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Liposuction

… when diet & exercise just won’t work! 

Liposuction is indicated for the removal of genetically pre-determined fat deposits that are out of proportion with the rest of your body.  In contrast to other body fat, the fat cells in these deposits are characteristically resistant to diet and exercise.  Significant weight loss may reduce some of the prominence of these genetic deposits but at the same time you’ll probably lose too much from other body areas such as the face and breasts. Liposuction is really the only effective way to reshape your body by permanently removing the excess fat cells in these disproportionate deposits.

What areas are suitable for liposuction?

Basically, any area of disproportion due to an excessive number of fat cells can be corrected by liposuction.  However, liposuction must be regarded as a body re-shaping procedure and not a method of losing weight.

Common areas in women include:

  • Abdomen
  • Hips
  • Inner and Outer thighs
  • Around the knees
  • Under the chin

Calves, ankles and arms can also be slimmed down provided there is a true excess of fat and the shape is not primarily muscle bulk.

Liposuction - common areas in women

Common areas in men include:

  • Flanks (‘love handles’)
  • Abdomen
  • Breasts (‘Man Boobs’)
  • Under the chin.

 

Will the fat cells return after liposuction?

No, because after the excessive fat cells responsible for the disproportionate deposit have been removed, the remaining fat cells left behind do not have the ability to multiply and replace those removed.  Therefore, if you maintain your weight after liposuction, you will keep your new shape!

How is it done?

Liposuction when performed in accordance with established guidelines, is a very safe and effective procedure.

As a general rule, minor deposits can be removed under Intravenous (Twilight) Sedation and Local Anaesthesia in a Hospital or Day Surgery.

For patients with large or multiple deposits, General Anaesthesia in Hospital is recommended.

However, regardless of the type of anaesthesia used, for your comfort and safety we always have a Specialist Anaesthetist present for your entire procedure.

Even when liposuction is done in a hospital under General Anaesthesia, it is still a ‘walk in, walk out’ procedure with no overnight stay required.  You can go home two hours after your procedure but you must not drive or go home alone.  You must be accompanied by a responsible adult and have someone at home to look after you during the first 24 hours.

For the best possible results, you need to wear a compression garment for the first 6 weeks after your procedure.  Sutures at the tiny incision sites are removed after 7 days.

What can you expect after liposuction?

Even though you will notice an improved shape immediately after your procedure, the treated areas continue to contract down over the next 3-4 months.  Therefore, you will not see your FINAL result until 3-4 months, or possibly even 6 months, after your surgery.

Post-operative discomfort varies with the individual and the amount of liposuction performed but it is usually only mild and easily relieved by simple analgesics such as Panadol or Panadeine.  Bed rest is not required and most patients are up and about the very next day.

How soon you can return to work will basically depend on how much liposuction you have had and the type of work you do.  Generally, if you do sedentary type work and you have had an average amount of liposuction, you should be back to work after one week.

Vaser Liposuction

VASER is an acronym for Vibration Amplification of Sound Energy at Resonance and we offer both VASER and Traditional Tumescent techniques.

Vaser Liposuction refers to a special technique of liposuction which utilises a fine probe that emits ultrasound energy at its tip to ‘melt’ the fat prior to its subsequent removal by a hollow tube known as a ‘cannula’.

This contrasts with the traditional technique of Tumescent Liposuction in which the fat is removed by mechanical suction using various designs of ‘cannula’ after a solution is first injected into the fat to constrict the blood vessels and minimise blood loss.

The following benefits and disadvantages specific to Vaser Liposuction have been reported:

Reported Pros:

  • The ultrasonic probe specifically targets the fat cells so there is less disruption of blood vessels and minimal blood loss.
  • There is less injury and disruption to the other tissue components.
  • There are claims it delivers better skin contraction on healing (debatable).
  • Ability to sculpt the underlying  muscle anatomy.
  • Reduced physical effort for the surgeon.

