Lewis Plastic Surgery
2331-A Robious Station Circle
Midlothian, VA 23113
At our Richmond, Virgina practice, liposuction consistently ranks among the most preferred treatments we offer. If you're looking for an effective way to reduce stubborn, localized fat deposits, liposuction is an excellent option. Dr. Gordon Lewis uses various liposuction techniques to address fat affecting one or more areas of the body. The procedure enhances and reshapes the body, leading to a slimmer, more proportional physique.
Gordon Lewis, M.D.
Dr. Lewis, a native of Richmond, prioritizes building honest, trusting relationships and providing personalized care for his patients.Meet Dr. Lewis
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Good Liposuction Candidates
Liposuction is not a weight loss treatment and is therefore most appropriate for patients who are close to their ideal weight, but have a hard time slimming down troublesome areas. In addition, skin quality is extremely important to the outcome of the procedure as firm, elastic skin shrinks easier for tight and refined results. In general, patients undergoing liposuction should be in good overall health, and they should not be more than 20 pounds overweight.
Liposuction surgery is a great treatment to sculpt any part of the body, including:
- Lower back
During a comprehensive 1-on-1 consultation with Dr. Lewis, he helps determine if you can benefit from liposuction. He also helps you select the best liposuction method based on your unique aesthetic desires, body type, skin characteristics and, of course, the amount of fat to be removed.
- He will educate you about the various aspects of this procedure, including:
- The different liposuction techniques
- How firm skin, or the lack of it, affects the outcome
- What to expect before, during, and after liposuction
- Postoperative instructions to reduce the risk of complications
- Anesthesia and facility choices
- The cost of liposuction and financing options
Cost of Liposuction
Liposuction procedures vary greatly in price due as the scope of work required for each patient is often very different. At your initial consultation, once we have talked through all of your options, we will give you a written quotation that will break down the total price. We make absolutely sure there are no hidden costs and no surprises.
In general, liposuction involves Dr. Lewis making small incisions (about a quarter-inch long) and then inserting a cannula, a thin tube used to break up and suction fat from under the skin. Liposuction surgery can be performed under local or general anesthesia, depending on the size of the treatment area, the amount of fat to be extracted and the liposuction technique used. Small procedures can be done in the office with local anesthesia, but larger ones are performed in the operating room with sedation or general anesthesia.
You will be made comfortable throughout the whole procedure. The choices during surgery include intravenous sedation and general anesthesia. After surgery, you will be given instructions on pain relief medication. You will be given a narcotic pain medication which may be helpful for the first several days after the procedure.
Dr. Lewis primarily uses 2 liposuction techniques: Tumescent liposuction and VASERlipo™.
This is a standard technique that Dr. Lewis uses with our liposuction patients. He injects a saline solution combined with a local anesthetic and epinephrine, which helps minimize bleeding and limit discomfort following the procedure. After the tumescent fluid saturates the treatment area, Dr. Lewis inserts small cannulas (tubes) with holes near the end and carefully moves them through the area, carefully suctioning out the fat.
VASERlipo (ultrasound-assisted liposuction)
In certain areas of the body, ultrasonic energy can be a very useful adjunct to liposuction. VASERlipo is a technique in which an additional step is used. During an ultrasound-assisted liposuction (UAL), an ultrasound probe is introduced into the fat after the tumescent solution infuses the area. Heat generated by the ultrasound helps break down the fat that is between fibers underneath the skin. After the ultrasound is done, the liposuction cannulas are used to remove the remaining fat.
Ultrasound can be particularly useful in areas such as the upper flanks and back, where tissue can be very fibrous. Also, specialized probes can make liposuction of fat under the chin more effective. Lastly, gynecomastia (excess male breast tissue) can often be treated without large skin incisions if ultrasound is used to break up the fat fibers. In other areas, ultrasound is much less effective and can contribute to some complications, so is less frequently used at Lewis Plastic Surgery.
