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LIPOSUCTION is a minimally invasive cosmetic surgery that removes subcutaneous fat from different parts of the body as abdomen, chest, arms, back or thighs. Liposuction can be done by different techniques to dislodge fat cells and aspirate out gently by suction.

Liposuction is the most common cosmetic surgery performed worldwide.


It is an initial procedure to prepare subcutaneous fat and other tissues. It involves infiltration of solution containing normal saline, local anesthetic drug and adrenaline.

  • Local anesthesia is a drug which numbs the area and
  • Adrenalin is a medicine which constricts the blood vessels and prevent blood loss.

This medical solution is allowed to act on the fat tissues for 10 minute.

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  • This is conventional or traditional or old method of liposuction used by plastic surgeons for last many decades.
  • In this method the fat cells are disrupted by mechanical force used by a conventional cannula.
  • It uses avulsion force to dislodge fat cells and is more likely to injure small nerves and blood vessels.
  • Nowadays, this conventional method of liposuction is surpassed by newer advance methods as Water jet lipo.

2. Power assisted Liposuction – PAL

PAL uses a cannula which vibrates at its tip to dislodge the fat cells more efficiently.

3. Laser assisted Liposuction- LAL

It uses laser energy to melt fat cells. It is advised in areas where there is very low volume of fat is to be aspirated, eg. double chin.

4. Ultrasonic Liposuction

Ultrasonic liposuction is same as liposuction. Ituses a special cannula which produces ultrasonic energy at its tip.

This ultrasonic energy breaks down fat cells to melt or liquefy fat cell. This liquefied fat is suctioned out easily and gently using a low pressure vacuum.

Ultrasonic technique is selective to acts only on fat cells and does not affect or harm other structures as nerves , blood vessels or muscles.

5. Waterjet liposuction – Body jet by Humanmed

In WAL technique, there is a special cannula which uses powerful yet gentle spray of water at its tip to dislodge the fat cells. An advanced suction machine is incorporated into the same machine which allows better aspiration of fat cells. It is the gentle, effective and safest method of Liposuction.

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      1. Power assisted Lipo- Microaire
      2. Ultrasonic assisted Lipo
      3. Water assisted Lipo – Bodyjetby HumanMed
      • Kyra clinic is pioneer in north India to introduce Ultrasonic Liposuction since 2011. Dr Vikas Gawri has undergone all the levels of formal trainings in Ultrasonic Lipo.
      • Kyra clinic is the first and only clinic in north India to start Water assisted Liposuction and LIVE fat transfer since 2014.
      • Kyra clinic has Highest Standard of Sterilization, and Well Trained Staff.


      • In cases of gynaecomastia, it is not wise to aim at removing as much fat as possible. Rather some amount of fat has to be left behind, to maintain the contour, especially at the upper chest.
      • Gland excision has to be done in almost all cases to give better definition to nipple areola area.In this area, an experienced plastic surgeon avoids excising too much of tissue, which creates an ugly depression at nipple-areola area called as Saucer Deformity.
      • Dr.Vikas Gawri aims to achieve a Chiseled and Aesthetic chest in each of his client by 3-D liposuction technique.
      • He believes that a differential amount of fat has to be aspirated from upper and lower chest.
      • More aggressive liposuction is done at the lower half of the chest and at the sides of the chest.Less aggressive liposuction is to be done in the upper chest.
      • Dr. Gawri recommends that Gland excision is Mandatory, though varies in quantity from a small tissue to a large tough tissue.
      • Dr. Gawri is expert to excise the glandular tissue through a Keyhole Incision, at lower border of areola using fine instruments. The scar in the areola region is forbidden and rarely seen.

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      It is an advance technology which uses ultrasonic energy at the tip of the cannula to melt down the fat cells. The ultrasonic cannula vibrates at frequencies higher than 16 KHz. The oscillating ultrasonic or sound waves produces cavitation by air bubbles in tumescent fluid and cellular fragmentation of fat cells.

      It is basically a LIPOSELECTION that means only the Fat cells aretargeted/liquefied by ultrasonic energy. Other tissues such asnerves, blood vessels and connective tissue are spared.

      • It spares nerves – so minimal pain.
      • It spares blood vessels – no/minimal bleeding or bruising.
      • It spares connective tissue – fast and even skin retraction.
      • It spares muscles – no injury to muscle tissue.

