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Laser Liposuction, also called Smart Lipo, is liposuction using a small laser fibre which when under the skin melts fat at the same time as tightening the skin.
The laser fibre which is used in Laser Liposuction transfers energy to the area being treated, heating and melting fat. You will notice an immediate difference in the treated area post procedure, however the full results of the procedure may take up to three months to eventuate. Due to heat being used during Laser Liposuction, a blister can form if too much heat is delivered in one area. Your initial consultation can be undertaken at Cosmos Clinic Adelaide, conveniently located in the prestigious North Adelaide medical district.
Vaser Hi Definition Liposuction is a state of the art liposuction procedure that removes unwanted fat and sculpts the body to create a contoured and athletic physique. As the most precise liposuction procedure on the market, 4D Liposuction allows the doctor to harness ultrasound technology to break up, melt away and selectively remove fat deposits, eliminating fatty tissue from around muscle groups regardless of gender. The cost of 4D Liposuction can vary widely depending on your overall situation and expectations, Hi Definition Liposuction starts from $7,000. The final result after Vaser Hi Def Liposuction is a balanced natural looking body shape, which is beautifully sculpted and defined. To get a better understanding of whether Vaser Hi Definition Liposuction  is the best method of liposuction for you we recommend a consultation.
Your Vaser Hi Def Liposuction consultation can be undertaken at Cosmos Clinic Sydney conveniently located in the prestigious inner city suburb of Double Bay.
If you are wanting to target more than one area then the downtime would be more considerable than if you were to focus on one area at a time.
There are many procedures that can target specific areas and these can vary from invasive to non invasive.
The advantages of treating multiple areas in one hit is that you will only have one recovery period and one anesthetic. There are some areas of the body where fat can seem impossible to shift, no matter how hard you work out at the gym or diet. Achieving a leaner and smoother shape can boost your confidence and give you a body you are happy to show. Liposuction can be performed on any area of the body and also be combined with other procedures such as a tummy tuck or chest reduction to help you achieve the results you want. When you meet with your consultant you can discuss the changes you are hoping to achieve and there will advise which approach is right for you. Your liposuction procedure involves a small incision being made in the skin to allow a vacuum pump or syringe to be inserted. After your liposuction procedure you may be able to go home the same day or stay overnight in the hospital depending on the treatment chosen.
You will feel a little sore for a few days and may find substantial bruising in the involved area. You will see an immediate benefit after the treatment but it takes some months for the full benefits of the liposuction to become visible as swelling settles down and your skin adjusts to its new shape. The results of liposuction can be long-lasting if you maintain a healthy body weight and exercise regularly, but of course gaining more weight may reverse the effects of your liposuction. Liposuction involves the infiltration of very dilute local anaesthetic solution into the treatment area first. Liposuction is a safe and effective method of reducing fat deposits from areas of the body.
Although the roots of liposuction go back to the 1920s, modern liposuction was initiated in 1974 when Dr.
In today’s society, liposuction is performed by a variety of doctors, including cosmetic surgeons, plastic surgeons, dermatologists, and other surgeons. Liposuction is a body shaping procedure rather than a procedure to produce weight loss per se. Those who are pregnant, breast-feeding, have blood clotting disorders or bleeding disorders, and those who have significant medical problems such as cardiac or respiratory problems, that may increase the risk of the procedure or recovery period.
It is also important to have any significant abdominal or inguinal hernias surgically repaired prior to liposuction of this area. Once your suitability for liposuction has been determined, you will be able to discuss your areas of concern with the doctor, and the doctor will help you decide what is feasible as well as what areas to treat in order to achieve the best outcome.
In order for you to be fully informed about making the decision to have liposuction, and to allow for time to prepare for the procedure, usually two consultations are required. You will be measured and fitted for a compression garment that needs to be worn after the procedure.
Liposuction under local anaesthetic only was first devised by a dermatologist named Jeffrey Klein over 20 years ago. On your arrival, you will have a final pre-operative consultation with your doctor before the procedure.
From these incisions, the local anaesthetic solution is infiltrated into the fat of the treatment area. Once the local anaesthetic solution has been infiltrated into the fat, the area becomes swollen, and the fat layer becomes expanded, allowing for easier fat removal.
