Before the procedure, the surgeon examines the patient in order to determine the scope of work and draw contours. When modeling a figure, anatomical features of the body are taken into account. In women, the structure is more rounded and lush, and in men it is more square and sporty.

To make the patient`s figure look natural after surgery, the doctor takes into account gender anatomical features. The following points are taken into account:

• the male torso is usually larger than the female (the size largely determines the amount of work of a plastic surgeon and the amount of lipid deposits);
• as a percentage, girls of average height have longer legs than average guys;
• men differ from women by a smaller pelvic width.

Some patients have an atypical figure. If a representative of the strong half of humanity has fatty tissues primarily deposited on the hips, then we can talk about the so-called female-type obesity. The condition has many explanations and not all of them are cause for concern. But still, it is better to find out the cause of the pathology before liposuction.

Lipid deposits in representatives of different sexes are not the same. Compared to men`s fat, women`s adipose tissues:

• looser (hence the tendency to cellulite);
• less elastic;
• they are easier to destroy (they are easier to pump out);
• they do not always have a connection with capillaries (with cellulite, the trophic tissues are disturbed, which leads to their slagging with decay products);
• they are located in less deep layers (liposuction is not so traumatic).

In patients of different sexes, lipid deposits are localized differently. The male body is dominated by visceral fat, which mainly accumulates inside the abdominal cavity. As a result, the so-called beer belly is formed. Also, male fat cells are placed parallel to the skin, and when they increase, there is no retraction of the skin.

Gender characteristics have to be taken into account due to diseases. Only in women there is a lipedema - a pathology in which, due to deposits of fat under the skin, limbs are rapidly unnaturally enlarged. Most often, the disease attacks the legs, but with a dynamic form of the course, the disease can pass to the hands. The condition is not treated, it is only stopped by liposuction and drug therapy.

The quality and amount of fat that should be in the body of a healthy person largely depends on gender and age. By nature, women are more prone to fullness. In their lipid tissue, there are a lot of Alpha-2 receptors responsible for the accumulation of deposits, and very few Beta receptors involved in excretion.

The average density of the human body is 1070 kg/m3, and the minimum is 930-940 kg/m3. In a healthy state, the percentage of fat in the body of a man is 14%, and in a female - 22.5%. The values given are averaged, do not take into account many nuances.

Over the years, the percentage of fat increases. The process takes place both in the female and in the male body.

Patient`s age	The norm of fat content in the female body	The norm of fat content in the male body
Up to 30 years old	18-24%	7-15%
From 30 to 50 years old	22-28,5%	12-22%
After 50 years	25-30%	17-25%
After 50 years	25-30%	17-25%

The table shows that for women, the lower bar of the norm shifts by 3-4% over the years, and liposuction for men`s belly - by 5%. These factors are essential for a surgeon who has to determine the optimal amount of aspirate to be pumped out.

As you know, women and men are arranged differently. Therefore, the deposition of fat in the female and male organisms proceeds differently.

In patients, lipid deposits are usually placed on the hips, buttocks and breasts. Their function is to conserve energy for childbirth and feeding. This fat is very difficult to drive away, but during lactation, the correction is easier.

Face liposuction is also in demand among patients. The operation allows you to remove the second chin and wings, to restore the clarity of the contours. The need for the procedure is also explained by the fact that women`s skin is less elastic by nature and is not so intensively moisturized.

In representatives of the strong half of humanity, fat is deposited mostly in the abdominal cavity, hence the popularity of such a procedure as male abdominal liposuction. If, first of all, the arms, breasts, hips and sides become fat, then deposits are formed according to the female type.

If all parts of the body increase in the same way, fat is distributed evenly, then we can talk about mixed obesity. This case is the most problematic, as it requires processing a large number of zones. However, for one liposuction, deposits are removed only from 10-12 zones. The situation is resolved by increasing the number of operations.

Also , men often sign up for the correction of the following body parts:

• shoulders:
• knees;
• cheeks, chin, neck;
• calves, ankles;
• chest area.

