Get Rid of Fat with Liposuction at Perth’s Absolute Cosmetic
|Also Known As:||Lipo, Tumescent Liposculpture, body sculpting, body contouring, fat reduction surgery and mega liposuction.|
|Great For:||Sculpting the body and reshaping, removing fatty rolls, toning, weight loss|
What is Tumescent VASER Liposculpture
The terms used can be quite confusing but overall is a simple concept. All methods of surgical fat removal are basically liposuction. In recent years, the technique has been refined and made safer.
Firstly, tumescent anaesthesia was used in America as an alternative to having a full general anaesthetic. Tumescent anaesthesia is a process where medical grade salt water is infused into the fat to liquefy it.
Local anaesthetic is added to the medical salt water to make the fat numb so the patient has very little discomfort. Luckily, this local anaesthetic will persist after the procedure and patients are numb for many hours.
Adrenalin is also added to this mixture to reduce bleeding adding greatly to the safety of the procedure. Basically tumescent makes the fat numb and bloodless.
Liposculpture was the next development and this is where smaller cannulas or metal tubes are used to suck the fat out. Previously these tubes were quite large and brutal and many people have seen the old method of ramming the tubes through the fat. As tubes are now finer and gentler, they can be used less aggressively. The added effect is that there is less unevenness in the fat and a smoother result is obtained.
Lastly, VASER was developed over the last 10 years to markedly improve the procedure again. VASER is a small probe that is applied to the fat before suction removal. This ultrasound probe liquefies the fat and turns it into a milk-like consistency.
The added advantage of VASER is that it can remove the deep fat and superficial fat without harming the blood supply. This gives an extremely smooth result. It is also excellent for stubborn areas that are fibrous and tough to remove. Areas such as the male chest are now quite easy to do.
It has been shown in a major study that the ultrasound also tightens the skin by approximately 6 percent which doesn’t sound like a lot, but is extremely beneficial in allowing many people to avoid lifting surgery. Some patients will still need to have, or may wish to have, some lifting surgery.
What is the Difference between Liposculpture and Liposuction?
Liposculpture is a more refined procedure compared to liposuction and the cannulas or tubes used to suck the fat are smaller.
With the added benefit of tumescent local anaesthesia, light to deep sedation can be used instead of a general anaesthetic. This assists faster recovery and the patient is up and around a lot quicker.
One of the most notable points is that the patient is numb for many hours after the procedure and does not bleed. The level of sedation can be tailored to suit the patient. Many patients want to be extremely sleepy so they are completely unaware of what is happening.
As it is a less invasive procedure, liposculpture can be performed in a day surgery setting, avoiding the extra cost of hospital and an anaesthetist. The patient now has an option whether to pay these fees or not.
Who is a Good Candidate for VASER Liposculpture
Liposculpture is not a weight loss procedure, although most people do experience some weight loss. This is usually .8 kgs per litre. VASER allows more dense fat to be removed and the volumes can be misleading at times.
Any patient can have liposculpture although the best patient is one that has some elasticity left in their skin. If the elasticity is poor there is a higher risk of needing skin tightening or lifting surgery.
Fatty pockets and rolls are often the best areas to treat. However, in recent years people have been using liposculpture to lose weight. While body contouring is the aim, many people want generalised debulking.
We have noted that after lap banding some patients will have areas that will not shift and liposculpture is especially effective in these areas. We have a lot of experience in going over and around ports in the abdomen.
Patient must be realistic and realise that these improvements are variable. The range in improvement is between 50 per cent and 99 per cent although 80 per cent is the average improvement. On average, this means that if there is 10cms of fat, 8cms will be reduced.
Which Areas can be Treated by Liposculpture and Liposuction?
Any area on the body can be treated, but some provide better results than others.
Women routinely treat the abdomen, waist, bra strap region, inner and outer thighs and banana fold (just below the buttocks).
Men prefer to treat the chest, the armpits, the abdomen and love handles. The chin and jowls in both men and women is also common to treat.
The more difficult area of arms is now easier to treat with VASER as it is more gentle and allows some tightening of the skin.
Many patients will have a skin tightening procedure after the treatment. ST laser and Pixel can assist in some smaller areas of loose skin although surgical options are now infrequently used to lift skin as VASER is so effective in tightening.
Breast reduction with liposculpture is controversial as there is always a concern regarding diagnosis of breast cancer. With modern techniques in radiology, these concerns are reduced. The advantage of liposculpture for breast reduction is the lack of scars. The reduction in size is usually only one to two cup sizes and the lift is minimal. Recovery is much quicker and this procedure has grown in popularity over the years. It is not suitable for those with a history of breast cancer or a strong family history of breast cancer.
Other areas growing in popularity due to the gentle nature of VASER are knees and ankles. Buttock framing where fat is taken around the buttock to make it look tighter and smaller is extremely popular. Many women may have a fatty collection down towards the vagina region and this can also be treated.
Before the Procedure
The patient needs a full consultation with the doctor and the nurses to ensure they are physically fit enough to have this procedure.
Although a very forgiving and safe procedure, being in reasonable physical health is important. A consent form with all the risks and benefits is extensively covered and videos from Absolute are available to watch.
The patient must avoid blood thinning medications such as aspirin and anti inflammatory pills for at least one week before the procedure. If the patient is seeing a specialist, it is wise to ask their opinion on their fitness for this procedure.
Smokers must quit one week before and for one week afterwards. They must be aware of the cancellation policy as we take smoking very seriously as a high risk for any procedure.
An information package will be supplied to the patient regarding medications, blood tests and other instructions. The patient should commence antibiotics the night before and wash in an antiseptic solution the morning of the procedure. This includes washing the hair. A blood test should be undertaken at least one week before the procedure. Alcohol should be avoided for at least 24 hrs before the procedure.
