Before & After Look Book
Smooth & Shapely
One of the misconceptions about liposculpture procedures, says Dr Zhen Xu, is that only small amounts of fat can be removed. ‘There is general consensus that the maximum amount of fat safe to remove in a single procedure is about five to six percent of the total body weight. But it is not simply how much fat you remove that is important. How much you leave behind is equally important, as some fat needs to remain for the surgeon to create a soft contour,’ he explains.
Experience and expertise
In his years of liposculpture experience, Dr Zhen Xu says 90 percent of his patients retain their shape and size in the treated areas if they manage to maintain their body weight within two to three kilograms of their weight at the time of treatment. “Liposculpture is definitely not a licence to eat badly and lead a poor lifestyle. Patients still need to be sensible with food and exercise to maintain their results, as we all do to lead a healthy lifestyle,” he says.
However, Dr Zhen Xu stresses the aim of the surgeon in every case is to perform the liposculpture procedure with complete safety. “If taking too much fat out in a single procedure is going to be harmful, I always plan it as a two-stage procedure with up to 60 percent removed in the first stage and the remainder in the second stage,” he explains.
Dr Zhen Xu’s expertise is performing liposculpture under local anaesthetic, with gentle sedation, using the tumescent method. “Typically, the patient will not feel any pain although some discomfort may be possible,” he says. ‘The tumescent method and the light sedation allows the patient to stand up after the procedure so the treated areas can be reassessed in a natural position. Any discrepancies can be detected and corrections can be made to reach the patient’s desired result before the patient leaves the theatre.’
Patients are generally able to walk out of the theatre unassisted after liposculpture using this technique, and can usually return to work in around three days.
Dr Zhen Xu believes the only way to maintain surgical skills at the highest level is to perform a particular procedure often. “We can contour any part of the body, so long as it is fat that is the cause of the body shape concerns. Therefore, we can refine the chin, neck, face, arms, chest, breasts (male and female), neck, waist, love handles, hips, sacral pads, pubic pads, upper back, lower back, buttocks, outer thighs, inner thighs, anterior thighs, back of thighs, knees, calves and ankles,” he says.
“The liposculpture specialist must not only have the eyes and hands of a surgeon but he must also have the eyes and hands of an artist and a sculptor,” says Dr Zhen Xu. “To get the best results, I always encourage the patient to look for a surgeon who has the ability to create a beautiful form. A complete understanding of the human body shape is the key to a good result.”
Dr Zhen Xu
- MBBS, FRACGP, FFMACCS
- Fellow of Australasian College of Cosmetic Surgery (Medical Faculty).
- Diploma of Lipoplasty (ACCS)
- Member American Academy of Cosmetic Surgery (AACS)
- Member International Society of Hair Restoration Surgery (ISHRS)
Dr Zhen Xu graduated from University of NSW in 2003, and he is a fellow of the Australasian College of cosmetic surgery. He has trained with leading experts in various areas of cosmetic medicine and surgery.
Dr Zhen Xu specialises in liposculpture, hair transplant surgery, suture lift, upper blepharoplasty, breast implants and cosmetic medicine (anti-wrinkle injection, dermal fillers, vein injection, and lasers).
Dr Zhen Xu is very passionate about his work, he believes every patient is unique, and treatments are tailored to individual patient needs.
Dr Zhen Xu has a Diploma of Lipoplasty awarded by Australasian College of Cosmetic Surgery; he is a member of the American Academy of Cosmetic Surgery, and a member of International Society of Hair Restoration Surgery.
Thus, the operating Doctor can identify any irregularities and evaluate the body contour he wishes to sculpt. Of course this requires that the Doctor be both experienced and skillful and have the necessary artistic talents so that the benefits of this technique are passed on to his patients.
Side effects: Patients may experience bruising of the skin and swelling of the operated sites. Almost all patients will experience mild discomfort but may be surprised how minimal it is. Naturally, the treated area may be a little tender. Some patients will experience temporary numbness or increased sensitivity of the skin overlying the sites of operation and if the lower legs and ankles are sculptured, some will experience ankle swelling that can last a number of months.
