Liposculpture

Liposuction is a procedure for removing fatty deposits and contouring areas of the body. Office-based Liposuction is referred to as “Liposculpture” and is performed with a special anaesthetic referred to as Tumescent Anaesthetic.

It is important to note that Liposculpture is used to reduce fat in areas of the body that are otherwise resistant to dietary modification and regular exercise. It is not a method for weight loss or generalised fat reduction per se, but in fact is ideal for reshaping and re-contouring areas of the body.

Many of the problem areas that patients find difficult to shift with diet and exercise can be reduced or reshaped with Liposculpture.

In men, areas such as the chin and jowls, breasts (“man boobs”), lower abdomen (“spare tire”), and hips (“love handles”) can be treated. In women, areas such the chin, abdomen (“muffin top”), post pregnancy fat, inner and outer thighs, waist, back and arms can be treated. The most popular request by females is Liposculpture of the hips, lower abdomen and back to create the sought after “Hour Glass Figure”. In select cases, fat transfer to the buttocks can be performed to further enhance this “Hour Glass” shape.

Liposuction results are essentially permanent. Fat cells that are removed by liposuction do not come back. However, fat cells that still remain in the area treated can potentially grow and expand. As such, patients are encouraged to lead a healthy lifestyle with balanced eating and exercise to maintain their overall body weight.

Liposculpture Information for New Patients

Patients embarking on Liposuction Treatment will be required to attend the practice several times. The visits can be divided as such:

The Initial Consultation
Patients will be required to fill out a Medical Questionnaire prior to their initial Consultation. During the first visit with Dr Paraskevas, your past and current medical history will be reviewed along with a thorough physical examination. Measurements, Weight, Height and Vital Signs will be recorded for future reference.

The areas to be treated will be examined with particular emphasis on the patient’s concerns and desired outcome. Dr Paraskevas will also offer advice that will improve the outcome of the procedure and this may involve treatment of contiguous related areas and fat transfer. He may also advise to break up the procedure into smaller parts to minimise complications and adverse events.

Dr Paraskevas may make some preliminary markings on the areas that will be treated and take photos of these areas for your file. In addition to this, Dr Paraskevas will order several tests which will include:

  • Full Blood Count, Liver Function Tests, Kidney Function Tests,
  • Thyroid Function Tests,
  • Fasting cholesterol and blood sugar levels,
  • Hepatitis B, C and HIV status,
  • Clotting Profile,
  • beta HCG Levels (in women of child bearing age)
  • ECG or stress ECG – for patients over the age of 60 or with a history cardiovascular disease
  • Breast Ultrasound/mammogram (in patients undergoing breast liposuction.
  • Thyroid ultrasound (may be requested in patients undergoing Chin Liposculpture)

Patients will be provided with a detailed and comprehensive Information Document and a preliminary plan for their liposuction procedure which will be discussed in great detail during the initial consultation.

Second Consultation

At this visit, patients will have the opportunity to further discuss the areas of concern and also run through any questions regarding the treatment, its complications and post treatment phase.

Photos will be reviewed and compression garments will be measured out in preparation for the treatment.

Patients will be given a script for prophylactic antibiotics which will be started the day prior to the procedure. A detailed Pre Procedural Instruction sheet will be provided which will outline what to do in the weeks and days leading up to the procedure.

The Procedure

You will be required to fast for at least 6 hours before the procedure and will also need arrange for a family member or friend to drive you in and home. Alternatively we can arrange transport for you if required. On your arrival, you will have a final pre-operative consultation with Dr Paraskevas before the procedure. The areas to be treated will be marked with a special marking pen and final photographs will be taken.

Patients will be given medication that will help them relax, reducing anxiety and also providing some pain relief. Dr Paraskevas does not use intravenous sedation and prefers that patients are alert and awake during the procedure. You will remember very little of the procedure afterwards. One of the major advantages of performing liposuction under mild oral or intramuscular sedation is that Dr Paraskevas can better assess the areas treated by having the patient stand up towards the end of the procedure and marking out any irregularities or areas that require more contouring – this is vital to obtaining a uniform, balanced and symmetrical result.

As liposuction is a sterile procedure, your skin is cleaned with antiseptic solution. Small 2-3 mm incisions are then made which will act as access points for the infiltration of local anaesthetic and removal of fat. These incisions are very small and DO NOT require suturing after the procedure.

Once the local anaesthetic solution has been infiltrated into the fat, a very thin metal tube with a blunt tip and small holes at the end, referred to as a “Cannula”, will be used to help break up the fat and then gently suction the fat out. The fat will be collected in special collection canisters and disposed of at the end of the procedure.

After the Procedure

Once finished, 2 compression garments will be fitted and foam pads will be placed in between the garments over the incision points. The compression garments, will be kept on continuously for 24 hours and then worn over 2-3 weeks to help reduce swelling, bruising, and importantly help the skin retract after the removal of the fat.
Once finished, 2 compression garments will be fitted and foam pads will be placed in between the garments over the incision points. The compression garments, will be kept on continuously for 24 hours and then worn over 2-3 weeks to help reduce swelling, bruising, and importantly help the skin retract after the removal of the fat.

