Liposuction

Are you looking for a doctor with an extensive track record performing liposuction in Paramus, NJ? Look no further than Dr. Martin Moskovitz, board-certified plastic surgeon at Image Plastic Surgery.

Liposuction is a procedure designed to remove excess fat deposits. These deposits can be almost anywhere on the body. Image Plastic Surgery is extremely experienced in all cosmetic plastic surgery procedures, and is one of the best options for liposuction in New Jersey. The ideal candidate for traditional or ultrasonic liposuction is a person of normal weight with one or several areas of excess fat deposits that cannot be eliminated despite optimal diet and exercise. Clinically obese patients are not good candidates for liposuction, though patients who are moderately overweight can benefit.

Liposuction Pre-Operative Care

At your consultation with Dr. Moskovitz, you will discuss which area is of concern, and you will decide on the procedure(s) and body areas that will work best for your body type and goals.  Dr. Moskovitz will explain the procedure in detail and answer all of your questions.  A blood test is performed and photographs are taken to assess post-operative effectiveness after your liposuction in Paramus, NJ.

No aspirin, ibuprofen, or similar drugs should be taken two weeks before liposuction surgery. These medications can cause excess bleeding. If you have any questions about drugs you are taking, including over-the-counter preparations and natural herbs, please call us at (201) 225-1101.  Do not eat or drink anything after midnight of the night before your surgery. Oral medications can be taken with a sip of water.

Liposuction Operation

When choosing to have the Liposuction in Paramus, NJ, the procedure can vary depending on your goals and body type.  Smaller procedures can be performed in the office under the effects of oral pain medication and local tumescent fluid placement. Tumescent fluid is a mixture of saline (salt water), epinephrine (to control bleeding), and lidocaine (to numb the area). Sometimes, larger  treatments are performed in a New Jersey hospital, under general anesthesia.

Before the surgery you will be marked in a standing position and areas of excess fat will be identified. After the proper anesthesia has been given, several small incisions will be made and the tumescent fluid introduced. Fat removal will then take place utilizing a cannula (tube). Two additional modalities that can be used during liposuction are ultrasound-assisted liposuction (UAL) and power-assisted liposuction (PAL). UAL utilizes ultrasonic frequencies to liquefy fat cells prior to their being removed. It is a very good tool in fibrous and difficult to suction areas such as the back and the male breast.

PAL utilizes a motorized cannula which moves back and forth rapidly to remove fat more quickly and provide increased abilities to etch the tissues.

At the conclusion of liposuction, small dissolvable stitches may be placed along the incisions and dressings are positioned to absorb any leaking tumescent fluid. It is completely normal and expected to have significant leakage of tumescent fluid for the first 24 hours after the procedure. This fluid is often tinted with some blood and may appear to represent a significant blood loss. It is important to realize that this leakage is normal and harmless. Should significant dark red blood or clots appear after surgery, call us immediately.

Nearly all patients will be placed into a compressive garment at the conclusion of the procedure and should wear this garment for at least 2-4 weeks after the operation. Most patients will go home several hours after the surgery, though cases done in a hospital may remain overnight.

Liposuction Post-Operative Care

After you have completed your liposuction, you should wear your garment at all times, even while sleeping. It can be removed for showers but should be replaced afterwards. Post-operative discomfort is usually quite mild after liposuction and you will be given oral pain medication. Bruising is common after liposuction and should not be alarming. The bruising will fade significantly over the first few weeks and should be gone by one month.

If you need any more information regarding the liposuction process, please feel free to call or email us.  We hope to be your practice of choice when looking for liposuction in Paramus, NJ!

Frequently Asked Questions

What is liposuction?
Liposuction is a procedure that removes excess fat from specific areas, including the upper arms, abdomen, hips, buttocks, thighs, knees, chin and neck. It allows for a thinner, more sculpted look.
What are the benefits of this surgery?
Liposuction can improve your appearance and often allows you to enjoy a wider variety of clothing styles. It is not, however, a substitute for diet and exercise.
What are the risks associated with this surgery?
As with any surgery, there are risks such as infection, bleeding, and the need for touch-up (revision) procedures. Dr. Moskovitz will inform you of risks prior to surgery. Risks associated with liposuction when performed by a board-certified surgeon are minimal. The removal of large amounts of fat (more than 5 liters or 5,000 ccs) may increase your risk exposure and in such cases the surgery will usually be performed in a hospital with an overnight stay for added safety.
What do I need to do before surgery?

