How Is the Procedure Performed?

In PAL liposuction, a special device is used to move the cannula back and forth by a few millimeters at up to 4,200 vibrations per minute.

This allows the surgeon to perform highly precise movements with less physical effort, achieving a superior aesthetic outcome.

The procedure is performed under general anesthesia or sedation, depending on the number and size of the areas to be treated.

Small incisions of about 5 mm are made, usually hidden within natural skin folds, and become almost invisible after 6–12 months.

First, a diluted solution containing a local anesthetic and vasoconstrictor is injected to reduce bleeding and postoperative pain.

The vibrating cannula then breaks down fat cells and fibrous tissue more easily, while vacuum suction removes the fat.

Finally, the small incisions are closed with absorbable sutures.]

What Happens During the Consultation?

Your consultation with Dr. Karmiris consists of two parts:

First part – discussion with the surgeon:

• Your concerns regarding your appearance
• Whether PAL liposuction is the right treatment for you
• Your complete medical history (medications, allergies, previous surgeries)
• Smoking habits, if applicable

Second part – clinical evaluation:

• Assessment of your overall health and risk factors
• Physical examination and measurements of problem areas
• Evaluation of skin quality
• Preoperative photographs
• Explanation of expected results, possible risks, and complications
• Information on anesthesia use
• Answers to any questions you may have regarding the procedure

After the Surgery

Dr. Karmiris will provide you with detailed, personalized instructions regarding postoperative care, both before and after the procedure.

Key recovery information includes:

• Patients usually return home the same day.
• Dressings or bandages are applied to the incisions but are reduced shortly thereafter. No drains are required in PAL liposuction.
• For the first few weeks, you will need to wear a compression garment, corset, or band depending on the treated area.

This minimizes swelling and helps restore skin elasticity more quickly.

You will also receive guidance on wound care, prescribed medications, activity limitations, and follow-up appointments.

Risks and Safety Information

PAL liposuction is generally a safe and effective technique with excellent results.

However, as with any surgery, there are potential risks and complications that patients should be aware of.

Possible complications include:

• Bleeding, hematoma, or bruising
• Wound infection
• Fat necrosis
• Poor healing of incisions
• Asymmetry or irregular body contour
• Temporary numbness in the treated area

Dr. Karmiris will explain all potential risks and answer any questions during your consultation.

Combination With Other Procedures

Like other liposuction methods, PAL liposuction can be combined with liposculpture.

In liposculpture, fat removed during liposuction can be reinjected into other areas of the face or body, such as the abdominal muscles or arms, to enhance contour.

PAL liposuction can also be combined with abdominoplasty (tummy tuck), arm lift, thigh lift, or buttock augmentation.

Cost of PAL Liposuction

The cost of PAL liposuction cannot be precisely predetermined, as it depends on factors such as the number of areas treated.

Costs vary from patient to patient.

Next Step

Contact Plastic Surgeon Dr. Nikolaos Karmiris to book your consultation and discuss all the details about PAL liposuction—

an advanced aesthetic procedure that can help you achieve the body you have always desired.