Reported Cons:

  • Post-operative swelling can last much longer than Traditional Tumescent Liposuction, even up to 6 months afterwards.
  • Lymphatic drainage and massages may be required in the initial weeks after surgery.
  • Prolonged pain and discomfort can occur if nerves are injured by the ultrasonic energy emitted by the probe.
  • Risk of significant thermal skin burns due to the ultrasonic energy overheating the underside of the skin.
  • Not a good choice if fat cells are to be harvested for a Fat Transfer because of the likelihood that the fat cells would have been destroyed by the Vaser’s ultrasound energy.
  • Vaser Liposuction takes longer, therefore higher Hospital & Anaesthetist Fees would be incurred.

At your Initial Consultation, our Liposuction Surgeon will further explain the differences between the two techniques and recommend whichever liposuction technique he/she believes is the better option for your specific areas.

CONSUMER AWARENESS GUIDE
HOW TO CHOOSE YOUR LIPOSUCTION SURGEON

DON’T DECIDE WHERE TO HAVE YOUR LIPOSUCTION UNTIL YOU’VE CONSIDERED ALL THE FOLLOWING!

Liposuction, because it is a relatively safe and effective body re-shaping procedure, is becoming increasingly popular. As a result, more and more doctors are entering the field with the result that operating standards, doctor-training and doctor-experience vary so much that patient outcomes can also vary considerably.

Therefore, whether you’re considering Vaser or Traditional Tumescent Liposuction, it’s important all patients know what to look for when choosing a Liposuction Surgeon.

1. What is the experience, training and reputation of the doctor who’ll be doing your Liposuction?

Start by seeking straightforward answers to the following questions

  • How long has he/she been doing liposuction?
  • How many cases has he/she done?
  • What complications has he/she had?
  • Has he/she ever been the subject of any litigation over liposuction?  If so, how many times?
  • Does he/she hold hospital accreditation? Hospital accreditation is an important criterion. Some doctors perform all their liposuction procedures in their rooms simply because they do not have the necessary qualifications, surgical training or experience to obtain hospital accreditation.

2. Where will your procedure be done?

In the best interests of patient comfort and safety, we perform all liposuction procedures in an accredited Hospital under General Anaesthesia or Local Anaesthesia with IV Sedation.

If you are considering trying to save money by having liposuction in a non-hospital setting (i.e. in a doctor’s unlicensed premises under Local Anaesthesia), bear in mind that:

  • The operating room is unlikely to have the same standards of sterility as a Hospital’s Operating Theatre > increased risk of infection;
  • Most likely, no Anaesthetist will be present. So, who in that room would be capable of handling an unexpected emergency during your procedure? The frightening answer is: NOBODY!
  • With Local Anaesthesia alone, the procedure could prove quite painful.

Therefore, always choose a doctor who holds Hospital Accreditation. Yes, doing it in a Hospital with an Anaesthetist will cost more but wouldn’t you prefer to have it done under the safest of conditions?

3. Will you have a Specialist Anaesthetist present?

Irrespective of where it is to be done and regardless of whatever assurances you may be given that an Anaesthetist is not required, insist on having one. Your comfort and safety depend on it.

Some clinics may tell you that they never use an Anaesthetist because they “have never had any problem” – and that may well be true – but equally they can never guarantee that a serious problem won’t arise when YOU have it done.

Then there are other clinics that cleverly IMPLY to prospective patients that they will have an Anaesthetist present by including on their quotation a cost for “Anaesthetic”. THE WORD ‘ANAESTHETIC’ DOES NOT MEAN AN ‘ANAESTHETIST’! WHEN YOU ARRIVE YOU FIND THAT THERE IS NO SPECIALIST ANAESTHETIST PRESENT AND THE “ANAESTHETIC” YOU’VE PAID FOR REFERS TO A CONCOCTION OF INTRAVENOUS MEDICATIONS ADMINISTERED BY ANYBODY BUT AN ANAESTHETIST!

If there is no Specialist Anaesthetist present and you have an unexpected adverse event or a reaction to the injected medications, who in that room will have an Anaesthetist’s skills to treat your emergency? The simple but frightening answer is: NOBODY!

So play it safe and always insist on having a Specialist Anaesthetist present. If you can’t get that guarantee, GO ELSEWHERE!

At Sydney Cosmetic & Plastic Surgery Clinic, patient safety and comfort are always our prime considerations and accordingly, we always perform our procedures in a Hospital with a Specialist Anaesthetist in constant attendance.

