Liposuction is a surgical procedure to reduce excess fat cells and unwanted fat deposits from specific areas of the body. A fat removal treatment option for suitable candidates, Liposuction can be performed on stubborn fat pockets which do not respond to diet or exercise.
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Liposuction is generally performed under twilight sedation or general anaesthesia. If liposuction is planned to be performed for a single, small region, a local anaesthetic can also be utilised. During liposuction, special fluids (known as tumescent anaesthesia) are injected to the regions from which fat will be removed, through small incisions. These anaesthetic fluids are injected to reduce blood loss during liposuction and numb the area to provide pain relief. The adrenaline in the fluid shrinks the blood vessels at the surgical site, allowing the removal of fat cells with liposuction cannulas while blood loss is reduced. Today, various assistive technologies are used in all types of liposuction procedures.
What are current liposuction methods?
Today, original liposuction techniques have been superseded by modern technology and techniques. The main aim of liposuction procedures is to remove stubborn pockets of fat. This will flatten and shape this area. Various technologies are utilised for liposuction procedures in modern practice. The most common ones are Vaser Liposuction, suction-assisted and power assisted liposuction methods. Vaser is an ultrasonic device that generates heat to separate the fat cells, turning them into liquid. This allows for easier extraction and less trauma to the tissues, with less blood loss and scar tissue formation. Vaser can also improve skin tightening by up to 53% over traditional liposuction.
Who is suitable for liposuction?
The aim of this procedure is to remove fatty tissue in areas of regional fat accumulation. Vaser Liposuction is not a replacement for diet, exercise, and a healthy lifestyle and must not be confused with weight loss procedures such as bariatric surgery. However, we do offer large volume Liposuction at Cosmos Aesthetics but it is important to understand that we do not remove more than 5 litres of fat during any one procedure, in accordance with international safety guidelines. A second session if required (to remove up to another 5 litres of fat) can be arranged no earlier than 1 week later.
What happens to the skin after Vaser Liposuction?
Loose skin after cosmetic surgery is a common concern: the removal of volume will typically “deflate” an object (imagine letting air out of a party balloon). Studies have shown that Vaser Liposuction can offer up to 54% more skin tightening in comparison to other methods, such as traditional liposuction. Whilst the technology used in Vaser Liposuction may help to reduce the potential for loose skin and excess skin laxity post-procedure, it is not a guarantee and results will vary depending on individual factors. Patients with poor skin elasticity may still experience some degree of skin wrinkling or looseness, and it is very important to understand that Vaser Liposuction does NOT represent a replacement for abdominoplasty (“tummy tuck”) when needed. Your doctor will offer honest insight and opinion into your options and likely outcomes once your skin type is assessed.
What are the body parts for which liposuction is most commonly performed?
The specific areas of the body where liposuction is commonly performed differ between men and women. Women tend to gain weight in different regions than men. Women generally gain weight in the abdomen, back, legs, arms and hips. Therefore, liposuction is most commonly performed in these regions for women. Men more commonly gain weight in the trunk. Liposuction is most commonly needed for breasts (due to gynecomastia), abdomen and low-back region for men.
Am I a suitable candidate for liposuction?
A liposuction procedure is not weight loss surgery, but is used for body shaping n suitable candidates, and expectations should be reviewed accordingly. Importantly, this surgery can only remove fat located between skin and muscles, not the fat found around abdominal organs, known as visceral fat. Therefore, liposuction is not a viable option for patients with intra-abdominal fat deposition where a gastric balloon, gastric sleeve or diet/exercise are better options.
It is also not a viable option for patients with excess skin wanting to look better without clothes. Abdominoplasty ‘tummy tuck’ is often the preferred option. Patients with morbid obesity are not suitable for liposuction.
What needs to be taken into consideration after liposuction?
Early post-operative mobilisation reduces the incidence of post-operative complications, and assists with healing. Tight compression garments need to be worn for at least 3 weeks full time and 3 weeks part time to help reduce the swelling. Pain relief is important for patients to stay comfortable as liposuction can be painful, and individual pain thresholds differ. Antibiotics will help reduce the incidence of infection. Anti-vomiting medication is prescribed if needed and constipation relieving tablets are also sometimes required as pain medications can contribute to constipation.
