MicroAire Power Assisted Liposuction (PAL)

Liposuction techniques have evolved significantly in recent years, offering patients a broader range of options for addressing unwanted fat. One such advancement is Microaire-assisted liposuction, a technology that integrates power assistance for more refined fat removal.

Dr Mark Kohout, a Specialist Plastic Surgeon based in Sydney, Australia, incorporates this technique as part of his patient-centred approach to body contouring surgery. This article aims to inform individuals considering liposuction about the role of Microaire in modern surgical practice, including how it works, who it may be suitable for, and what patients in Sydney can expect throughout the surgical journey.

What Is Microaire-Assisted Liposuction?

Unlike traditional liposuction, which relies solely on the surgeon’s manual force, Microaire’s oscillating cannula enables precise and controlled fat removal. This can be particularly helpful in areas with dense or fibrous tissue, such as the upper back or male chest.

This technique is used in various cosmetic and reconstructive procedures to address localised fat that has not responded to diet or exercise. The Microaire system aims to support surgeons in performing efficient, targeted fat removal while maintaining control over surrounding tissues. It is also noted for improving the ergonomics of the procedure, reducing the strain on the surgeon and supporting the consistency of technique across treatment areas.

How Microaire Works: A Technical Overview

The Microaire system operates through a high-frequency oscillating cannula, which moves rapidly back and forth. This allows for the disruption of fat cells with less manual force, creating a more fluid and efficient experience for both surgeon and patient. The technology supports improved accuracy in sculpting, thanks to enhanced tactile feedback. This is especially useful when working in delicate or high-definition areas of the body.

The improved control reduces the chances of irregularities and supports smoother contouring. For fibrous areas such as the male chest, upper back, or previously treated zones, the vibration function makes fat removal more manageable. The Microaire system is commonly used in multi-layer fat removal and is particularly effective in zones like:

Abdomen: Helps to flatten and contour the central and lower belly area, often following weight loss or pregnancy.
Flanks (“love handles”): Refines the waistline and improves symmetry when viewed from the back and sides.
Thighs: Treats inner and outer thigh fullness that can cause discomfort or friction during movement.
Arms: Commonly chosen for addressing age-related fullness or soft tissue changes in the upper arms.
Chest: Particularly beneficial in treating male breast tissue in gynaecomastia procedures.
Back and bra rolls: Targets stubborn fat pads that create contour irregularities in fitted clothing.

Why Patients in Sydney Are Exploring Microaire-Assisted Liposuction

The demand for body contouring procedures in Sydney continues to grow, with many patients seeking surgical techniques that prioritise precision and take recovery into account. Microaire’s technology is often selected by patients interested in fat reduction methods that involve a minimally invasive approach combined with surgical oversight.

Patients working with Dr Mark Kohout value:

A tailored approach to their surgical plan, crafted after a comprehensive consultation that considers their body type, goals, and anatomical characteristics. His team offers continuity of care, with direct access to guidance from consultation through recovery. Furthermore, his planning process integrates not only the technical aspects but also lifestyle and cultural sensitivities, a valuable consideration in Sydney’s diverse population.

Potential Benefits of Microaire (Without Guarantees)

Microaire-assisted liposuction presents several potential advantages. The technique is designed to reduce tissue trauma, which may help preserve nearby structures such as nerves and blood vessels. This may result in a more comfortable post-operative recovery for some patients.

The technology enhances surgical control, particularly in challenging areas, which may support more uniform and predictable contouring. By reducing surgeon fatigue, Microaire may also contribute to consistent surgical technique throughout the operation.

Steady cannula movement can help minimise resistance, potentially leading to reduced bruising and swelling. The procedure may also complement other body contouring treatments as part of a broader surgical plan, coordinated by Dr Mark Kohout.

As always, these potential benefits must be weighed against individual variables. Patient outcomes are influenced by factors like skin elasticity, general health, and adherence to post-operative care.

Who Might Consider Microaire-Assisted Liposuction?

Microaire-assisted liposuction is suitable for many adults between the ages of 20 and 70. Appropriate candidates are those seeking a surgical solution for persistent fat deposits that do not respond to lifestyle modifications.

Patients should be in a stable weight range and have realistic expectations. Microaire is not a substitute for weight loss, but rather a contouring tool that complements an active, health-conscious lifestyle. Good skin elasticity is beneficial, as it aids in skin contraction post-procedure. For those with significant skin laxity, Dr Kohout may discuss alternative or additional procedures.

Importantly, suitability for this procedure is determined through a personalised consultation at Dr Kohout’s Sydney clinic. He reviews medical history, examines treatment areas, and explains both risks and likely outcomes in detail.

What to Expect Before and After Surgery

Before surgery, patients undergo an in-depth consultation with Dr Mark Kohout. This includes a discussion of goals, detailed medical history, and assessment of the target areas. Pre-operative markings and planning aim for precise execution in theatre.

On the day of surgery, the procedure is conducted in an accredited Sydney facility. Depending on the extent of the treatment, local or general anaesthesia is used. Dr Kohout will advise on the most appropriate approach based on comfort and safety.

Post-operatively, patients receive tailored aftercare instructions. These include the use of compression garments to reduce swelling and support the newly contoured areas, as well as prescriptions to manage any discomfort.