After the procedure, you will be observed in the “Recovery Room” until you are ready to go home. You will not be allowed to drive and as such will require transport. The nurse will carefully point out the important post procedure instructions and provide a Liposuction Pack” which will contain post-operative medications (analgesics, anti-emetics) and extra foam pads. Patients will be able to contact Dr Paraskevas any time should they have any concerns during the recovery period at home.

Before liposculpture

7 weeks after liposculpture

There will be 3 Post Op visits to check your progress:

  • First Post Op Visit (within the first week)
  • Second Post Op Visit (within 3 months)
  • Third Post Op Visit (between 6 and 12 months)

Frequently Asked Questions about Liposculpture

Download a PDF brochure with further information

What are the benefits of our Liposculpture technique?
  1. Walk in, Walk out Procedure. Liposculpture is a major refinement of the traditional technique of in hospital liposuction. Liposculpture is performed under local anaesthetic which makes it so much easier to achieve a regular and even result to the areas treated. This is because it is possible to stand up and allow the effect of gravity to be seen on the areas treated towards the end of the procedure. This in turn translates to much more predictable and aesthetically pleasing results.
  2. No General Anaesthetic. As no General Anaesthetic is needed for Liposculpture as opposed to traditional liposuction, the inherent risks associated with this are avoided.
  3. Less Discomfort, Less Bruising and Faster Recovery. Liposculpture involves the infiltration of special saline solution (called “Tumescent Anaesthetic”) into the fatty tissues before the procedure is performed. The fluid contains a local anaesthetic – lignocaine (the same anaesthetic used by dentists) and also a medication which effectively constricts small blood vessels in the fat – adrenaline. Adrenaline vastly decreases the amount of bruising that occurs with Liposculpture while the local anaesthetic produces effective relief of any discomfort during the procedure and for up to 12 hours afterwards.
  4. No Hospital Admission. Liposculpture is performed out of hospital. It is day surgery. There is no need for the patient having Liposculpture to stay overnight in hospital, have blood transfusions or even fluid intravenously. A half day only is required to perform the procedure, and you are encouraged to remain active following the procedure, walking on the following day or soon after and often returning to work within 3-5 days. Time off work and normal activities should be kept to a minimum. People often think they need to take holidays to have liposuction. This is not true.
  5. No cutting or suturing. Liposculpture is performed with very small cannulas, measuring 2 to 3 mm in diameter. Only very small incisions are required to allow passage of these cannulas into the fatty layer for suctioning of the fat. The small holes will heal on their own very quickly and do not require suturing.
If Liposculpture is so good, why aren’t all procedures done this way?

Liposculpture takes time to achieve the best results. The average procedure lasts 3 hours or longer, especially when multiple areas are treated. In contrast, Liposculpture performed under general anaesthetic must be done in a shorter time as longer anaesthetic time increases anaesthetic risks.

People who have had both procedures say how well they feel after Liposculpture compared to traditional liposuction. The recovery period is shorter with much less bruising and there is minimal discomfort. Now Liposculpture is performed by many doctors from many specialities. At Vein Health Medical & Cosmetic, Dr Paraskevas has been specially trained in Liposculpture and will take the necessary time to get the right result for each person.

Is Liposculpture safe?

A landmark article in the prestigious Dermatologic Surgery Journal looked at the results of over 15,000 cases of Liposculpture performed in the USA in 1994 to 1995. Complications during the procedures were few, as were problems following the procedure, and the level of complications was much less compared with conventional liposuction surgery.

Bruising is minimal but does occur in most cases. It lasts for 10-14 days. Infections are theoretically possible but are extremely rare and antibiotics given before and after the procedure to prevent this. Local areas of numbness can occur but this settles over time.

Who will benefit from Liposculpture?

This is a very broad question. What we are certain of is that many people will benefit from Liposculpture and the number of people having this procedure performed in Australia has increased dramatically over the past 5 years to the point that it is by far the most commonly performed cosmetic procedure. As Liposculpture is a technique to reshape and recontour areas of the body, people who will most benefit from this are those who have areas of stubborn fat that cannot be shifted with diet and exercise alone. These people may include but are not limited to:

  1. Women who have had children and are concerned by the unwanted accumulation of fat that child bearing has brought and that is resistant to the most rigorous gym workouts and exercise regimes. Post Pregnancy problem areas may include saddlebags, full thighs, hips, or just a “pot-belly”.
  2. Men who have developed love handles above the hips or accumulations of abdominal fat, not necessarily related to a lack of exercise, but often due to the natural decline in the production of growth hormone, which occurs with age.
  3. Men and Women who want to have a “streamlined” appearance and have the best shape that they possibly can. For such people the permanent removal of even small amounts of fat from localised areas can make a good figure dramatically better.
  4. Men who have unwanted accumulation s of fat over the breasts as a result of hereditary or other factors.
  5. Men and Women who have been significantly overweight, have lost weight and are now near their goal, but still have problems with localised accumulations that will not budge despite diet and exercise.
Can Liposculpture be used to treat people with obesity?

