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Large Volume Liposuction
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Large Volume Liposuction (Circumferential)
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A surgical procedure to remove large amounts (over 5 liters of bodily fat by suction)

Length of Surgery

1 – 2 hours


Out patient



Back to work in...

4 – 6 weeks

Back to the gym in...

6 – 8 weeks

Treatment Frequency

May need to be repeated if large areas are to be treated


Bruising, swelling, infection, hematoma, seroma, numbness – which may be temporary or permanent, blood clots, allergic reaction to the medication or anesthesia, scarring, excessive fluid loss, nerve damage, damage to vital organs

Duration of results


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Click links below for detail.

Large volume liposuction Surgery Costs*

Most plastic surgeons and surgical clinics offer flexible liposuction financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES.

If you are considering having large volume liposuction but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE. You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the breasts you have always desired. To find out more about financing options available click here.

Large volume liposuction is one of the most difficult procedures for estimating cost because the procedure may be performed on many different areas of the body, by different types of machines, with different types of anesthesia, by surgeons of different experience and skill levels. Fully consulting a surgeon and deciding on a surgical plan for your liposuction procedure will give you an accurate individual estimate of your liposuction costs.

With all types of plastic surgery procedures, the cost of the liposuction operation has more than one aspect. As well as the surgeons fees, you will have to pay anesthesia fees and facility fees. Anesthesia fees range from around $500 to $1,000, depending on the number of areas treated. The facility fees also vary depending on the number of areas where the liposuction operation is performed, ranging from $600 to $1,200.

The American Society of Plastic Surgeons quoted the national average for Large volume Liposuction surgery is approximately $10,000 . Liposuction costs are higher for larger body areas. If you are considering having large volume liposuction but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE. You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the contoured body shape you have always desired.

To find out more about financing options available please click here.

Am I a candidate for large volume liposuction?

The best candidates for large volume liposuction are in good physical and emotional health and have realistic expectations of what their liposuction plastic surgery can accomplish. Liposuction can provide a good candidate with a significant improvement, but it is unlikely to achieve perfection. A person who expects absolute perfection is not a good candidate for large volume liposuction.

A good candidate usually has one or a number of accumulations of fat that can be removed by liposuction.

A full consultation with a board certified, reputable liposuction surgeon who has experience of performing large volume liposuction procedures will determine whether you are a suitable candidate for this type of liposuction operation.

Factors such as a patients physical condition, genetic makeup, diet, exercise, smoking alcohol and skin elasticity can affect the results of the procedure. Your liposuction doctor will also consider your general state of health, any underlying conditions which may affect the results of the large volume liposuction procedure, and any medications you are taking. Your liposuction surgeon will estimate the amount of fat that should be removed from each area to achieve your desired body shape.

There are questions that you should ask yourself before you decide to undergo large volume liposuction:

  1. Have you tried diet and exercise?
  2. Are you overweight, but have maintained a stable weight for many years?
  3. Are you in generally good health?
  4. Is your excess fat in specific areas?
  5. Does your skin tone have reasonably good elasticity?
Large volume liposuction is not suitable for people with:
  1. A weakened immune system
  2. Diabetes
  3. Heart or artery problems
  4. A history of blood clots or restricted blood flow
  5. Who are excessively obese, more than 30-40 pounds overweight with a BMI (body mass index) of 30-35


What is a large volume liposuction Procedure?

Large volume liposuction (circumferential liposuction, total body liposuction) is defined as the removal of more than five liters total volume of fat and other fluids from the patient by suction using a long, fine, hollow metal tube (cannula).

Large volume liposuction is usually used to treat patients who are 30-40 pounds overweight who need a significant reduction in fat and body measurements. Liposuction surgery can treat areas of excess fat in the stomach, buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts, back, arms and neck.

Large volume liposuction is a different operation than conventional liposuction. It involves surgery in at least five body areas, all at once, whereas conventional liposuction (or body sculpting liposuction) treats only localized areas. Suctioning out a volume of over five liters of fluid and fat (approximately three liters of pure fat) is regarded as high volume liposuction. Large volume, or total body liposuction, can take up to six inches off your waist, and sculpts your body. Some patients only need localized lipo to remove fat in the places where it stubbornly refuses to shift through diet or exercise, but for patients who are 30-40 pounds overweight and need a whole body size reduction, large volume liposuction may be the right procedure to achieve the weight loss and inch reduction they desire.

