Suction-assisted lipectomy usually takes an hour or two, but the time required may vary considerably --from thirty minutes to several hours, depending on the area and amount being suctioned.

To begin the procedure, a small incision is made, just large enough to allow the insertion of a hollow tube called a cannula. The opposite end of the cannula is attached to a machine that creates a strong vacuum. The cannula is manipulated deep within the fat layers under the skin, breaking up the fat and suctioning it out. Sometimes additional incisions are needed to remove all areas of fat.

If you've had local anesthesia, you'll feel some vibration and friction during the procedure. You may also feel a stinging sensation as the cannula moves closer to the muscle.

You'll lose fluid along with the fat during liposuction, and it's crucial that this fluid be replaced to keep your body from going into shock. You'll be given fluids intravenously, and if needed you may also receive a blood transfusion (usually the blood you've donated in advance).

After surgery, a drainage tube may be inserted beneath your skin for one to three days to remove any fluid buildup that occurs. A snug elastic dressing, girdle, or body stocking must be worn over the treated area to control swelling and bleeding, and to help your skin shrink to fit your new contour. You may need to wear this garment continuously for two to three weeks, then just in the daytime for a few weeks more, depending upon your case. Antibiotics may be prescribed to prevent infection.

Don't expect to look or feel great right after surgery. You'll even be heavier for a while, because of the extra fluids you've been given. The suctioned areas will be swollen and bruised, and you may feel a burning sensation. The pain can be controlled with medications prescribed, though you may still feel stiff and sore for a few days. You may temporarily lose all feeling in the suctioned area; don't worry --it will return. It's not unusual to feel depressed in the days or weeks following surgery. Try to keep in mind that this is normal and will subside as you begin to look and feel better.

Healing is a gradual process. You will probably be told to start walking around as soon as possible (to help prevent blood clots from forming in your legs), but to avoid more strenuous activity for two to four weeks. Any stitches will be removed in five to ten days or dissolve, and you should be back at work in 2 - 3 days, or as much as two weeks after your surgery.

When you resume activity depends on the extent of your procedure, and how you feel. While most of the swelling and discoloration will be gone a month or two after surgery, some swelling can remain for six months or more. There will be follow-up visits to see if any additional procedures are required.

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