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.
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:
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.
Common areas in men include:
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!
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 preferred.
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.
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.
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, it is important that all patients considering liposuction know what to look for when choosing a Liposuction Surgeon.
Start by seeking straightforward answers to the following questions
If your liposuction is only a minor one (less than 500cc of fat removal) it can reasonably be done under Sedation and Local Anaesthesia in a Clinic’s Operating Theatre provided it is suitably-equipped, you have a Specialist Anaesthetist present, and it is carried out as a sterile procedure.
If, however, you are having a large area or multiple areas done, for your comfort and safety we strongly recommend that it be done in a hospital under General Anaesthesia.
Therefore, always choose a doctor who at least can offer you the option of having it done in a hospital. If you select a doctor that does not hold hospital accreditation, you are denying yourself the opportunity of having it done under the safest of conditions.
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.
If there is no Specialist Anaesthetist and you have an unexpected adverse event or reaction to any medication, who in that room will have an Anaesthetist’s skills to treat your emergency? The simple but frightening answer is: probably NOBODY!
So play it safe and always insist on having a Specialist Anaesthetist present. If you can’t get that guarantee, GO ELSEWHERE!
At the Sydney Cosmetic Clinic, patient safety and comfort are always our prime concerns and accordingly we always have a Specialist Anaesthetist present.
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 in place is essential in order to deliver the right body shape and curves. This ability only comes with years of liposuction experience in association with an artistic eye.
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!
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 even perhaps less liposuction experience – scenarios that could compromise your safety or leave you permanently disfigured.
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’.
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.
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 widely promoted by some clinics. Ultrasonic Liposuction works by emitting ultrasound energy at the tip of the aspirating cannula and “melting” the fat ahead of its removal by suction.
Vaser Liposuction certainly makes the surgeon’s physical efforts much easier but we are not convinced that it delivers any better result than Tumescent Liposuction. We have always maintained that what separates a nice, smooth result from one with surface irregularities and unevenness is the skill and artistry of the surgeon, nothing more!
We have seen patients after Vaser Liposuction with multiple indurated lumps and numerous skin burn. Surface burns during Ultrasonioc Liposuction can occur due to the heat generated by the ultrasonic energy emitted at the tip of the aspirating cannula. Although this shouldn’t occur if the cannula is kept moving, the potential for surface burns exists should the movement of the cannula be inadvertently paused while the ultrasonic energy is still being emitted.
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.
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.
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.
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.
Our 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.
Unfortunately, no. Being a cosmetic procedure, Liposuction is not eligible for a Medicare rebate, nor can you claim on your Private Health Insurance.