The effects are often only temporary despite continuing efforts to counter these “spare tyres”. This results in frustration as the shrinking fat cells quickly swell up again, often growing even larger than they were before.

Only liposuction can provide permanent success, i.e. surgical reduction of the number of fat cells in the affected part of the body. The reason for this is that the number of fat cells is determined after puberty and does not change afterwards. Adults grow fatter or thinner as the filling in the fat cells changes with diet. The distribution of the fat cells within the body cannot be changed by exercise or diet.

If there are large local differences in the distribution of these fatty accumulations, we talk about the presence of – usually hereditary – adiposity or fat distribution disorder (lipodystrophy). It is important to recognise that liposuction is a surgical intervention, not an easy alternative to a laborious diet.

The methods and techniques used to reduce the number of fat cells, and thus contribute to permanent removal of accumulations of fat, have been constantly refined since the 1970s. We will explain the most common methods and their aftercare on the following pages.

Aftercare

Liposuction between the skin and the fatty tissues causes a cavity in this area. Although the skin layer does shrink, thanks to the skin’s natural elasticity, this shrinking process is not evenly distributed, especially where large areas have been treated. If this is not consistently treated afterwards, the skin takes on a wavy appearance, and thus the surgical result is unacceptable.

Compression therapy is not just of benefit for preventing pitting after surgery, it is compulsory. The compression garment in the form of a corset or pantyhose with comfortable wearing properties and a fashionable design makes it easier to comply with the compression therapy prescribed by the doctor. The medically correct compression supports skin shrinkage and, at the same time, reduces the formation of swelling (oedema) and bruising (haematomas). The doctor decides how long the garment is to be worn, although this should not be less than 4 weeks in the interest of the success of surgery.

The operation is usually assessed after three months. In a few cases a second operation may be necessary to correct the result. For example, after major liposuction procedures in the abdominal area, such as a tummy tuck. A slight feeling of numbness at the site of the operation that is noticed by many patients usually disappears completely after 6 to 12 months.