How long are compression garments worn after liposuction?
Compression garments should be used for 6 weeks after liposuction, 3 weeks full time and 3 weeks part time. The compression garment ensures that the skin shrinks and adapts to its new position more easily. Moreover, it mitigates fluid accumulation and swelling.
Are drains necessary in liposuction procedure?
Drains are generally used when the procedural site is large, such as the abdomen. A small drain is placed at the same incision site used for liposuction to allow for excess fluid to be removed from the area. This makes postoperative recovery a more comfortable experience for patients. The drain will typically drain fluid for approximately 3 days and drains are removed at the 4 to 5 day mark after the procedure. In many areas of the body, drain placement is not required. Your doctor will explain if drains are required for the area you are seeking to have liposuction.
Should lymphatic massage be performed after liposuction?
Lymphatic massage is one of the most important post-operative aftercare therapies that affect the outcome of liposuction. We start our patients on lymphatic massage one day after the procedure. The massage is light and short on the first day, but follow-up sessions can be lengthened when the pain alleviates. We recommended a minimum of 4 sessions of lymphatic massage at intervals of 1 session every 2 to 3 days after the procedure. Lymphatic massage not only relieves swelling at the procedural site, but it also helps skin recover and adapt to its new position better.
Are outcomes of liposuction permanent?
If the patient maintains weight control after surgery, outcomes of liposuction can be long-lasting, as the fat cells removed from that body area do not regenerate. Remaining fat cells can however grow in size causing weight gain, and therefore patients are informed before surgery in detail about the lifestyle modifications they should do in their postoperative life. Therefore, we inform patients before the surgery in detail about the lifestyle modifications they should do in their postoperative life. To speak with one of our professionals, contact us today.
Are Sydney liposuction procedures performed under general anaesthesia?
Liposuction is performed under twilight sedation or a general anaesthetic. There are some advantages to performing the surgical procedure under twilight sedation which decreases the risks associated with general anaesthesia, and decreases your recovery time. A General Anaesthetic, if required, would always be performed by a specialist anaesthetist at Cosmos Aesthetics.
Is liposuction a risky procedure?
There are risks for liposuction surgery which may occur despite due care and diligence on the part of the health practitioner. These include:
Temporary swelling and bruising to the treatment area
Fluid collection under the skin (seroma)
Blistering or burns
Persistent or excessive pain
Temporary weakness to the upper arm
Permanent motor nerve loss
Side effects from local anaesthesia
Fainting or feeling dizzy
Deep vein thrombosis or pulmonary embolism which are rare but can be life threatening
And fat necrosis which can leave a lump.
What is the most common complication of liposuction?
The most common postoperative complication is the irregularity of the skin. Irregularity was traditionally a very common issue in original liposuction techniques, which utilised a lot of mechanical force.
In Vaser Liposuction, fat cells are fragmented and liquefied with ultrasound energy. It is Less difficult to remove liquefied fats, and as a byproduct, more even skin outcomes are obtained as compared with traditional liposuction. In addition, we use power-assisted liposuction (Microaire) to remove fat cells that we liquefy with Vaser Liposuction and thus, we can create a smoother appearance. Today, a combination of Vaser and Microaire for liposuction procedures is the most novel liposuction technique that offers the best outcome.
Can liposuction be performed as a slimming method?
Liposuction is not a weight loss procedure. The purpose of liposuction is to eliminate regional areas of fat deposition and provide a contoured body shape for individuals who are of almost ideal body weight. Thus, we do not recommend liposuction as a weight loss method.
Can the fat removed with liposuction be transferred into other areas?
Cells removed through appropriate techniques can be processed and transformed into pure fat cells. These cells can be injected into different body regions to increase volume. This is known as fat grafting. The most common area for fat injection are the buttocks (commonly referred to as Brazilian Butt Lift).
What is the maximum extraction limit of fat in one session?
A general upper limit of 5L fat cell removal is accepted around the world but this amount of fat can be too much for a smaller individual. During liposuction, the maximum extraction limit of fat is equal to 6-8% of body weight (Gerald Illouz). For example, a maximum 4.8 litres of fat can be removed in a person with body weight of 60 kg. The upper limit also depends on the patients health and intraoperative bleeding at the time of the procedure. If the limit is reached, we perform liposuction a minimum one week later once the body’s fluids have re-equilibrated.
