The Definitive Guide to Liposuction

What You Need To Know About Liposuction

Since I last discussed the differences between liposuction (traditional) and liposculpture (more refined and accurate), new information has appeared together with newer technology for dealing with body fat.

In this context, the concept of non-invasive body contouring has appeared. This involves altering the nature and composition of fat in order to speed up metabolism and aid in the elimination of excess adipose tissue. The 2 common technologies used to alter metabolism and eliminate bulk are cooling (Coolsculpt) and ultrasound (Accent Ultra).

The practice of ultrasound-assisted non-invasive contouring is better understood than cooling mechanisms. These methods are only suitable for mild to moderate and localized fat deposits. Depending on the person and situation, the results of these procedures may not always be ideal.

To actually eliminate the fat completely, the only surefire method is liposuction. The differences between liposuction and liposculpture are explained below. However, I would like to expand on this by first explaining the differences between traditional techniques and modern, state-of-the-art systems.

Differences between liposuction and liposculpture

Traditional liposuction is a 2-stage surgical procedure. The first stage involves the infiltration of the adipose tissue layer with a saline solution in order to waterlog the fat. This facilitates the suction process. The second phase is the actual suction of the waterlogged fat out of your body.

The suction pressure required to remove the waterlogged fat from your body is high. Traditional liposuction does not have the ability to distinguish between adipose tissue or the small blood vessels and nerves that pass through the layer.


Modern procedures, on the other hand, protect and preserve these blood vessels and nerves. For liposculpture and other modern fat removal processes, the procedure is a 3-stage process. The first stage is the same as with liposuction; the infiltration of the fat layer with a saline solution.

However, the second stage involves the application of either ultrasound (Vaser) or laser (Alma Lasers LipoLife). This process involves the liquefaction and emulsification of the fat before it is suctioned.

The results here are more accurate and offer gentler preservation of the nerves and blood vessels that pass through the layer of adipose tissue. In Addition, the post-surgery pain and discomfort tends to be less with modern methods than with traditional liposuction. Overall, the return to normal activities is quicker as well.

Both Vaser and laser liposculpture result in significant skin tightening but there is a 4-6 month lag phase between the surgery and the skin tightening. Dr Goldman will only discuss the final results after this time.

The refinement of these methods has resulted in the development and patenting of high definition muscle sculpting, which will be discussed in more detail later.

With laser liposculpture, lasering occurs immediately before the suctioning as one step and is therefore significantly faster than the Vaser ultrasound system. Thus, more fat can be removed in a shorter time than with Vaser. This has a cost benefit, as the shorter the procedure, the less the total hospital charges are.

Dr Goldman only performs Vaser procedures in hospital under full general anaesthetic with all the required safety monitoring as he believes your safety is paramount. Before heading into further detail about both Vaser liposculpture and hi-definition Liposculpture, we would like to address four commonly asked questions about the procedures:

What Is The Difference Between “Liposuction” and “Liposculpture”?

In the professional world of cosmetic surgery, “liposuction” and “liposculpture” are often used interchangeably. We don’t strictly agree with this as we see liposculpture as a more advanced procedure than liposuction.

The term “liposculpture” first appeared in 1991 and was described as a technique that “shapes the body by removing fat cells in areas where there is excess and/or adding cells to areas where additional padding is desired”. This procedure is far more advanced than standard liposuction and is highly dependent on the skill and artistic eye of the cosmetic surgeon. Knowing what to remove and what to leave makes all the difference in the final result.

Because Dr Goldman exclusively uses the Vaser system for all of his liposuction and liposculpture cases, and because this system offers advanced sculpting techniques in the removal of pockets of excess fat from the body, we generally prefer to use the term “liposculpture” over “liposuction”.

What Is Vaser Liposculpture (Liposuction) And Why Do We Consider It The Best Procedure Available For Body Sculpting?

Vaser Liposculpture is an advanced body contouring procedure that selectively removes unwanted body bulk. An alternative to the harsh techniques of traditional liposuction, Vaser Liposculpture uses state of the art ultrasound technology designed to gently reshape your body.

What distinguishes Vaser Liposculpture is its ability to differentiate targeted fat from other important tissues – such as nerves, blood vessels and connective tissues. Innovative Vaser technology breaks up fat while preserving these other important tissues, which promotes smooth results and rapid healing.

What Is The Difference Between Vaser Liposculpture (Liposuction) And Vaser Hi-Def Liposculpture?

Both Vaser Liposculpture and Vaser Hi-Def Liposculpture use the latest ultrasound technology to selectively break down adipose tissue deposits for easier removal.