Due to the amount of fat being removed, the operation takes longer than conventional body sculpting liposuction. Nearly all large volume lipo operations are performed under general anesthesia and most patients stay in the hospital for at least one night after surgery.

Large volume liposuction is a major operation, and certain criteria must be adhered to by the liposuction doctor and medical team to ensure that serious complications or even death do not occur. These criteria are:

  1. The liposuction surgeon must be properly trained and educated in liposuction surgery and techniques and have a thorough understanding of the physiologic changes that occur with conventional lipo and large volume liposuction.
  2. The anesthesiologist working with the liposuction surgeon also must be well trained and have a complete understanding of the physiology associated with infusion and removal of large volumes of fluids.
  3. The facility where the liposuction operation is performed must be completely equipped to deal with any problem or complication that may occur during or after the procedure. The facility should be certified and accredited by a nationally recognized surgery accreditation body.
  4. The support staff working in the operating room and recovery room should be thoroughly trained and familiar with the liposuction procedure, care, and recovery of the patient.
  5. The patient must be an appropriate candidate for the large volume liposuction procedure.
Large volume liposuction can improve a person's overall medical condition by reducing their cholesterol and insulin requirements. Large volume liposuction may lower the risk or prevent the development of adult onset diabetes in some patients. By significantly reducing your total body fat either by liposuction or by other means of fat loss, a patient could be potentially reducing their risk of heart disease, though the risks of undergoing the liposuction operation should also be considered.

There are limitations on how much fat can safely be removed in one large volume liposuction procedure, and you might need to undergo more than one procedure to achieve the optimal result.

A large volume liposuction procedure can be done with a variety of techniques tumescent lipo, ultrasonic lipo, and laser liposuction.

Tumescent liposuction involves injecting tumescent fluid (a combination of saline, anesthetic), and vasoconstrictive fluids into the fatty areas. This helps to numb the area, and constricts the blood vessels to minimize blood loss. This enables the liposuction surgeon to remove large volumes of fat with minimal blood loss and maximum safety. During a conventional tumescent liposuction procedure, the surgeon sucks out the fat with a cannula and contours the body with a liposuction machine.

In ultrasonic liposuction ultrasound waves are used through an ultrasonic probe to break up the fat cells before suctioning. This method can make the fat removal easier, but can create skin burns, areas of skin nerve damage, and fluid buildup (seroma).

Laser liposuction is similar to ultrasonic liposuction but uses a laser beam to break up the fat deposits, which are then suctioned out.

Once you have liposuction, the fat cells are gone forever. However, it is still important to start or maintain a healthy lifestyle and balanced diet, because if you overeat, you will still gain weight. The weight will simply appear in other areas of your body that still retain fat cells.

If you are a smoker, it is recommended to stop smoking well in advance of large volume liposuction surgery since smoking can slow the healing process. Certain medications that increase the risk of bleeding such as aspirin, non-steroidal anti-inflammatory medications, and some vitamins/homeopathic remedies should be discontinued before undergoing liposuction surgery. Your surgeon will provide you with additional preoperative instructions.

Liposuction surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you for the next 24 hours. If you are undergoing large volume liposuction, it may be suggested that you be hospitalized for one night, possibly more.


