My Plastic Surgeon Beauty for real life™

Liposuction For a Leaner Body Contour

Unsightly bulges are eliminated with a contouring procedure that Dr. Kasrai customizes according to your unique goals. You don't have to be at your ideal weight to have it done, either.

There’s hardly any need to introduce liposuction, is there? Considering how popular it is, liposuction is the quitessential body controuring tool. It gets rid of unwanted fat on your face and/or body to give you the sleeker, toned shape you want. And, the best part is the fat cells that are removed during your surgery do not grow back. So, if you gain weight after surgery, you'll be pleased to know that it won't get concentrated in your previous “problem areas” — the fat will be more evenly distributed. Even if you gain weight after your surgery, your treated areas will always look better than if you hadn't had the surgery performed at all.

Unique point: a measured approach for a harmonious, natural looking result

For well over a decade, I have performed liposuction anywhere on the face and body that it is safe to do so, countless of times:

  • cheeks
  • chin, particularly under the chin (submental)
  • neck
  • arms
  • breasts, in men and women
  • mid-section, which includes the stomach and waist
  • upper and lower back
  • buttocks
  • upper and lower legs

I have closely examined the surgical techniques I apply and the results I've achieved for my patients. This has allowed me to establish a superior surgical approach that achieves consistently satisfying results for my liposuction patients. You’ll enjoy great looking results, with a shorter recovery period and minimal scarring.

diagram showing visceral fat and subcutaneous fat on the human body.
Liposuction can only remove the fat located just underneath the skin, known as subcutaneous fat. It can't remove the fat in and surrounding your internal organs, known as visceral fat.

Unique point: minimal scarring

Scarring is probably a huge concern for you. After all, it’s a telltale sign of surgery and is a complexion blemish. Scars are caused by incisions, made during liposuction surgery to allow for a tube (cannula) to be inserted to suction out the unwanted fat. They are inevitable. However, I always make sure of two things to minimize their visibility:

  1. The incision(s) is always in an inconspicuous place. Usually, that’s within a natural crease in your skin. It could also be in an area that's covered up by underwear or a bathing suit.
  2. The length of the incision(s) is as short as possible, measuring mere millimetres rather than centimetres or inches.

In addition, I have designed instructions on how to care for your incisions after surgery, specifying things that will help make them heal faster. Scars become thin silvery lines that are barely noticeable.

Unique point: a shorter recovery period

A longer, more intense recovery is caused by

  • dated liposuction techniques
  • unnecessary trauma during surgery
  • targeting too many areas and removing too much fat at once

There are several methods of liposuction available, but I only use those that have been repeatedly proven to make the surgery less traumatic. For example, there is extensive research on tumescent liposuction to prove its effectiveness. This technique involves injecting the targeted area with a high amount of solution that contains anesthesia. This not only breaks up the fat for easier removal, but also provides you with a more comfortable experience during and after your surgery. The broken up fat reduces the number of times the tube (cannula) is pushed back and forth in the treated area for less trauma to your body. You also don’t need to “go under” (general anesthesia) — tumescent liposuction can be performed under local when treating a single area.

Less bleeding and less bruising means a shorter recovery period and faster results!

Cross section of subcutaneous fat layers showing removal of fat cells with liposuction, before and after treatment.
The diagram on the left shows how your fat cells are removed with a liposuction cannula. The diagram on the right shows the decrease in the number of fat cells after treatment.
  Tumescent Traditional Laser Assisted
Popularity Gold standard of liposuction Not commonly used Somewhat popular, commonly for smaller areas
Anesthesia Local, local with sedation, or general General only Local, local with sedation, or general
Chance of Complications According to medical research, it is associated with the lowest rate of complications. According to medical research, it is associated with the highest rate of complications. According to medical research, it is associated with a moderate rate of complications, including seroma, hematoma and infection.
Rate of Bleeding/Bruising Minimal Significant Minimal
Reported Pain Levels Minimal. Prescribed pain medication isn't necessary but can be taken. Significant. Prescribed pain medication is necessary. Minimal. Prescribed pain medication isn't necessary but can be taken.
Risk of Burns None None Moderate to high

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My patients want a shorter recovery and results that appear faster. That's why I've modified my surgical techniques to give you just that. – Dr. Leila Kasrai

A proportionate improvement

The right amount of fat should be removed. This will allow for a more aesthetically pleasing contour that complements your overall appearance. If too little is removed, those bulges will still be there for you to see. If too much is removed, odd craters and unnatural pockets disrupting the smooth surface of your skin will appear. Excess fat removal can also lead to saggy skin, a particular concern when targeting the mid-section (and something that would require a subsequent tummy tuck.)

I always look at your facial and body contours as a whole, rather than in individual sections. That way, I can measure the amount of fat to be removed more accurately. I consider your natural proportions and what would be the most harmonious improvement. As a result, it is very rare for my patients to experience an under or over correction.

Unique point: you don’t have to be a specific weight or BMI (body mass index)

Other surgeons enforce the rule that patients need to be at a specific weight or within a normal BMI range before having surgery. I find this unnecessary. In fact, a drastic change in your lifestyle just to lose the extra pounds right before your surgery can even be counter-productive and make the whole experience more dangerous for you.

You shouldn’t be put into a category that disregards your unique body type and frame. A woman who is on the muscular side will naturally weigh heavier than someone of the same height but with a thinner frame. Yet both women may still be at a healthy weight for their body. It doesn’t make sense to apply a weight restriction that doesn’t consider this fact.

