How Does Liposuction Work?

Liposuction is a surgical procedure designed to permanently remove stubborn fat from targeted body areas, delivering noticeable results. In simple terms, liposuction uses a specialized suction device to break up and remove fat cells from beneath the skin, resulting in a slimmer and more sculpted appearance. For many patients, this treatment provides a way to achieve a smoother, more balanced figure in areas that have not responded to traditional weight loss methods, such as diet and exercise.

During the procedure, a surgeon uses a thin, hollow tube (cannula) to break up and suction out excess fat through small incisions in the skin. Modern techniques, such as power-assisted liposuction and high-definition lipo, allow for more precise fat removal and enhanced contouring. Liposuction is not a weight loss method but a body contouring procedure that effectively targets unwanted fat for lasting improvements in shape and proportion. With the expertise of experienced providers like Dr. Ellen Ozolins, MD, and Dr. Gregory Lakin, MD, patients can expect advanced techniques and personalized care throughout their journey.

What Is Liposuction?

Liposuction is a minimally invasive cosmetic surgery that removes pockets of fat from specific areas of the body. The procedure uses a specialized cannula connected to a suction device, allowing surgeons to sculpt and contour areas such as the abdomen, thighs, hips, arms, and chin. Liposuction techniques have evolved significantly, offering improved results and reduced recovery times compared to earlier methods.
Liposuction ranks among the most popular cosmetic surgical procedures worldwide. According to recent national statistics, more than 300,000 liposuction procedures are performed annually in the United States alone. Its high demand is driven by its effectiveness and versatility in body sculpting.
While liposuction focuses on fat removal, other body contouring options, such as tummy tucks and non-surgical treatments, address concerns like loose skin or muscle laxity. For instance, a tummy tuck removes sagging skin and tightens abdominal muscles, while non-invasive treatments typically offer modest fat reduction without surgery. However, liposuction provides more immediate and dramatic changes in body shape compared to most non-surgical alternatives.

Why Consider Liposuction?

Liposuction offers several benefits, including:
  • Targeted fat removal from stubborn areas resistant to diet and exercise
  • Permanent elimination of fat cells in treated areas
  • Improved body proportions and silhouette
  • Enhanced self-confidence and satisfaction with body image
Most people seek liposuction to improve their body contours and achieve a more proportionate figure. Common motivations include removing love handles, slimming the thighs, or defining the jawline.

Can I Lose Weight With Liposuction?

Liposuction is not a weight-loss solution or an obesity treatment. It is designed for individuals close to their ideal weight but with localized fat deposits. Candidates should have realistic expectations and a commitment to maintaining a healthy lifestyle after surgery.

Areas That Can Be Treated With Liposuction

Liposuction is highly versatile and can be performed on various areas, including:
  • Abdomen and waist
  • Hips and flanks
  • Thighs (inner and outer)
  • Buttocks
  • Upper arms
  • Back
  • Chest (including gynecomastia in men)
  • Chin and neck

Types of Liposuction Procedures

Liposuction has advanced significantly in recent years, offering multiple techniques to accommodate different body areas and patient goals. Each method shares the core goal of removing unwanted fat but differs in the tools and technologies used.

Tumescent Liposuction

Tumescent liposuction is a common cosmetic procedure that involves injecting a large volume of a special fluid into the targeted fatty tissue. This solution contains saline, lidocaine (a local anesthetic), and epinephrine to minimize discomfort and reduce bleeding. The fluid causes the area to swell and firm up, making it easier for the surgeon to remove fat with minimal trauma. Because of its safety profile and effective results, tumescent liposuction remains one of the most widely used techniques.

Ultrasound-Assisted Liposuction

Ultrasound-assisted liposuction (UAL) enhances traditional suction-assisted liposuction by using ultrasound waves to liquefy fat cells before removal. This process makes fat extraction smoother and less physically demanding, especially in fibrous areas like the back or male chest. Additionally, the ultrasound energy helps preserve surrounding structures such as blood vessels, reducing trauma and promoting quicker recovery for some patients.