Patients are encouraged to:

Arrange for help during the first 24–48 hours after surgery, particularly if general anaesthetic was administered or multiple zones were treated.
Avoid strenuous activity until given medical clearance by Dr Kohout.
Attend all follow-up appointments for wound checks and to monitor healing progress.

Recovery time varies by individual and treatment extent, but many resume light activities within a few days. Swelling and bruising are expected initially and typically resolve over weeks. Detailed aftercare compliance contributes significantly to overall outcomes.

Frequently Asked Questions About Microaire

Is Microaire suitable for all body types?

Suitability is evaluated on a case-by-case basis. During the consultation, factors such as fat distribution, skin quality, and overall health are assessed to determine if Microaire is the right approach.

How is it different from other technologies?

Microaire’s powered cannula enables a mechanical vibration that helps dislodge fat with precision. Compared to traditional manual liposuction, it offers enhanced control, and is often preferred in areas with fibrous fat or previous surgical history.

Does Microaire affect recovery time?

It may contribute to reduced trauma and quicker initial recovery, but final recovery depends on several factors including the number of treated areas, skin tone, and adherence to aftercare instructions.

What type of anaesthesia is used?

Small, isolated areas may be treated under local anaesthesia, while larger or multiple areas may require general anaesthesia. Dr Kohout will explain the safest and most effective choice during your consultation.

How many procedures are typically needed?

Most patients only require one session. However, in more extensive cases, particularly with multiple body areas, a staged surgical plan may be safer and more effective.

What considerations should I be aware of if I’ve had liposuction in the past?

Patients who have undergone previous liposuction may have fibrous scar tissue or uneven fat layers that influence surgical planning. Microaire’s powered cannula can be beneficial in these situations, offering better manoeuvrability through denser tissues. A comprehensive consultation is essential to assess prior results and identify any challenges.

Can Microaire be used as part of a staged body contouring approach?

Yes. For individuals targeting multiple areas or with more extensive fat volumes, Dr Mark Kohout may recommend a staged approach. This allows for a safer, more controlled process that aligns with surgical best practices and ensures adequate healing between sessions.

What type of results do patients typically describe after surgery?

Patients often describe a more refined and contoured appearance in the treated areas. While results vary, many individuals report that clothing fits more comfortably and their body shape appears better proportioned. Long-term results depend on stable weight, skin elasticity, and post-operative care.

Is Microaire appropriate for treating asymmetry?

Microaire’s high-precision functionality can assist in correcting mild asymmetries by targeting specific fat deposits. During consultation, Dr Kohout evaluates the cause and degree of asymmetry to determine if it can be addressed through this technique or if additional interventions are required.

Does the vibration mechanism increase risk of nerve damage?

On the contrary, Microaire’s powered movement is designed to reduce the need for aggressive manual force. This may actually help minimise the risk of trauma to nearby structures, including nerves, by allowing for more controlled and deliberate movement within the tissues.

What role does skin quality play in final outcomes?

Skin elasticity is a key determinant in how the body adapts after fat is removed. Individuals with firm, elastic skin typically see smoother results post-liposuction. Those with looser skin may need to consider additional procedures, which Dr Kohout will discuss during the assessment.

Is there a difference in technique when Microaire is used on men versus women?

Yes. Men and women often have different fat distribution patterns, and Microaire allows the surgeon to tailor the technique accordingly. For example, treating the male chest (in cases of gynaecomastia) involves different considerations than contouring the female waist or thighs. Dr Kohout applies gender-sensitive techniques for optimal anatomical outcomes.

Medical References

Skin Necrosis Following Power-Assisted Liposuction and Tummy Tuck Without Energy-Based Devices: A Case Report – International Academic Journal of Advanced Biological and Medical Sciences (IAJABMS)
https://www.iarconsortium.org/iajabms/176/2872/skin-necrosis-following-power-assisted-liposuction-and-tummy-tuck-without-energy-based-devices-a-case-report-4912/
MicroAire Completes Acquisition of NEOSYAD, Advancing Adipose Tissue Engineering Technology: PR Newswire (Corporate announcement with medical innovation context)
https://www.prnewswire.com/in/news-releases/microaire-completes-acquisition-of-neosyad-302352417.html
Body Contouring Finesse: Dynamic Definition Liposculpture and Radiofrequency Microneedling Combination – PubMed Central (PMC)
https://pmc.ncbi.nlm.nih.gov/articles/PMC11736780/

Why Choose a Specialist Plastic Surgeon for This Procedure

Choosing a Specialist Plastic Surgeon like Dr Mark Kohout means entrusting your care to someone with accredited surgical training and decades of practical experience. With over 20 years of practice in Australia and internationally, Dr Kohout brings both technical skill and a measured, ethical approach to body contouring.

Plastic surgeons understand not just fat removal, but also how the skin, muscle, and underlying structures work together to form balanced contours. Their training also includes managing complex anatomical areas, dealing with complications if they arise, and ensuring procedures are carried out in fully accredited, safe environments.

Next Steps: Booking a Consultation in Sydney

To explore whether Microaire-assisted liposuction is right for you, the next step is a comprehensive consultation with Dr Mark Kohout at his Sydney clinic. Here, you will receive a detailed assessment, learn about your options, and receive a surgical plan tailored specifically to your needs.

All consultations, surgeries, and follow-ups are managed by Dr Mark Kohout, ensuring continuity and personal attention throughout. To begin this process or to learn more, visit the website.

Dr. Mark Kohout

Dr. Mark Kohout is a highly 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.