Large volume liposuction Surgery Procedure Steps

Step 1 - Anesthesia

  1. The large volume liposuction procedure is normally performed under a general anesthetic. The procedure is often performed as a day case, taking approximately one to two hours, though you may need to stay in the hospital overnight.
  2. The surgical liposuction process often involves the injection of a numbing solution. General anesthesia can be administered either as a gas or through a needle injection, and will put you to sleep for the operation. Once you awaken, you will still be numb in the area of the body that has been treated, and will feel little or no pain.
Step 2 - The incisions
  1. After administering the anesthesia and, if performing a tumescent liposuction, injecting fluids, the next step in liposuction surgery is to create tiny incisions in the area of the body where fat deposits will be removed. These incisions are usually quite small, a third of an inch at the most. These incisions are then used to insert the cannula, a thin vacuum tube, which will extract the fat.
Step 3 - Fat removal
  1. The liposuction surgeon will insert the cannula, through the incision (or incisions), into the deep fat layer beneath your skin. Using back and forth movements, the liposuction surgeon uses the cannula to break up and suction away the unwanted fat deposits beneath the skin. A significant amount of blood and other bodily fluids are removed along with the fat, so you will be given replacement fluids intravenously during and after the liposuction procedure.
  2. Large volume liposuction is a complex process, and choosing a board-certified and skilled liposuction surgeon well trained in all aspects of the large volume liposuction procedure, which will be able to explain the process to you in as much detail as you need, is essential.
Step 4 - Closing the Incisions
  1. When the fat removal part of the liposuction procedure is complete, the incisions can either be closed with a few stitches or left open. This normally depends on your surgeons preference, though leaving the incisions open can reduce the amount of bruising and swelling that can take place after a liposuction operation.


Large volume liposuction Surgery Recovery and Healing Steps

The amount of time it takes to recover from liposuction varies, depending on the individual, the techniques used, how much fat has been removed and the area/s treated. Large volume liposuction recovery times are normally longer than conventional liposuction recovery times. Large volume liposuction is a major operation that requires general anesthesia. It is a much more serious operation than tumescent liposuction, which requires only local anesthesia. The recovery period is longer than with other types of liposuction, and you may need to take several weeks off work to fully recover from the operation.

The first few days after surgery, you should rest as much as possible. You will likely be wearing a compression garment, a tight-fitting piece of surgical clothing that helps to heal the body and reduce swelling. If it feels too tight tell your liposuction surgeon.

During the first 48 hours following surgery, patients experience varying degrees of swelling and bruising. The swelling persists longer. Bruising typically disappears within seven to ten days. Stitches are usually removed within a week of surgery.

Straining, bending over and lifting should be avoided during the early postoperative period.

When you wake up from your large volume liposuction the results will be immediately recognizable. There is often some bruising and swelling to the areas treated, however this should subside after one to two weeks. It is advisable to take a few weeks off work, depending on the nature of your job. The areas affected by the liposuction surgery will be swollen, sore and tender to the touch for up to three months after surgery. You will be required to wear a support garment for up to six weeks after your liposuction operation. The appearance of the treated areas will continue to improve once swelling subsides, and your unwanted fat will be gone forever, resulting in a slimmer, smoother body contour.

After liposuction surgery, there is always some fluid left beneath the skin. If the incisions are stitched shut, the fluid drains less easily and can lead to bruising or swelling. You will need to wear compression bandages or a compression suit for about a month after your liposuction surgery. Compression bandages and suits are necessary to compress the areas that have been treated, encourage proper draining of fluid, and make it easier for your body to heal into its new shape. Fluid buildup is a common after effect of liposuction surgery. Drains, inserted just beneath the skin, may sometimes be temporarily used to drain any excess blood or fluid. These can be uncomfortable, but are essential to ensure that you heal properly after your large volume liposuction procedure. Your doctor may prescribe antibiotics after the liposuction surgery to prevent infection.

Try to take things as easy as possible, as your liposuction recovery will be much quicker if you do. Your lipo surgeon will probably recommend that you walk around as soon as possible after your surgery to help reduce swelling and lower the chances of developing blood clots forming in the legs, which can be extremely dangerous.

Make sure that you know all about how and when to change your dressings, and be sure to go to your follow-up exams. If in doubt, ask your lipoplasty doctor about the best time for you to return to work and physical activity. Follow all of his instructions to keep your liposuction recovery time short. It is important that you continue to eat healthily and exercise to maintain your new figure, because if you overeat you will still put on weight, but in different areas of the body.

Large volume liposuction Side Effects and Surgery Risks

The subject of liposuction risks and potential complications of surgery is best discussed on a personal basis between you and your liposuction surgeon Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection, changes in sensation, scarring, allergic reactions, damage to underlying structures, need for revisions, unsatisfactory results possibly necessitating additional procedures and medical risks. Other risks more specific to liposuction may include indentations and irregularities.