While liposuction recovery varies from patient to patient, there are some general guidelines on what to expect during the healing process. Immediately following surgery patients will be wrapped in surgical garments to control post-operative swelling. Mild discomfort, soreness and swelling are common and with proper care can be easily managed.
Our patients are initially taken to the recovery room, where they are observed by our licensed nurses. After you are awake and comfortable, you will be able to go home to rest.
In most cases, you will be placed in a compression garment at the time of surgery. This is to decrease swelling in the period after surgery. The swelling will be less if you wear the garments as directed. We usually recommend wearing the garments f0r 3 to 6 weeks, depending on the areas involved.
The speed and comfort level associated with liposuction surgery recovery depends on the type of liposuction performed, the volume of fat removed and the anesthesia used. Of course, if liposuction is being combined with other cosmetic procedures, the recovery may be more extensive. Liposuction surgery is a procedure that is uniquely tailored for each patient and therefore each patient’s recovery experience is different. After your initial consultation, we will be able to better inform you of what to expect during your recuperation and what you need to do to at home to help facilitate healing.
Most patients return to work within 3 to 7 days, depending on the extent of the procedure. Results are visible almost immediately and continue to improve throughout the healing process. Expect some swelling, which decreases after about 3 days. Most residual swelling is gone by 6 weeks after surgery.
In the first few days, patients often experience mild discomfort, bruising and swelling, all of which are considered normal and treated with prescription medicine.
Reducing Risks & Complications
There are risks that you should be aware of with any surgical procedure. To minimize the risks, ensure your surgery is conducted in a safe and secure environment using the latest surgical techniques by checking the certifications and accreditation of your plastic surgeon. Accreditation boards and bodies are there to protect you. Dr. Gordon Lewis extensive surgical experience and is affiliated with several important professional organizations, including:
- American Society of Plastic Surgeons (ASPS).
- Richmond Academy of Medicine
- Medical Society of Virginia
- American Society for Aesthetic Plastic Surgery (candidate member)
- American College of Surgeons (associate member)
- American Society for Surgery of the Hand (candidate member)
Major complications are very rare. During your initial consultation, we will discuss every possible outcome of your procedure including possible complications which may include:
- Uneven skin
- Blood clots
- Need for touch ups
Combining procedures during cosmetic surgery is common. This can not only help you save money by decreasing associated costs, but also can often create a more balanced result over a larger area.
There are a few procedures that are commonly combined with liposuction to achieve a greater result:
Although liposuction can allow a substantial reduction in the amount of fat in the abdominal wall, it does not address any excess skin that may be present. Performing a combination of liposuction and a tummy tuck can achieve fantastic results in people who have both excess skin and fat in their abdomen and flanks.
Many women asking about liposuction are also looking for an improvement in the shape of their breasts or an increase in size of their breast. A breast lift combined with breast augmentation and liposuction can dramatically change the shape of the entire torso.
Surgical procedures are performed at an accredited outpatient surgical center or a local hospital. Dr. Gordon Lewis is affiliated with several local medical centers where his patients undergo surgery. He primarily operates at these locations:
Stony Point Surgery Center
Parham Surgery Center
He also has privileges at St. Mary’s Hospital and Henrico Doctors Hospital, but he operates there less frequently.
Initial consultations, follow-up appointments, and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery practice, which is located on the grounds of Johnson-Willis Hospital in Richmond, Virginia.
During a comprehensive one-on-one consultation at Lewis Plastic Surgery, we will help you to determine your candidacy for liposuction surgery. We will also help you select the best liposuction method based on your unique aesthetic desires, body type, skin characteristics and, of course, the amount of fat to be removed.
We will educate you about the various aspects of this procedure, including:
- The different liposuction techniques
- How skin firmness or lack thereof will affect the outcome
- What to expect prior to, during and after liposuction
- Aftercare instructions to reduce the risk of complications
- Anesthesia and facility choices
- Cost of liposuction and financing options
Request a consultation using the online form to meet personally with Dr. Lewis, who can help determine if you’re a good candidate for liposuction. Or give our office a call at (804) 267-6009 to schedule an appointment.