Liposuction (Liposculpture) helps remove stubborn, localised fat that diet and exercise can’t shift. Both men and women experience this challenge.
Brisbane Cosmetic Clinic treats the following areas with Liposuction / Liposculpture: the chin, neck, jowls, cheeks, arms, inner and outer thighs, buttocks, knees, hips and abdomen. Dr Konrat will advise you on your options at your consultation.
During this surgery, fat deposits are removed from specific areas of your body. This is sometimes called ‘body contouring’ because the contours of your body can be changed. As an expected outcome from Liposuction surgery, a good guide is that a person can expect a 50% reduction in the size of fat deposits in that area. This can have quite a dramatic effect on your appearance. It is not possible or safe to remove 100% of fat cells.
Liposuction surgery at Brisbane Cosmetic Clinic is designed to improve your body’s contours and proportions, to improve your appearance both in and out of clothing, and to increase your comfort. However, Liposuction cannot improve the quality of your skin, e.g., stretch marks. Skin elasticity may also have an effect on the final outcome. Liposuction cannot treat cellulite. You should discuss your specific needs with Dr Konrat, who will advise you on the best overall solution for your goals.
Your Pre-Operation Consultation
- Prior to surgery a complete medical history is taken and a thorough examination is conducted in order to evaluate your general health.
- Dr Konrat describes the types of anaesthesia to be used, the procedure, what results you can realistically expect and the possible risks and complications.
- Pre-operative directions will include the elimination of certain drugs containing aspirin in order to minimise the possibility of excess bleeding and bruising. Antibiotics may be prescribed prior to surgery to prevent infection.
- Photographs and measurements are taken before and after surgery in order to evaluate the final results.
Liposculpture is performed as day surgery in the minor operations room at Brisbane Cosmetic Clinic under sedation with long-acting local anaesthetic, (similar to “twilight” anaesthetic).
- Dr Konrat begins by making a small incision in the skin. A dilute solution of local anaesthetic and adrenaline is infiltrated with a fine cannula into the areas to be treated causing numbness and vasoconstriction.
- The excess fat in localised fat deposits is then suctioned via a cannula approximately 2.5 to 4.00 mm diameter. The fat is loosened from the surrounding tissue by moving the cannula back and forth, with the fat being removed or vacuumed from the body with a suction device. After the procedure, excess tumescent or local anaesthetic fluid will drain from the small skin incisions and may be slightly blood stained.
- After the procedure, absorbent dressings are placed over the skin incisions, and a compression garment is fitted. There are generally two or three tiny ‘nicks’ or incisions in the skin which will drain blood stained fluid for the first two or three days after the procedure. Massage and lymphatic drainage massage is advised right from the first day after your surgery for the next few weeks to assist with absorption and drainage of the excess fluid and contraction of the skin. In general the compression garment is worn “full-time” for 2 weeks, then part-time for a further 2 weeks, but instructions will vary depending on your individual circumstances. It is normal for blood stained fluid to drain from your little nicks and sometimes soak your dressing pads in the first 24 – 48 hours.
- Leaving the clinic: You will not be able to drive, and must arrange for transport to your home or accommodation. You should not take public transport. You should have a responsible adult to act as your carer on the first night, and to be present when you take your shower the next morning. When you first take your garment off the morning following the surgery, blood pressure drops and standing in a hot hour can cause fainting. A proper hot breakfast with at least 2 litres to drink is encouraged prior to your first post-operative shower. You should be prepared for leakage. Cover car seats and chairs with plastic or old towels. Likewise, we recommend you prepare your bed by covering the mattress with a waterproof cover and use old bed linen and towels on which to sleep.
- Returning to normal activity: Generally patients can return to normal activity within 3 – 7 days. This will depend on the extent of the procedure and your normal occupation.
- An appointment will be made to see Dr Konrat within a few days of the surgery and again at 3 weeks, 6 weeks and 6 months.
- It is important that you keep all post-operative appointments so that risks and complications can be avoided.
- These appointments ensure that you receive all appropriate treatment for optimal results of the surgery.
All surgery, including cosmetic surgery, carries risks. Although the vast majority of Liposuction patients do not suffer complications, you should not undergo Liposuction surgery without understanding the risks involved. There are two types of risk; those that apply to any kind of operation such as bleeding, anaesthetic risk and wound infection; and those that apply only to Liposuction surgery. Once you have read this information, you should discuss any concerns with Dr Konrat. The following explains some but not all of the risks specifically associated with Liposuction surgery.
- Bruising, discolouration, tenderness, swelling and induration (hardness), of varying degrees occur after nearly all procedures. These side effects will resolve within 1 – 6 weeks.
- Surface irregularities and asymmetry may occur, and may require surgical revision. Over or under treatment of an area may occur.
- Areas of numbness may occur where a cutaneous nerve has been damaged. This condition usually resolves but may occasionally by permanent.
- Ridging, crinkling, unevenness of the skin may occur, but will generally be prevented by good postoperative care, such as wearing of a compression garment, and manual lymphatic drainage.
- A seroma, or collection of fluid may develop, requiring drainage.
- Infection may occur at the site of a skin incision.
- Surface irregularities, waviness, asymmetry, small incision scars, pigmentation or discolouration, areas of numbness may occasionally be permanent.
- Skin slough may occur, with resultant scar formation.
- Infection may occur, leading to a condition known as necrotising fasciitis. This is an extremely rare complication but is serious and can lead to death if not treated promptly and adequately
- Rapid resolution of temporary changes is expected; however final contouring may not be complete for six months and occasionally longer.
- It is important to be aware the Liposuction is not a substitute for weight loss. What it does – and to great effect – is reshape previously bulging areas of the body, creating trimmer, smoother contours.
General Risks of Surgery
Because surgery is such a vital part of modern medicine, there is a tendency to forget that there are risks associated with every type of surgery. While these risks are small, every person undergoing surgery should be aware of the risks.
All internal and external wounds need time to heal after surgery. Sutures and other material are used to hold wounds closed while they heal.
Risks of Anaesthesia
Liposculpture is performed under I.V. (Intravenous) Sedation or Twilight anaesthetic, which carries a very low level of risk.
- Shock requiring admission to hospital, DVT and Pulmonary Embolus and infection fat embolus.
- Unforeseen complications may lead to hospitalisation and time off work, surgical revision and additional unexpected cost to the patient.
Mental Health disorders and Elective Surgery
- It is important that all patients seeking to undergo elective surgery have realistic expectations that focus on improvement rather than perfection.
- Complications or less than satisfactory results are sometimes unavoidable, may require additional surgery and can be stressful.
- Please discuss openly with Dr Konrat in your consultation prior to surgery, any history of emotional depression or mental health disorders. If you are unsure whether a matter is relevant, please mention it anyway. Although many individuals may benefit psychologically from the results of elective cosmetic surgery, the effects on mental health can never be predicted and could possibly have a negative influence on emotional stability.
- Patients have a risk of forming a blood clot in the leg (deep vein thrombosis) that breaks off and gets stuck in the lung circulation (pulmonary embolism). This is minimised by the wearing of surgical ‘stockings’ during the surgery, and by getting the patient out of bed as soon as possible.
- You will also be encouraged to breathe deeply when you wake up from the anaesthetic as this expands your lungs and helps ensure your blood oxygen levels are good.
- Despite taking precautions, infections can occur during and just after surgery. These may be general, such as pneumonia, or specific to liposculpture surgery. Because of their generally good health, liposculpture patients usually have a lower risk of developing general infections such as pneumonia.