Breast liposuction with tightening offers a less invasive option for individuals seeking a modest reduction in breast size. For those who experience discomfort due to breast volume but wish to avoid extensive scarring, this procedure may present an appropriate solution to the suitable candidate. Dr. Mark Kohout, a Specialist Plastic Surgeon based in Sydney, brings over 25 years of experience to patients seeking this tailored approach. At his centrally located clinic, Dr. Kohout provides experienced guidance and care through every step of the process.
Many patients are unaware that breast volume can be reduced through fat removal alone when glandular tissue is not dominant. This method may allow patients to avoid more complex surgeries that require lifting or reshaping of the breast mound. For Sydney residents who prefer a low-scar option, breast liposuction is an increasingly requested alternative.
Patients who seek this treatment are often motivated by both physical discomfort and aesthetic considerations. Larger breasts can contribute to strain in the neck, shoulders, and upper back, impacting daily comfort and posture. Additionally, breast liposuction may help patients find improved balance in body proportions and clothing fit, which can be particularly important in warmer climates like Sydney’s, where lighter, more fitted garments are commonly worn.
This technique involves the removal of excess fatty tissue from the breasts through liposuction, combined with technologies that assist in skin tightening. Unlike traditional breast reduction surgery, which often requires significant incisions and tissue removal, breast liposuction uses small cannulae to suction out fat through tiny access points. When paired with appropriate tightening tools, it may refine breast contour and reduce sagging in patients with adequate skin elasticity.
Dr. Kohout may incorporate energy-based devices such as radiofrequency or ultrasound-assisted liposuction systems, which have been shown to promote skin retraction by stimulating collagen production. These tools help in achieving a firmer and more compact shape following fat removal. Importantly, the procedure does not reposition the nipple or alter glandular structures, making it more suitable for patients whose primary concern is volume rather than lift.
Breast liposuction is typically chosen for its combination of minimal downtime, reduced scarring, and precision in contouring. While it may not achieve the dramatic reshaping seen in traditional reduction surgery, its more conservative nature is ideal for those prioritising a subtle yet effective change.
In a city like Sydney, where active lifestyles and warm weather influence clothing and comfort, patients often seek procedures that deliver aesthetic improvement with less disruption. Breast liposuction with tightening appeals to those looking for a lower-impact option that aligns with their day-to-day routines. Dr. Mark Kohout, operating from his Sydney clinic, frequently sees patients prioritising quicker recovery, minimal scarring, and subtle reshaping.
This procedure is also attractive for patients who have experienced weight changes, hormonal shifts, or postpartum changes that have affected breast volume. Whether for practical reasons such as back or shoulder discomfort or purely aesthetic preferences, individuals in Sydney appreciate having a less invasive surgical choice that fits their lifestyle.
Many are drawn to the idea of a day procedure that doesn’t require an overnight hospital stay or extended time off work. The ability to maintain routine activities relatively quickly can be especially beneficial for parents, professionals, and those engaged in physical fitness.
Candidates for this procedure typically have breasts with a higher ratio of fat to glandular tissue. Good skin elasticity is important to support natural tightening post-liposuction. Individuals in generally good health, who have realistic expectations and desire a modest volume reduction, may be suitable. Dr. Mark Kohout assesses each patient personally at his Sydney practice to determine if breast lipo with tightening meets their needs.
Younger patients may have better skin elasticity, allowing for smoother results without the need for additional lifting procedures. However, older patients or those with mild ptosis (drooping) may still benefit if skin-tightening tools are used. During consultation, Dr. Kohout will evaluate breast composition via examination and may recommend imaging to determine the proportion of fat to glandular tissue.
Candidates should also be non-smokers or willing to stop smoking during the perioperative period, as nicotine can impair healing and skin contraction. An honest discussion about lifestyle, expectations, and anatomical suitability ensures that patients are well-informed and prepared for the potential outcomes.
Performed under local or general anaesthesia, the procedure starts with small incisions placed near the lower breast or underarm. Through these openings, Dr. Kohout inserts a cannula to gently remove fatty tissue. Advanced technologies may then be applied to stimulate skin contraction. The goal is a more compact breast shape without the need for lifting or large surgical incisions. Patients can expect a precise, technique-driven approach from Dr. Kohout, a Specialist Plastic Surgeon with a well-established presence in Sydney.
The surgery typically takes one to two hours, depending on the volume of fat removed. Patients can return home the same day in most cases. Dr. Kohout’s surgical techniques minimise trauma to surrounding tissue, which contributes to a smoother recovery process. He also uses compression dressings to support the area and reduce swelling.
Intraoperatively, care is taken to ensure symmetrical fat removal, and contouring is continually assessed. The procedure’s minimally invasive nature reduces bleeding, and recovery room time is generally short. Patients are monitored postoperatively and provided with detailed instructions for home care.
Following surgery, patients typically wear a compression garment to assist healing and reduce swelling. Mild to moderate discomfort is common in the initial days and usually resolves with appropriate care. Most individuals can return to non-strenuous activities within a few days, though it’s important to avoid heavy lifting or intense movement for at least two weeks. Dr. Mark Kohout and his Sydney team provide structured aftercare and follow-up to monitor progress and ensure comfort.
