In experienced hands, liposuction is a safe and effective fat-removal treatment. It can be used to reduce stubborn deposits in the arms, neck, chin, thighs, and buttocks, to reshape you.
Dr Michael Rich has been at the forefront of the industry locally, and more broadly in Australia, being one of the first to perform it over 30 years ago. Dr Rich was trained by Dr Jeffrey Klein, the founder of the safe tumescent technique.
Dr Rich often chairs forums as the ‘go-to’ person at national and international conferences, being highly regarded as one of Australia’s best.
Dr Rich performs all fat-removal at our Melbourne clinic but also practices in Sydney regularly.
Procedures for different areas:
- Thighs, hips, back, legs, knees, elbows, neck, chin and buttocks (though buttocks are treated much less than you might think – the buttocks are better bigger!)
- Breast reductions – liposuction breast reductions are a less-invasive alternative compared with a surgical breast reduction, for some women
- “If you can pinch it, you can lipo it” – Dr Rich
- Dr Rich offers high-quality contouring
Power-assisted liposuction treatment (PAL)
PAL uses an oscillating cannula (tiny tube) which simply replaces the surgeon’s back and forth hand movement, which can be useful when there is a lot of scarring or fibrous tissue. A surgeon may choose to use this style of tool to reduce fatigue, particularly if a large area is being treated.
The tumescent treatment technique - The gold standard in liposuction
The tumescent technique is now widely regarded as the gold standard. Fatty deposit removal and reshaping in days gone by had a very problematic reputation, with lumpy, bumpy, inconsistent results, a lot of bleeding and bruising, and sometimes even death. Not a single death has been recorded with the tumescent technique, and every surgeon in Australia is using some variation of this style.
What ‘tumescent’ liposuction means is that the area is filled with an anaesthetic mixture which also acts to quell bleeding from the blood vessels broken. This results in less bleeding, which naturally results in less bruising (because a bruise is trapped blood), and shorter recovery time.
The anaesthetic applied locally also negates the need for general anaesthetic in a lot of cases, which is immediately safer again. This technique also offers smoother results. The technique is so named because the word ‘tumescent’ actually means ‘swollen’, and when the area is full of the tumescent liquid, it becomes fuller – looking and feeling swollen – so the surgeon can better see what they are doing.
Ultimately, the tumescent liposuction technique offers faster recovery times, less risk, and consistently smoother results.
We only perform tumescent technique at ENRICH Clinic.
Things to know about lipo lingo
When some clinics advertise ‘how much better’ their procedures are compared to ‘traditional’ liposuction, they are referring to the old-fashioned variety, not the newer techniques that every surgeon worth their mettle is, or should be, using and has been using for some time.
Nobody does ‘traditional liposuction’ in Australia anymore, rest assured, so when you see claims like ‘Much better results than traditional liposuction’ is like saying ‘Our new car is so much better and faster than a traditional horse and cart’. It doesn’t mean anything.
Fatty deposit removal using suction is now considered a very safe, effective cosmetic treatment that – with a great surgeon – has consistent and outstanding results no matter which method is being used. There are a handful of techniques, and they all have methods that are just a variation on the same tumescent technique that Dr Rich uses.
'Non-surgical liposuction' – it’s not a thing
Anyone claiming to perform ‘non surgical liposuction’ of any kind is being untruthful or they are talking about a completely different procedure. Liposuction is a surgery, and every surgery by its very nature is invasive – there is simply no such thing as non-surgical varieties of this treatment.
Anything that punctures and penetrates the skin is considered by law to be invasive. Liposuction is literally suctioning away adipose tissue, and to get to these cells, you must break the skin and penetrate it – this is what we call surgery. Liposuction is now ‘minimally invasive’, but again, this is standard procedure in Australia.
There are, however, other methods for fatty deposit reduction or removal that aren’t surgical. Examples are fat freezing or dissolving injections. Whilst less invasive, these techniques are not as effective and are usually used to remove small pads in small areas.
