WHAT IS LIPOSUCTION?

Liposuction is a term most people are familiar with. Put simply, it involves using suction to physically suck out the excess fat from your body.

Liposuction does nothing to the overlying skin. How well the skin retracts over the area treated with liposuction depends on many factors. If your skin is young or if the area treated has thick skin, then there is a reasonable chance the skin will retract or ‘re-drape’ over the area with minimal loose skin afterwards. If your skin is very thin, older or if there is just too much of it, there is the risk of ending up with excess skin afterwards.

HOW IS LIPOSUCTION PERFORMED?

Liposuction involves being put under a general anaesthetic. Once you are asleep in the operating theatre of a hospital, your body is injected with an appropriate volume of local anaesthetic and the fat is removed through tiny 5mm holes.

Post-surgery we will ask that you wear a compression garment so that fluid doesn’t internally collect under the skin.

WHAT ARE THE MAIN AREAS FOR LIPOSUCTION?

FLANKS- (Love handles/Muffin top)

The waist and flanks, often called the “love handles,” are extremely common areas for liposuction. For many patients, getting rid of love handles and achieving the contours they desire via diet and exercise alone can be incredibly difficult. Liposuction here can help patients see great results, especially when they have reasonable-to-excellent skin elasticity.

UPPER ARMS

The “batwing” is something that can affect men and women, but it is particularly common in women as they age. Even if you’re not overweight, it is possible to have an unpleasant “arm jiggle” due to lack of muscle tone. Liposuction can help smooth and tighten the area for a firmer, more youthful appearance.

ABDOMEN

Plastic surgeons often divide the abdomen into “upper” and “lower” regions that may be treated separately. The lower region is responsible for the dreaded “muffin top,” which makes it a popular place for liposuction. The upper region is the area between your belly button and ribs, which can also stubbornly hold onto a layer of fat. Liposuction in these regions can help patients achieve a slimmer, sleeker profile.

RENUVION

For many women, having smooth, shapely hips is important to maintaining a feminine silhouette, so women often undergo liposuction here to remove excess deposits of fat. Doing so helps to create a more well-defined shape and can even help improve the look of the buttocks as well.

FREQUENTLY ASKED QUESTIONS ABOUT OUR LIPOSUCTION PROCEDURE

CAN WE REUSE THE FAT WITH FAT GRAFTING?

Yes! Rather than throw the fat away we can often use the fat to help with other areas of the body that have deflated. I can use small tiny volumes of fat to help volumize a face for instance instead of using other off-the-shelf fillers. The same can be said for the breast. We can accentuate the cleavage or upper part of the breast at the same time. I can even use the fat for subtle grafting of the buttock as a stand-alone procedure or combined with a lift otherwise known as a BGL or Butt Graft Lift.

HOW DOES LIPOSUCTION COMPARE WITH OTHER FAT TREATMENT TECHNIQUES?

All-in-all, liposuction provides a very safe and reliable treatment for stubborn areas of fat. It is the gold standard of fat reduction treatment from which all other modalities are compared to.

It can be performed in conjunction with another procedure such as an Abdominoplasty or independently as a stand-alone procedure as well. It has many advantages over ultrasonic, radiofrequency and freeze-related technologies (such as Coolsculpt or Clatuu) as liposuction completely treats the region until the area is flat and the fat is in the bin.

Those other modalities, although resulting in less downtime, can never compete with the effectiveness of liposuction and the long-term results. We once had one of these devices in our practice but the felt the treatments were expensive and only resulted in very minimal results. Whilst liposuction is expensive, at least the results were always dramatic and long-lasting.

If you would like to know more about liposuction and how this procedure might be helpful to you, please reach out with the contact form below.

HOW LONG IS RECOVERY?

It really depends on which procedure(s) you have. There will be some pain and discomfort after any surgery. I routinely use what is called a ‘pain buster’ device which delivers a constant amount of local anesthetic to keep you largely pain-free for 2-3 days afterward. After that, our expert anesthetist prescribes a sensible and easy-to-follow medication regime that will keep any pain you may have under control.

