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MED 0001201549.  This website is for adult viewing (18+).  Please take time to read and understand the potential risks of surgery.

01Article · Liposuction

Five things to consider —
before liposuction.

Liposuction is sometimes treated as a small decision. It is not. The five points below are the conversations we have most often during consultations — practical, honest, and often the difference between someone who proceeds and someone who decides to wait, or not to proceed at all.

Written by Dr Kishen Nara · Reviewed for plain-language accuracy · Published 15 May 2022

02Why a list, before a procedure

The conversation comes first —
the procedure may not come at all.

One of the more useful outcomes of a careful consultation is when a patient decides not to proceed. That is not a failed appointment; it is a successful one. Liposuction is invasive surgery, and the decision to have it should sit alongside the alternatives — non-surgical reshaping treatments, lifestyle changes, weight stabilisation, or simply more time.

The five considerations below are not a checklist to be ticked. They are five honest things to sit with before a consultation, and ideally to bring up during one. Each is short. Each is a doorway to a longer conversation that belongs in the room with the doctor.

— Dr Kishen Nara.

Dr Kishen Nara, RevAesthetic Melbourne
Dr Nara Consultation

03One · It may not work

Surgery is not
a guaranteed outcome.

The first thing to consider is the simplest, and the hardest. Liposuction may not give you the result you are imagining. Outcomes vary between patients. Tissue behaves differently depending on age, genetics, prior surgery, scarring history, hormonal factors and a dozen other variables. Some patients are pleased, some are partly pleased, and some are not.

A trained cosmetic doctor will discuss this directly. They will describe what is realistic for your anatomy, what is unlikely, and what is impossible. They will not promise a particular result, because no responsible practitioner can. The potential risks of cosmetic surgery are described in plain language on our risks page.

04Two & three · Lifestyle and expectations

Diet, exercise,
and what to expect.

Two considerations that go together. Liposuction is a reshaping procedure, not a weight-loss procedure — it works best when weight is stable, and when expectations are calibrated to anatomy rather than to images of someone else's body.

Lifestyle, before the operating room

  • Stable weight for at least six months before any cosmetic surgery is sensible.
  • Daily activity supports healing — heart function, blood-sugar regulation, sleep, mood.
  • Diet matters more than exercise alone; whole foods, less ultra-processed.
  • Hydration is the simplest health lever — one extra glass of water a day is a starting point.

Five questions worth asking

  • What specific cosmetic surgery training does the doctor have?
  • What outcomes are realistic for my anatomy, not for someone else's?
  • What are the recognised risks and complications of this procedure?
  • What is the recovery timeline, and how will it affect my work and home life?
  • What happens if I am unhappy with the result, or if a complication occurs?

On expectations: liposuction can change shape. It does not change life circumstances, relationships, or how someone feels in their body more broadly. Patients who arrive with a clear, modest, anatomically realistic goal are usually the most satisfied. Patients who arrive expecting a procedure to fix something else are more often disappointed, regardless of the technical quality of the surgery.

05Four · The dual effect

Surgery changes the body —
and the way you live in it.

Liposuction is sometimes described purely as a physical change. In practice, the experience is dual: there is the tissue change, and there is the change in how a person relates to their own body afterwards. For some patients, that second change is the more meaningful one. For others, it is barely noticeable. Both responses are normal.

Recovery affects more than the immediate post-operative period. Time off work, time away from sport, modified routines at home, and the practical question of who helps with what during the first two weeks — all of these matter. The dual effect is worth talking through before surgery, with the people who will be around afterwards.

06Anatomy

Body shape
has many components.

Body shape is a combination of skin, fat compartments, fascia, muscle and skeletal frame. Liposuction works on the fat layer; the other elements are not modified. The illustration below is a simplified diagram we use during consultations.

Anatomical illustration used during liposuction consultation

06bIn Dr Nara's words

Liposuction and
the hip–waist ratio.

Liposuction is more often a reshaping procedure than a volume-reduction one. Dr Nara on how it can change the hip-to-waist ratio — and what that means at the consultation stage.

07Five · Ask questions

Bring three questions —
at minimum.

The fifth consideration is the most actionable. Before any consultation, write down three questions that matter to you. Not the questions a website tells you to ask. Your questions. They become the anchor of the conversation, and they ensure the time is spent on what is actually relevant to you.

A consultation that does not invite questions is not a consultation worth having. A doctor who does not welcome the awkward questions — about cost, about recovery time, about what happens if you change your mind — is not a doctor for you. Patients across Melbourne, Tasmania and Adelaide come to us with very different lists. The list is the point.

For an overview of the consultation process at RevAesthetic, you can read our consultation page, or simply send an enquiry below.

08About the practitioner

Dr Kishen
Nara.

Dr Kishen Nara is a registered medical practitioner. He sees patients across Melbourne, Tasmania and Adelaide. The team at RevAesthetic includes practice manager Cate, Patient Liaison Jenny, and registered nurses, all involved in supporting your enquiry.

All assessments are conducted in line with Medical Board of Australia guidelines.

  • MBBS Bachelor of Medicine, Bachelor of Surgery — Monash University
  • FACCSM(Surg) Surgical Fellow, Australasian College of Cosmetic Surgery and Medicine
  • AHPRA Registered medical practitioner — General Registration MED0001201549
  • ACCSM Cosmetic surgical training delivered through the Australasian College of Cosmetic Surgery and Medicine

Read more about us

09Enquire

Begin a
conversation.

Consultations are conducted personally by Dr Nara across Melbourne, Tasmania and Adelaide. We respond within one business day. There is a written reflection period before any decision, and a second medical opinion is encouraged at any stage.

Prefer to write or call?

(03) 9720 6300

10Continue reading

More from
the journal.

Disclaimer: All cosmetic procedures have inherent potential risks and complications. We encourage you to seek a second opinion from a qualified medical professional before any procedure. Material on this page is educational in nature and is not generalisable — outcomes vary significantly between patients depending on genetic composition, medical history and individual circumstances.

07 — Begin

Begin a conversation.

Contact us for more information, or to request a consultation.