We're discussing the idea of liposuction in the setting of obesity. Liposuction is an excellent procedure for the removal of a limited amount of excess fatty tissue. Ideally, the tissue is located in certain discrete areas, or the liposuction is performed in combination with other surgical procedures. For example, a tummy tuck, or abdominoplasty. In the setting of obesity, when there is an extremely large amount of excess fatty tissue, liposuction is not the best solution because, first of all, there's a limit to the amount of fat that can be removed in any one setting.
That limit is different based on the laws in the state in which the surgery is performed, and if there is a very large amount of fat, then procedures limited by these laws are not going to give a great result, because one would just not be able to remove as much fat as is required. So in the setting of obesity, the best treatment would be weight loss initially, either by diet, exercise, or some sort of lap band, gastric bypass type procedure. Then once a patient has lost a significant amount of weight, there's going to be excess skin and some excess fatty tissue that can best be removed by surgical procedures. So in the setting of obesity, liposuction is often not the best surgical procedure for these reasons.
However, it may be used later in addition to other surgical procedures once a large amount of weight loss has been performed.