Liposuction

Liposuction removes subcutaneous fat in areas of good skin tone in order to contour and slim parts of the body.

Liposuction is an effective technique in patients who are already at their ideal body weight, but are seeking to reshape persistent bulges such as the upper thighs (saddle bags), flanks (love handles) and lower abdomen (muffin top). Liposuction is often used in conjunction with other surgical procedures eg tummy tuck or neck lift, to create natural results and soften the junction between operated and non-operated parts of the body.

What to expect during your consultation

A discussion of your concerns regarding your body shape and your other health problems will be followed by an examination of the area that may benefit from surgery. The examination will determine if other surgical procedures will be used in conjunction with liposuction to achieve your ideal body shape.

Your surgeon will explain in detail the procedure and its risks and alternatives.

What the procedure involves

Liposuction is usually performed as a day procedure in hospital. On the day of surgery, you and your surgeon will determine the exact areas to be targeted with markings placed on your skin. In the operating theatre, infiltration fluid containing local anaesthetic for pain relief and adrenaline for haemostasis is injected into the area to be sculpted. This can be used alone to numb the area, or in conjunction with a general anaesthetic. For each body area, two or three incisions are made to allow the liposuction cannula (a long thin probe that removes the fat) to pass under your skin. Careful volume measurements are made during the procedure to ensure that your expectations are met, and body symmetry is obtained. The small incisions are closed with stitches. Small waterproof dressings are applied to these incisions.

Will I wear a compression garment?

A compression garment will be used to help support your skin as it heals and remove excess fluid and swelling from the area that has been liposuctioned. Dr Sanki will direct the number of hours per day and the number of weeks that you need to wear a compression garment. This is usually somewhere between three to six weeks.

How long will I stay in hospital?

The recovery from liposuction is proportional to the amount of fat that has been removed. Patients having small liposuction procedures eg less than 4L fat removed, are able to go home on the same day. It is important to have a close friend or relative organized to take you home and also help you for the first few days after the procedure. Patients having large volume liposuction eg thighs and tummy, should spend one night in hospital to monitor their fluid intake, urine output and pain levels.

How long will it be before I can drive, return to work and exercise after liposcution surgery?

Most people having liposctuion in Sydney are able to drive after a few days following surgery. They can return to work after 1 week and can gently exercise after one week. You can perform stronger exercises eg heavy lifting, pilates after 6 weeks.

Can I use my own fat to have a Brazilian Butt Lift or Breast Augmentation?

Yes. Liposuction can be used to remove fat from one part of your body so it can be transplanted into another part of your body. This is called fat grafting and is dependent upon the transplanted fat acquiring a new blood supply from the tissues where it has been deposited. If the grafted fat does not achieve a new, robust blood supply then it turns to oil and dies. Large volumes of fat eg 400-500ml can be injected into each buttock. Only smaller volumes eg 200ml can be successfully transplanted into a breast. Fat grafting is a new technology in plastic surgery and has many pros and cons which can be discussed in your consultation.

What are the different types of liposuction machines?

The three main types of liposuction machines available are power assisted, VASER (ultrasound) and laser liposuction. Power assisted liposuction has a powered hand piece that vibrates the liposuction cannula to help dislodge the fat cells in the area targeted. VASER uses ultrasound energy and laser uses light energy to heat and liquefy fat prior to its removal.

Which hospitals do Dr Sanki and Dr Kotronakis operate in?

Dr Sanki and Dr Kotronakis are Kogarah and Miranda liposuction specialists, and perform their surgery at major hospital facilities including St George Private, Kareena Private, Hurstville and East Sydney Private hospitals. We select our hospitals based on their high standards of peri-operative care and their outstanding surgical equipment.

Is it possible to have an all female surgical team?

Dr Sanki has an all female surgical team available weekly. Surgery can be a vulnerable time for women, and having the security of an all female surgical team can be comforting and reassuring. Dr Sanki’s team are not picked upon their gender, but are picked for their experience, dedication and skill.

Can private health insurance be used?

Liposuction is a cosmetic procedure and therefore private health insurance and Medicare cannot be used to receive a rebate for the fees paid. Patients having liposuction will receive full financial consent prior to their procedure so that they understand their surgeon, anaesthetist and hospital fees.

Who should perform liposuction procedures?

Liposuction may sound simple but it is real surgery, and should be performed with sophisticated surgical technique for the safest and best results. It carries real risks, and as such should be considered carefully. Fortunately, liposuction surgery in Sydney is safely performed by our highly experienced surgeons.

We recommend that you carefully consider your choice of surgeon. Unfortunately doctors without surgical qualifications beyond their medical degree are allowed to perform surgery. Your surgeon should be appropriately qualified with at least a Fellowship of the Royal Australasian College of Surgeons (FRACS), which means that they have specialist surgical training. FRACS is the standard qualification required in Australia to perform surgery in private and public hospitals.

Members of the Australian Society of Plastic Surgeons have a FRACS and specialised training in Plastic and Reconstructive Surgery, including liposuction.

Our Sydney liposuction surgeons, Dr Amira Sanki and Dr Ilias Kotronakis are fully qualified Plastic Surgeons. They are both Australian University trained, having received Honours degree in their medical schools. They both have FRACS qualifications as Specialist Surgeons in Plastic and Reconstructive Surgery, and are members of the Australian Society of Plastic Surgeons. They both have extensive experience and training in liposuction, including the most advanced and up to date techniques. They are committed to giving their patients the safest and best treatment available.

Where to get more information

A consultation with a qualified Plastic Surgeon is the best place to get the right advice. More information on liposuction is available online at the Australian Society of Plastic Surgeons and Australasian Society of Aesthetic Plastic Surgeons websites. You can view a video of the procedure the