The ideal candidate for�thigh liposuction�should be close to ideal weight and in good health.�Liposuction�as a procedure is done to improve their self image, to fit better in clothing and to have a more proportionate body. Though it is not a weight loss method, in liposuction a patient on a average looses about 5-7 lbs when about 3000 to 3500cc of fat is removed. The amount of fat removed varies across people. In a healthy patient fat in excess of 5000cc can be removed but in such cases the patient is adviced overnight stay at the hospital to ensurethat there are no complications.

Thigh liposuction removes only fat and the skin, if it has good elasticity normally retracts over the new thinner layer of fat that remains. If the skin has lost its elasticity the skin will appear loose after the thigh liposuction. This would be discussed in consultation and the most appropriate method would be suggested depending on the body structure.

Removal of fat cells are permanent, those cells that remain do not multiply but could enlarge. In case of weight gain after liposuction, it would be noted in other parts of the body. It does not usually return to the area suctioned since these fat cells are gone, but the fat cells in other areas can still enlarge.

To minimize postoperative swelling and pain, circumferential thigh liposuction is best done as a two-stage procedure done on two different days with a gap of 4 weeks. This helps patients return to normal activity almost immediately after each procedure, with minimal swelling.

If done around the entire circumference of the thighs on a single day leads to excessively prolonged healing and swelling. This could lead to trauma and inflammation with impaired absorption of localized fluids leading to swelling of the leg and foot. This again could affect venous drainage from the leg and lead to deep vein thrombosis.

Thigh liposuction�can be done under general anesthesia, local anesthesia or local anesthesia with sedation. The procedure takes between 1-3 hours, depending on the number of areas and the extent of treatment. Post operative garments are given which are typically worn for the first 3 weeks. Some patients have�endermologie treatments�after thigh liposuction. This keeps the skin smooth and helps with cellulite as an adjunct to the liposuction. There is little pain immediately after thigh liposuction because the local anesthetic that is placed at the time of surgery lasts about 4 hours. After the local anesthetic wears off there can be significant discomfort that requires pain medication. This usually lasts 24-48 hours.

After the procedure the patients are encouraged to walk on day one. Most people return to work in about 3-5 days. Exercise can be resumed after the first week and most people are at full activity after 3 weeks of�thigh liposuction. Swelling will be there for several months after the procedure and lasts longer in older patients.

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