• The "dry" technique. Before wetting solutions came along, surgeons went in dry. This resulted in blood loss and bruising. In fact, about 45 percent of what was suctioned out was blood (not fat!), so it has fallen out of favor.
• The "wet" technique. The surgeon will infuse 100-300 milliliters of fluid (with or without epinephrine) into each treatment site. With the wet technique, about 20-25 percent of what is suctioned out is blood.
• The "super-wet" technique. As its name implies, the super-wet technique involves the infusion of greater amounts of fluid than with the wet technique. It is about a 1:1 or 1:1.5 ratio, meaning that the amount of fluid is approximately equal to the amount of fat to be removed. With the super-wet technique, less than 1 percent of what is suctioned out is blood.
• The tumescent technique. This involves even much more fluid than is used in the super-wet technique. Basically the surgeon will infuse three to six times as much fluid as the volume of the aspirate to be removed. Proponents say the tumescent technique swells the tissues, which aids in fat removal; but detractors say it interferes with the surgeon's ability to sculpt, and it is unsafe because of potential fluid overload and an overdose of anesthetic (which is used in the solution). Learn more about tumescent liposuction.

There are many different ways to vacuum out the fat during liposuction.

1. Traditional suction-assisted liposuction. This involves inserting a cannula (a long, thin tube) through a tiny incision to vacuum the fat cells. The surgeon moves the cannula back and forth through the fat layer to break it up, and then suction out, the excess fat.
2. Ultrasound-assisted liposuction. Here the surgeon inserts a special cannula through small "access" incisions. The cannula emits sound waves to help break up the fat, presumably making it easier to vacuum. Vaser-assisted liposuction is the cutting-edge, third-generation version of ultrasound liposuction technology. In a nutshell, the cannula used for Vaser-assisted liposuction emits gentler sound waves to break up and then remove fat. These do not disturb blood vessels, nerves and connective tissue, resulting in less bruising, swelling and pain than traditional suction-assisted liposuction.
3. Power-assisted liposuction. This uses a motorized cannula to break up fatty tissue that will then be vacuumed out. It is inserted through the same tiny incisions.
4. Laser-assisted liposuction. This involves a small incision and the insertion of a laser fiber probe that produces a burst of energy to liquefy the fat before it is removed. (Two of the brand names you may see are SmartLipo and CoolLipo.) Proponents say that laser-assisted liposuction is the latest and greatest and may also tighten skin. But detractors say it adds nothing to the results of liposuction except for expense and for making the procedure more cumbersome for both the patient and surgeon. And, they say, it can add many hundreds of dollars to the cost of liposuction without proven extra benefit.
5. Body-jet liposuction. Using a thin, fan-shaped jet that pulsates water, your surgeon loosens fat cells from connective tissue, while simultaneously vacuuming them out. It is sometimes called water-jet assisted liposuction or water-assisted liposuction. While other liposuction techniques destroy or break apart the fat cells before suctioning them out of the body, the new water-assisted technique may loosen the fat cells first. As a result, water-assisted liposuction may be less traumatic than traditional liposuction methods. There may also be a shorter recovery time if the technique is proven to be gentler. Body-Jet liposuction does not use as much fluid as tumescent liposuction. What's more, the fluid is infused while the procedure is being performed, not beforehand as it is with other types of liposuction. The water is then immediately sucked back out with the fat; which may make it easier for your surgeon to determine if any areas need additional suctioning. Water-assisted liposuction flushes the fat instead of destroying it, so there may be an opportunity to harvest fat for fat transfer to other parts of the body where it is needed to restore plumpness. Water-assisted liposuction may be performed under local anesthesia, but general anesthesia will likely be needed for larger areas of fat removal.

Regardless of the type of liposuction you and your doctor choose, the size of the cannula is also important. The cannula is a long, hollow instrument that is connected to the fat suctioning device. The cannula enables the plastic surgeon to suction out the fat.

Cannulas are about 3 millimeters or finer in diameter, while in the past they were as large as 10 to 12 millimeters in diameter. The smaller diameter causes less trauma to surrounding tissues and blood vessels. So smaller cannulas mean less bruising.

Based on your particular case, the surgeon will choose a method of anesthetic, the appropriate wetting solution and a method of liposuction.

For anything but very small removals, most plastic surgeons select general, and at times epidural, anesthesia, the super-wet technique for wetting solutions, and aspiration with the traditional technique, using ideal cannula types for the body area they are treating. When ultrasound is used, Vaser is the latest development.

The time in surgery varies, depending on the size of the area being treated. It can span from 30 minutes to five hours. If you choose to have multiple areas treated at once, the procedure will take longer.
 

But this cost may vary individually depending on the patients medical history and the surgeon and facility you chose to get the surgery done. 

"You are required to send a Photograph of your body frontal and sideways to the surgeon for the initial consideration and approval. Without the photographs Surgeons will not approve and schedule the consultation appointment."

All the costs quoted by the Hospital / Surgeon includes the following

• Pre-Surgery Consultation
• Doctors Fee
• Surgery fee
• Hospital room charges
• Nursing fee
• All medications required
• Post-Operative Follow Up

In addition to the cost of the surgery, you will need to be prepared for the following additional costs.

Stay
For this procedure you are required to stay in Bangkok for at least 8 days of which you will be spending the first night at the hospital, and then you can choose whether to stay in the serviced apartment at the hospital or a hotel outside until the post surgery follow up appointment 7 days after the surgery. Surgeon will allow you to fly only after the follow up appointment, and therefore you need to plan accordingly.

Serviced apartment at the Hospital : Piyavate hospital provides a serviced apartment manned 24/7 by registered Nurses within the hospital complex, with prices ranging from US$ 45 -  US$ 195 / night depending on the type of room you choose. 

Hotel: If you wish to stay in a Hotel outside the hospital it could cost you anywhere between US$ 40 - 300 / night depending on the hotel you choose. There are many Quality / Clean entry level hotels that offer rooms for as little as US$ 40 in the near vicinity of the hospital and the Up market hotels near the Sukhumvit (10 mins in taxi) or Silom (25 mins in taxi) Shopping districts, the rate could go as high as USD 300 / night. 

BMT Concierge Service : If you wish to have us arrange you received at the airport and arrange the round trip airport transfer, and Transfer to all of your appointments and the surgery by one of our patient co-coordinators, there will be an additional Fee of US$ 169 which is to be paid after you confirm the surgery plan.  This fees only applies if you choose our Concierge service. There are no additional fee if you choose only the  Surgery planning service.

All the fees due for the surgery has to be paid directly to the surgeon or the hospital before undergoing the procedure.  There are no fees to be paid to us apart from the fee for the Concierge service if you wish to have us arrange all of your transportation.

If you are HIV+ve, there will be an additional 60% fee will be levied to cover the cost of additional equipment and personnel expenses.

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