Laser-Assisted Liposuction

Laser-assisted liposuction (LAL) uses laser energy to break down fat deposits, allowing for a more precise and less invasive removal process. The heat from the laser helps to liquefy fat and may also stimulate collagen production, which can lead to skin tightening in some cases. This technique results in less blood loss compared to more traditional methods, making it a preferred option for small, delicate areas like the neck or arms.

Power-Assisted Liposuction

Power-assisted liposuction (PAL) involves a vibrating cannula that rapidly moves back and forth to loosen fat cells for easier removal. This method reduces surgeon fatigue and often leads to more consistent results, especially in larger treatment areas. Because the mechanical motion assists in dislodging fat more efficiently, PAL can offer shorter procedure times and increased precision without damaging surrounding tissue.

How Does Liposuction Work?

Step 1: Liposuction Consultation

The procedure starts with a thorough consultation with a qualified provider, such as Dr. Ellen Ozolins or Dr. Gregory Lakin. During this visit, you’ll discuss your goals, medical history, and the areas you want to address. Pre-procedure instructions may include stopping certain medications, ceasing smoking, and arranging for post-procedure support at home.

Step 2: Anesthesia

Liposuction can be performed under different types of anesthesia depending on the treatment area and the patient’s needs. Many procedures use tumescent fluid, a solution that contains a local anesthetic to numb the targeted area while minimizing bleeding. In larger or more complex cases, general anesthesia may be used to ensure the patient remains fully asleep and comfortable during the procedure. Your provider will determine the most appropriate anesthesia method based on your goals and medical profile.

Step 3: Incisions

Small, discreet incisions are made in the skin near the treated areas. These incisions are typically only a few millimeters long and are placed in natural skin folds whenever possible to minimize visible scarring.

Step 4: Fat Removal

The surgeon uses a thin, hollow tube called a cannula, which is inserted through tiny incisions in the skin. Using ultrasound, laser energy, or power-assisted motion, the cannula gently breaks up and suctions out fat cells. The surgeon carefully sculpts the area for smooth, natural-looking results. This process allows for targeted fat removal and improved body contours.

Step 5: Incision Closure

Once the desired amount of fat has been removed, the small incisions are closed with sutures or left open to allow for fluid drainage, depending on the technique used. Sterile dressings are applied to protect the area and promote healing. The incision sites are carefully managed to reduce the risk of infection and support a smooth recovery.

Step 6: Aftercare

After surgery, you’ll be monitored for a short period. Compression garments are typically applied to reduce swelling and support your new contours. Mild swelling, bruising, and discomfort are normal in the first days after liposuction. Your surgeon will provide detailed instructions for home care, medications, activity restrictions, and follow-up appointments.

Liposuction Recovery Time

Initial Days

Most patients can resume light activities within a few days, with full recovery typically achieved over several weeks. Bruising and swelling gradually subside, revealing your improved shape.

Return to Work

You can usually return to work and most daily activities within 1–2 weeks, depending on the extent of liposuction and your healing progress. Strenuous exercise should be avoided until cleared by your provider. Incisions for liposuction are small and placed discreetly. Most patients notice minimal scarring, which tends to fade significantly over time.

Results

Initial results are visible within a few weeks once swelling subsides, but final outcomes may take three to six months to develop as your body heals and contours settle. The fat cells removed during liposuction are gone for good. However, maintaining your results depends on a healthy lifestyle. Weight gain after the procedure can cause remaining fat cells to enlarge.

Tips for Maintaining Results

  • Maintain a stable weight through a healthy diet and exercise
  • Wear compression garments as directed during initial recovery
  • Attend all follow-up appointments
  • Practice good skin care for optimal healing

Additional Treatments

  • Maintain a stable weight through a healthy diet and exercise
  • Wear compression garments as directed during initial recovery
  • Attend all follow-up appointments
  • Practice good skin care for optimal healing

Advanced Liposuction Procedures at Illuum Cosmetic Surgery

  • Lipo 360: Comprehensive fat removal and contouring around the entire midsection, including abdomen, flanks, and lower back.
  • High-Definition Lipo: Also called Silhouetch℠, this approach uses power-assisted tools to sculpt muscle definition and create a more athletic appearance.
  • Chin Liposuction: Focused contouring for the lower face and neck (neck liposuction).