Your doctor will constantly be assessing the areas treated for fat thickness and evenness by visual examination and pinching the area. The entry points are then sutured or left open for drainage of the infiltrated local anaesthetic, dependent on their position and surgeon preference. Tumescent technique* – This is a commonly used technique for performing liposuction nowadays. Dry technique – No longer used nowadays due to the large amount of blood loss associated with this technique. Wet and superwet techniques* – This involves the use of local anaesthetic solution with adrenaline, but in much smaller volumes to the tumescent technique described above. Suction assisted liposuction* – The most basic and commonly performed technique of liposuction, it uses a cannula attached to suction, usually provided by a vacuum device. Syringe liposuction* – In this case, the suction is provided by a syringe with its plunger pulled back. Power assisted liposuction* – this technique involves the use of an oscillating cannula that is powered by an electric motor or compressed air.
Laser assisted liposuction – Uses laser energy to break down the fat rather than the rasping action of a cannula to remove the fat. Ultrasound (external) assisted liposuction – Ultrasound is used externally to avoid the burns produced with internal ultrasound, however, its effectiveness has yet to be proven and this modality is not commonly used.
Water-jet assisted liposuction – A relatively new modality of liposuction that uses a special cannula to spray a jet of local anaesthetic solution and loosen the fat cells before being aspirated by the same cannula that releases the water.
After the procedure, you will be discharged home when appropriate, and you will need to arrange transport home as you will not be able to drive. You may take analgesia such as Panadeine Forte or an anti-inflammatory such as Ibuprofen after the procedure, but not Aspirin. You will need to commence your antibiotics and prednisolone the day after the procedure and continue this for one week. Further follow up appointments are made at 3 and 6 months, and should any touch ups be required, we advise you wait 6 months post procedure to allow for the swelling to subside so that a proper assessment can be made. During any time during the post-operative period should you require medical attention, you will be able to contact the doctor who performed the procedure at The Skin Life Clinic.
As with any surgical or cosmetic procedure, there are risks as well as benefits to the procedure.
Complications from liposuction can be broadly categorised into cosmetic complications and medical or surgical complications. Cosmetic complications are usually from over or under liposuctioning or a particular area and result in outcomes that may not be satisfactory to the surgeon or patient. Proper patient selection is an important part of reducing cosmetic complications, for example, a patient with poor skin elasticity may not achieve the results they desire due to poor skin retraction post procedure. Skin irregularities – this is usually caused by over-liposuctioning, uneven liposuction, or too superficial liposuctioning or an area or areas.
Skin laxity – Over-liposuctioning of an area can lead to a reduction of fat that the skin cannot retract enough over.
Missed areas – which are larger than surrounding areas and require further liposuction to correct.
Medical or surgical complications make up a much smaller percentage of the complications that occur from liposuction, as liposuction done properly is a very safe procedure. Liposuction performed under general anaesthetic or sedation carry the usual, albeit small risks, associated with the use of anaesthetic agents. Excessive blood loss with today’s modern liposuction techniques is extremely uncommon.
Infection after liposuction is again extremely uncommon, due to the fact that a sterile field is always maintained during the procedure, prophylactic antibiotics are given immediately before the procedure and are taken by the patient for a week after the procedure, as well as the fact that the anaesthetic solution given to numb the fat is antibacterial. Seroma – A collection of fluid under the skin that requires drainage, usually on a daily basis.

Overall, although complications cannot be avoid completely, with proper patient counselling, patient selection, and surgical technique, most complications can be reduced or avoided. At Skin Life Clinic , we understand that our customers need high performance and value-for-money skin whitening procedures that can cater to their desire for a fair complexion.
The fat is then suctioned out through a cannula or left to be removed naturally through the liver. Only a light sedation is used during the procedure, thus the risks associated with using general anaesthetic are avoided. This is due to the body’s natural healing processes and the regeneration time of collagen fibres. At Cosmos Clinic we continually monitor skin temperature whilst the procedure is taking place thus minimising the occurrence of such blisters. As a general guide, Laser Liposuction procedures at our laser clinic in Adelaide start from $3,300. No longer just about taking away the unwanted fat; it goes far beyond that by delivering definition to areas such as the abdomen, flanks, inner thighs, arms, neck, and calves. This technique reveals hidden muscles and increases the size of muscles in the areas treated  by precisely removing unwanted fat. The results of this state-of-the-art  procedure are a toned, defined and athletic appearance that didn?t require hours in the gym to achieve nor consistent hours of maintenance. However a healthy eating program and regular exercise should be continued to maintain the best results.
