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    Liposuction and Liposculpture

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    This is a surgical procedure where excess body fat is aspirated from determined regions of the body by using a “canule” (tube).

    It is important to clarify that this is not a procedure for losing weight. The objective of liposuction is to remodel the body.

    If a patient is overweight and shows uneven regions because of excess of fatty tissue, something that is quite common, liposuction will only remove the excess fat from the selected regions. After the procedure, the patient will continue to be overweight, since liposuction cannot remove fat from all regions.



    This term is given to the technique that uses some of the fatty tissue that has been aspirated or removed. This tissue is reinserted or grafted into specific regions, objecting to improve the body contour.

    Normally the regions that most often require reinsertion are the sides of the gluteus or the gluteus region itself.

    This reinserted fat goes through a process of reabsorbtion along the lines of 30 to 40%. I normally insert 30 to 40% more to account for this reabsorbtion.


    Marking the Body

    The day prior to the surgery I normally draw marks on the patient’s body using a special marker, planning for the desired surgical effect; always preferring that the patient be standing-up since we know that body fat changes position if the person is laying down.

    I follow these markings strictly during the surgery.


    Regions to Aspirate

    The back, waist, sides (tires), saddle bags, stomach, the internal side of the upper-leg, the knees and below the chin.

    If there is an indication, and if feasible, we can also aspirate the arms, the sides of the rib-cage, the sides of the breasts, the external side of the upper-leg, the lower leg and the pubic area.



    General or Epidural.

    Local anesthesia only to small areas.



    Normally a 24 hour stay at the hospital.


    Why we accumulate fat?

    There are two stages in the life of a woman when there is a duplication of fatty cells: one is during puberty and the other is during pregnancy. Both are a result of hormonal influences.

    During puberty, the girl transforms into a woman through the action of feminine hormones, which allow for the growth of her breasts and an increase in the size of the hips and thighs.

    The level of duplication of the fatty tissue will depend on her genetics, which will distribute this fat throughout her body, turning her figure into one that is either ginode (pear or spoon shaped) or android (apple or cone shaped).


    Liposuction and Pregnancy

    Liposuction during the period prior to pregnancy is very beneficial because it will remove definitively the fat cells that are in excess in the hips and thighs. Depending on the diet, those cells that remain will enlarge but will not duplicate.

    When the patient who has undergone liposuction prior to getting pregnant, does get pregnant, then she will go through the fat cell duplication process, but if she maintains vigilant of her weight, gaining only that which is recommended (8 to 10Kg), she will not lose the result obtained with the liposuction .

    In my opinion, it benefits the patient to first undergo liposuction and then get pregnant, because the probabilities of maintaining a good figure are better if the body fat is removed prior to the pregnancy, rather than afterwards. Remember that after the pregnancy the fat cells will have been duplicated.


    Contact us for more details…


    Dr. Mariangela Santiago. – CRM 45138 states that this is a spontaneous and illustrative deposition procedure performed after medical consultation and indication of surgery and all medical and laboratory exams required as CFM’s recommendation.

    Even though this one was a successful case, no conclusion can be drawn based on this evidence, moreover, as in any case of plastic surgery, medical consultation with a Plastic Surgeon Specialist is required for making any decisions

    Following the rules of the Brazilian Federal Medical Council, to illustrate the results with photos made before and after procedures is not allowed.

    Dr. Mariângela Freitas Lima Santiago
    CRM-SP 45.138 (São Paulo Regional Medical Council)
    Plastic Surgery - RQE nº 11476 | General Surgery - RQE nº 7678

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