- After the operation do not take any aspirin or anti-inflammatory medications without consulting the Doctor (including period remedies i.e. Naprogesic).
- If needed you may take Paracetamol tablets to control pain i.e. Panadol or Tylenol.
- Observe any dietary restrictions or advice on any supplements recommended.
- Take all medications and wear the garment according to the Doctor’s instructions. These will vary according to the treated area, and are usually worn from 5 days to 3 weeks.
- Follow the specific advice given to you regarding your general activity levels, do not exceed any limits of exercise as prescribed by the Doctor.
- Lymphatic drainage will assist in the recovery. This will be discussed during the consultation.
Areas containing the unwanted fat deposits are marked on the skin with a marking pen. Clinical photographs are taken to allow comparisons before and after the procedure. The patient is given oral medication and an intra muscular injection that controls any discomfort. A needle is placed in one of the veins in the arm and if needed medicine is administered to help the patient feel relaxed. The patient will feel completely at ease and drowsy but will not fall asleep. No general anaesthetic will be administered. The patient remains in total control. Various state of the art electric monitors are attached to the patient to assist the operating Doctor and nurse in monitoring the patient throughout lipo-sculpture. When the patient is relaxed, the operating Doctor after numbing the spot under a local anaesthetic will puncture the skin in appropriate places and begin infusing the local anaesthetic into the unwanted fatty deposits. The local anaesthetic causes the fat to become numb, and therefore insensitive to pain. It also causes the fat to become softer and therefore more easily removed. Ultra sound may be used at this point to cause further softening of the fat. On completion of the local anaesthetic infusion the fat extraction will begin. Fat deposits have a wide range of shapes and consistencies. The lipo-suction is therefore performed with a range of specifically designed, precision metal tubes called cannulae, which facilitate the removal of the fat. Different types and sizes of cannulae are used depending on the site on the body being treated.
Near the end of the lipo-sculpture the patient is asked to stand up so that the Doctor can identify any irregularities or unevenness of the body contour. The patient is then laid down again and the irregularities are addressed. This procedure is repeated a number of times until the operating Doctor is satisfied that the best possible result has been achieved for the patient. On completion of the operation the patient is fitted with compressive garments, which contain lycra and similar materials. Two garments are usually used, placed one on top of the other to exert adequate pressure on the lipo-sculptured areas. The patient is then dressed and discharged from the operating room into the care of responsible adult. It is illegal for a patient to attempt to drive themselves home after the lipo-sculpture due to the drugs that have been administered during the operation for adequate sedation.
Although the fluid will be tinged with blood, the actual blood loss will be minimal. The patient will be provided with absorbent pads to place between the lycra garments to absorb the fluids. They will also be provided with a plastic sheet to place over his or her bed. The use of towels on the bed can also be beneficial. Patients are encouraged to take it easy for the remainder of the operation day but may go for short walks. Most patients can return to work the second day after the operation, many the next day. By the end of the first week most patients will feel quite comfortable, however, any bruising and swelling of the tissue will generally slowly subside over the next one to three weeks.
Some of the more specialized areas of lipo-sculpture such as calves, ankles and retraction of excess skin over a much reduced abdomen will usually show a slower recovery, with final results taking up to 6 months.
Many of our patients with health problems such as adult onset diabetes, high cholesterol blood pressure and obesity, (and especially those with syndrome X) when following the program that Rejuven8 has developed, have experienced significant resolution of these conditions. However there have been no definite studies aimed at determining if Lipo-sculpture will objectively improve patient’s health. Some of the questions that have yet to be resolved include:
– Will patients who undergo Lipo-sculpture live longer?
– Will they suffer less disease?
We are confident that “kick start” effective Lipo-sculpture allows the patient to experience and strengthen their resolve for a healthier lifestyle, along with a correct diet and a more positive approach to their life.