Having said this it is quite common for this procedure to go ahead eradicating the fatty deposits in the problem areas. The cost and downtime will be determined by the procedures you choose and whether they are invasive or non invasive. With most liposuction procedures you may feel bruising, swelling and general tenderness within the area of treatment. For some this can also be a bonus as it will be one anesthetic, no procedure will overrun the safe time to be under but the more areas you want to hit and the more fat you have to remove the longer the treatment will take. However all technologies mentioned within these posts were available at Phi Clinic at the time of publication.
Stubborn fat that is difficult to shift through diet or fitness often occurs on men around the stomach, chest, neck and chin.
Your consultant will explain the results you can expect from liposuction and will discuss the associated risks and alternatives to the procedure before you decide to go ahead. They will be the one that you see at your consultation appointments, they will carry out your surgery and they will provide your after-care with the support of a cosmetic nurse. These areas are disproportionate to the rest of the body, and these disproportions cannot be corrected with diet and exercise alone. Whilst men tend to accumulate fat in the chin, chest, abdomen, and hips, women tend to accumulate fat in the abdomen, hips, waist, thighs, arms and back. Giorgio Fischer, a gynaecologist, developed the concept of using suction through a blunt, hollow cannula to aspirate subcutaneous fat.
When choosing a surgeon for liposuction, it is important not to only consider their qualifications (ie the letters after their name), but also to consider their experience with liposuction, their surgical skills, if they have an eye for detail and an understanding of the ideal body shape, good judgment, as well as their reputation. Liposuction is commonly performed in hospital operating suites, day procedure centres, and in doctors clinics. Therefore, it is suitable for those who have areas that are not proportionate to the rest of their body.
As with most cosmetic procedures, liposuction is contraindicated during pregnancy or breastfeeding periods. During this consultation, the practitioner will review your medical health, fitness, weight, medications, allergies, previous anaesthetics and operations.
You will also be examined during the procedure and have the opportunity to discuss and point out the areas that concern you.
Generally, the tighter and more elastic the skin, the better the skin retraction and the more fat that can be removed without causing skin laxity or skin irregularities. You will also be given a script for prophylactic antibiotics (cephalexin), anti-inflammatories (prednisolone), and analgesics (Panadeine Forte) to be taken post-operatively. The type of anaesthetic used will depend on patient choice, the areas treated, and the extent of the liposuction.
There is still some local anaesthetic infiltrated into the treatment areas, however, the amount used per area can be reduced (due to the fact that the general anaesthetic is providing a part of the analgesia and anaesthesia) and a larger number of areas can be done in one session. In cases performed under local anaesthesia with or without sedation, fasting is required 6 hours or more prior. By doing so, this reduces bleeding, bruising and keeps the local anaesthetic from being absorbed into the systemic circulation. The skin overlying the area becomes blanched from the adrenaline in the local anaesthetic solution. The end-point for liposuction is not when all the fat is removed, but when enough fat is removed to provide a smooth contour and shape. It cannot be used in conjunction with a general anaesthetic, as general anaesthetic agents can reduce the metabolism (breakdown) of the local anaesthetic infiltrated leading to toxic levels of local anaesthetic. No local anaesthetic solution is infiltrated into the area prior to liposuctioning, and this necessitated the use of general anaesthesia for the procedure. The advantage of this technique is the fact that the room is quiet and that fat is collected in syringes that can then be reinjected into other areas including other parts of the body or face. The tip of the cannula moves back and forward by a few millimetres in addition to the larger back and forth movements created by the surgeon. It is suited to very small areas of fat (like the chin) where there may be some added benefit of skin tightening from the laser also, but is not so efficient at removal of larger areas of fat. Usually the local anaesthetic given during the procedure takes a few hours to wear off, so you may not require any pain relief for some time after the procedure. The foam dressing under the garment can be removed after 72 hours and needs to stay dry and adhesive.
At this appointment, you will be assessed to make sure that your recovery is in line with our expectations, and also to have any stitches removed.