Can liposuction be repeated in the same area?
Liposuction can be repeated. However, the removal of unwanted fat in the same area that has been operated on before is more difficult than the first session, which can increase the incidence of irregularities. Subcutaneous healing in the postoperative course causes connective tissue to increase. Thus, fat removal during a second procedure on the same area is more difficult. 5% of patients will need a touch up procedure to correct irregularities.
When will I see my liposuction results?
While some subtle improvements after your liposuction procedure are possible, it takes time for the final results to appear. You will need to wait for post-operative swelling to subside and give the skin time to retract and tighten up in the treated area. The time it can take varies from patient to patient. It’s important to maintain realistic expectations. Some liposuction patients are able to see results within three to six months after surgery, while others improve for up to a year. Recovery time also differs between patients with some being able to return to normal activities within a few days and others needing several weeks.
Are liposuction results permanent?
Liposuction results can be long-lasting, in the sense that once the fat cells are removed, they cannot return. However, the remaining fat cells can still grow in size, meaning that it is still possible to regain weight in the future, although likely in different areas of the body. You should keep in mind that external factors can also impact your results. Liposuction does not pause the aging process, and things like inflammation, weight fluctuations and gravity can all affect the way your results look over time.
Will I have loose skin after liposuction?
How well the skin contracts following liposuction can vary from person to person, typically depending on the quality of skin elasticity. You will find that your skin will naturally contract to some degree after a liposuction procedure as a result of the skin’s natural healing process. However, patients with good skin elasticity often find themselves with smooth, firm skin after liposuction, while patients with poor skin elasticity may find themselves with looseness or wrinkling of the skin. Your doctor will be able to provide an opinion as to what results you might expect once they assess your skin.
How much does liposuction cost in Sydney?
While we understand that cost is a huge factor in your decision to undergo cosmetic surgery, liposuction does not fit into a one price fits all strategy. The cost of a liposuction procedure varies from patient to patient, depending on factors such as:
The areas of the body treated
The body type of the patient
The method of liposuction used
The type of anaesthetic used
The amount of time spent in surgery
At Cosmos Aesthetics Sydney, our VASER liposuction procedures start at $5,500 for one area. However, if you choose to treat multiple body areas at once, you can expect reduced recovery times AND reduced overall costs. Each additional area treated at Cosmos Aesthetics will cost approximately $2,500 on top of the base price. Of course, this is just a general guide: to receive a more accurate cost please organise a consultation with one of our liposuction doctors.
Are there any important disclaimers to know for liposuction?
Essential liposuction surgery disclaimer information, which must always be considered before deciding to have surgery, include:
Results may vary from patient to patient.
All photos are of patients from Cosmos Aesthetics, and all ‘after’ images are taken 6 weeks or later post-procedure.
Results, recovery, and potential complications will vary for each individual patient.
Photos and videos featured are not a guarantee that your results will be the same as another person, and does not guarantee you will receive a particular surgical outcome.
Any invasive or surgical procedure carries risks, side effects, and complications, which can be permanent.
Frequently asked questions
What is liposuction?
Liposuction is a surgical procedure whereby a cannula and suction are used to remove excess fat from the body. Also known as liposculpture, this procedure works to reshape the body for an improved contour and better proportions. Some advanced liposuction techniques incorporate ultrasound or other methods to ‘melt’ the fat first to allow for easier and gentler extraction. The result is a permanent reduction of stubborn bulges and a dramatic improvement in body shape and contour.
Am I a candidate for liposuction?
You may be a candidate for our liposuction or liposculpture procedures if you fit the following criteria:
You are in good physical and mental health
You are unhappy with the appearance of unwanted pockets of fat that do not respond well to diet and exercise
You have realistic expectations regarding what liposuction surgery can achieve
You are at a healthy, stable weight
You have good skin elasticity
You do not smoke or are prepared to quit before and after surgery
It should be remembered that liposuction is not designed to treat obesity and should not be regarded as an alternative to exercise. The ideal patient should be committed to following healthy habits to maintain their results in the long term.