Your surgeon is ‘the thing’
Choosing the right method of sculpting for you is important, but the really critical difference in outcomes is actually your surgeon. A surgeon who is the master of his or her tools, with an eye for beauty, will give you the best results.
Aiming for the cheapest liposuction option will get you a surgeon who values his or her skills less, which is not desirable when it comes to lasting shaping. You cannot undo liposuction, there is no Ctrl-Z; there is just more surgery to fix up the last which quickly gets disappointing and expensive.
Putting on weight after lipo
There are a few myths floating around the internet that are based on a fundamental misunderstanding of how adipose tissue behaves in the human body. The rumour is that ‘you will just put on weight somewhere else after lipo’, which is partly true and partly false.
If you put on weight after liposuction, which is generally within our control, without the number of fat cells in the area you had treated, the energy must be stored elsewhere. Thus, you put weight on in another area than what you might usually, as well as the place you would usually – there are still adipose cells left there. Taking them all would make you look very peculiar indeed.
The reason for this is that once you hit puberty, you have all the fat cells you will ever have, and they simply expand and shrink depending on how much energy (fatty acids) they are storing. Your adipose tissue cells are like bags of coins – you spend some money, the bag goes down; you save some money, the bags get bigger. One cell does not mean one ‘bit’ of fat; a cell is a storage facility.
Choose your liposuction surgeon wisely, and there will be just the right amount left in the area so you get beautiful, smooth results, but you can naturally lose and gain weight and still keep your new shape.
Contact us to arrange a consultation with Dr Rich at our clinic to discuss how liposuction can improve your shape.
*Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
*Results may vary from person to person
General procedure information
- What happens if I put on weight after lipo?
- Comparison of Clatuu, Coolsculpting and lipo
- Who gets the best results from lipo?
- The cost of reshaping in Melbourne
- Lipo scarring, time off work, pain and recovery
- Large-volume lipo – can it make me healthier?
- Why cheap lipo could end up costing you
- Will I be happy with my results?
- A clear explanation of the tumescent technique
- What are Smartlipo and SlimLipo?
Specific areas – women and men
What areas can you treat?
You can remove adipose tissue this way from anywhere that weight appears.
Chin sculpting is a simple, quick procedure that can make a huge difference to your facial profile. The chin is an area that demarcates our face in ways that you can’t fake or cover up with makeup. To those whom a double chin or sagging jowls causes aesthetic dissatisfaction, the short chin procedure can produce dramatic results.
There are a few spot-fat reduction techniques a now available including fat-dissolving or freezing. New devices have entered the market, like ThermiTight, which uses radiofrequency to both destroy adipose tissue and tighten tissue.
Book a consult at ENRICH Clinic to see what spot fat reduction and body sculpting procedures could best work for you.
The inner thighs can present their own set of stubborn problems when it comes to where the weight sits. Sometimes, no matter what you do, the adipose tissue stays put, thwarting your diet and exercise efforts, which is where inner thigh reshaping comes into its own.
Inner thigh sculpting using suction is a long-lasting reshaping tool that removes the excess fatty tissue and reshapes the thighs – for good.
The most common area we treat is the tummy. Often, however, by also treating complementary areas such as back flanks and waist, we get a better result. The cost per area reduces if you have them completed in the same appointment, so that is an added bonus.
Dr Michael Rich is a contouring expert and can help you get the body you want. He will discuss the best areas to treat, depending on your body type and requirements for you to get the best results.
Dr Rich has performed thousands of reshaping procedures.
There are several different kinds of shaping available at cosmetic clinics around Australia, with the type best suited to your needs dependent on several factors. The most reliable and well-practiced type of fat removal is the tumescent technique.
NOTE on laser lipo:
Dr Rich prefers and has perfected the classic tumescent technique and does not use laser assisted techniques. In Dr Rich’s opinion, laser-assisted techniques can increase the risk to patients and uses larger cannula holes to administer the treatment. We do NOT perform these laser-assisted reshaping.