Introduction Men and women equally desire a more defined and well-contoured abdomen because fat tends to accumulate quickly in this area as a result of aging, weight gain or pregnancy. Most people find adipose tissue unsightly, and individuals who wish to get rid of their excess belly fat turn to liposuction. Abdominal liposuction is probably the most common method of surgically removing fat from the body. Liposuction is neither a treatment for obesity, nor a substitute for diet and physical exercise as it only serves to remodel and contour the body in areas where the undue fat accumulation creates a disproportionate and visually unappealing figure. Furthermore, abdominal liposuction is not an effective treatment for cellulite or stretch marks. In combined surgical procedures, liposuction is occasionally the main surgical intervention performed but it can also be conducted in conjunction with a face lift, tummy tuck, and breast reduction or augmentation surgeries. Best candidates for the abdominal liposuction Men and women who are physically healthy and without any preexisting health conditions that can have a negative impact on the healing process Non-smoking patients who tend to have better results after plastic surgery People who already have an attractive figure but want to improve a particular area of the abdomen for a more pronounced outline The plastic surgeon needs to assess the health status of the patient prior to the surgery. Certain precautionary measures will be taken for people who suffer from diabetes, arterial hypertension, heart conditions as well as people who have undergone abdominal liposuction in the past. Abdominal liposuction involves customizing existing surgical procedures to suit the patient’s desires and body structure. Evaluating skin elasticity and its tonus as well as the volume and distribution of the patient’s adipose tissues will help determine the optimal technique and method to be used in each specific case. Performing micro incisions on the abdomen is essential in all subtypes of abdominoplasty because the liposuction cannulas are inserted into these small incisions. The cannulas are connected to a device that creates the suction power to aspirate the adipose cells. The harvested fat from the abdominal area can be treated and purified and used for reinjections in augmentation procedures of the face, breasts, buttocks and even hips. It is very important that the patient wears a special elastic girdle after liposuction as this prevents blood and fluid accumulation in the areas where fat was extracted. The girdle also reduces the post-operative edema, facilitates the healing process and helps the skin adjust to the patient’s improved body contour. In some cases, additional procedures, such as the tummy tuck, might be necessary to remove excess skin after abdominoplasty. Lastly, special attention must be given to cases wherein large quantities of fat are extracted (more than 5 liters). Why is abdominal liposuction needed? Abdominal liposuction is the procedure during which the plastic surgeon will extract adipose tissue from the abdominal region and the flanks. Some of us, despite all the fitness exercises performed under the supervision of an authorized trainer, the strict diet regimen recommended by a nutritionist and an overall healthy lifestyle still can’t manage to get rid of some fat deposits in certain areas such as the abdomen. Thick and pronounced adipose tissues remain in regions such as the flanks towards the lumbar area, and the periumbilical area. Moreover, you will notice that failing to maintain an active routine almost certainly leads to the rapid accumulation of fat. These stubborn areas can’t be corrected unless liposuction is used. The tumescent abdominoplasty is a great technique to use when performing abdominal liposuction. The combination of these two procedures can be performed with local anesthesia and with or without mild sedation, depending on the patient’s request. General anesthesia is usually recommended if a large amount of fat requires removal; however, the use of general anesthesia is also associated with multiple risks and complications that can be detrimental to the patient’s health. Fortunately, the administration of general anesthesia is not necessary in tumescent liposuction, and this is definitely one of the advantages of the method. The liposuction procedure on the abdominal area can last up to two hours and the patient may go home approximately five to six hours after the surgery. Despite being one of the most commonly requested procedures in the United States, it is not completely effortless. Recovery after abdominal liposuction Pain and bruising after liposuction are relatively insignificant and most patients can go back to work the day after the intervention given that the work they do does not require any level of physical effort. Bear in mind that wearing the compression garments after liposuction is mandatory. If there are certain areas that still need to be smoothened, you can start undergoing light massage sessions two months after the procedure. Massages are recommended after any type of liposuction procedure. Conclusion One brilliant feature of the abdominal liposuction procedure is that through this technique, adipose cells are harvested and filtered in a sterile device that in turn yields purified fat cells which can be subsequently injected into other parts of the body that require more volume such as the face, breasts, buttocks and hips. Abdominal liposuction has multiple advantages and benefits, but the most important facet of this technique is the manner in which it reshapes and contours the abdomen with minimal risk and scarring.