Fat gone forever thanks to liposuction?

Finally carefree reaching for the dress of your dreams without having to put on annoying shapeware underneath to get unwanted rolls or lovehandles visually under control? How often have we been annoyed with ourselves and our self-criticism – and our problem zones?! When googling for problem zone removal or “fat off” methods, one always comes across the topic of liposuction, medically called liposuction.

But what can liposuction actually do and are fat cells then actually permanently removed? We have talked to the specialist for plastic and aesthetic medicine Dr. Mehmet Atila in the PODCAST-INTERVIEW about the procedure, the possibilities, opportunities and limitations of the method.

Fat gone forever thanks to liposuction – can it work?

Liposuction, or liposuction, works wonderfully for everyone because fat cells cannot duplicate after a certain age. This means that you can really get rid of fat pads genetically assigned by your parents permanently with liposuction.

For which part of the body is liposuction best?

Liposuction can always be performed where fat can be “squeezed”. This means that there is really fat tissue between the skin and muscles. Unfortunately, we can’t reach anything below the muscles, so internal abdominal fat can’t be removed by liposuction, but anything that sits above the muscles works well – and that’s from the chin to the ankle. So you can get rid of belly fat, optimize breeches and inner thighs as well as hips, waist, upper arms and neck region.

Liposuction has been performed in aesthetic medicine for more than 20 years. How has the technique changed?

Liposuction is performed under tumescent local anesthesia as standard. In the beginning, at the end of the 90s, liposuction was still performed with rigid cannulas. Then there was a huge optimization to the so-called vibrating cannula in the early 2000’s. This made liposuction more gentle. In addition, more tumescent fluid was used to protect the tissue. Meanwhile, we also understand the anatomy of fat tissue better and better. Within the fatty tissue there is a kind of half-timbered structure with different levels and we can suction this fatty tissue wonderfully in all three-dimensional levels and thus also achieve very targeted adhesions and shrinkage of the skin in certain areas. We also use lasers to tighten the tissue.

How exactly does liposuction proceed and how long does the procedure take? Is anesthesia necessary?

Liposuction lasts purely in the suction phase, depending on the regions, about

one and a half hours. Nevertheless, we need a little longer to prepare for tumescent local anesthesia. We usually schedule our patients for four hours. First of all, before photos are taken. Then, at rest, we mark out which zones are to be suctioned and how much will be suctioned in each zone. After this phase, anesthesia takes over. The procedure is often performed under local anesthesia, but the anesthesia is present and helps if there are problems anywhere, the pulse or blood pressure goes up. The suctioning phase itself takes up to an hour and a half. Finally, our surgical nurses put on a girdle under which you put absorbent material, because the tumescent local anesthesia runs out into the bandage after the surgery.

Where are the opportunities and where are the limitations of permanent body contouring?


Body contouring with liposuction is always a proportional change to the body. It is not suitable for patients who see it as a diet replacement. Liposuction can reduce unsightly body bulges and it can also significantly improve lipedema with abnormal fat cells, and it can do so permanently because the suctioned cells will not come back. Those who eat too many calories are not suitable for liposuction, because the body then lets the residual fat cells or even other fat cells become fat due to the too many calories taken in. The result is a redistribution of fat in the body and not a real body shaping. In addition, liposuction is unsuitable for removing internal abdominal fat, as we know it from the classic bulging male abdomen. This is because it is located around the organs and cannot be reached with a suction cannula.

Photos: Designed by wavebreakmedia_micro/Freepik and Anna Shvets/Pexels