Vaser Hi-Def is a recent breakthrough in fat removal. It is a body sculpting technique developed by plastic surgeons for men and women who desire a more sculpted, muscular appearance. The technique focuses on the precise removal of superficial and deep adipose tissue around muscle groups in order to enhance the visibility of the underlying musculature. It is designed to be a sculpting procedure rather than a debulking technique. The procedure is intended for generally fit men and women who have good muscle tone without excessive amounts of fat or excess skin. The typical patient maintains a healthy lifestyle through diet and exercise but is unable to achieve the desired definition.

Vaser liposculpture is the best option for men and women who are frustrated by the resistance of certain body areas to diet and exercise. If you are healthy and seeking a fast, low-pain option for losing stubborn fat deposits, the Vaser liposculpture technique is likely to prove the best solution. Therefore, Vaser liposculpture is intended for men and women who are seeking the removal of bulkier, stubborn adipose tissue deposits, rather than focusing in on the precise removal of smaller amounts of fat to enhance muscular visibility.

If you are in any way unsure as to which Vaser liposculpture (liposuction) technique is best suited for you, Dr Goldman will assist you at your consultation in defining the best solution so that you can fulfill your sculpting aspirations.

Tummy Tucks 3-Minute Guide

Often, women who have experienced pregnancy or weight gain find that returning to their previous body shape through natural means is difficult.

Abdominal muscles lose elasticity and stretched out skin in the midsection typically remains loose and cannot be repaired naturally.

This is why many women opt to undergo tummy tuck (abdominoplasty) surgery.

Tummy Tuck Candidacy

Abdominoplasty candidates should have healthy expectations of the surgery to be discussed with their surgeon, be in good general health, and be willing to commit to maintaining the results with a stable diet and regular exercise.

Abdominoplasty candidates should not have serious medical conditions, plan to become pregnant or feel pressured into the procedure by another person.

Ideally, a suitable candidate is close to their ideal body weight with an abdomen that has not responded to natural methods.

Full tummy tuck vs mini tummy tuck

Abdominoplasties are broken down into a full tummy tuck and mini tummy tuck.

Full tummy tuck

A full tummy tuck is a more invasive procedure for more extreme cases like post-pregnancy or getting back to your desired shape after a sizable weight loss.

Mini tummy tuck

A mini tummy tuck is focused more directly below the navel and aims to remove the loose skin. It’s best suited for women who don’t need significant reduction of extra tissue. Your cosmetic surgeon will determine what is the best procedure for you to give you your desired results.

Other considerations

Liposculpture / Liposuction could be a suitable alternative as it is a less invasive procedure with minimal scarring, making it more suitable for younger patients with good skin elasticity.

The procedure

Abdominoplasty is a surgical procedure that entails separating the skin from the underlying muscles to tighten them and remove excess skin.

View our full 3-minute animation

Tummy tuck recovery & results

Though it varies from person to person, recovering from the surgery typically takes 3-6 weeks. Dr Goldman and his caring team of professionals will make sure your recovery process goes as smoothly as possible.

Women often expect their tummy tuck results to be permanent, but the outcome often hinges on the patient’s choices after surgery. Maintaining a healthy diet and exercise will enable patients to enjoy longer lasting results, especially when combined with liposuction.

Not having another pregnancy should also prohibit your body from stretching out to the position it was in before the tummy tuck. As the ageing process continues things will loosen up over time, but that is a natural part of ageing.

Tummy tuck scars

It is important to realise that the incision lines will be permanently visible. Certain individuals may have incision lines that are more noticeable, but in some instances, they will eventually be only faint lines. Most often, the scars heal well and over time slowly and progressively mature and fade. It usually takes 9-12 months for the scar to fade.

There are some modern scar management systems and processes to speed this journey, but these should not be used until 12 weeks after the surgery. Dr Goldman will discuss this with you at the time.

Fortunately, the scars from your tummy tuck surgery are usually in locations concealed by most undergarments.


The costs involved in an abdominoplasty can be broken into surgeon’s fees, anaesthetist’s fees, hospital/theatre costs, and the cost of compression support garments.

Prices vary depending on your starting point and desired results which Dr Goldman will discuss during your initial consultation.

You may find that your health fund may cover all or a portion of your surgery depending on your level of cover. You may also be eligible for the Early Release of Superannuation for Surgery.

Before proceeding with the operation, it’s essential to clarify with your insurance fund what exactly is and is not covered.

Are you considering a tummy tuck or have questions about tummy tucks? Contact Dr Goldman now!