Everyone has heard about ‘Lipo’ or Liposuction, but this well-known procedure is commonly misunderstood and it has come a long way since its invention. CMDL speaks with Dr. Julie Khanna of ICLS in Oakville, Ontario, to help us better understand this procedure.
CMDL: Liposuction was invented in 1974 as a simple procedure that removes collections of fatty tissue, smoothing out lumpy pockets of fat to re-sculpt the body. Have there been developments in the technology or the methods?
Dr. Khanna: Liposuction has evolved greatly over the years. How we remove fat has changed. In addition to traditional liposuction, there is now ultrasound assisted lipo, laser melting of fat and Radio Frequency that helps improve skin tone and texture in addition to the liposuction result. Instead of just removing stubborn pockets of fat, we can now shape, contour and even etch out muscular definition with liposuction. Not to mention, use the removed fat in other areas such as the breast and buttocks.
CMDL: If a patient would like to redefine their body, what are the different ways you can sculpt those areas? What are the most popular areas to sculpt?
Dr. Khanna: Using traditional liposuction, we can de-bulk an area to create a better proportion. For instance, removing fat from those pesky saddlebags and creating a smaller, smoother appearance to the hip curve. Using definition liposuction, we can remove fat from the waist and thighs and add it to the buttocks to achieve a pleasing hourglass shape. The most popular areas to treat tend to be the trunk and thighs, as well as the breasts and chest wall. However, combining therapies such as liposuction and fat grafting are becoming more and more popular.
CMDL: Are there any areas on the body that liposuction cannot address?
Dr. Khanna: Liposuction treats fatty pockets but not an excess of loose skin. Therefore, sometimes combining liposuction with other surgical procedures such as abdominoplasty or brachioplasty can achieve a much better result than liposuction alone.
CMDL: What are the benefits of the Fat Transfer procedure and who is an ideal candidate? What are other procedures that can be done with Fat Transfer?
Dr. Khanna: For example, can someone do liposuction and use the fat transfer for a breast augmentation? Yes, they can! Liposuction and fat grafting very much work hand in hand to enhance the entire body’s silhouette. Whether it is whittling down the waist, back and enhancing the breasts, or smoothing out the thighs and rounding out the buttocks. Ideally, each patient should be within his/her ideal weight and maintain an active and healthy lifestyle. This allows for a safe and optimum outcome with long-lasting results.
CMDL: How long do the results last and will the fat come back?
Dr. Khanna: The way we gain or lose weight is not based on whether or not we lose or grow more fat cells. In fact, we don’t grow fat cells at all. Weight gain or loss is dependent on existing fat cells getting bigger or smaller. With liposuction we physically remove fat cells, so they won’t grow back; HOWEVER, the remaining fat cells can get bigger, thus affecting the result with weight gain. The longevity of a liposuction result completely depends on maintaining a healthy, active lifestyle in the long term. Liposuction is not a replacement for good health and exercise; it’s in addition to it.
CMDL: Are there any pre-surgery procedures one has to follow and what is the recovery time after?
Dr. Khanna: After you have booked with your Board Certified Plastic Surgeon, there is a Pre-Operative process to go through. This generally includes blood testing, a history, a physical and any other investigations that may apply to your personal health history. Recovery is generally around 4-6 weeks, while avoiding heavy lifting and exercise. Although results can generally start to be seen in the first few weeks, they are often not fully appreciated until 6 months to 1 year after. The time off work is approximately two weeks, depending on the number of areas being treated.
About Dr. Khanna
As one of Canada’s leading cosmetic Plastic Surgeons, Dr. Julie Khanna looks beyond the surgical procedure to the patient as a whole, from inner self to outer beauty. “Each procedure is unique to each patient. The best results come from first understanding patient needs and desires, then providing a tailor-made solution that meets the personal expectations of that patient.”Dr. Khanna takes the time to inform her patients of the most modern methods of cosmetic surgery, enabling them to make informed choices. “I’m here to educate my patients about all the options available, and help them decide what’s appropriate for their lifestyle and the desired outcome.” While she helps both men and women, Dr. Khanna addresses the special concerns of her female patients. “Many of my patients prefer a surgeon who they believe understands their needs and how they feel about their bodies. We want every patient to be happy with their result and pleased by their experience here at ICLS.”
Dr. Khanna began her undergraduate studies at the University of Toronto. She received her medical degree from the University of Ottawa, and completed her training in plastic surgery at McMaster University. She is certified by the Royal College of Physicians and Surgeons of Canada and a Diplomate of the American Board of Plastic Surgeons. Dr. Khanna is the current President of the Canadian Society of Aesthetic Plastic Surgery, a member of the Canadian Society of Plastic Surgeons, the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons.
In addition to her private practice at ICLS, Dr. Khanna has been on staff for over 20 years at the Oakville Trafalgar Memorial Hospital. Dr. Khanna has made many appearances in both print and television as she is a highly sought after key opinion leader in aesthetic plastic surgery.