Liposuction surgery is typically most successful in patients who are between 20 and 30 years old, lead a healthy lifestyle and are close to their ideal weight with the exception of moderate pockets of fat. This is because their skin is more likely to retract following the procedure, reducing the likelihood of excess skin. Older patients usually have less skin elasticity and may not achieve the same results as younger patients with firmer skin.
However, the best way to determine whether you are a candidate is to meet with our Sydney liposuction doctors at Cosmos Aesthetics.
Is there anything I should consider before undergoing liposuction?
Before undergoing any form of cosmetic surgery, you should take the time to carefully consider your aesthetic goals and really think about whether liposuction is right for you. Take a look at your health habits: are you prepared to change your diet and exercise habits after surgery to maintain your results? Other questions to consider include: are you prepared to wait for your results to appear? Are you prepared to quit smoking in the weeks before and after surgery? Before you decide to proceed with surgery, you should talk with one of our liposuction doctors, who can give you an honest opinion about whether the procedure is right for you.
What happens during a liposuction procedure?
To begin your liposuction procedure, a saline solution mixed with an anaesthetic will be injected into the treated area. This works to numb the area for your comfort and prevent bleeding during the procedure. After injection, your Sydney liposuction doctor will make small incisions in your skin. Through these incisions, your doctor will insert the VASER ultrasound probes, which work to break up the fatty tissue. As the fatty tissue breaks apart, a cannula is used to vacuum the fat cells out of the treated area. Some of the saline/anaesthetic mix will be left in the body to numb any post-procedural pain and will be absorbed by the body within a few days.
How do I prepare for liposuction surgery?
During your consultation at Cosmos Aesthetics Sydney, your liposuction doctor will give you specific instructions on how to prepare for surgery. If you smoke, it is critical that you stop at least two weeks before surgery, as smoking can increase surgical complications and slow healing. In addition, you may be asked to avoid certain medications and supplements to prevent excessive bleeding and bruising during and after your liposuction procedure. We highly recommend preparing for your recovery before surgery by purchasing comfortable clothing, filling prescriptions, cooking healthy meals and arranging for someone to pick you up from the hospital and assist you for the first few days at home.
What can I expect during my liposuction recovery?
Following your VASER liposuction procedure, you can expect some bruising, swelling and pain in the target area. This is normal and can be relieved with pain medication. The treated area will likely weep fluid for 24 to 48 hours after surgery, which can be dressed with sterilised cotton pads. To flush the anaesthesia from your body completely, you may need to drink extra fluids.
You should expect to spend at least a week at home to recover after liposuction surgery. After this time, you should be able to resume most normal activities, with the exception of strenuous exercise. To alleviate swelling and help your body conform to its new contours, you will need to wear a compression garment for around six weeks.
Please keep in mind that you won’t be able to see your liposuction results immediately after the procedure. To ensure the best outcome, you should carefully follow all of your doctor’s aftercare instructions.
Is liposuction painful?
Most patients are pleasantly surprised at how little pain they experience during and after their liposuction procedure. Any pain and discomfort is handled with medication that patients take home with them post-treatment.
How long does the procedure take?
Typically, a liposuction procedure can take anywhere from one to four hours, depending on the amount of adipose tissue that needs to be removed.
Do I need more than one session?
This depends on a number of factors, including how much fat is removed during the initial liposuction session, your desired outcome and expectations. Although our experienced doctors always strive to achieve the best possible fat reduction the first time around, in some cases, additional sessions may be required.
Does liposuction treat obesity?
No, liposuction does not treat obesity; however, our Mega Liposuction technique can help overweight patients lose considerable amounts of fat.
Do I need to be a certain weight to have liposuction?
While there are no specific weight restrictions to undergo a liposuction or liposculpture procedure, you should reach a healthy, stable weight before considering surgery. Any major weight fluctuations after your procedure can stretch the skin and alter your liposuction results.
Liposuction is not a weight-loss procedure and should only be used to address those stubborn pockets of fat that exercise and diet fail to correct. Considering this, if you are within the overweight or obese weight range, we’d recommend losing weight before surgery to maximise your possible results.
Can I have multiple areas treated at one time?
