Houston Liposuction - Dr. German Newall, MD, FICS, FACS
Liposuction is a popular type of cosmetic surgery. It removes unwanted deposits of excess fat, to improve body appearance and to smooth
irregular or distorted body shapes. The procedure is sometimes called body contouring. Liposuction may be useful for contouring under the chin, neck, cheeks, upper arms, breasts,
abdomen, buttocks, hips, thighs, knees, calves, and ankle areas. However, liposuction is a serious surgical
procedure and may involve a painful recovery. Because liposuction can have serious or occasionally fatal
complications, you should carefully think about your decision to have this surgery.
Before your surgery, you will have an initial patient consultation, which will include a history, physical exam,
and a psychological evaluation. You may need to bring someone (such as your spouse) with you during the visit. You
may need a second consultation to give you time to think over the surgery.
You should feel free to ask questions, and to feel satisfied with the answers to those questions. A properly
informed person makes a better patient. You must understand fully the pre-operative preparations, the liposuction
procedure, and the post-operative care. Understand that liposuction may enhance your appearance and
self-confidence, but it will probably not give you your ideal body.
Houston Liposuction Expert, Dr. German Newall
Dr. Newall draws patients from all over the world for the dramatic body contouring results he is
able to achieve through liposuction. Whether you desire large volume liposuction or a more moderate level of
fat removal, Dr. Newall will work with you to help you achieve your shaping goals.
By German Newall
Liposuction reshapes the body and improves its proportions through the removal of excess fat. Despite exercise
and good eating habits, fat can be resistant to removal in certain areas due to genetics and the body's
hormonally-influenced tendency to store fat in certain areas for men and women. Liposuction allows you achieve
the contouring you desire on almost any area of the body, including:
- Lower Body (hips, thighs, and buttocks)
- Abdomen and waist
- Legs (knees, calves, and ankles)
- Neck and chin
The Liposuction Procedure
In a liposuction procedure, Dr. Newall makes small, inconspicuous incisions in the skin. After infusing a
sterile liquid tumesced solution to reduce bleeding, bruising, and pain, he inserts a thin, hollow tube called
a cannula. This allows him to suction out the fat in a manner that achieves the desired shaping goals.
The length of the procedure can last anywhere from 1 to 4 hours, depending on the amount of fat that is removed
and the number of sites that are recontoured.
After your liposuction procedure, you will be fitted with a compression garment that is worn for approximately
4 weeks to help reduce swelling and compress the skin to its new contours. Most individuals find they are able
to return to work after 4-7 days of recovery and exercise in 3 weeks.
Liposuction--The Results and Benefits
The results of liposuction are typically long lasting providing that a stable weight is maintained. For many
individuals, liposuction inspires them to develop a healthier lifestyle that not only maintains their new
shape, but also improves their overall fitness and feelings of confidence.
Liposuction / Tummy Tuck (Abdominoplasty) Procedure
By combining liposuction and a tummy tuck procedures, Dr. Newall is often able to achieve extensive reshaping
of the body as an alternative to a body lift. While liposuction removes excess fat, a tummy tuck
addresses loose skin and weakend muscles in the abdominal area that can be due to large weight loss or
pregnancy. A tummy tuck effectively restores a flat, smooth contour to the abdomen through the removal of loose
skin and tightening the underlying abdominal muscles. Recovery for this procedure is typically 10-14 days.
Contouring > Butt Lift
||liposuction / Buttock Lift
This young woman in her early thirties was interested in having her buttock enhanced.
After a consultation with Dr. Newall she decided to have fat grafting augmentation to
her buttock. This specialized fat grafting procedure provides a very natural
Note the enhanced buttock and contour achieved with this procedure.
Dr. German Newall
Several different liposuction procedures exist:
Tumescent liposuction (fluid injection) is the most common type of liposuction. It involves injecting a large
amount of medicated solution into the areas before the fat is removed (sometimes, the solution may be up to three
times the volume of fat to be removed). The fluid is a mixture of local anesthetic (lidocaine), a drug that
contracts the blood vessels (epinephrine), and an intravenous (IV) salt solution. The lidocaine in the mixture
helps to numb the area during and after surgery, and may be the only anesthesia needed for the procedure. The
epinephrine in the solution helps reduce the loss of blood, the amount of bruising, and the amount of swelling from
the surgery. The IV solution helps remove the fat more easily and it is suctioned out along with the fat. This type
of liposuction generally takes longer than other types.
The super-wet technique is similar to tumescent liposuction. The difference is that not as much fluid is used
during the surgery--the amount of fluid injected is equal to the amount of fat to be removed. This technique takes
less time; however, it often requires sedation with an IV or general anesthesia.
Ultrasound-assisted liposuction (UAL) is a fairly new technique, used in the U.S. since 1996. During this
technique, ultrasonic vibrations are used to liquefy fat cells. After the cells are liquefied, they can be vacuumed
out. UAL can be done in two ways, external (above the surface of the skin with a special emitter) or internal
(below the surface of the skin with a small, heated cannula). This technique may help remove fat from dense,
fiber-filled (fibrous) areas of the body such as the upper back or enlarged male breast tissue. UAL is often used
together with the tumescent technique, in follow-up (secondary) procedures, or for greater precision. In general,
this procedure takes longer than the super-wet technique.
Before the day of surgery you may have blood drawn and be asked to provide a urine sample. This allows the
health care provider to rule out potential complications. If you are not hospitalized, you will need a ride home
after the surgery.
A liposuction machine and special instruments are used for this surgery. The surgical team first preps the
operative site and administers either local or general anesthesia. Through a small skin incision, a suction tube
with a sharp end is inserted into the fat pockets and swept through the area where fat is to be removed. The
dislodged fat is "vacuumed" away through the suction tube. A vacuum pump or a large syringe provides the suction
action. Several skin punctures may be needed to treat large areas.
After the fat is removed, small drainage tubes may be inserted into the defatted areas to remove blood and fluid
that gather during the first few days after surgery. If you lose a lot of fluid or blood during the surgery, you
may meed fluid replacement (intravenously) or a blood transfusion.
After the surgery, bandages are applied to keep pressure on the area and stop any bleeding, as well as to help
maintain shape. Bandages are usually kept in place for at least 2 weeks. Your doctor may call you from time to time
to check on your health and to monitor your healing. A visit back to the surgeon after 5-7 days is often
recommended. Sometimes people gain weight after liposuction. This is due to the increased fluid from surgery.
Liposuction may or may not require a hospital stay, depending on the location and extent of surgery. Liposuction
can be done in an office-based facility, in a surgery center on an outpatient basis, or in a hospital. For reasons
of cost and convenience, liposuction of smaller volumes is usually done as an outpatient. You may need to stay in a
hospital if a larger volume of fat is being removed, or if you are having other procedures done at the same