The last point reached by the liposuction process is the method of diluting the fat first and then vacuuming with the help of very thin cannulas with a liquid that prevents bleeding by shrinking the vessels. The thing that provides the vacuum can be an aspirator or an injector to which the cannula is connected. In this way, it is possible to remove even very large amounts of fat with very little tissue trauma. The restoration of the body to aesthetic lines with this method depends entirely on the surgeon’s hand and ability. Liposuction can be applied to almost any area of the body.

The aim of this operation is to reduce the fat cells that store fat in the body. After puberty, fat cells in the body do not multiply in number and they are in a constant number throughout life. They grow and shrink only according to the amount of fat they store. The distribution of these cells in the body in terms of number is determined by genetic factors. Where fat will be stored in a person who is gaining weight depends on the number of fat cells in that area and the type of fat cell receptors.

Fat storage in our body depends on secretions called insulin and catecholamines. They act through fat cell receptors. In areas where fat accumulation is excessive, such as hips, hips, waist and abdomen, they are usually receptors sensitive to catecholamines of the dominant receptor type. It is genetic factors that determine the distribution of these receptors. Hunger, exercise, diet, nicotine and caffeine intake have an effect on increasing the level of catecholamines in the blood, therefore, fat deposits in these areas. Therefore, the fats here are diet-resistant fats. Irregular weight gain and loss will increase the formation of these fat deposits. Once these deposits are formed, the solution is only liposuction. When the number of fat cells in a region is reduced by Liposuction method, it is not possible for that region to gain weight again in the same way. Because the body tends to store it in connection with the excess or lack of available cells. Is it a misconception that fats that come to mind and cannot be stored here are stored somewhere else? Again, the same answer applies here, the more fat cells there are, the more fat the body tends to store, and the number and distribution of these cells are genetically determined. Otherwise, two people who constantly eat the same amount of food should be the same weight.

1- Preoperative Evaluation…

If a person is considering fat removal in Istanbul (liposuction), the first step a person should take is to consult a plastic surgeon in JCI hospital.

The ideal patient is a patient who is at a normal weight or has an excess of 20% from his normal weight and cannot get rid of the excess fat in some areas despite diet and exercise, has tight and elastic skin and has realistic aspirations. Ideal patient definition is a patient definition in which the results will also be ideal, sagging and irregularities will not occur. However, many of the patients who apply to the clinic do not fully match these characteristics and are often overweight. If the excess weight is not advanced enough to damage the circulatory system, these patients also benefit greatly from liposuction. Age is usually not a determining criterion, but since skin elasticity decreases with age, liposuction performed in older people should not be expected to give the same result as in young people with tight and elastic skin.Patients with decreased skin elasticity and sagging are often recommended liposuction along with an operation in which the skin and adipose tissue are removed by cutting (such as tummy tuck, hip, hip lift). Especially the indispensable application of tummy tuck surgeries is simultaneous fat removal (liposuction). Removal of under-jaw (tickle) fats in people with adequate skin tone and elasticity gives almost as good results as a neck lift surgery.

Those with diabetes, blood circulation disorders, significant heart and lung diseases, and people who have recently undergone surgery in the area where Fat Removal will be performed are not very suitable for fat removal (liposuction). Again, the risk of complications is high in overweight people.

When planning body shaping, evaluating all of the regional fat collection foci and including all of them in the areas where Fat Removal will be performed is one of the most important approaches for success.

2- Surgical Method…

Special extractors or injectors are used to provide the vacuum effect in the degreasing process. Technically, they have no superiority over each other. Liposuction techniques are called dry (dry), wet (wet), very wet (superwet) and tumescent techniques in relation to the amount of serum given to the area where liposuction will be performed. The dry technique is no longer used. I use tumescent or superwet technique according to the amount of fat to be taken. The more diluted the fats are, the simpler and less traumatic the process is. The serum given between the adipose tissue relaxes the fat by hydro decision and the adrenaline added to the serum contracts the vessels and prevents them from being traumatized. At the same time, the local anesthetic agent added to the serum ensures that the area is completely numb. However, uncontrolled liquid delivery can cause pulmonary edema by increasing the load in the circulation, anesthetics in the liquid can reach toxic doses. These complications are very rare in the hands of plastic surgeons who have sufficient technique and experience.

I am using VIBROLIPOSUCTION (VAL) technique, which is a technique that has been developed recently. The only difference from the classical technique is that the fat-absorbing tube moves back and forth millimetrically and vibrates elliptically. In this way, the tip of the tube is less traumatic and acts selectively on fat, it is possible to achieve less bruising and faster healing, shorter operation time and more excellent results for the patient. For the doctor, the procedure becomes easier in difficult and fibrotic areas, and it is possible to be more sensitive and controlled in areas such as face, tickle, elbow, knee and ankle.

Liposuction can be performed in the office operating room or in the hospital. Except for those who need to take large amounts of fat, my preferred form of anesthesia is usually sedation. The injected serum already provides regional numbness. During fat removal, it is very convenient for the patient to be in a semi-sleeping state, as a change of position will often be required. The depth of sedation is increased from time to time to ensure that the patient does not feel any pain. A few hours after the operation, the patient will be able to go home. Fat absorption is carried out by means of several small holes of 2-3 mm, and these holes heal without leaving any obvious marks. When the operation is completed, a special corset is put on that tightly wraps the liposuction applied areas.

3- After Surgery…

There may be very slight pain that responds to painkillers for a few days after the fat removal procedure (liposuction). There will be a drowsiness in the areas where the fat is taken that will last for a while. Walking helps these complaints disappear quickly.

A hospitalized patient will usually be removed on the same day or the day after surgery. There may be leaks from the entrance holes for the first one or two days. After about 5 days, your first check is performed, and if it has been applied, your bandages will be removed at this time. It is recommended to use the special corset for another 3-4 weeks. 6 of the operation.it will be useful to do 5-10 sessions of physical therapy starting from the day.

Some swelling and bruising may occur, and it will take a few weeks for them to completely disappear. There is a possibility that there may be fluctuations or puffiness in the skin over the treated area. If there are skin irregularities, usually called “cellulite” before surgery, they will decrease after surgery, but they will not disappear completely. In some cases, if the amount of fat removed from these areas exceeds the shrinkage capacity of the skin, there may be permanent sagging of the skin.If this is possible, during the preoperative examination you will be notified of this situation. Cases who are above their normal weight and have localized fat deposits get a better appearance when dressed, but they should be prepared to accept the possibility of contour irregularities and less reshaping of the skin. In elderly people where skin elasticity has disappeared, it may be necessary to surgically remove excess skin with a second procedure in order to get the maximum good result.

4- Liposuction Surgery Faq…

– Duration of surgery: Between 1- 5 hours depending on the amount of fat to be removed and the number of areas.

– Form of anesthesia: local or general with sedation support.

– Duration of hospitalization: Discharged on the same day or 1 day.

– Pain after surgery : mild to moderate pain depending on the prevalence of the procedure for 2-3 days.

– Swelling-bruising: increase in swelling for the first 3 days, bruising varies from mild to severe depending on the person and region

– Dressing: no corset: not removed for the first 5 days. Then it is only taken out for bathing and used day and night for 3 weeks.

– Stitches: It is taken at the end of the week

– Return to work: Recovery the next day or 3-4 days later depending on the procedure performed: after the first 10 days, your swelling will begin to decrease and by the end of the month, the change will be noticeable. Your bruises will completely disappear by 3 weeks, You can start sports from the beginning of the week. You should wait up to 6 months for your final shape.


Specialist in Aesthetic Plastic Surgery.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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