Instructions will be given about caring for surgical incisions and what you should and shouldn’t do during the recovery period.

You will have a post-operative appointment five to seven days after discharge from the hospital. During this appointment your sutures will be removed if they are non-dissolvable, your wounds will be checked and cleaned, and further instructions will be given for their care. Depending on how your wounds are healing, further appointments may be necessary.

I like to see my patients again roughly four to six weeks after any operation to assess scars and any swelling. Expect post-operative clinical photos of your progress to be taken at this time. Dates for further follow-up will depend on your progress and how you feel.
It will be 2-6 months to a year before you experience the final outcome.

WHAT HAPPENS WHEN YOU’RE DOING EVERYTHING RIGHT WITH YOUR DIET AND EXERCISE AND YOU’RE STILL NOT HAPPY?

This is where a specialist plastic and cosmetic surgeon can help.

This kind of surgery can mean something different to every mother out there. Generally speaking, I view it as a treat to yourself to do whatever you want to make you feel better about yourself and your body image. I appreciate how much a woman’s body changes after pregnancy, not to mention how a woman’s perception of their body changes too. The most popular s include mastopexy, breast augmentation or reduction, Abdominoplasty and liposuction. This is why a face-to-face consultation is invaluable. Together we can talk through your priorities, assess your goals and devise your bespoke plan.

IS THIS KIND OF SURGERY SAFE?

As with any surgical procedure, there are always risks involved. You should be fully aware of these before you elect to have your procedure(s). The best way to reduce risk is to ensure your surgeon is fully qualified with formal training in plastic surgery with the Royal Australian College of Surgeons and the Australian Society of Plastic Surgeons and who has performed these procedures many times.

Specific complications that may occur include:

Scarring


Scar tissue formation depends on many factors, including poor surgical technique, a genetic predisposition to scarring, and the way your body responds during healing. Infections, wound breakdown or tension in the wound can also lead to scarring. These days, surgeons make limited incisions with cosmetic procedures and can conceal many incisions within the folds of the body. Some people are more prone to scarring than others. If you know you scar easily, talk to your surgeon beforehand. Strategies can be used to minimise your scars. If excessive scar tissue forms, your surgeon can discuss and help you further.

Uneven appearance


Uneven scarring is a rare possibility. As the scars are hidden in your underwear and in a crease it is rarely an issue once they fade away in 6-12 months. Just as you would discuss potential benefits before surgery, it is always advisable to ask your surgeon to address the potential risks as they apply to you.

WILL THIS KIND OF SURGERY WORK FOR ME?

You are a good candidate for this kind of surgery if:

  • You are more than six months past your last pregnancy.
  • You have tried through exercise and diet to lose pregnancy weight gain, but have not been able to regain your shape.
  • You are in good health and would like to enhance your post-pregnancy look.
  • Your weight has stabilised. It’s a good idea to be near your ideal body weight for some time (at least 3 months) before a . If you want to lose weight, do it before the makeover procedures. Surgeons recommend this because weight loss before a makeover helps the surgeon determine how much excess skin should be removed and how to best sculpt your body.
  • You are clear about what you expect from the makeover. It is important to be very specific about your wishes for your post-baby body and convey them clearly to your surgeon. This will help the surgeon make recommendations to achieve your goal.

Risks and complications of cosmetic surgery

Cosmetic surgery is still surgery and as such always has potential risks and complication. It is important for anyone considering cosmetic surgery to be well-informed and aware of the possible adverse outcomes. Dr Alex Phoon is a fully qualified Australian specialist plastic and cosmetic surgeon who operates with an experienced team in leading public and private hospitals in Sydney Australia.
In this article, we will dive into the various risks and complications associated with cosmetic surgery, providing insights into each aspect.

Scarring

One of the most common concerns among patients undergoing cosmetic surgery is the potential for scarring. While skilled surgeons strive to minimize scarring, it is an inevitable part of the healing process.

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The severity of scarring varies depending on the individual and the procedure performed. Certain factors, such as genetics and skin type, can also influence how prominent scars may be. However, it is worth noting that in many cases, scars fade over time and can be further improved through scar revision techniques.