Yes, you can address multiple areas of concern in one liposuction procedure. For example, you may choose to treat the abdomen and love handles or the thighs and buttocks simultaneously. While there is no limit to how many areas can be addressed at once, we usually recommend a maximum of three or four areas. Keep in mind that treating multiple areas at once will increase surgery times, recovery times and costs.
How much fat can I remove with liposuction?
There is a limit to how many litres of fat can be safely removed during a liposuction procedure. At Cosmos Aesthetics Sydney, we only ever remove three to five litres of fat during a single procedure, depending on your overall body weight.
For patient safety, the maximum amount of fat that can be removed during liposuction is five litres per liposuction procedure. This limit is universal, regardless of weight, percentage of body fat and desired results. In fact, one study found that removing more than five litres increased complication rates by 3.7 percent.
When will I see my liposuction results?
While you can expect to see some subtle improvements immediately after your liposuction procedure, it will take some time for the final results to appear. You will need to wait for post-operative swelling to subside and give the skin time to retract and tighten up in the treated area. Neither of these happens overnight, and the time it does take can vary from patient to patient. Some liposuction patients are able to see their results within three to six months after surgery, while others find that their results continue to improve for up to a year. To speed your recovery and see results sooner, be sure to follow all of your doctor’s post-operative instructions.
Are liposuction results permanent?
Liposuction results can be permanent, in the sense that once the fat cells are removed, they cannot return. However, the remaining fat cells can still grow in size, meaning that it is still possible to regain weight in the future, although likely in different areas of the body.
You should keep in mind that external factors can also impact your results. Liposuction does not pause the ageing process, and things like inflammation, weight fluctuations and gravity can all affect the way your results look over time.
How can I maintain my liposuction results?
While liposuction can significantly improve the proportions and contours of your body, you will need to do some work to maintain your results. Considering that liposuction is an invasive procedure that costs time and money, you’ll want to do as much as possible to protect that investment. By choosing to lead a healthy lifestyle with a regular exercise schedule and eating a nutrient-rich diet, you can expect to enjoy your liposuction results for a long time.
How much scarring will I have after liposuction?
Significant scarring is uncommon following a liposuction procedure, as the incisions required to insert the cannulas under the skin are very small. Our liposuction doctors at Cosmos Aesthetics always endeavour to make the smallest incisions possible in places that can be easily hidden.
Plus, if you follow the scar management instructions given to you by your doctor, you can expect any noticeable scarring to fade in time. Minimising scarring can be as easy as keeping wounds clean, staying hydrated and keeping incision sites out of direct sunlight.
Will I have loose skin after liposuction?
How well the skin contracts following liposuction can vary from person to person, typically depending on the quality of skin elasticity. You will find that your skin will naturally contract to some degree after a liposuction procedure as a result of the skin’s natural healing process. However, patients with good skin elasticity often find themselves with smooth, firm skin after liposuction, while patients with poor skin elasticity may find themselves with looseness or wrinkling of the skin. If you are left with loose skin after your liposuction procedure, Cosmos Aesthetics Sydney offers a variety of non-surgical treatments that can help restore a firmer, tighter appearance.
Are there any alternatives to liposuction?
If you are not yet ready or willing to commit to surgery, there are a rising number of non-surgical fat removal treatments that provide an alternative to liposuction. Such treatments use energy, whether that be sound waves, light waves, radio waves or exposure to cold, to damage and shrink fat cells. While these techniques are more affordable and less invasive than liposuction surgery, they do not produce dramatic results.
At Cosmos Aesthetics Sydney, we offer CoolSculpting treatments to permanently reduce fat cells without the need for surgery.
Is liposuction safe?
Yes, however, as with all surgical procedures, there’s always the risk of developing complications such as irregularities, infection or blood clots. Keep in mind that complications are extremely unlikely, and we’ve performed thousands of liposuction procedures in Sydney without incident.
What are the risks and complications associated with liposuction?
While VASER liposuction is considered a lower risk than traditional liposuction, there are still complications associated with any cosmetic procedure. Some of the side effects you may experience after liposuction include:
Bruising and bleeding
Pain and aching
Asymmetry or skin irregularities
Loose skin that doesn’t adjust to your new body contour
Changes in skin sensation
Fluid accumulation under the skin
See us for a consultation
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