Overall, done properly, liposuction is a safe and effective procedure that leads to aesthetically pleasing results. Also, it is important for the surgeon to properly manage the patient’s expectations prior to the liposuction, and give them realistic expectations of what can and cannot be achieved. This may involve a small amount of liposuction to an area that is irregular or protruding after the initial liposuction, or transfer of fat from another part of the body to fill in a defect that has occurred from over-liposuctioning of a particular area. Some drugs taken by the patient, including conventional medications and herbal medications, may interfere with the metabolism of lignocaine, and therefore it is important to disclose any medications you are taking to your doctor. The usual method of removal of lipomas is with surgery, and liposuction offers the advantage of a smaller scar than conventional surgery. With this aim in mind, our dedicated team is constantly involved in extensive research and development programs. This includes treating the neck, jowl and arm areas, as well as treating cellulite and stretchmarks. Your initial consultation will cost $120 – $150, however this will be taken off the total cost of your procedure if you choose to go ahead. If you are looking at targeting multiple areas within one treatment then the amount of fat removal should be considered in order to be able to effectively carry out the procedure. To go forth you would need to have a consultation to discuss what areas are problematic for you and to determine the amount of unwanted fat you have within these areas. As with all procedures you will have a consultation and a treatment plan, these should be followed correctly thus making the recuperation period as short as possible. We pride ourselves on continuing to stay on top of all the latest technologies to be able to provide you with the best treatments available. Liposuction is instead a means of reshaping the body to give it more balanced proportions and a smooth silhouette. With modern techniques, it is possible to have liposuction performed without a general anaesthetic and therefore a hospital operating theatre is not always required. As this can happen at an early age and as shape is inherited, it may be logical to commence liposuction earlier rather than later. For those who are extremely overweight, it may be prudent to lose the weight first, especially if this means that the procedure will be a safer one. However, it is reasonable to suggest that females contemplating liposuction should have the procedure prior to pregnancy rather than delaying it until after. The doctor will assess your shape and fat distribution to advise you what areas might be best treated to ensure that your proportions are balanced after liposuction. Liposuction is usually a balance between removing too much fat and causing skin disturbances or increased skin laxity, and taking out too little fat. It is a popular liposuction method due to the fact that a general anesthetic is not required. Liposuction under general anaesthetic needs to be performed in a hospital or an operating theatre where general anesthetic can be performed, whereas liposuction under local anaesthetic (with or without sedation) can be performed in a theatre or a procedure room within a clinic.

Those performed under general anaesthetic will require fasting from the night before if performed in the morning. Furthermore, an intravenous cannula will be inserted into the back of you hand, and this will allow your doctor to give you some sedatives and analgesics intravenously for the procedure.
A cannula (a thin metal tube with a blunt tip and small holes at the end) is used to pass through the area to systematically to remove some of the fat. The foam provides even compression and significantly reduces the amount of bruising in the area. The advantages of this technique is less operator fatigue, easier and smoother fat removal, and less trauma to the tissues treated as the oscillating tip passes through fibrous tissues easier. Ultrasound energy helps to break down the fat and help to reduce blood loss during the procedure. The pain from liposuction is often likened to muscle soreness after a heavy workout, and in most cases still permits you to do light activities. It is important to have someone assist you when removing the garment for the first time as you will feel dizzy when removing your garment after having worn it for so long. If a larger fat deposit needs to be removed, sometimes it is done over two sessions to give the skin a better chance to retract. It is important to note that the final shape from liposuction is not usually achieved for 6 months, and that tissue remodelling occurs for about 1 year.
You need to let your treating doctor know if you have a history of deep vein thrombosis so that appropriate measures can be taken.
Assuming the total amount of fat to be removed doesn’t exceed the recommended amount then a combination treatment can be quite beneficial. From this you will be advised what would best suit your needs and what outcomes you can hope to achieve.
This can sometimes be noticed in the mismatch of clothing sizes from top to bottom for example. The results gained are permanent, and the area(s) treated will remain the same size if your weight remains stable. Pierre Fournier and Dr Yves-Gerard Illouz further developed and promoted modern liposuction to the world.
Furthermore, most liposuction is done as day surgery, so overnight stays in hospital are not usually required. For those who are a little overweight, but have accumulations of fat in certain areas even when they have been lighter, may be best to have liposuction before attempting to return to their ideal weight.
The integrity and elasticity of the skin is better prior to pregnancy in most cases, and this will allow for better results. You may have some preliminary markings on the areas to help demonstrate the areas that would be treated. The technique relies solely on the local anaesthetic infiltrated into the area to provide adequate anaesthesia for the liposuction to occur. A general anaesthetic may also be a choice for those who do not want to be awake during the procedure. You will need to arrange for a family member or friend to drive you in and home, or we can arrange transport for you also if required.
