Patients considering liposuction will meet with a plastic surgeon for an initial consultation. A dermatologist certified and trained in liposuction may also be consulted. During this meeting, the surgeon will evaluate the areas of the body to be suctioned. Initial photographs of the patient may be obtained at this time, and the patient will typically have an opportunity to view results from previous surgeries and/or illustrations of the procedure. In addition, the patient may be shown a computer-generated image that illustrates how the procedure will likely alter their appearance.

During the initial consultation, the surgeon will explain the procedure and any associated risks. Alternative treatment options (e.g., changes in diet, abdominoplasty, reduction mammaplasty) will also be discussed. The patient will then be given the opportunity to ask questions. If the patient decides to undergo liposuction – and is deemed an appropriate candidate for the procedure – a pre-liposuction evaluation will be scheduled.

Patients who elect to have liposuction are usually evaluated approximately two weeks before the procedure. During the evaluation, they will be asked to detail their complete medical history, including current medications. The collection of a thorough medical history is essential because there are a number of conditions (e.g., current infection, history of edema or bleeding disorders) and medications (e.g., anticoagulants) that effect wound healing and blood clotting.

Patients will also have a psychological and physical examination, including blood tests and urine tests. Physical examination of the patient will involve observation and palpitation (feeling) of the area(s) to be suctioned. The surgeon will look for abnormalities including scars, asymmetries, hernias, loose skin and dimples. In addition, a “pinch test” in which the physician pinches the skin to determine the thickness and firmness of any underlying fat will typically be performed. Measurements and additional photographs will also be taken. Depending on the patient’s medical history and the results of the physical exam, additional tests (e.g., electrocardiogram) may be required. Patients may also be asked to give an informed consent at this time.

Prior to the liposuction procedure, patients may be instructed to take or refrain from using certain medications. For example, the physician may instruct the patient to avoid certain pain relievers (e.g. aspirin, ibuprofen) for a minimum of seven days before undergoing liposuction. Patients may also be advised to refrain from eating, drinking alcohol or smoking for a certain time period before the procedure. They may also be instructed to pick up an elastic compression garment for use after the procedure, and arrange for transportation home from the facility.