Scarring is a natural part of the body’s healing process. When the skin is injured, whether through surgery or trauma, the body responds by forming new collagen fibres to repair the damage. This process can result in the formation of a scar, which is a visible mark on the skin that differs in texture and colour from the surrounding tissue.

There are different types of scars that can occur after cosmetic surgery. One common type is a hypertrophic scar, which is characterized by raised and thickened tissue. These scars may be red or pink in colour and can be itchy or uncomfortable. Another type of scar is a keloid, which is an overgrowth of scar tissue that extends beyond the boundaries of the original wound. Keloids are more common in individuals with darker skin tones and can be more challenging to treat.

Fortunately, advancements in surgical techniques and post-operative care have greatly improved the management of scars. Surgeons take great care in placing incisions in inconspicuous areas and using techniques to minimize tension on the wound, which can help reduce the risk of visible scarring. Additionally, patients are often advised to follow a specific scar care regimen, which may include keeping the incision site clean, applying silicone gel or sheets, and avoiding sun exposure.

In some cases, scar revision techniques may be recommended to further improve the appearance of scars. These techniques can include laser resurfacing, dermabrasion, or surgical excision. Laser resurfacing uses a laser to remove the top layers of the skin, promoting the growth of new, healthier skin cells. Dermabrasion involves using a rotating brush or diamond wheel to gently remove the outer layers of the skin, revealing smoother skin underneath. Surgical excision involves removing the scar tissue and rejoining the edges of the skin to create a more aesthetically pleasing scar.

It is important for patients to have realistic expectations when it comes to scarring. While surgeons strive to minimize scarring, it is impossible to eliminate it. However, with proper care and the use of scar revision techniques, the appearance of scars can be significantly improved. Patients should discuss their concerns and expectations with their surgeon prior to undergoing any cosmetic procedure to ensure they have a clear understanding of the potential for scarring and the available treatment options.

Infection

Infections are another risk associated with any surgical procedure, including cosmetic surgery. Despite stringent sterilization protocols followed by healthcare professionals, there is still a possibility of infection.

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To mitigate this risk, surgeons prescribe antibiotics pre- and post-surgery, adhere to aseptic techniques, and closely monitor patients for signs of infection. It is crucial for patients to follow their surgeon’s aftercare instructions to minimize the risk of infection.

When it comes to cosmetic surgery, infection is a concern that cannot be ignored. Surgical procedures, no matter how minor, create an entry point for bacteria and other microorganisms. Although healthcare professionals take every precaution to maintain a sterile environment, the human body is naturally teeming with bacteria, making it impossible to eliminate the risk entirely.

Fortunately, surgeons are aware of this risk and take proactive measures to minimize the chances of infection. One such measure is the prescription of antibiotics. Prior to surgery, patients are often given a course of antibiotics to help prevent any potential infection from taking hold. These antibiotics are carefully chosen based on the patient’s medical history and the specific procedure being performed.

Post-surgery, patients are usually required to continue taking antibiotics for a certain period. This helps to ensure that any bacteria that may have entered the body during the procedure are promptly eradicated. By adhering to the prescribed antibiotic regimen, patients can significantly reduce the risk of developing an infection.

In addition to antibiotics, surgeons also follow strict aseptic techniques during the surgical procedure itself. This involves maintaining a sterile environment, using sterile instruments and equipment, and wearing appropriate protective clothing, such as gloves and masks. These precautions help to minimize the introduction of bacteria into the surgical site, further reducing the risk of infection.

Despite these measures, it is important to note that infections can still occur. The human body is a complex system, and sometimes even the most stringent precautions cannot completely eliminate the risk. However, by closely monitoring patients for signs of infection, surgeons can detect and treat any potential infections early on, preventing them from becoming serious complications.

Patients also play a crucial role in minimizing the risk of infection. Following the surgeon’s aftercare instructions is of utmost importance. This may include keeping the surgical site clean and dry, avoiding certain activities or behaviours that could increase the risk of infection, and promptly reporting any signs of infection, such as redness, swelling, or discharge.