Please confirm your pre-operative appointment with our office. At this visit, you will undergo a history and physical examination and Dr. Moskovitz will be available to answer any questions you may have regarding your surgical procedure. The surgical fee will also be collected at this visit. Pre-operative laboratory tests (blood work) will be done at least one week before the operation.

If the procedure is to be done at the hospital, you will be sent to the hospital for a pre-operative interview with an anesthesiologist. The anesthesiologist will review your medical history with you and determine what type of anesthesia is most appropriate. Any laboratory (blood work) or diagnostic examinations will also be performed during this visit. The hospital and anesthesiology fees will also be collected during this visit.

Please arrange to have someone drive you home and to receive post-operative surgery instructions.

Do not eat or drink anything, (this includes coffee, candy and chewing gum) after 11:00PM the night before surgery.

Avoid aspirin and smoking for two weeks before and after the surgery.

Where is the surgery performed?
This procedure may be performed in the office surgery center or the hospital. Dr. Moskovitz will explain where the surgery will be performed based on the amount of fat to be suctioned and your medical history.
What happens on the day of surgery?

Please wear comfortable clothing to the surgery center. You will be asked to read and sign a consent form and to change into a hospital gown. A nurse will review your chart and confirm that all paperwork is in order. You will be taken to a pre-operative holding area and the anesthesiologist will start an intravenous line in one of your arms. Before any medications are administered, Dr. Moskovitz will verify your name and the type of procedure you are having and will answer any questions that you may have. You will then be taken to the operating room where the appropriate anesthesia will be administered and the surgery will be performed. Once the surgery is complete, you will be taken to a post-operative unit where you will be monitored closely during your recovery.

What type of anesthesia will be used?
There are several types of anesthesia but the most common forms are general, local and monitored anesthesia care. With a general anesthetic, you will be asleep during your surgery. With a local anesthetic, you will be alert during the surgery and only the incision location will be anesthetized. With monitored anesthesia care or MAC, you will be given medications to relax you, and the incision location will be anesthetized. General anesthesia is usually given in a hospital setting while MAC or local are usually used in the office surgery center.
What happens during the surgery, and how is the surgery performed?
During liposuction, fat deposits are removed in order to recontour one or multiple areas of the body. A small (¼ inch) incision is made and a narrow tube (cannula) is inserted which is used to vacuum the fat deposits beneath the skin. The cannula is moved back and forth breaking up fat deposits, which are vacuumed out by a large syringe or vacuum pump.
How long will I be in the hospital?
Liposuction is normally performed on an outpatient basis in the office surgery center. You will be permitted to go home after a few hours. You can expect to stay one night if your case is done in a hospital for safety reasons.
How will I look and feel after surgery?
After surgery, you will have some watery drainage from your incisions. You will wear a close-fitting elastic garment in most cases to help reduce swelling and to allow your body to adjust to a new shape. You may experience some pain, burning, swelling, bleeding, temporary numbness, stiffness and soreness. Please contact the office immediately if you experience heavy bleeding or if your pain suddenly increases. You will be prescribed oral pain medication.
Will there be scars?
The small incision scars will fade with time and should be barely visible when healed.
When can I expect to return to work and resume normal activities?

You should feel better several days after your surgery and can expect to be able to return to work within a week of your operation in most cases. You should start walking around as soon as possible to help decrease swelling and help prevent clots from forming in your legs. Strenuous activity should be avoided for about one month, and some mild swelling may remain for two to six months, but most of the bruising and swelling will fade away within three to four weeks.

What effect will liposuction have on cellulite?
Cellulite is rarely, if ever, improved by liposuction. Cellulite may actually worsen do to liposuction since the skin is no longer stretched as hard. In general, liposuction can cause dimples in the skin and worsen cellulite, but it is a terrific way to treat extra fat deposits and contour the body to a more desirable form.

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