Liposuction: when to have it, and can fat return afterwards?

Written by: Mr Paul Roblin
Published: | Updated: 02/06/2023
Edited by: Laura Burgess

If you’re considering liposuction, whether on your tummy, thighs or arms, you might be concerned as to whether the fat can return after the procedure. Are you also wondering when the right time to have a liposuction is? Thankfully, one of our leading plastic, aesthetic and reconstructive surgeons, Mr Paul Roblin, answers these questions in this article below. 

Is there a ‘right time’ to have liposuction?

There is no specific time that you need to have liposuction. When you choose to have the procedure is your individual decision. Our recommendation to patients who are still losing weight would be to reach your target weight first.

 

If you have lost weight and are still losing a significant amount of weight, we recommend a three to six-month period of being stable at that weight. There is no point in having liposuction and then losing weight again afterwards because you may lose some of tone of the skin. 

 

In terms of timing for liposuction and other types of cosmetic surgery, patients may have an event that they want to go to or even have a holiday booked. That is taken into consideration but most importantly, we need to focus on the recovery afterwards.

 

Depending on the amount or the site of liposuction, you will need to recover with some aftercare and support at home. It is recommended to avoid heavy lifting or housework for two to three weeks. 

 

The crucial part to recovery after liposuction is in wearing the compression garments that are provided. All of these things have to be taken into consideration when thinking about when the surgery will take place.
 

Can fat return after liposuction?

With liposuction, we are physically removing the fat cells and therefore the cells in that area shouldn’t regain the fat. Normally, when you put on weight, the fat goes into the cell and each individual cell expands and gets bigger. By removing those fat cells, that area will not get fatter.

 

If you do put on a large amount of weight, however, then you will put on weight and fat again but in different areas. People have different areas of their body where they tend to put on fat and those would be the areas that we remove when doing liposuction. 

 

You may find that you put weight after liposuction, which may be possible if we have not removed all of the fat in that area because some of the fat cells remain. So, yes, it’s possible you could put on some fat in that area but the idea is that we have removed the potential for fat in that area.
 

Can other surgical procedures - such as breast augmentation - be performed with liposuction?

We do perform liposuction as a complementary procedure for many other cosmetic procedures. We will be slightly wary in weight loss patients because those are the patients who have lost a lot of weight and maybe their skin tone is not as good as in younger patients. Therefore, their skin may not shrink so well afterwards.

 

When we do procedures for weight loss patients, such as a buttock lift, part of that procedure will involve liposuction to the upper and outer part of the thighs. In patients who haven’t lost weight, we often combine an abdominoplasty procedure, such as with liposuction to the flanks, to reduce the amount of scarring. In slightly larger patients, we may combine liposuction in the front of the tummy.

 

We can combine any kind breast procedure like reduction or augmentation, with liposuction elsewhere on the body, to one operation. We just take into consideration the length of the surgery and the potential recovery afterwards as we don’t want to overburden the patient.

 

If you’re considering liposuction, you can book an appointment with Mr Paul Roblin now via his Top Doctors profile and get his expert opinion on what’s right for your body.

By Mr Paul Roblin
Plastic surgery

Mr Paul Roblin is a leading consultant plastic, aesthetic and reconstructive surgeon based in London. His expertise lies in abdominoplasty, liposuction, surgical and non-surgical rejuvenation of the face, breast surgery including breast reduction, augmentation, reconstruction and mastopexy, benign and malignant mole excision and eyelid surgery.

Mr Roblin graduated from St George's Hospital Medical School, London in 1990 and then went on to complete his training in plastic surgery from the Pan Thames Regional Specialist Training Programme. During this time, he underwent extensive plastic surgery training, as well as cosmetic surgery training from numerous leading surgeons around the UK. In the last year of his training, Mr Roblin became a microsurgical fellow at the MD Anderson Cancer Centre in Houston, USA: one of the world's leading cancer centres. He now specialises in cancer reconstruction following breast cancer, skin cancer, gynaecological cancers and cancer in the head and neck region.

Mr Roblin has a special interest in microsurgery and treats many patients with lymphoedema using microsurgical techniques, as well as performing a wide range of body contour procedures. In addition to being a consultant at many leading London hospitals, he also runs the teaching programme for plastic surgery trainees at Guy's and St Thomas' Trust Hospital and is the head of the plastic surgery department audit programme. He is routinely involved in research, presents at both national and international conferences alike and is the author of many medical publications and textbook chapters.

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