Liposuction
What is liposuction?
Liposuction is cosmetic surgery which breaks up and “sucks” fat from various parts of the body, most commonly the abdomen, thighs, buttocks, neck, chin, upper and backs of the arms, calves and back.
With weight gain, fat cells increase in size rather than multiply. If you gain weight after surgery, it will not return to the suctioned area because of the fat cell removal. Fat cells in other areas, however, can still increase in size.
Liposculpture works best when skin still has enough elasticity to achieve a smooth contour following fat removal. When skin is inelastic, as in some older patients, it may not re-drape well and a skin tightening procedure such as abdominoplasty (tummy tuck) may be necessary.
Dr Brooks provides liposuction with most of his abdominoplasty techniques but also provides it as an individual service.
Liposuction is a cosmetic surgical procedure designed to remove stubborn pockets of fat from various areas of the body. From a patient’s perspective, liposuction is often considered when diet and exercise alone have failed to eliminate certain areas of localised fat deposits.
Additionally it is used in the treatment of lipoedema to remove pockets of painful fat from the body. Lipoedema is an area of interest for Dr Brooks and he has extensive experience in treating it. (See Lipoedema)
The procedure
Depending on the extent of the area, we use general anaesthesia, sedation with local anaesthesia, or local anaesthesia. In healthy patients, liposuction liposculpture is a day procedure, but when removing large amounts of fat (more than 5000cc) from patients, we keep them overnight in hospital for observation and pain relief. We use a local anaesthetic in all cases; it wears off in 4-6 hours, so you will need pain medication for 24-48 hours.
A number of small incisions are made, usually in skin folds, and these are typically well hidden when healed. Fat is removed by first inserting a small, hollow tube, called a cannula, which is connected by tubing to a vacuum pressure unit. The unwanted fat is then removed and the area sculptured to the desired contour.
What will it do?
Liposuction is invasive surgery that aims to improve the body’s contours and proportion by removing localised and disproportional deposits of fat. Liposuction can remove up to 5 litres of fat with relative safety during one session. Depending on the number of areas that require treatment, repeated treatments may be necessary.
Dr Brooks uses a specific technique called Water-Jet Assisted Liposuction (WAL) which is considered the gold standard of liposuction. He is one of the only Surgeons in WA that specialises in this technique.
WAL is a highly specialised technique used frequently in the treatment of Lipedema. Unlike conventional liposuction methods, during the WAL procedure, fat is gently detached from the tissue structure by a flat, fan-shaped water-jet, and then aspirated. The surrounding lymphatics, connective tissue, nerves, and blood vessels remain much less traumatised which is important for every patient but especially important in the treatment of Lipoedema.
Is it right for me?
Liposuction is an individualised procedure and may not be suitable for everyone. Always talk to your Specialist Plastic Surgeon before making a decision. Dr Brooks will assess your condition and general health, and plan the treatment that is best suited to you.
Liposuction may be suitable for you if:
You are physically healthy and at a stable weight
You have realistic expectations
You are a non-smoker or have stopped smoking
You have bulges that persist despite a healthy diet and exercise
Liposuction is most likely to be successful for healthy weight people with firm, elastic skin who have pockets of excess fat in certain areas. Although age is not a significant concern, older people may have less skin elasticity and may not achieve the same results as a younger person with tighter skin.
Can I have fat grafting at the same time?
Fat grafting to the breasts can be performed with concurrently with most liposuction procedures however it relies on a few factors:
- The procedure must be being done in hospital
- Having sufficient fat to process to utilise for fat grafting
- Associated costs with increased theatre time for fat grafting
- Use of more compression garments for the breasts in addition to the areas receiving liposuction
More details can be found on our website under Breast reconstruction with fat graft
Before going ahead
Before opting for liposuction, you must keep in mind that:
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Liposuction is not a substitute for weight loss
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If your skin is dimpled before the liposuction, it will probably still be dimpled afterward the procedure has been done
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If the ‘extra’ skin doesn’t contract (tighten) after liposuction, you may need a further procedure to remove excess skin
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You may not be able to undergo the procedure if you are unable to have an anaesthetic, if you are prone to bleeding tendencies or have poor healing ability or are too high risk of having surgical complications.
Expectations of surgery
In some cases, liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours. In cases where skin elasticity is poor, a combination of liposuction and arm lift technique will be recommended. Talk to your surgeon about your options. Dr Brooks uses water assisted liposuction (WAL) as it’s the gentlest form of liposuction. This method leaves behind all lymphatic channels and means there’s no long-term risk of lymphoedema or need for a post op drain.
Patients undergoing this surgery will need to wear a post op vacuum dressing on the wound for 2 weeks and compression garments worm full time for 6 weeks and night-time for a further 6 weeks.
Will I have scarring?
Scars are the inevitable result of any invasive surgery. Dr Brooks will endeavour to minimise scarring and to keep your scars as inconspicuous as possible. Only small incisions are used to insert the cannula for liposuction therefore scars in liposuction are typically very minimal and well hidden.
Will I need revisional surgery?
Liposuction is an individualised procedure. Should your weight fluctuate, the results following the liposuction may change and you may wish for further liposuction at a later time.
What are the costs of this procedure?
Cost is always a consideration in elective surgery. Prices for liposuction are costed per area, unless included within the price of a 360 body lift operation.
Costs associated with the procedure may include:
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Surgeon’s fee
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Hospital or surgical facility costs
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Anaesthesia fees
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Prescriptions for medication
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Post-surgery garments
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Medical tests
We welcome any questions you may have regarding fees
Risks
All procedures carry risks and these are individualised to the patient and procedure in question. We will discuss these in detail at your consultation and welcome any questions regarding risks at any stage.