If you are at a stable weight but have stubborn areas of fat that simply don't respond to diet and exercise, liposuction can still be safely performed to achieve your desired results.

You should know

Please be aware that liposuction is not a weight loss tool. It is also not effective in the treament of cellulite and should not replace exercise and a proper diet. It is for relatively healthy, fit people who want a little extra help achieving a slimmer, attractively proportioned body. It removes pockets of stubborn fat, not high amounts of fat everywhere on your body. The amount of fat removed won't make a significant impact on your weight. If you want to lose weight, you should consider healthy changes to your lifestyle and diet before considering any type of cosmetic surgical procedure.

What happens during your surgery

First, anesthesia is administered. I will discuss your best options for anesthesia during your consult: for extensive work, general anesthetic is recommended. Local, local with intravenous sedation, or regional anesthesia (similar to an epidural used during childbirth) are options for smaller amounts of fat to be removed or when only one area is treated.

A tiny (and very inconspicuous) incision is made in the surgical area. A large amount of anesthetic solution is injected into the area, causing the fat to become swollen and firm. This allows the liposuction cannula (a thin tube with a tiny circumference) to move smoothly under the skin. Using the cannula, fat is broken up beneath the skin then suctioned out with a vacuum pump or a large syringe. The incision is then closed and dressed. Generally, an overnight stay isn’t required so you can go home a few hours after your surgery.

What happens during your recovery

  • an immediate improvement
  • swelling takes a few weeks to months
  • back to work in a couple of days

Although you will notice a difference in your body right after surgery, the change will become more apparent after 4-6 weeks, after the swelling has gone down.

You will be able to get back to work in 2-3 days; for that time, rest quietly so you can heal faster and get a better result. Pain medication can help dramatically improve your comfort.

Light exercise will be fine after two weeks. However, for running, weight lifting or other vigorous activity, wait about a month.

You will wear a custom fitted Lycra compression garment for six weeks to decrease swelling and bruising. The garment also helps your skin tighten up to your leaner contour. Please wear it as advised. If you find it leaves marks on your skin, you can flip the garment inside out or wear a fitted thin, seamless cotton garment underneath.

You'll love your leaner body

Those pockets of fat that you've tried so hard to get rid of with exercise and dieting will finally be gone! Enjoy your leaner, fitter look and continue leading your healthy lifestyle, as it will work to maintain your results.

Frequently asked questions about liposuction

What is liposuction?

Liposuction removes unwanted fat on your face and body that's located just below your skin (known as subcutaneous fat). The fat removed is suctioned out with a cannula. It's also known by many other terms: liposculpture, lipoplasty and lipo.

Man showing off his ripped abs.

Some surgeons promote liposculpture as a way to sculpt the bodies of patients who have very low body fat percentages, like bodybuilders. Also known as high definition liposuction, the technique is usually reserved for the abdomen to redefine a six-pack.

Does it tighten the skin?

It's a common mistake to believe that liposuction can tighten the skin. While some liposuction techniques are promoted as being able to firm up the skin in the area treated, it can only do so at a very minor extent. Saggy skin can only really be firmed up by removing the excess by excision, something that a tummy tuck or thigh lift would do. It's best not to rely on liposuction to do this, because you'll most likely be disappointed. Liposuction can be safely performed at the same time as your abdominoplasty or thigh lift.

Am I a candidate?

You may be if you are at a stable, and preferably ideal, weight, and are generally healthy. You should have realistic expectations of what liposuction can do for you — which is to eliminate pockets of bulging fat that are ruining your overall body contour.

How much weight will I lose?

Liposuction is not a method of weight loss. If you're getting it to lose weight, you'll be disappointed. The amount of weight you lose will only be one to five pounds at most, or nothing at all. However, some patients who see how great they look after are inspired to lose more weight and keep it off.

Why can't I decrease the fat in my thighs or stomach, even though I exercise and diet regularly?

Your body will naturally store fat, and it will do so in certain places where you're genetically programmed to have it. You may have low body fat, yet still have a pot belly or saddlebags.

Do I need to go under for my surgery?

This depends on how much fat and how many areas are treated. It is common for local anesthesia to be administered, however if your surgery is more extensive, you may need general.

How much fat can be removed during surgery?

This depends on your body and goals. The maximum amount of fat that can be removed by liposuction safely is about 10 lbs. However, this is not the average amount that I tend to remove because my patients don't require that much. In addition, research published in Plastic & Reconstructive Surgery has found that the higher the amount of fat removed, the higher the risk of complications.

When will I see my results?

You may seen an immediate improvement but swelling will hide your results. Allow for swelling to subside. The majority of it should disappear within a few weeks, although it may take a few months to disappear completely.

Is this permanent?

Liposuction removes unwanted fat cells permanently. Weight gain after your surgery may cause the area to grow, but your overall body contour will look more balanced.

Risks

All surgery carries some uncertainty and risk, but having a qualified surgeon ensures that complications are rare. However, occasional post-operative complications do occur. They can include:

  • Temporary numbness
  • Irregular or asymmetric skin
  • Tissue loss
  • Reactions to anesthesia

There is a higher risk of these complications in patients who are smokers, are diabetic or have poor circulation. You can reduce your risks by following my detailed instructions, resuming activity after surgery, and by not smoking.