Patients may begin to notice changes in shape and size within the first few weeks, but final results generally develop over three to six months as swelling subsides and skin tightens. Scars are minimal and strategically placed to be as inconspicuous as possible. Adhering to post-operative instructions is crucial to achieving the best outcome.
Follow-up visits are scheduled to track healing and address any questions. Patients are advised to avoid sun exposure to incision sites and to wear supportive bras to aid in contouring. Most report high satisfaction with the natural-looking reduction achieved through this technique.
All photographs have been used with the patient’s express written permission. The information on this site is not intended to replace expert medical advice. There are risks associated with any surgical or invasive operation. You should obtain the advice of a licensed health professional before continuing.
Like all surgical procedures, breast liposuction with tightening carries potential risks. These may include uneven contours, asymmetry, temporary changes in sensation, and, less commonly, infection. During a comprehensive consultation at his Sydney clinic, Dr. Kohout discusses these risks clearly, helping each patient understand the trade-offs and benefits. His experience as a Specialist Plastic Surgeon supports a methodical and considered approach.
Other considerations include skin laxity that may not fully resolve with tightening methods alone. In these cases, Dr. Kohout may advise combining liposuction with another procedure or adjusting expectations about the final outcome. Clear, honest communication is a hallmark of his consultations, meaning patients are well-prepared.
In rare instances, additional procedures may be needed to refine results. Risks can also be influenced by individual health conditions, such as diabetes or poor circulation, which will be thoroughly reviewed in the preoperative assessment.
What sets Dr. Kohout apart is his dedication to personalised treatment. With international training and decades of practice in Australia, the UK, and the US, he applies a global standard to local care. At Australia Cosmetic Clinics in Sydney, Dr. Mark Kohout crafts each surgical plan to reflect the patient’s anatomy and expectations. He remains involved at every stage-from consultation to follow-up.
Patients appreciate that Dr. Kohout provides continuity of care, answering questions directly and offering guidance based on a wealth of surgical experience. The clinic’s support staff are also trained to provide compassionate, thorough assistance throughout the process. This consistency in care contributes to high levels of patient satisfaction.
Dr. Kohout’s practice places strong emphasis on ethical communication, informed decision-making, and evidence-based techniques. He values the trust placed in him by patients and works diligently to maintain clear, open lines of communication throughout the surgical journey.
If you are considering a modest breast reduction without extensive downtime, breast liposuction with tightening might be a suitable choice. Dr. Mark Kohout, Specialist Plastic Surgeon, welcomes patients to his Sydney clinic for thorough assessments and open conversations about goals and options. By choosing an experienced, accredited surgeon, you can explore the most appropriate path forward for your needs.
During the consultation, Dr. Kohout will evaluate your anatomy, listen to your concerns, and discuss the most effective strategies to meet your goals. He believes in empowering patients with information so they can make informed choices. Scheduling a consultation is the first step in exploring whether breast liposuction is the right approach for you.
Dr. Kohout encourages individuals to research, ask questions, and seek clarity before proceeding with surgery. His team is readily available to support patients with both logistical planning and emotional reassurance. Whether you are local to Sydney or visiting from surrounding regions, the clinic is equipped to offer you comprehensive, patient-centred care.
To learn more or book a consultation, visit Australia Cosmetic Clinics or contact Dr. Kohout’s team directly. They’re here to support your decision-making process with honesty, clarity, and professional care.
Patients often wonder if they’re suitable for breast liposuction, but distinguishing fatty from glandular tissue isn’t always obvious. Dr. Kohout can make this assessment during a physical examination, sometimes with the aid of imaging if needed.
This procedure primarily reduces volume through fat removal, so changes in shape are generally subtle. Skin tightening tools may refine contour, but dramatic reshaping isn’t the goal.
Yes, significant weight loss may impact skin quality and breast composition. Dr. Kohout evaluates whether skin laxity might require additional support for optimal results.
Depending on your health and goals, Dr. Kohout may consider combining breast liposuction with other body contouring treatments, but only after a thorough review of your suitability and safety.
Breast heaviness can be related to fat content or tissue density. If volume is fat-based, liposuction might provide relief – even without a dramatic visual difference.
If skin tightening is limited, Dr. Kohout will monitor your healing and may discuss additional treatments to improve contour, though most patients achieve sufficient skin retraction.
It’s best to wait until breast size and hormone levels have stabilised – usually at least six months after breastfeeding ends. Dr. Kohout can advise based on your specific situation.
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Dr. Mark Kohout is a fully qualified specialist plastic and reconstructive surgeon with over 25 years of experience, based in central Sydney.
Trained in Great Britain, Australia, and the U.S., he co-founded Australia Plastic Surgery. Specializing in breast, genital, and male breast surgeries, he is a certified member of the Australian Society of Plastic Surgeons (ASPS) and the Royal Australian College of Surgeons (RACS).
Dr. Kohout has appeared in media like The Biggest Loser and has published several articles in his field.