Liposuction of the male breast is often performed for medical reasons. The procedure is indicated for patients who suffer from gynecomastia – real or false. Pubic surgery, in turn, will visually increase the length of the penis and increase self-esteem.

The volumes are determined individually, based on the constitution and state of health. The gender of the patient is necessarily taken into account, since it is on him that the lower bar of the norm of the percentage of fat in the body depends.

The percentage of fat below 5-7% in men and 10-13% in women is considered dangerous to life and health. With a low level of fat, metabolism worsens, fertility decreases in men, and the menstrual cycle is disrupted in women. There are problems with the thermal insulation of the body, the production of a number of hormones: estrogen, leptin, cicotins.

On average, 2-4 liters of aspirate consisting of fat, Klein`s preparation and biological fluids can be safely pumped out at a time. The declared maximum will be increased to 5-6 liters due to advanced technologies, but only if there are no medical contraindications and with a suitable patient`s complexion. If a tall and completely healthy man weighing 80-90 kg turns to the surgeon, then 5 liters will be pumped out of him. A thin, petite woman will not be able to approach these values.

You can`t do without surgery if there is a fat trap. This is the name of the areas of the body whose dimensions cannot be adjusted either with the help of sports or due to proper nutrition. Liposuction is also indicated for gynecomastia, lipedema, benign proliferation of lipid deposits. The procedure can be recommended by a personal psychologist, but sometimes specialists in this category, on the contrary, oppose intervention. Persons suffering from mental and psychiatric diseases have a medical withdrawal.

They are universal for all patients. The operation is not performed for the following conditions and diseases:

• allergy to substances used in the operation;
• age under 18 (only in some countries);
• oncological diseases;
• any chronic diseases in the acute stage;
• diabetes mellitus;
• inflammatory processes;
• blood clotting disorders;
• mental disorders;
• heart defects with defects of the atrial or interventricular septum.

There is a cancer in which the procedure, on the contrary, is indicated. This is a lipoma - a tumor originating from adipose tissue.

In some countries, the procedure is prohibited in all trimesters of pregnancy and during breastfeeding. The operation can be performed only 4-6 months after delivery and subject to perfect tests.

In other countries, including Turkey, there are so-called beauty childbirth. Young mothers have liposuction and remove sagging skin immediately after cesarean section. By the time the sutures heal, such patients look slimmer and more spectacular than before pregnancy.

The pain threshold in the stronger sex is on average lower than in patients. This factor influences the choice of the procedure of the operation, the type and volume of anesthesia. The use of potent painkillers, in turn, affects the method and time of rehabilitation. A longer recovery period is combined with a natural tendency to form deep scars.

The healing process for each patient proceeds individually. But there are average indicators:

• swelling and bruising persist for up to one month (the lower legs recover the longest);
• body temperature stabilizes in the first 14 days;
• the decrease in sensitivity takes place within a few weeks after the operation.

Pain worries men longer. However, within 3 weeks after liposuction, patients can usually work out in the gym. Moreover, with proper physical activity, representatives of the strong half of humanity achieve ideal forms faster than women. This is due to a more elastic and elastic skin.

There are ways to speed up the healing process of wounds. In the first weeks after liposuction, a man needs:

• use compression underwear;
• exclude physical activity, sunburn, hot baths;
• do not use the sauna, steam bath, solarium;
• do not drink alcohol, coffee;
• take care of wounds, apply medications;
• sleep in the recommended position;
• drink enough water, follow a dietary diet.

During the first 6 months, it is necessary to treat the healed skin with UV-protective agents. Patients are also shown daily walks in the fresh air. They will strengthen the body, avoid obesity and get the vitamins necessary for the epidermis.

The male body forms and distributes lipid deposits differently, reacts to pain. These features of the body are taken into account by the plastic surgeon both at the stage of selection of anesthesia and when determining the amount of pumped fat. Gender characteristics are significant even at the stage of rehabilitation. Women and men recover at different rates.