Lipo 360, also known as circumferential liposuction, is a specialized body contouring procedure that targets the entire midsection to create a harmonious silhouette. The focus shifts from removing isolated pockets of fat to sculpting the torso as a complete unit. The goal is not weight reduction, but rather the strategic removal of diet- and exercise-resistant fat to redefine the body’s natural curves. By addressing the mid-body from every angle, Lipo 360 aims to achieve a smoother, more balanced, and aesthetically pleasing result.
Defining Lipo 360
The “360” in the procedure name refers to the comprehensive, all-around treatment of the midsection’s circumference. Unlike standard liposuction, which might only focus on the front of the abdomen or the flanks, Lipo 360 treats multiple anatomical areas simultaneously. This approach ensures a seamless transition between sculpted areas, preventing the uneven contours that can sometimes result from localized fat removal.
The specific areas treated include the entire abdomen. Additionally, the procedure addresses the flanks, commonly known as love handles, and the mid-to-lower back. By treating all these zones in a single session, the surgeon can achieve a unified, more dramatic reduction in the waistline circumference. This circumferential sculpting is what allows for the creation of a more defined or hourglass-like figure.
Treating the back and sides concurrently with the abdomen provides a consistent contour that flows naturally. This strategic, simultaneous fat removal leads to a much more comprehensive transformation of the trunk than targeting individual areas sequentially.
The Surgical Procedure
The Lipo 360 procedure begins with the surgeon marking the precise areas for fat removal on the patient’s body. The surgery can be performed under general anesthesia, or in some cases, with local anesthesia combined with sedation, often referred to as “twilight sleep.” The choice of anesthesia often depends on the number of areas being treated and the patient’s overall health profile.
The surgeon then makes several small, strategically placed incisions around the torso. Through these tiny openings, a specialized tumescent fluid is injected into the fatty tissue, which is a sterile solution containing lidocaine, epinephrine, and saline. The saline helps to balloon and firm the fat cells, while the lidocaine numbs the area, and the epinephrine constricts blood vessels to minimize bleeding and bruising during the aspiration phase.
Next, a thin, hollow tube called a cannula is inserted through the incisions and moved in a controlled, back-and-forth motion to mechanically break up and suction out the fat cells. Some surgeons utilize advanced technologies like Power-Assisted Liposuction (PAL) or Ultrasound-Assisted Liposuction (UAL) to aid in the emulsification of the fat. The entire procedure generally takes approximately three to four hours, depending on the extent of the areas treated and the volume of fat removed.
Candidate Suitability
Ideal candidates for Lipo 360 are individuals who are close to their goal weight but struggle with localized, stubborn pockets of fat that have resisted diet and exercise. Candidates being within 30% of their ideal body mass index. Patients should have maintained a stable weight for at least six to twelve months prior to the surgery.
A major factor influencing the final result is the patient’s skin quality and elasticity. Good elasticity is necessary for the skin to retract smoothly and tightly over the newly sculpted contour after the fat has been removed. Individuals with significant skin laxity or excess sagging skin may be better suited for a procedure that includes skin excision, such as a tummy tuck.
Candidates must be in good general health, without uncontrolled medical conditions. Smoking is a common contraindication, as it significantly impairs the body’s healing process and increases the risk of complications; patients are required to stop smoking several weeks before and after the procedure. Finally, having realistic expectations about the achievable results is necessary for a successful surgical experience.
Post-Operative Care and Recovery
Following the Lipo 360 procedure, patients are immediately placed into a compression garment. This garment applies continuous pressure to the treated areas, which is essential for minimizing swelling, helping the skin conform to the new contours, and reducing the risk of fluid accumulation, such as seromas. Patients are instructed to wear this garment almost continuously for several weeks.
Initial recovery involves managing common side effects, which include bruising, swelling, and mild to moderate discomfort that can be controlled with prescribed medication. Most patients are able to return to light daily activities within one to two weeks after the surgery. However, patients are advised to avoid any strenuous exercise or heavy lifting for four to six weeks.
While initial improvements are visible almost immediately, the final, sculpted outcome of Lipo 360 is not fully apparent until the post-operative swelling has completely resolved. The majority of the swelling subsides within the first six to eight weeks. Final results are assessed at the six-month mark or even up to a year, as the body continues to heal and the skin tightens over time.