As with all major surgery, large volume liposuction carries risks, such as bleeding, infection and an allergic reaction to the anesthesia. Complications vary depending on how large the procedure, though bruising and swelling are normal. Talk to your doctor about how the risks involved in your particular liposuction operation. In order to minimize surgical complications and the side effects of overexposure to anesthesia, if you are planning on having multiple liposuction procedures, these should be scheduled at least several days apart.

Liposuction side effects vary from patient to patient, and these are the most common:

  1. Bruising
  2. Swelling
  3. Discomfort
  4. Infection
  5. Numbness - which may be temporary or permanent
  6. Extended healing time
  7. Blood clots - clotscan migrate to the lungs and lead to death
  8. Irregularities in the skin - skin may appear bumpy, or withered due to uneven fat removal, poor skin elasticity and incorrect healing
  9. An allergic reaction to the medication or anesthesia
  10. Scarring
  11. Excessive fluid loss - fluid loss can lead to shock and, in some cases, death
  12. Accumulation of fluid
  13. Nerve damage
  14. Damage to vital organs
With today's modern techniques, potential liposuction side effects have been greatly reduced. Bruising usually disappears within a few weeks of having a liposuction procedure, and swelling will improve gradually over a few months.

To reduce your chances of suffering from some of the more serious liposuction side effects, choose an experienced, qualified liposuction surgeon to perform the operation who will explain all of the possible liposuction side effects to you before you undergo the surgery. Make sure you fully understand the procedures you wish to have done, and discuss your expectations and concerns with your doctor. Severe complications can be minimized by disclosing your entire medical history to your doctor and discussing all prescription and other medication that you take on a regular basis. In most cases the side effects associated with liposuction surgery are minimal. It is important that you understand all the risks, problems, and complications associated with a liposuction procedure.

Large volume liposuction may also carry greater risks for people with existing medical problems. Therefore, patients with heart disease, lung disease, or poor blood circulation might not be good candidates for the procedure. Since these problems are often linked to high body mass, this type of liposuction operation may not be recommended for some excessively obese patients.

When seeking large volume liposuction for weight loss, patients should carefully evaluate the surgeons they are considering. It is important for surgeons to be board-certified and experienced in performing large volume liposuction as well as conventional liposuction. To avoid facing unnecessary risks, patients should also investigate the hospitals, surgery centers, and aftercare facilities where they will be receiving care.

You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your large volume liposuction surgery.


Questions to Ask a Surgeon About a large volume liposuction procedure

Knowledge is power, so arm yourself with the facts before making any decision about large volume liposuction here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for large volume liposuction surgery?
  2. Are my described expectations realistic?
  3. Where is the surgery performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing large volume liposuction surgery?
  7. Can I see your qualifications?
  8. Ask to see any large volume liposuction before and after photographs of recent surgeries
  9. What percentages of your large volume liposuction patients have had significant post-surgical complications? (surgeons should disclose this information to you)
  10. Who will be assisting my surgery? Can I see their qualifications?
  11. How much will my large volume liposuction surgery cost?
  12. Do you offer patient financing? (Flexible payment schemes for your surgery)
  13. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  14. Ask to observe the exact procedure you are considering before you decided to have surgery if you are unsure (this could be on videotape or in real life).
  15. What is the recovery and healing period for large volume liposuction? When can I resume full normal activity?
  16. Have you ever had your malpractice insurance coverage denied, revoked, suspended
  17. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)


Surgeon Checklist

Surgeon Checklist

Knowledge is power so arm yourself with the facts before making any decision about Large Volume Liposuction procedures; click here for an essential check list to help you find the right Perfect Yourself plastic surgeon.

Most popular procedures on Perfect Yourself: liposuction, breast augmentation, face lifts, rhinoplasty, tummy tucks
Be sure to also visit our Expert Advice page where you can find great questions from real visitors, Answered by real plastic surgeons, cosmetic dentists, and skin rejuvenation specialists.