Who Is a Candidate for Liposuction Surgery?

Ideal candidates for liposuction are adults who:
  • Are within 30% of their ideal body weight
  • Have firm, elastic skin and good muscle tone
  • Do not smoke or are willing to stop before and after surgery
  • Have realistic expectations about outcomes
Liposuction may not be suitable for individuals with significant health problems, poor skin elasticity, or unrealistic expectations. It is also not appropriate for those seeking a solution to obesity or weight loss.
Older adults can undergo liposuction, provided they have good overall health and sufficient skin elasticity. However, age-related skin changes may affect final results.
Men commonly seek liposuction to address areas like the abdomen, flanks (“love handles”), chest, and chin. This procedure can be combined with a tummy tuck to remove excess skin in the abdominal area. Our male surgery may help achieve a more contoured and masculine physique.

What Is the Liposuction Cost?

Liposuction costs vary from $3,000 to $10,000, depending on several factors, including the number of treatment areas, the technique used, and the surgeon’s experience. Because liposuction is considered plastic surgery, it is typically not covered by insurance. During your consultation, your provider will offer a personalized quote based on your goals and the extent of the procedure.

Choosing a Qualified Plastic Surgeon

Liposuction should be performed by a board-certified surgeon with extensive training in body contouring. At Illuum Cosmetic Surgery, Dr. Ellen Ozolins and Dr. Gregory Lakin bring over 20 years of experience in advanced liposuction techniques, including power-assisted and high-definition approaches.

Illuum Cosmetic Surgery is distinguished by its patient-centered approach, commitment to safety, and advanced technology. Whether you are considering Silhouetch℠ or traditional liposuction, you’ll benefit from the skill, artistry, and personalized attention of Dr. Ozolins and Dr. Lakin. Their dedication to excellence ensures you receive the highest level of care at every stage.

Learn more about our team and approach on the About Us page.

Conclusion

Liposuction is a proven method for removing stubborn fat and sculpting a more defined silhouette. It involves the precise suction of unwanted tissues for long-lasting body contouring results. With modern techniques and the expertise of the Illuum Cosmetic Surgery team, you can achieve the shape and confidence you desire.
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Katie Wells BSN, RN

Nurse Injector

She received her Bachelor of Science in Nursing from Michigan State University and worked as an operating room nurse at Michigan Medicine for 2 years before transitioning to aesthetics. She
received her certification as a Nurse Injector, and attended further training and certification through Allergan Medical Institute. She absolutely loves being a Nurse Injector and is very passionate about
combining medicine and the creativity and artistry of aesthetics in her practice. It is extremely important to her to remain educated and up to date with the newest and best treatments and injection techniques. Her goal as an Injector is that when you sit in her chair that you feel comfortable, fully educated on your procedure, and confident and happy in your results when we are done. She loves forming connections with her patients and feels truly honored to be a part of your journey to becoming your most confident self, inside and out! She is a great listener and looks forward to creating an individualized plan to meet each of her patient’s unique goals and desires. Some of her favorite treatments include lip filler, Botox, and midface/cheek filler (but there is so much more!). When she is not injecting, you can find her trying new recipes, spending time with family, working out, gardening, or taking a long walk with her dog.

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Heidi Winkler BSN, RN

Director of Nursing & Surgical Services Leadership

Heidi’s goal is to ensure every patient has a positive experience and is satisfied with the high quality of service provided by our clinical staff. Her passion as a caregiver is to impact each person’s life in a positive way.

Tonya Gilbert BSN, RN

PACU Nurse

Tonya has been a registered nurse for 15 years. She earned her BSN at the University of Michigan. Go Blue!

She started her career as a trauma RN in Detroit. She has been working as a recovery RN for the past 8 years. She loves being part of a team that makes a difference in people’s lives. 

Her passions include lounging with her fur babies, family, and friends, traveling, crunching, and recycling. 

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