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Tumescent liposuction

Suction assisted traditional lipolysis, lipoplasty, lipectomy and liposculpture for body contour reshaping

The so called stubborn or chronic fat has to be well distinguished from the caloric or energy fatty deposits, since the latter are candidates to dieting and exercise and not surgery; applying surgery to caloric deposits is unwise and potentially hazardous, and dieting or doing sports for stubborn fat is always healthy and positive for the person but point and useless in terms of getting rid of them. To be clear, liposuction is not and should not be the treatment of overweight and obesity, however liposuction is irreplaceable for stubborn fat.

Typically the stubborn fat areas showing genetically conditioned adipose deposits refractory to weight loss may be the flabs or rolls at the double chin, bra line, love handles, abdomen, mons pubis, saddle bags, thigh gap, subgluteal banana and inner knee, with some other special areas and situation like pseudogynecomastia in males, drug induced deposits elsewhere, rare genetical syndromes, etc.

Once treated and removed surgically the stubborn fat will never or scarcely or rarely return, in opposition to the caloric fat which indeed does have the ability to regenerate and oscillate; this makes liposuction an essential treatment in body contouring but also a dangerous one or at least disappointing if not used judiciously and scientifically grounded.

Surgery of liposuction itself is a very simple and well tested principle allowing fat extraction via minimal keyhole incisions and powered by a suction pump, adding some accessory maneuvers to minimize the blood loss. This has been the technique for decades and still should be practiced without changes; any other added sources of energy like laser, ultrasound, heat, water jet, etc are in general very dangerous and add no real enhancement of results or safety benefits, just make the surgeon's work easier and less physical, but paying a very high price in terms of risks for patient's health and eventually leading to irreversible deformities like necrosis, overcorrections, discolorations, retractions, etc or medical problems like chronic neuritis pain, vascular issues, etc. Traditional tumescent liposuction, in spite being such an old technique, is the real golden standard no matter how old fashioned may sound its name, actually its well tested safety background makes it a very reliable procedure for patients and surgeons.

The technique begins with the introduction within the fatty deposits of saline with some local anesthetic and adrenaline to prevent postoperative pain and intraoperative blood loss. Once the drugs are making their effect the surgeon introduces a cannula of different caliber depending on each area and patient, with highly recommendable blunt tip to prevent complications. With a back and forth movement and associated to the suction power connected to the cannula the fat tissue is torn into the cannula holes and extracted in a straightforward way. Making a grid of tunnels at the treated areas helps to achieve a smooth contour. Finally a postoperative compression garment helps to reduce postoperative fluids loss, prevent seroma or hematoma and promotes early attachment of the loose skin.




    Abdomen Liposuction
    Face and Neck Liposuction
    Pubis Liposuction
    Thigh Liposuction
    Trunk Liposuction




  • This information is indicative only and does not represent an obligation with patients or a prediction of forthcoming events, since is based on statistical means for large groups of patients, with the variability that implies, and the biased experience of medical professionals.
  • Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
  • One surgical process can't be fully predictable or be rigidly scheduled on a previous protocol, so the management plan may be modified at any time based on the requirements that could be considered as necessary or most suitable.
  • Healing is an imprecise and always unpredictable process due to the uniqueness nature of each patient; even with your physician prioritising post-op patient care excellence and scar minimisation techniques and treatments your evolution and results may be likely different to the information contained on this website, therefore your physician cannot guarantee any specific scenario and outcome commitment regarding your procedures.
  • Remember that all surgery is likely to produce lasting swelling and a lifetime permanent scar, which is likely to partially evolve over approximately 12 to 18 months or longer because this is an issue of unpredictable kind; some patients may be prone to permanent swelling and bad scarring.
  • Information on our website is not a substitute for a personalised, individual consultation that includes a physical examination, history taking, a discussion of the potential risks including potential common complications, pros and cons of various procedural options, and the likely outcome expectations of your surgical procedure. Only an in-person consultation and examination can help your physician to provide you with information about what you, personally, as a unique individual, can expect.
  • Dr. Alejandro Nogueira's opinions, indications, procedures, techniques and methods of diagnosis, treatment and management change frequently as new information is available due to scientific knowledge and state-of-the-art medical practice progress; we aim to keep information updated, but it is possible that some information may have been superseded and is in process of being added to our website, therefore it may not represent Dr. Alejandro Nogueira's most current methods or protocols.
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  • No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
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  • The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
  • Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
  • Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
  • Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
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