Liposuction

Liposuction in Sydney

Are you considering liposuction in Sydney?

Been spending lots of time at the gym and still have pockets of problem fat? Lean all over, but still have those patches of you that don’t fit with the rest of your body? Liposuction may seem like a drastic measure, but it may be the answer for you.


Liposuction is also called:-

Liposculpture
Lipoplasty
Suction lipectomy

We offer liposuction in Sydney to those looking to lose those pockets of stubborn fat.

But I’m working so hard – surely my body will tone up with enough work at the gym?

All of us are genetically predisposed to store fat preferentially at different parts of our bodies. The abdomen, love handles, saddle bags, buttocks and inner thighs are all common spots that people find difficult to lose fat even when the rest of them is thin or lean.

At our office, we recommend liposuction in Sydney only to certain patients. If the overlying skin is good quality, with no (or few) stretch marks, liposuction may be an appropriate method to help with your body contour. Liposuction works best at removing isolated deposits of fat rather than large slabs.

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Does liposuction work well in men?

Males are genetically predisposed to have a thicker dermis (deep layer of skin) than females. They are less likely to form stretch marks due to this structural advantage. This extra thickness of that layer also means that male skin is more likely to retract back and flatten after underlying fat is removed. However, once a man has stretch marks, this advantage has been lost!

Abdominal fat in males is more likely to be stored under the abdominal wall muscles, around the abdominal organs. This fat cannot be removed by liposuction, and only responds to diet and exercise. Liposuction is rarely a good method of removing a beer gut!

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What is involved in liposuction?

Liposuction begins with the infiltration of local anaesthetic and adrenaline in the area that will be treated. This fluid provides pain relief, minimises bleeding and bruising, provides some lubrication for the liposuction cannula, and loosens up the fat cells to assist in their removal. The volume of fluid that is infiltrated, compared to the expected volume to be removed, gives the first descriptive term to the liposuction. When you have liposuction in Sydney with Dr Gavin Sandercoe, your Specialist Plastic Surgeon will determine which technique would work best for your body.

•    Dry technique – there is no infiltration of local anaesthetic & adrenaline. This is very rarely used in modern surgery.

•    Wet technique – the volume of infiltrate is less than the expected volume of fat removal

•    Super wet technique – the volume of infiltrate is about the same as the expected volume of fat removal

•    Tumescent technique – the volume of infiltrate is greater than (usually by about 50-100%) the volume of expected fat removal. The infiltrate is delivered to the fat under pressure until the surgeon observes the overlying skin becoming firm.

The fat is then removed with a hollow cannula which is attached to a suction source to help with the procedure. Additional sources of energy can be utilised with the suction to further loosen fat cells and facilitate removal, and/or provide low energy damage to the overlying skin and assist in skin retraction.

Examples are:-

Ultrasound assisted liposuction (internal and external)

Laser assisted liposuction

Radio frequency assisted liposuction

Power assisted liposuction

Water assisted liposuction

All of these techniques have their proponents. Adding additional energy sources also adds additional risks, so most Specialist Plastic Surgeons in Sydney use these techniques sparingly and for specific indications, rather than as their usual method of liposuction in Sydney. Often the availability of alternative methods of liposuction therapy is hospital dependent.

The incisions for liposuction are usually small (about 5-10mm long) and are placed within natural skin folds or lines. There are usually multiple incisions to allow multiple directions and planes of liposuction. The incisions may be left open to allow the excess infiltrate to drain out over the first few days after the operation.

It is common to need to wear a compression garment over the area that has been treated. Once liposuction has been performed, the remaining fat is like Swiss cheese or an open sponge (like for washing your car). This external compression from the garment helps collapse the open areas. This will help prevent collections of fluid and blood after your procedure and help mould the fat into being as flat as possible, helping you get a great result from your liposuction in Sydney.

I have heard about having liposuction done under sedation in surgeon’s rooms. Is this a good idea?

Small areas could be safely treated with sedation and local anaesthetic/infiltrate in day surgeries. Most surgeons’ rooms are not accredited as day surgeries, so it is Dr Gavin Sandercoe’s belief that it is too risky.

If you choose to have liposuction performed in a surgeon’s rooms under sedation, do your research. Important questions to ask:-

•    Are the facilities accredited as a day surgery under the Australian Council of Health Care Standards?

•    Are there adequate resuscitation facilities for if something goes wrong?

•    Is a qualified anaesthetic supervising my sedation? Or is the surgeon managing the sedation at the same time that they are performing the procedure?

Norwest Plastic & Cosmetic Surgery is not accredited to perform such procedures. Dr Gavin Sandercoe only performs liposuction in Sydney in accredited day surgeries and hospitals, ensuring that your safety is paramount.

There have been some highly publicised complications and deaths after liposuction. Is liposuction really safe?

Like all procedures, there are some risks involved. There are ways to minimise those risks. Having your procedure in an accredited day surgery or hospital is a good starting point. When you come for a consultation about liposuction in Sydney, we will inform you of all of your risks and how likely they are.

Most authorities (for example, the American Society of Plastic Surgeons) consider that volumes of greater than 5 litres of aspirate (removed fat) is a ‘large volume liposuction’. Beyond this volume, the fluid shifts that the body is required to cope with are quite dangerous. A simple procedure, when pushed too far, can become a complex resuscitation and potentially life threatening.

You comfort and ability to move around should improve every day after your procedure. If you experience an increase in your pain, or notice that the area that was treated is becoming red, warm and painful, you need to be seen by your surgeon sooner rather than later. If you have problems contacting your surgeon, you should go to your nearest emergency department.

When should I think about liposuction?

The ideal time for liposuction is after when you are close to ideal weight and shape, and have been stable for about a year. The closer you are to your ideal weight, the better your result will be and the longer it will last. And the happier you will be!

Considering liposuction in Sydney?

Sydney Plastic Surgeon Dr Gavin Sandercoe and his team will help you decide which course of action is best for you to achieve and maintain the figure that you seek.

Find out more during a surgical consultation.

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