4. Straightforward removal of fat is one thing and artistic re-shaping is another!

Put simply, anyone can robotically remove fat. That alone, however, does not produce guarantee you a nice result. Fat removal has to be performed artistically with an awareness of ideal body contours. How much fat needs to be removed and how much should be left behind is essential for delivering the right body shape and curves. This ability only comes with years of liposuction experience and an artistic eye!

5. Don’t be misled by gimmicky marketing ploys such as ‘we don’t do Liposuction, we only do Liposculpture’.

Another gimmicky term is ‘Lipo-shaving’. In truth, they are all the same liposuction procedure! Some entrepreneurial clinics use such fancy marketing terms to suggest that they are using a different, newer or superior technique of liposuction. However, superior results depend on the surgeon’s expertise and artistic ability, not on what you call the procedure!

6. Don’t be guided purely by cost and end up choosing the cheapest quotation.

Your own safety, comfort and final results depend on your making the right choice. Experienced doctors often charge more for their services because of their experience and skill. A cheap quotation could reflect the lack of an Anaesthetist, no hospital or less liposuction experience – scenarios that could compromise your safety or leave you permanently disfigured.

7. Be wary of ‘Free Consultations’ or ‘Nurse Consultations’.

Liposuction is a surgical procedure and as such it warrants a careful physical assessment and detailed consultation in person by the doctor who’ll be doing your procedure, not by a Nurse or other employee. Moreover, doctors, like other professionals, charge for their time in giving you their professional opinion and expert advice. So, question the likely quality of any consultation that is going to be ‘free’.

8. Be wary of any Clinic offering to put a Medicare Item number on your receipt so that you can claim a Medicare rebate for your procedure.

With very few exceptions, liposuction procedures are NOT eligible for Medicare rebates.

 

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

 

Frequently Asked Questions

What are the various types of Liposuction? Does Vaser Liposuction deliver better results?

The longest-established and safest liposuction technique is called Tumescent Liposuction and was first introduced in 1987.  In recent years, a technique of Ultrasonic Liposuction called Vaser Liposuction has been  promoted by some clinics. Ultrasonic Liposuction works by emitting ultrasound energy at the tip of the cannula and “melting” the fat prior to its subsequent removal by suction.

We offer BOTH  Vaser Liposuction and traditional Tumescent Liposuction. However, whichever technique is preferred by the patient, we have always maintained that what separates a nice, smooth result from one with surface irregularities and unevenness depends more on the skill and artistry of the surgeon rather than the technique used!

Will I weigh much less after Liposuction?

Liposuction is a body reshaping procedure, not a method of reducing weight. You may weigh a little less after liposuction but you could be disappointed if weight loss was your primary objective.

How long do I need to wear a Compression Garment after my surgery?

Different surgeons have different views as to how long compression needs to be applied after Liposuction. However, based on how a fatty area heals after liposuction, we believe that a better final result is achieved if compression is applied for 6 weeks after surgery.

Will my fat deposits return after Liposuction?

Liposuction reduces excessive and disproportionate fat deposits by removing the excess fat cells in those deposits. As the remaining fat cells in the treated area cannot multiply and replace those removed, the correction should be permanent. Therefore, if you do not gain weight after Liposuction you should keep your new shape.  If, however, you do gain more weight after liposuction, the remaining fat cells in the liposuctioned area can store new fat and expand in size. Should that occur, Liposuction can be repeated to again reduce the area in question.

How is it done?

For safety reasons, new Health Regulations require that large volume liposuctions must be performed in an accredited Hospital or Day Surgery facility. Nevertheless, you don’t need to stay in hospital. You can go home shortly thereafter but you must have a responsible adult accompany you. You cannot go home alone.

What are the costs?

Your Surgical Fee will depend on the number of areas you wish to have treated and accordingly the Surgical Fee component of your total cost cannot be predicted until our Surgeon has seen you.

In addition to the Surgical Fee, there will be additional costs for the Anaesthetist and Hospital based on the duration of your surgery. Our Surgeon will give you the expected total cost at your initial consultation.

Can I claim any of my costs on Medicare?

Unfortunately, no. Being a cosmetic procedure, Liposuction is not eligible for a Medicare rebate, nor can you claim on your Private Health Insurance.

Before and After photos

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