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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

Three liposuction areas —
and what each one asks of you.

The three most common liposuction areas at our Melbourne and Tasmania rooms are the hip-to-waist region, the abdomen, and the thighs. Each is different in technique, in recovery, and in what it can and cannot achieve. This article describes how we think about each one.

Written by Dr Kishen Nara · Reviewed for plain-language accuracy · Published 25 April 2025

02In short

Liposuction is surgery, not a basic procedure, and the three areas most asked about at our Melbourne and Tasmania rooms — hip and waist, abdomen, and thighs — each carry different techniques, recovery expectations and limitations. It is a reshaping procedure for patients at a stable weight, not a weight-loss treatment, and anatomy varies enough between patients that one person's result cannot be applied to another. Assessment follows Medical Board of Australia guidelines, and a second medical opinion is encouraged before any decision.

03Before the technique

Liposuction is surgery —
not a basic procedure.

Before discussing any liposuction area, the same disclaimer applies. Liposuction is surgery. It is invasive, conducted in an accredited facility, and carries the potential risks and complications of any surgical procedure. The technique uses suction-assisted aspiration to remove fatty tissue under the skin, while preserving the deeper anatomical structures the body relies on for normal function.

The doctor performing your liposuction should be specifically trained in cosmetic surgery and able to describe that training. Cosmetic surgical training in Australia is delivered through the Australasian College of Cosmetic Surgery and Medicine — the only Australian college with training dedicated to cosmetic surgery.

Each of the three areas below is described in technical and human terms. Your specific assessment and plan will come from your consultation, in line with Medical Board of Australia guidelines.

— Dr Kishen Nara, RevAesthetic Tasmania.

Dr Kishen Nara, RevAesthetic Tasmania
Dr Nara Tasmania rooms

04Area one · Hip and waist

The hip-to-waist region —
changing ratio, not just volume.

The hip-to-waist region is one of the most personal liposuction conversations. Patients across Melbourne and Tasmania come from every cultural and ethnic background, and the goal is rarely "smaller." Sometimes the goal is to alter the apparent ratio of the hip to the waist — narrowing the hip projection, defining the waist, or in some cases supporting a wider apparent hip with adjacent fat-graft procedures.

The technique respects the natural shape of the body. Liposuction here is about shape and proportion, not removal alone. Some patients are good candidates for the area in isolation; others may be better served by a combination of procedures, or by a non-surgical approach. The assessment is individual, and the plan follows.

05The constants

The same principles
across every area.

Whichever liposuction area is being considered, these principles do not change. Listing is not recommendation — every patient is assessed individually, and surgery is one option among several.

Surgical principles

  • Liposuction is surgery — invasive, with potential risks and complications.
  • Performed in an accredited and licensed facility, by a trained medical practitioner.
  • Patient assessment is conducted in line with Medical Board of Australia guidelines.
  • A second medical opinion is encouraged before any decision.

Patient considerations

  • Anatomy varies widely — what looks similar on the surface is rarely the same underneath.
  • Tissue quality, skin elasticity and prior surgical history all factor into the plan.
  • Liposuction is not a weight-loss procedure; it is a reshaping procedure for stable weight.
  • Outcomes vary; results from one patient cannot be applied to another.

06Area two · Abdomen

The abdomen —
nine quadrants, one plan.

"Abdomen liposuction" is rarely a single area. Anatomically the abdomen has nine quadrants — upper, middle and lower, each across the left, central and right axis — and patients almost never want all of them treated. A thorough pre-operative examination is essential, partly to identify which quadrants are appropriate for surgery and partly to rule out medical or surgical conditions that need investigation before any cosmetic procedure is considered.

Patients arriving with this enquiry have very different histories — pregnancies, prior abdominal surgery, weight changes, athletic training, ageing tissue. Each one shapes what is achievable. The result of one abdominal liposuction is not predictive of another.

The potential risks of cosmetic surgery, including risks specific to abdominal liposuction, are described on our risks page.

07Anatomy

A starting point
for assessment.

Body shape is determined by 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

08Area three · Thighs

The thighs —
technical and unforgiving.

Thigh liposuction is among the more technical liposuction operations. The tissue layers are thin, the underlying anatomy is sensitive to instrumentation, and the results are visible from many angles. Inner thigh, outer thigh, anterior and posterior compartments each behave differently, and each requires a different approach.

Thigh shape is shaped by genetics, lifestyle, medical history and the natural pattern of fat distribution that varies across populations. Patients sometimes describe wanting a particular shape they have seen elsewhere; the more useful conversation is about what their own anatomy will and will not allow.

Recognised potential risks of thigh liposuction include contour irregularity, asymmetry and surface dimpling. Training, qualification and experience specific to liposuction are central to managing these risks. Read more about Dr Nara's training and qualifications.

09About 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. A second medical opinion is encouraged at any stage.

  • 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

10Enquire

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

11Continue 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.