How does it work?
The surgeon first pumps a substance called tumescent into the area where fat is to be removed. This softens the fat cells. After around 20 minutes the surgeon then inserts a very fine tube and 'tunnels' it in and out of the flesh to get the fat loosened and the suction going. The softened fat is then sucked through the tube and collected into a measuring cylinder. Liposuction is quite a violent procedure, so you can expect a lot of pain, bruising and swelling for up to two weeks after the operation. You'll have to wear a tight corset for 2 weeks and will be inactive for 1-2 weeks. You will have 1-2 small scars from the cuts made to insert tubes.

Will it make me slim?
It is only safe to remove a maximum of 4 lbs of fat in any liposuction operation, so it won't make you slim unless you have quite a number of operations! There is also some evidence that whilst you won't put weight on in the same place (the fat cells have been removed) you can still put weight on elsewhere and nearby, sometimes creating some strange shapes! Liposuction does not get rid of cellulite either, as the fat is removed from a deeper level. Liposuction works best on people who are slim with 'pockets' of fat they want to remove, so it is no real substitute for diet and exercise.

What are the risks?
Some of the risks are the normal risks associated with surgical operations. These include infections, blood poisoning and complications from the anaesthetic. The other potential risks are:

• Removing too much fat can lead to major complication, including heart disease and even death;
• The tubes used (called cannulas) are thin but can still cause damage if not used carefully;
• Damage to nerve endings can cause skin numbness for months or in rare cases even permanently;
• The bleeding and bruising can cause anaemia;
• If the fat is not removed carefully and uniformly by an experienced surgeon, the fat left can cause a permanent lumpy and uneven shape;
• Skin tones can change for up to 6 months and if fluid isn't drained properly, skin can pucker or go puffy, sometimes permanently.

How much will it cost?
This depends on the extent of the liposuction and the area of the body involved. Expect to pay between £2,000 and £3,000 per operation.

I still want to go ahead, what should I do?
It is essential you find a good, experienced surgeon to reduce the risks and maximise the chances of a good result.

• Go to your GP/Doctor for advice and a referral. Any reputable surgeon will want to know your medical history and will contact your GP anyway;
• Make sure your surgeon is trained and experienced. Check they are properly qualified by telephoning the British Association of Aesthetic Plastic Surgeons on 020 7405 2234 and asking for a list of their members (the US will have an equivalent organisation). Ask the surgeon about their experience and how many liposuction operations they have done. Make sure they are specific in their answers ('loads' doesn't count!) Although it is illegal in the UK for anyone to operate on an animal other than a properly qualified vet, it is not illegal for unqualified surgeons to do plastic surgery on humans, so beware!
• Shop around. Check out 2-3 surgeons to find one you trust. Would you only get one quote for building work to your house? And ask lots of questions of the surgeon. You might find it useful to think of lots of questions beforehand and write them down so you can remember them. Don't be worried about taking notes either, so you remember the answers later;
• Don't pay or sign anything until you have met with the surgeon personally and are content with their training and experience. If a clinic wants you to sign something or pay a deposit before meeting the surgeon, walk out!