As with any cosmetic surgery, it's important that the candidate have realistic expectations about what the procedure can do for him or her, and what the results might be. The finest plastic surgeons will have some process in place for assessing what a patients' understanding is of how the surgery may or may not match someone's ideal, or what he or she thinks others will think of their appearance.



Liposuction is no different, and it's especially important for those considering the surgery. The best candidates for liposuction are at or close to the healthiest weight for their height. The candidates who achieve the best results are those who have elastic, firm skin with pockets of excess fat in areas that are impervious to exercise and diet. Usually, these are genetic or are more difficult to change because of age. (Though age is not necessarily a major consideration in determining whether someone is a good candidate for liposuction or not - elasticity is the primary consideration).

Also, there are different kinds of liposuction, which may be a consideration when a person and their doctor are considering the procedure. The tumescent technique is a relatively new method, which can reduce the pain, swelling and bruising involved because blood loss is minimized during the procedure. And, because of this, the possibility of needing a blood transfusion is greatly reduced.

Specifically, using the tumescent technique, pockets of excess fat are injected with large amounts of anesthetic liquid before the surgery. Because the pockets of fat become swollen and firm, it allows the liposuction cannula to move easily beneath the skin and remove the fat. Typically, people who have large areas of excess fat can be good candidates for tumescent liposuction, as well as those who need more precision on places such as the face, neck, ankles and calves.

Another relatively new liposuction is done by ultrasound, which "liquefies" the fat molecules and makes it easier for the doctor to remove it and make the contours necessary. Sometimes a doctor will use a combination of these techniques.

However, though it sounds easy and is performed millions of times a year, it should be understood that liposuction is not for everyone. It is very risky for people with medical issues, particularly diabetes, heart or lung disease, bad blood circulation or anyone who have had surgery near the site to be sculpted so consult with a certified liposuction doctor to find out if you are physically able to handle this specific type of surgery.