous.
Risks of Liposuction
Risks are uncommon when liposuction is performed by a qualified surgeon. Nevertheless, they do occur, and may include the following:
- Delays in healing
- Fat clots or blood clots
- Fluid accumulation
- Perforation injury
- Lidocaine toxicity
- Unfavorable drug or anesthesia reactions
Irregularities in appearance are possible, such as asymmetric or "baggy" skin, numbness and pigmentation changes. For more details about liposuction, please click here.
What is Liposculpture?
Liposculpture is liposuction. They are really synonymous. However, some experts use the term "Liposculpture" when they are treating smaller areas of fat such as on the neck, or the knees. Or they use “Liposculpture” when talking about "sculpting" areas on individuals that have only minimal fatty deposits (such as a young athletic female that has a small excess of tummy fat). In my practice, they are the same procedure. Suction assisted Lipoplasty is the medical term that encompasses "Liposuction", "Liposculpture" and "Tumescent liposuction".
What kind of sedation do you use for liposuction?
I use minimal or moderate "twilight" sedation. This means that my patients are awake and able to talk to me during their liposuction procedure.
Being a Mohs micrographic surgeon, my post-dermatology training was in surgically removing skin cancers on patients who are awake. As such, dermatologists have the training and patience to perform surgical procedures on patients who are awake and alert. This allows us to care for liposuction patients in an awake state. The majority of my tumescent liposuction patients are very comfortable during the procedure and do not need deep sedation. Using only minimal sedation increases the safety of the procedure. My patients walk out of the office, and we insist that they walk around the house or down the block in the evening after their procedure. This decreases the risk of blood clots and speeds the healing process.
Schedule a Consultation Today!
Are you put to sleep (general anesthesia) for liposuction?
Dr. Reichel uses twilight anesthesia for all of her liposuction cases. This means that you will be breathing on your own (no intubation) and will be able to communicate during the procedure. If you are having discomfort, we can increase the sedation for you. Avoiding general anesthesia increases the safety of the procedure. All liposuction surgeons use what is called tumescent anesthesia in addition to sedation. In tumescent anesthesia, a large volume of dilute lidocaine is injected into the areas of liposuction. This stops the nerves from feeling pain and helps to soften and break up the fat for easy removal.
Are you put to sleep for liposuction?
Liposuction is not meant as a weight loss procedure. Even for large areas, you will only lose 3 to 4 pounds. However, if you are mildly overweight, liposuction may still be an ideal procedure for you. If you are obese or significantly overweight, Dr. Reichel will talk to you about weight loss and other options.
Does fat come back after lipo?
Fat will only return after liposuction with significant weight gain. Keeping your weight consistent after liposuction will eliminate the possibility of fat returning to the treated area.
Does liposuction get rid of cellulite?
Liposuction will NOT treat cellulite. It will not treat texture irregularities or skin laxity. We have other procedures that can be used in addition to liposuction (like QWO) for cellulite. Skin laxity is best treated with surgery or a non-invasive skin tightening procedure.
How do you shower after liposuction?
We will give you all of the information for showering when you come in for your consult, and again at the time of surgery. Depending on when you come in for follow-up, it may be 48 to 72 hours before showering. When you do shower, you will gently wash the “port” sites (little 5-6mm incisions made to inject the anesthesia and also remove the fatty tissue. You will wash the rest of your body normally.
How does Lipo work?
Liposuction removes excess fat by sucking it out with an instrument called a cannula. This is a thin, strong, hollow metal wand with holes on the end. It is attached to a machine that uses suction. As the wand is passed through the tissues, the fat is pulled up through the small holes, and then through tubing that is attached to the cannula. We access the fatty tissue through small incisions in the treatment area.
How do I prepare for liposuction?
There is a 2 page hand-out that you will be given at your consult. Our head cosmetic RN will be in contact with you to be sure you have “all your ducks in a row” . You will need to stop certain medications (ones that make you bleed), purchase a anti-septic soap to wash the week before your procedure, begin an antibiotic, purchase your garment, and for almost all liposuction, we require certain labs to make sure your body is healthy and able to undergo the procedure.
How long do you need off work after liposuction?
Most people can return to work within 4 to 5 days. Liposuction recovery is an ACTIVE process. You will be up walking the day of the procedure, and you can start light exercise within a week. With the caveat, if it hurts, slow down. If you have a physically demanding job, it may be 3 to 4 weeks before you are at full capacity.
How painful is liposuction recovery?
During the first few days after your surgery, you will experience discomfort. Most patients report it as feeling like they worked out in the gym for 10 hours straight. Many patients need prescription pain medication for 2 to 3 days. Within a couple weeks, your soreness will gradually decrease and can be managed with Tylenol or no medication at all.
How much fat can lipo remove?
For most patients, we remove all of the unwanted fat in the treated areas. Of course, it is a contouring procedure, so Dr. Reichel uses her expertise to know exactly how much fat to take to optimize the outcome for your individual body!!