In conclusion, while the risk of infection is present in any surgical procedure, including cosmetic surgery, healthcare professionals take numerous precautions to minimize this risk. From prescribing antibiotics to following aseptic techniques, surgeons prioritize patient safety and strive to create the best possible outcome. However, it is essential for patients to actively participate in their own aftercare and follow the instructions provided by their surgeon to further reduce the risk of infection.

Pain

Pain and discomfort is a common experience following cosmetic surgery but can be mitigated with modern analgesic strategies.

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The extent of pain can vary depending on the procedure, the individual’s pain tolerance, and the body’s healing response. Surgeons typically prescribe pain medications to manage any discomfort during the recovery period. It is important for patients to communicate their pain levels with their healthcare providers, as proper pain management is crucial for a smooth recovery.

Undesirable cosmetic outcome

While cosmetic surgery aims to enhance aesthetics, there is always a risk of an undesirable cosmetic outcome.

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Factors such as unrealistic expectations and the biological unpredictability of healing can contribute to suboptimal results. It is essential for patients to have open and honest discussions with their surgeons about their desired outcomes, potential limitations, and realistic expectations. This helps ensure that both parties are on the same page and reduces the chances of disappointment. Revision surgery might be an option should this be an issue.

Nerve damage

Another potential complication of cosmetic surgery is nerve damage.

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Surgeons take great care to avoid damaging nerves during procedures, but it is not always possible to eliminate this risk entirely. Nerve damage can cause numbness, tingling, or loss of sensation in the operated area. In most cases, nerve function gradually improves, but it may take some time for complete resolution. Patients should be aware of this potential risk and discuss it with their surgeon before proceeding with the surgery.

Bruising and swelling

Bruising and swelling are common after cosmetic surgery, particularly in the early stages of recovery.

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These symptoms are part of the body’s natural response to trauma. Surgeons may recommend compression garments, elevation, and cold compresses to help minimize these effects. While bruising and swelling are temporary, they can cause discomfort and can affect the recovery timeline. Patience and adherence to post-operative guidelines can aid in reducing the duration and severity of these side effects.

Bleeding

Bleeding during or after surgery is a potential complication that can occur in any surgical procedure, including cosmetic surgery.

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Surgeons take measures to control bleeding during the operation, but occasionally, some post-operative bleeding may occur. It is crucial for patients to inform their healthcare providers if they experience excessive bleeding or if they are unable to control bleeding with gentle pressure. Immediate medical attention is necessary to address this complication. If there is major bleeding, you might require a blood transfer or transfer to a hospital for additional treatment.

Seroma

A seroma is a pocket of fluid that can accumulate under the skin after surgery.

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It forms as a result of the body’s inflammatory response. Seromas are more common in larger surgical procedures and can lead to swelling and discomfort. Surgeons may drain seromas through aspiration or place drains to prevent their accumulation. A surgical drain can be used to minimise this risk. Close monitoring by healthcare providers is crucial to ensure the timely detection and management of seromas.

Anaesthetic complications

Although rare, complications related to anaesthesia can occur during cosmetic surgery.

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Anaesthesia is administered to ensure patient comfort and safety during the procedure. Factors such as individual reactions, allergies, or underlying health conditions can increase the risk of complications. Anaesthetists are highly trained professionals who monitor patients closely throughout the surgery to minimize any potential risks.

Death

While the risk of death from cosmetic surgery is extremely low, it is essential to acknowledge that any surgical procedure carries inherent risks.

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Every effort is made to prioritize patient safety and ensure favourable outcomes. The preoperative assessment, careful surgical planning, and adherence to appropriate protocols help minimize this risk. Patients should discuss their specific concerns with their surgical team and feel confident in the expertise and experience of their chosen surgeon.

In conclusion, cosmetic surgery offers individuals an opportunity to enhance their appearance, but it is essential to recognize that it is not without its risks and complications. By understanding and discussing these potential outcomes with their surgeons, patients can make informed decisions and take necessary precautions to optimize their safety and overall surgical experience. With proper expectations, diligent aftercare, and open communication, the risks associated with cosmetic surgery can be minimized, and the goal of achieving desired aesthetic improvements can be realized.

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