Let’s talk about those deposits of fat which interfere with the smooth, sensuous curves of our figure or our face. You know the ones, the outside of our thighs and hips, the inside of our thighs and knees, our tummies, our arms, that little roll of fat just below our bottoms and indeed the excess fat in our necks and our jowls. It seems no amount of dieting and exercise will shift these stubborn areas.

So what can be done? Liposculpture using Liposuction can help. It can reduce the difficult fat deposits, improve those lines of our figures and help achieve those nice curves and lines which our imagination sees.

The people most suited to Liposuction have localised fat deposits with good skin elasticity. The localised fat deposits can be reduced to allow the contours to fl ow more smoothly. Provided the skin has good elasticity it will take up the change in contour nicely.

It is probably important to mention that Liposuction is not a treatment for obesity. Having a stable weight is appropriate in the lead up to surgery and indeed losing a little weight after the surgery will give optimal results.

The technique of Liposuction has changed reasonably little since its inception in the 80’s. Initially Liposuction was performed “dry”. That is, without the injection of fluid into the area of Liposuction prior to carrying out the Liposuction. The injection of fluid into the area of Liposuction has certainly improved the technique. Essentially the injection of fluid has been referred to as the “wet” technique. You may hear it described it as simply “wet” or “tumescent”. The latter implies using a large volume of fl id. Personally I find using enough fluid to facilitate the liposuction but not to actually distort the contours is the best technique. The fluid used for infiltration is normal saline but surgeons may add local anaesthetic, adrenaline and/or antibiotics.

The apparatus used has evolved as well. It has evolved from a simple steel cannula with holes at one end and suction applied to the other end. A powered cannula will have a machine driven movement which vibrates or rotates the cannula. This facilitates the surgery and allows more effective suction. Having performed this surgery over a number of years I can say it has certainly brought about improvement in the procedure and I believe a reduction in the trauma that the patients suffer.

You may also hear about Liposuction machines which use ultrasound or laser. Ultrasound assisted Liposuction has been around for some time. Laser assisted Liposuction is a reasonably new technique. They facilitate the breakdown of fat and other tissue so that it can be sucked out. Of course what they are breaking down is not only fat. Many surgeons are circumspect about their use.

Liposuction in general is not a hugely invasive technique. It is however a surgical procedure and must be treated with the respect of any surgical procedure. It can be an uncomfortable procedure and I prefer to do large areas of Liposuction under anaesthesia. By comparison with non-invasive techniques of fat reduction it is however quite definitive in what it is able to achieve. Noticeable and permanent change is produced.

But what can we do about the areas where we have a defect in the underlying fat or soft tissue? This is where Liposculpture in the form of Fat Injection may have a place.

Fat injection can be used in a large number of places. It can be used in the face instead of standard fillers. It can be used in the breasts to correct deformities, to enlarge the breasts and in breast reconstruction. It can be used in post-trauma defects and in some congenital defects. It is really an all-purpose filler.

So what is the science behind this? Fat injection came about in the 90’s mainly as a fi ller for faces. It was fairly simply done with removal of fat, straining of that fat and then reinjection of the fat to enhance aspects of the cheeks and lips.

To enhance fat cell survival various techniques are used. These include washing the fat after it has been sucked out, centrifuging the fat and simply straining the fat. Other techniques such as the use of platelet rich plasma in conjunction with fat injection have been used. It is important, however, that it is reinjected in a refined manner so that no large collections of fat are formed.

There are important concepts to understand. Firstly not all the fat survives. Roughly half of the fat injected will survive. However this can vary. This has to be taken into the context that over injection of fat will reduce survival, so just putting in a larger volume may not be advantageous.

What does this mean for a patient? It means that with small areas of injection as might be carried out in the cheek, we can hope for an acceptable long term result perhaps with only one fat injection. In other areas of contour defect and especially in breast enlargement, it is important to accept that more than one episode of fat injection may be required. This can make it challenging to achieve large volume breast enlargement and indeed breast augmentation using prostheses remains the mainstay for this type of surgery.

It is probably appropriate to mention Brazilian Butt Lifting here. Large volumes of fat are injected to achieve a “Kardashian” look. This procedure has fallen into significant disrepute surgically because of the complications that have occurred. Believe it or not, the fatality rate of this procedure is greater than the fatality rate of open heart surgery. However, this calls into question more the technique used and qualifications of the surgeon than the concept itself.

We all have curves. Nice curves are attractive however if those attractive curves have been denied to us sculpturing those curves with Liposuction or Fat Injection can help.

Dr. John Newton, Cosmetic Plastic Surgeon in
Warners Bay


Sensuous Sculpting

Dr Newton’s knowledge and experience will
guide you through the process of choosing the
right procedure for your body.

Dr. John Newton
Specialist Plastic Surgeon

14 Howard St Warners Bay
(02) 4948 4200