Liposculpture can be used to help people who are significantly overweight to reduce localised problems over the abdomen and other areas. This may help with the way that overweight people dress and make them feel better about their bodies. Many such people describe the Liposculpture Procedure as a “kick start” and go on to continue to lose weight, especially when these central abdominal fat cells are removed.

Is there an age limit?

There is no theoretical age limit for the performance of Liposculpture provided that there are no significant health problems that may interfere with the medications used or with the recovery process.

Will there be scars?

As the cannulae used in this technique are very small, the incisions used can often be concealed in the natural creases of the body. The holes used are NOT stitched after the procedure and heal to a fine skin coloured line, approximately 2 mm in length, within a few months of the procedure. It is unlikely that anybody will guess from these healed incisions that you have had Liposculpture, unless, of course, you tell them.

Will Liposculpture work for cellulite?

Some people often mistakenly call local fatty accumulations over the thighs cellulite and these can definitely be helped with Liposculpture. True cellulite (localised dimpling of the skin, especially over the thighs and buttocks) is due to the distribution of fibrous bands within the fatty tissue. Attempts to divide these fibrous bands have been tried, but the level of success is variable. So at present, no technique can reliably treat this problem, though in situations where excess fatty tissue is also a problem, removal of this may well improve the overall appearance by making specific dimples less obvious. Once fibrous bands are divided, areas of dimpling can also be filled with autologous fat (fat grafting), improving the appearance.

What about my skin? Won’t it be wrinkly?

The skin is a remarkable organ. A recent article, again published in the Dermatologic Surgery Journal confirmed what Liposculpture surgeons already know; and that is that there are very few problems with looseness of the skin after the procedure, even in people who are at the age of 40 or beyond. This is due to contraction of the skin as a result of the Liposculpture procedure itself. An experienced Liposculpture surgeon can produce skin retraction which would have been thought impossible by conventional surgeons even a decade ago. Skin contracts in all areas treated by Liposculpture and excision of any skin at all is almost never necessary. Skin Retraction can also be improved by the use of a Laser (Laser Lipolysis) during the Liposculpture Procedure.

When should patients have Liposuction?
  • Age. It is important to once again emphasize that Liposuction is primarily a body shaping procedure, NOT a weight loss procedure. As with most procedures, Liposuction is obviously best performed earlier than later. Younger patients are usually healthier, more active and their skin elasticity is better making for faster and more fulfilling results. Practically speaking, Liposuction is a procedure that is performed on patients of all ages.
  • Weight. One of the most common questions we get at our clinic is “Should I try and lose more weight before I see you Doctor?” The answer to this is often quite difficult and will vary from patient to patient. For those who are minimally overweight, but generally healthy, it may be preferable to have liposuction before the patient attempts to return to their ideal weight. The main reason for this is that the fat layer to be removed will be larger and easier to suction. On the other hand, patients who are extremely overweight, may be encouraged to begin a diet and exercise plan to allow for a safer procedure.
  • Planning a Pregnancy. As with most elective cosmetic procedures, liposuction is contraindicated during pregnancy or breastfeeding. However, it is reasonable to suggest that females contemplating liposuction should have the procedure prior to pregnancy rather than delaying it until after. The integrity and elasticity of the skin is better prior to pregnancy in most cases, and this will allow for better results. Also, by removing the fat stores prior to pregnancy, these fat stores are less likely to expand during pregnancy and cause undue stress and stretch on the skin.

Are there any additions to the Liposculpture Procedure at Vein Health Medical & Cosmetic?

  1. Power Assisted Liposculpture (PAL): Because it can be difficult to move a cannula back and forth through fat tissue, surgeons are not always able to effectively remove all the unwanted fat. Power Assisted Liposculpture, involves using a special motorized device to which the cannula is attached. This device allows the cannula to vibrate and oscillate back and forth which in turn helps to break up fat so that it can easily be suctioned out. Examples of Power Assisted Liposculpture devices are the “Micro Air” and the “Power X”.
  2. Laser Lipolysis: Fibre optic laser fibres can be used to help melt small remnants of fat at the end of the Liposculpture procedure. This helps create a more defined and uniform result and also helps with skin retraction or tightening. An example of a Laser Lipolysis machine is the SmartLipo.
  3. Fat Grafting: Autologous Fat Grafting is a fantastic adjunct to the Liposculpture procedure. Fat can be removed with special cannulae, harvested and purified and then reinjected into areas of the body to improve contour, to augment and to rejuvenate. Fat grafting for buttocks augmentation is one example. It can provide a fuller, more aesthetic shape to the buttocks, further enhancing the hour glass figure obtained with liposuction of the flanks and abdomen. Another example is fat grafting into areas of the face such as the cheeks (malar area) to provide a youthful, heart shape appearance that is lost with age. This injected fat will have the added benefit of rejuvenating the face as it contains stem cells and many growth factors.

Schedule an Appointment

Call 03 9662 1863 or send us a message and we will contact you

Our friendly staff will discuss all important aspects of your initial appointment and what you can expect.