Liposuction is one of the most popular cosmetic surgery procedures currently performed by plastic surgeons around the world. It must be clear at the outset that liposuction is not primarily a modality for weight loss, it is meant to be a body contouring procedure and therefore the inherent limitations and safety issues related to this must always be respected if complications and unfavourable results are to be avoided as far as possible. Since the introduction of liposuction several modifications have been made to the original concept to make it more effective and to reduce the incidence of complications. The original concept of removing excess fat from localised parts of the body is credited to Charles Dujarrier, who in attempted to remove subcutaneous fat by using a uterine curette from the calf and knees of a ballerina. This unfortunate complication obviously dampened interest and curbed further development in this procedure for many decades.
As with many questions relating to plastic surgery, the answer to the question about whether liposuction is permanent is yes The human body has only a certain amount of fat cells, and they grow larger or smaller as we gain or lose weight, respectively. The number and distribution of our fat cells is set before we even reach adulthood. This is why we may have some stubborn areas where fat won't seem to budge, even though we are losing weight in other areas.
Long-term Results of Autologous Periorbital Lipotransfer
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Figure 1. Aging changes of the lower eyelid include weakening of the zygomatico-cutaneous ligament, descent of the suborbicularis oculi and malar fat pads, and loss of periocular volume. Figure 2. Patients before left and after right periocular autologous lipotransfer.