Day of Procedure
The patient must ensure they are on time for the procedure. This usually entails being at the clinic at least half an hour before the start time. The nurse will perform an extensive admission including the check that you have fasted for at least 8 hours. This fasting of food and fluid is essential.
Patients who have reflux should continue their anti-reflux medication. Most medications should be continued other than blood thinning medications. This should be checked with the doctor before the procedure and the nurse on the day of the procedure.
The patient must have washed in the antiseptic and this should include the hair and the full body.
If the patient has been smoking in the last two weeks the procedure will be cancelled and not refunded.
Photographs are taken and the patient is placed in a gown. In theatre, a small drip will be applied, but for those frightened of needles emla numbing cream to the back of the hand can be applied by the nurse upon request. Also a preoperative relaxant can be prescribed.
Full monitoring equipment will be used including heart rate and oxygen levels in our fully licensed day surgery. Sedation will be given to the patient and they will go into varying degrees of sleep, not recalling any of the procedure and usually the following few hours.
The patient must be picked up by a competent adult who will assist them at home for the first night. Usually the patient is in and out of the surgery in 4-5 hours. The patient must be fully recovered before leaving. It is wise to inform the staff if you suffer from nausea after anaesthetic, although the sedation used is very light.
After the Procedure
Immediately After Liposuction/Liposculpture
The patient must be picked up by a competent adult who will stay with the patient for the first night. This carer must give medications to the patient, as the anaesthetic can make the patient forgetful which can lead to a double up of medications.
The carer must also escort the patient to the toilet and back ensuring they get up slowly to avoid light headedness. If the patient does become light headed the carer should lie them down flat and elevate the legs.
Our doctors are on call 24 hours a day and will phone to ensure there are no problems. For the first night it is wise the patient rests completely, but performs leg exercises and deep breathing exercises.
The following day the patient will be up and about as normal with discomfort levels of approximately 2 out of 10, many describing this as similar to after a heavy workout.
The wounds will ooze raspberry cordial coloured fluid and this is normal. It is wise the patient wears old pyjamas and lies on a towel. These wounds will close over the following day or when the oozing stops. The patient is seen the following day by the nursing staff to clean the area and close the wounds. The doctor will also inspect for any abnormalities.
The patient should avoid showering for the first day. The garment will be applied and the patient will be instructed on how to care for this garment. This first day the patient should be up and about around at home but taking it easy and avoid any lifting greater than 2.5 kgs. It is important to continue leg exercises and deep breathing exercises as instructed by the nurses. Smoking is strictly prohibited.
The Following Weeks
For patients who have sedentary jobs, they should have 4-7 days off from work. In this busy world we find Thursday is a very popular day to have the procedure performed as many people will be able to return to work on Monday.
For those with heavier jobs, 1-2 weeks off is preferable. The return to exercise is usually quite quick. One week for light exercise, two weeks for moderate exercise and three weeks for full exercise is the usual schedule of return. For those who do extremely intense exercise is it wise to not return to this level of exercise for at least six weeks. Another good tip is to do a small amount of exercise, have the next day off and see how you feel then slowly increase every second day.
Swimming and spas are best avoided for at least 2 weeks or until the wounds are completely healed. Intercourse is best avoided for at least 1 week. As mentioned, smoking is strictly prohibited for 2 weeks and it is wise to use this break and give up for good.
The results may initially look impressive but swelling can set in for up to six weeks and lead to some disappointment. However, an old saying is ‘a patient must be patient’ and liposculpture is an important time for this patience.
The results can be as quick as one month although three months is average for full results. Some take up to one year for their full result, although these patients usually do have the best results overall. Feeling but not seeing hard lumps at approximately 2 weeks is normal and these can last for up to 6 months. These lumps shrink back and pull the skin tighter which is of benefit.
Fluid lumps that have a wave in them should be reported to the staff. These may be seromas, but are very rare. They are usually of nuisance value only. If a wound oozes puss or becomes red, hot and swollen you must immediately report this.
It is wise to buy a thermometer and record your temperature daily. If it is above 37.5 degrees report this to the medical staff.
The maximum amount of fat that can be taken out in one procedure is 5 litres, so the patient must be realistic around this volume. It is possible to do multiple procedures a few days apart and remove more than 5 litres but this must be done cautiously. This is called staged mega liposuction. A healthy diet and regular exercise must be followed after the procedure as this is not an excuse to eat more and do less. The improvement is permanent but you must be aware that as we get older we do put on weight naturally. The fat does not shift to other areas in the body.
Why Choose Absolute Cosmetic for your Liposuction/Liposculpture
We are WA Health Department licensed and a full time cosmetic clinic.
Liposculpture is one of our specialties and we have performed more than 5000 of these to date.
Dr Murray has a diploma in liposuction and is on the liposuction register. He also assisted in writing the liposuction advisory guidelines for safe practice.
Dr Murray was originally trained by one of the grandfathers of liposuction, Dr Pierre Fournier. He has also been trained by other world experts. He was recently trained by one of the leading plastic surgeons in VASER liposculpture and high definition VASER.
Absolute Cosmetic currently has the only 2.0 VASER in Western Australia. We also have Hi Def equipment and VASER Smooth. We have a very low complication rate and experienced nurses dedicated to after care.
Also included is a 24 hr on call service. We have our own theatre and as such there is no time pressure on the formats of the procedure. Most patients will be given at least 2 hours for their procedure. We offer procedure times 4 days per week.
Book a Liposuction/Liposculpture Consultation
Book a consultation at Absolute Cosmetic Medicine, Perth to find out more about liposuction and liposculpture procedures.