In most cases, they are made in inconspicuous areas such as a skin crease, so they cannot be seen once healed. Light suction is provided by a machine or syringe (with its plunger pulled back) at the end of the cannula.
The compression garment, that now needs to be worn for 3 or more weeks helps reduce swelling, bruising, and importantly help the skin retract after the removal of the fat.
It involves the infiltration of large amounts of local anaesthetic solution (containing adrenaline and bicarbonate) into the area to be treated.
Your normal exercise routine can be resumed usually after a week or more, once the discomfort has settled down. After the 6th day, you are able to remove your compression garment up to twice a day for one hour. Therefore, touch ups are usually best left for at least 6 months after the initial procedure.
Liposuction done under local anaesthetic has a lesser chance of causing deep vein thrombosis than liposuction done under general anaesthetic as your still can use your muscles during liposuction under local anaesthetic, and this helps to promote circulation and prevent stasis of blood. You will also need to disclose your medical history as factors such as high blood pressure can hinder combination treatments. Areas that accumulate fat can cause a unevenness or disruption in the smooth lines of the body or its silhouette. If weight gain does occur, the treated area(s) will not increase in size as quickly as it normally would, as fewer fat cells remain in that area.
From 1977 other surgeons and dermatologic surgeons learnt the techniques from Fischer, Fournier, and Illouz and in 1982 The American Society of Plastic Surgeons sent a task force to Paris to investigate the technique. Government accreditation of a facility helps to ensure certain criteria have been satisfied, and that the facility will be of a certain standard. However, as liposuction is a major cosmetic procedure, it is important to consider the person as a whole rather than a disproportionate body part, and to balance the risk of the procedure with the possible benefits or outcome. Also, by removing the fat stores prior to pregnancy, these fat stores are less likely to expand during pregnancy and cause undue stress and stretch on the skin. Also, some medications can interact with the local anaesthetic used, and may require temporary cessation prior to the procedure. Photos and measurements will be taken so that post-liposuction changes can be objectively assessed. Your doctor will discuss with you how much fat can be removed safely and effectively and to ensure that the final result is aesthetically pleasing.
Once the local anaesthetic is infiltrated, the procedure is usually painless, and may feel like a deep massage.
The advantage of not being under a general anaesthetic is that you are able to be positioned more easily, you are able to constantly communicate how you are feeling, and you tend to recover quicker post-procedure.
The number of incisions made will usually depend on the area treated, and the access required.
The removal of fat relies mostly on the rasping action of the cannula’s holes rather than the suction. This helps to expand the fat layer for easier liposuctioning, constrict the blood vessels (adrenaline) to help reduce blood loss, and to help reduce post-operative pain. There is an increased rate of seroma formation (fluid accumulations that require drainage – see complications section below).
You will be able to return to work in most cases after a few days, but this depends on the number of areas treated, your recovery speed, and your line of work. Most importantly, the setting in which liposuction is performed must be more than adequate to accommodate the type of anaesthesia required, the extent of the liposuction, and the patient’s medical requirements.
Mentally, one also must be prepared for the possibility of complications, the recovery period and the procedure itself. It is important to remember that the skin’s elasticity can be compromised by rapid changes in the underlying fat. One of the limiting factors in having liposuction under local anaesthetic (with or without twilight sedation) is the total amount of local anaesthetic that can be used.
The fluid is usually allowed to drain naturally after the procedure by leaving the small entry points open afterwards. It is also purported that the ultrasound energy used at this level may cause damage to the DNA of cells and cause mutations (ie cancer), although this is not proven. Jeffrey Klein, a dermatologic surgeon, invented tumescent liposuction, a technique that uses large volumes of local anaesthetic to allow liposuction to be done in a doctors office without general anaesthesia.
For example, a small liposuction of inner knees under local anaesthetic only in a fit and healthy person may be done in a doctor’s office procedure room, whereas a large liposuction of multiple areas under a general anaesthetic will require an accredited operating theatre. Overall, liposuction is a procedure that is performed on a very large age range of patients. This can be a result of excess fat removal from liposuction as well as extremely quick weight loss or gain before or after liposuction. There is a maximum limit based on your weight, and this will limit the amount of areas that can be treated in one session. If multiple areas are to be done, or if the whole body is to be done, it may need to be split up into various sessions.

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