      • Better sculpting in areas with even tough fat.
      • Less post-operative discomfort as fat is liquefied and gently aspirated out at low pressure.
      • No injury to nerves, blood vessels or underlying muscles.
      • Better definition of underlying musculature called as 3D-Liposculpting –creating areas of depression and elevation to create natural curves
      • Better results with less downtime.


      The Ultrasonic technology produces ultrasonic energy and heat underneath the skin, so the cannula is to be used judiciously.

      The ultrasonic cannula is kept in a continuous to and fro motion and not kept stationary.

      The cannula should be in lower layer of subcutaneous fat.

      • This emphasizes that ULTRASONIC technology has a learning curve and can be used by Plastic Surgeons trained in the technology.
      • Dr. VikasGawri has undergone all levels of formal trainings in Ultrasonic Liposuction.He is practicing ultrasonic liposuction for last 10 years and teaches to his colleagues.
      • Dr. Gawri is well versed with – types of fat – how long the ultrasonic energy is to be used – how skin retracts after ultrasonic assisted liposuction.

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      It is an advance and safest method of liposuction which uses the gentle yet powerful spray of water to dislodge fat cells and aspirate them out. The basic principle is Hydro-dissection in which fat cells are separated using a water spray at tip of a special cannula.


      • Minimized trauma to the surrounding tissues. Nerves, blood vessels and connective tissue are not harmed.
      • Tissue selective for Fat cells only, sparing the connective tissue framework for better and predictable skin retraction. Less pain, less bruising, less swelling. Gentle, effective & safest method of Liposuction.

      Frequently Asked Questions

      Ultrasonic Liposuction is preferred in most cases and Waterjet Liposuction in remaining cases. Dr. Gawri selects • Ultrasonic Lipo in cases with tough fat with long standing history whereas • WaterJetLipo in cases with soft fat on examination and with a shorter duration on history.
      Advantages of Advanced Liposuction are • No injury to nerves = less pain • No injury to blood vessels = minimalblood loss or bruising. • No injury to Connective tissues = better skin retraction / better results. • Lastly ultrasonic or VASER liposuction gives better Contour and Definition to underlying Pectoral Muscles.
      The side effects can be • seroma formation, • skin irregularities, • over-zealous fat aspiration leading to depressed chest. The side effects are rarely seen in expert hands.
      Gynaecomastia is done by a plastic surgeon there are few plastic surgeons in Punjab and Dr. Vikas Gawri one of the top Gynaecomastia surgeon in India with experience of more than 18 years. He works in Kyra Aesthetic Clinic which is in Ludhiana which is a world class aesthetic centre with all the technologies in liposuction and skin tightening. Liposuction is best done by under Ultrasonic Liposuction and Skin Tightening is done by Bodytite. The clinic has large number of patients from all over India and from different Countries.
      Yes, it is very safe surgery with no side effect and minimal down time if it is done by trained plastic surgeon. The best and latest technology is the Ultrasonic Liposuction and it should be done by Board Certified plastic surgeon. Dr. Vikas Gawri director of Kyra Aesthetic Clinic in Ludhiana is one of the top gynaecomastia surgeon in India. So, he believe in high definition liposuction with Ultrasonic Technology which is very safe.
      Yes, the results of gynaecomastia surgery is permanent. Once the gland and the fat removed from the chest they will never reoccur and Dr. Vikas Gawri working in Kyra Aesthetic Clinic Ludhiana believe in the results are permanent by total removing the gland and the fat and give chiselled look to the chest.
      At Kyra Aesthetic Clinic it is always done under anaesthesia. There is board certified anaesthesia doctor. There is no pain during the procedure even after the procedure there is minimal pain and you will be given medication for just five days. You can do all the normal activities at home and even shower after just 2 days.

      Patient Reviews

      I am extremely grateful for my surgery experience and the beautiful results achieved by Dr Vikas. I got Gynaecomastia surgery done at Kyra Clinic and im so happy today. Earlier i feel so ashamed becoz of my chest. Im very thankul to dr vikas and his team. My whole experience was amazing. I highly recommended kyra clinic.
      I got gynecomastia surgery done from kyra clinic. One of my friends recommended this clinic and I went from Bangalore to Ludhiana for getting this procedure done. I got ultrasonic liposuction and gland removal done and recovered in just 3 days. The Doctor is very experienced and I saw many patients having the same problem at his clinic. I am very satisfied with the results. As told by the team, the result will improve further
      Want to share my experience as I have got my gynaecomastia surgery done and its now 2 months approx and i'm very happy with the results and the staff and doctor is very professional and doctor is knowledgeable Loved the ambiance and clinic thanks to all and doctor Vikas