Many women and men come to me because they are frustrated about the areas of fat that persist despite their dedication to a proper diet and consistent exercise routine. Due to genetics, fat can collect more in certain areas than others, and those areas are often the most difficult to lose. I use liposuction at my Santa Monica practice to shape and refine contours of the face and body, taking into account the underlying muscle and bone structure in addition to the fat beneath the skin. For best results, I carefully choose liposuction patients with good skin quality (i.e., enough elasticity to "shrink wrap" around the new contours) and realistic goals.
If you'd like to visit my Santa Monica practice to find out whether liposuction can benefit you, I am happy to answer all of your questions. Request a consultation or call my office at (310) 576-3635 to schedule your appointment.
This patient is a female in her late 40's who presented to my office with complaints of back, neck and shoulder pain due to large pendulous breasts. The patient was also noted to have severe asymmetry as well as significant ptosis. I felt a bilateral breast reduction would give the pati...
This patient is a 34-year-old female who presented to my office with complaints of breasts which were asymmetrical, drooping and larger than desired. She also had severe elastosis of the abdomen due to pregnancy as well as excess fullness of the flanks. I felt that a breast reduction with abdomin...
The patient is a 41-year-old female who presented to my office with complaints of breasts which were larger than desired. She also had significant back, neck and shoulder pain due to extremely large breasts. I felt a breast reduction would give the patient significant improvement in her back and...
This patient is a 39 year old female who was seen for breast augmentation, a breast lift and abdominoplasty. I recommended fat grafting to the breasts instead of implants as she had a fair amount of breast tissue already, and fat grafting to the upper breasts would be a low maintenance way t...
After multiple pregnancies and previous breast surgery by another surgeon, this 37-year-old woman came to my office for corrective surgery. I recommended a Mommy Makeover procedure that included complex breast revision surgery and a tummy tuck with power-assisted liposuction of the flan...
Good candidates for liposuction are at a stable weight, have a BMI of 30 or under, and want to slim down localized areas of fat. Skin quality also matters: Firm, elastic skin shrinks down over contoured areas nicely. Skin that is lax, inelastic, and has a lot of stretch marks will likely provide sub-optimal results.
I use liposuction to contour most areas of the body:
Generally, men are interested in achieving a leaner, more athletic look; women often want to highlight feminine curves.
I typically perform liposuction as an outpatient procedure accompanied by a board-certified M.D. anesthesiologist. The procedure begins with tumescent solution infiltrated into the areas of targeted fat to control pain, inhibit bleeding, and engorge the tissue.
I perform liposuction by creating tiny incisions near the areas of unwanted fat, through which I insert a thin, hollow tube called a cannula. I use power-assisted liposuction, which involves a device that rapidly reciprocates (vibrates back and forth) the cannula as the fat is suctioned away. The vibrations make it easier to move the cannula through the tissue, which makes fat removal gentler, enhances precision, and improves recovery time over the tumescent technique alone.
Once the procedure is complete, the incisions are closed with a single stitch each.
Dr. Cohen shares how he determines who is a good candidate for liposuction and which ares of the body this versatile treatment can improve. Watch Video
Because liposuction procedures vary greatly between patients, recovery time accordingly varies as well. The recovery experience will depend on whether other procedures are combined with liposuction and other variables, including:
In general, patients experience swelling and bruising. Discomfort usually subsides after a few days and may be managed with prescription or over-the-counter pain medication. While it's important to rest, you also need to walk around several times a day to increase circulation and promote healing.
Immediately after surgery, treated areas will look slim, giving you a close approximation of what you will eventually look like. After that, swelling will set in and obscure improvements temporarily. I have my patients wear compression garments for 6 weeks to limit the degree of swelling and help the skin to conform smoothly to their slimmer contours. Support garments such as Spanx® or Flexees® are often more comfortable and less noticeable to wear than medical compression garments.
Once swelling has dissipated, which can take 3 to 6 months, the results should be fully visible. The incisions typically heal to tiny, thin scars and are barely noticeable. It's important to exercise and eat right consistently to maintain your newly slimmer contours.
I remind patients that healing rates vary, so they need to give themselves plenty of time to get back to their routines. In general, patients are ready to go back to non-strenuous jobs within a week. Activity restrictions are typically lifted within 4 to 6 weeks.
Liposuction is excellent for reducing areas of excess fat. If you have a tummy bulge or lax skin on your abdomen, a tummy tuck will be needed to repair stretched and separated abdominal muscles and remove excess skin. I usually complement tummy tuck results with liposuction of the waist, flanks, and thighs.
I published 2 scientific articles in the plastic surgery literature evaluating the safety of performing multiple, simultaneous procedures. Each paper, which reviewed results in over 400 patients, demonstrated that the safety of combined procedures was equivalent to that of individual procedures.
Although liposuction is a very effective body contouring tool on its own, I frequently combine it with tummy tuck and Mommy Makeover procedures for more comprehensive results. Liposuction is also the first step in fat grafting, which can add volume to the breasts and other areas after removing it from a place where it is unwanted.