As the human body ages and experiences weight fluctuations, fatty tissue is deposited in various parts of the body. These problem areas can be difficult to manage even with proper diet and exercise. Liposuction is a cosmetic surgery that addresses these stubborn fat areas. Both women and men visit our Sarasota plastic surgery center for liposuction, which is a body contouring procedure that removes fatty tissue from selected areas of the body, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. It is performed using a thin, metal tube called a cannula, which is inserted through small, inconspicuous incisions. Artistic and anatomical removal of excess fat tissue can improve your appearance and silhouette. During the consultation, our surgeons will discuss liposuction and explain that it is not a cure for obesity, cellulite or stretch marks. It is most appropriate for people who have localized fat bulges that are inherited and remain despite weight reduction and exercise.
"I had liposuction of my hips, chin and fat transfer to cheeks and eyes."- Anonymous / Vitals / Jan 11, 2015
"Caring, compassionate, knowledgeable doctor that doesn't treat you like a number. He really cares and takes the time to help you. The office staff is incredible! Thank you, Dr. Engel!"- Anonymous / RateMDs / Apr 08, 2011
"Scared, Nervous, and Anxious - Sarasota, FL - He has been very personable and listens to what you want/need. He takes his time and is a perfectionist. My stomach looks amazing! - - I'm 40 and after 3 kids: 20, 18, and 16, my stomach looks saggy and droopy. I have deep stretch marks which creates this awful amount of skin everywhere. I am scheduled to get my TT w/ lipo at the end of April. I am over joyed and excited!!!!! But at the same time I am dreading the recovery. Is this going to be worth it???????"- I. / RealSelf / Mar 24, 2011
"37 Year Old/Life Changing Surgery - Sarasota, FL - Dr. Engel was very thorough in the eduction of my elected procedures, as was his staff. I believe and felt that Dr. Engel truly understood my concerns and desired results. During my consultation, I felt very comfortable and was able to relax knowing that I had chosen the best board certified plastic surgeon to address my concerns and meet my cosmetic desires. The day of surgery my nerves quickly went into overload once I enter the facility. Then I was greeted by the wonderful surgical staff followed by Dr. Engel. I was finally ready to undergo surgery thanks to Dr. Engel's ability to ease my worries and make me laugh. I remember Dr. Engel speaking to me prior to my discharge, which I believe put my "after surgery" nerves at ease. The following day I met with Dr. Engel and his staff. At this appointment, I was again reassured that I had made the appropriate surgical and surgeon decisions. Again, THANK YOU Dr. Engel!! - - I have always been up and down with my weight most of my teenage/adult life. I gained the majority of my weight through difficult pregnancies. With one successful pregnancy, I gave birth to my beautiful daughter (17 years ago). Through the years she became an avid runner and I had the desire to be able to run 5k's/marathon's with her. Over the past five years that desire lead me to dropping 50+ pounds. I was very happy and excited by the weight loss. However, I was left with excess skin, mostly in my abdominal area, which left me feeling very depressed and not so excited to run or workout. I decided to seek consultation for a tummy tuck, breast reduction/lift and liposuction. After much research, I decided to consult with Dr. Engel. As the appointment neared, I became very nervous and wasn't so sure I would keep the appointment. Well, the day came and I kept the appointment. After a very thorough consultation and exam with Dr. Engel and his staff, I was more than excited to follow through with surgery. Three weeks later I underwent surgery for a tummy tuck, breast reduction/lift with fat grafting (to achieve breast fullness, I opted not to have implants) and liposuction of thighs/abdomen. The day after surgery, I was immediately satisfied and knew that I had made the right decision with the right surgeon. I am now 8 weeks postoperative and couldn't be enjoying my renewed life more. This surgery has given me back apart of myself that I thought I had lost forever....the ability to look in the mirror and smile, not cry! I am now in the process of training to run my first 5k with my daughter this October! Thank you Dr. Engel!!!"- L. / RealSelf / Sep 08, 2014
"45 Year Old Needing a Little TLC - Sarasota, FL - I loved my doctor. He was so kind and personal. He listen to what I wanted to accomplish. And then he gave his professional opinion and walked me through what would happen. I felt secure in his hands. I think my biggest worry was pain. He made sure that I was comfortable. I just had my yearly GYN appointment and my doctor was impressed with my scars. She asked for his name. She even said that I had a really cute belly button. Dr Engel is truly amazing at what he does. I am impressed with my body and so so happy I did it. I am so grateful for his staff as well. They were just a phone call away before and after the surgery with answers to anything that was of a concern to me. The nurses are so sweet and kind. Every person that I met at Dr Engels office really loves what they do because of how they all worked as a team for my benefit. I could go on and on but I wont. I loved my experience and I love my new body!!!!!!! - - I just wanted a flat stomach. After three kids my stomach sat in my lap. I wanted so bad to look good again. Pros are you feel better about yourself number one, and you get to buy new clothes because everything is to big now. The only con would be just laying low for a few weeks. Had to hire a little help."- K. / RealSelf / Apr 29, 2015
Tumescent liposuction, known as the “Super-Wet” approach, is a suction-assisted (SAL) technique that uses a solution and power-aided motor to help remove stubborn fat. The surgeon injects the solution, made of saline, lidocaine and epinephrine (to control bleeding), into the problem areas. The surgeon then inserts the cannula attached to the motor to remove fat cells from the body at a controlled speed. The motor helps surgeons remove anywhere from several ounces to a few pounds of fat.
Another surgical technique commonly used is the ultrasound-assisted (UAL), or ultrasonic, approach. Surgeons perform this dual process on denser areas of fat, such as in the thighs and stomach. During this technique, ultrasound waves loosen and melt fat into a liquid. Surgeons then use the cannula to extract the solution. This surgical method is more popular among men wanting more defined and contoured muscles.
Laser-assisted liposuction uses laser technology on specified areas of fat to burst energy that will loosen and liquefy the fat for removal. LAL liposuction includes brands such as SmartLipo, SlimLipo, Lipolite Laser Liposculpture, LipoLite, and ProLipo PLUS.
Liposuction is an outpatient procedure performed under general anesthesia at a hospital or surgery center. The procedure lasts about 30 minutes for each body part. It can be a stand-alone surgery, or combined with other procedures. However, the surgeon may suggest performing the surgery over a period of time for the safety of the patient. After surgery, patients are required to wear a compression garment to help the body adjust to its new shape. Bruising and swelling will subside within 1 week, but patients will not see final results for several months. Liposuction does leave a small scar, but it fades over time.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 1-4 Hours
- Post-op Follow-up
- Procedure Recovery Location
Is it Safe?
While today’s surgical techniques are safe, patients can experience poor results from inexperienced surgeons. It is important for patients to do their research, and find an experienced surgeon that can help them achieve the best, most natural-looking results.
The results of liposuction can be seen for many years following surgery if the patient follows a healthy diet and exercise program. Removed fat cells do not come back, but patients can still gain weight if their remaining fat cells grow.
Too Much Fat?
Yes, there can be too much fat. The American Society of Plastic Surgeons does not recommend removing more than 10 pounds of fat for the safety of the patient. Removing more than 10 pounds is considered high-volume liposuction, which increases the chances of complications from the surgery. Patients are advised to be near or at their ideal weight before undergoing liposuction.
While liposuction removes fat and improves contour and shape, it does not address sagging or drooping skin. If skin laxity is a concern, patients can talk to the surgeon during the consultation to discuss their options for improving skin texture, such as a tummy tuck, thigh, neck, arm or butt lift.