Abdominal Liposuction

Liposuction of the abdomen is the most commonly carried out body sculpting procedure by Dr Leung at Facial Artistry. It is a high priority area for both women and men. Important factors that affect the success of abdominal liposuction include: the amount and location of abdominal fat, history of weight gain and weight loss, history of pregnancy, and the age and the sex of the patient.Site Images / Body One (small)

Previous Pregnancy

A previous pregnancy tends to stretch the abdominal muscles, and cause the lower abdomen to bulge to a certain degree. This curvature of the abdominal wall muscles determines the flatness or the shape of the abdominal silhouette after liposuction. Nevertheless, the vast majority of women who have been pregnant are ultimately very happy with results obtained by liposuction alone, and do not require an abdominoplasty (tummy tuck).

C-Section Bulge

A horizontal incision is typically made across the lower abdomen for Caesarean section or hysterectomy. A common but undesirable consequence of such an incision is a persistent bulge of subcutaneous fat just above the incision. VASEr liposuction can easily repair this annoying deformity.

Prior obesity

Prior obesity and subsequent weight loss produce fat that is more fibrous. This makes liposuction more difficult. Liposuction is more successful if it is performed just prior to weight loss.

Location of Abdominal Fat

Location of abdominal fat is an important factor in predicting the success of abdominal liposuction. Abdominal fat occurs in two different levels: subcutaneous and intra-abdominal. Subcutaneous fat is located just below the skin and above the abdominal muscles. The intra-abdominal fat is located inside the abdominal cavity around internal organs, such as the intestines and the liver. Some people have more intra-abdominal fat than subcutaneous fat. Only subcutaneous fat can be removed by liposuction. Intra-abdominal fat can only be diminished by weight loss through diet and exercise. Most patients have more subcutaneous fat than intra-abdominal fat and will therefore see a good cosmetic improvement with abdominal liposuction.


Age of the patient is not an important factor in the success of liposuction. Some of the happiest patients are women who are more than 60 of age. In healthy older women, liposuction can improve an obese abdomen with little risk or discomfort.


Female patients have softer and less fibrous fat than men, and therefore liposuction on a woman is easier to perform. However, men will do well with VASER liposuction, and selected patients will do particularly well with ‘Hi Def’ VASER liposuction.

Upper Abdomen

Upper abdomen skin may appear slightly wrinkled after liposuction. In older patients with decreased skin elasticity of the upper abdomen, there is a tendency for the skin to appear somewhat crêpéy or slightly wrinkled. Interestingly, the lower abdominal skin does not seem to be susceptible to this type of post-liposuction crêpiness. The elasticity of Scarpa’s fascia might prevent crêpiness after liposuction of the lower abdomen.

The upper abdomen is usually less of a concern than the fat on the lower abdomen. However, if the upper abdominal fat is either not suctioned or inadequately suctioned, subsequent weight gain will enlarge the upper abdomen and give the appearance of a bulky midriff.

The Old-Fashioned Tummy-Tuck

Liposuction of the abdomen is so effective that few patients now require the more extensive tummy-tuck surgery, also known as an abdominoplasty, which has more potential for serious complications as well as longer down time. Patients who are markedly overweight, have significant laxity of the underlying abdominal muscules, have excessive stretch marks,or have an overhanging (pendulous) lower abdomen may still benefit from a tummy tuck.

What happens during a VASER liposuction procedure?

Just like in traditional liposuction, the area to be treated is filled with a special saline solution (tumescent solution). Next, a small probe transmitting ultrasound energy is used to break apart fatty tissue and to emulsify the fat cells, whilst preserving other important structures. Finally the liquefied fat is removed through a gentle suction process designed to minimise damage to surrounding tissues. A proportion of the tumescent solution remains inside the body, and it will be absorbed over the next day or so.

For a detailed discussion of VASER technology, please refer to this page.

At the end of the procedure, absorbent packs are used to absorb the leakage of any tumescent fluid. A compression garment is put on and this is to be worn over the next few weeks, whilst the healing process take place.

Will I see the results straight away?

The day after surgery, as a result of open-drainage and wearing a compression garment, the degree of cosmetic improvement is easily visible and quite dramatic. Over the next several days, after the drainage has ceased, and as the inflammatory healing process progresses, there is a gradual onset of swelling which decreases over the following 4 to 12 weeks.It takes several months for the final result to be obtained, due to the gradual process of the skin healing and adhering to the underlying tissue. The process is called skin retraction.

Post-operative Healing

The discomfort after tumescent liposuction of the abdomen typically does not require any strong pain medications. The quality of the discomfort is similar to the muscle soreness and burning experienced after having worked-out too much. The discomfort is more when the skin of the area is flexed or touched, such as getting in and out of a car, or rolling over in bed, or when sitting still in a chair. There is minimal discomfort when walking or sitting. The degree of discomfort is greater with ‘Hi Def’ liposuction.

With liposuction totally by local anesthesia, you do not typically need any pain medication immediately after abdominal liposuction because the tumescent local anesthesia last for up to 18 hours. From 36 to 72 hours after surgery, you may experience the greatest degree of soreness and discomfort.

Is Vaser Liposuction right for me?

VASER liposuction is for healthy patients who are frustrated by the lack of response of certain body areas to diet and exercise, or those are at or near their ideal body weight, but have localized fat bulges, and would like to reduce these areas of fat bulges.

Liposuction works less well for people who have a large abdominal ‘overhang’ and for those who has a lot of fat inside the abdominal cavity.

How much does Abdominal Liposuction cost?

We understand you are curious to know how much the procedure you are thinking of having might cost.

The truth is that with the cost of many procedures vary considerably depending on different factors, such as age, sex, skin tone, body fat content etc. We therefore believe it is unethical to give a cost estimate without gaining a proper understanding of your needs. Your body, your skin and your expectations are different to anybody else’s. We want to plan treatments based on your needs.

Our philosophy is simple. We want you to be fully informed, we want you to understand all your options and have one accurate price quoted once. Our experience tells us  that this is what most of our clients want too.

To request an appointment with Dr Bernard Leung to discuss your suitability for Abdominal Liposuction please email us or call us on 02 6255 8988.