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Cosmetic Surgical Procedure

Liposuction is the removal of localized excess fat that doesn't respond to weight loss or exercise. Changing your shape and contour is the goal, not weight loss.

This surgical procedure uses a suction technique to remove localized fat from areas of the body, such as the abdomen, thighs, buttocks, arms, chin, chest, back, hips, calves or neck. Liposuction is also known as lipoplasty, liposculpture suction, lipectomy, or lipo.

Reasons for Liposuction

You are a good candidate if you have localized fat that hasn’t responded to exercise. You need to have good skin elasticity and minimal skin excess as it has to retract after the procedure. Your general health is important. Liposuction does not remove excess skin, stretch marks or cellulite


You and Dr. Gewirtz will discuss your personal goals. If liposuction doesn't seem adequate, surgical recontouring such as tummy tuck, thigh or arm lift can be considered. The key to enhancing your body contour is to identify specific areas and not over remove fat as this can look unnatural.


Depending on the extent of the procedure and your desires it can be performed under local, local with sedation or general anesthesia. In any case, local anesthetic is instilled so post-operative pain is minimized.

Where Is It Performed?

Depending on the extent of the procedure, it can be performed in office, surgical center or hospital as an outpatient.

Liposuction Variations

Standard liposuction is performed by utilizing a surgical suction device to remove fat.


Smart lipo is laser assisted liposuction. The fat is dissolved by laser and then suctioned. Dr. Gewirtz. has found this allows less precision in fat removal.


Cool lipo is an external procedure that dissolves the fat by cooling and then depends on the body to remove it. The

initial results are promising but tends to be shorter lasting. Dr. Gewirtz has liposuctioned patients after cool lipo when the fat has returned.


You will be wearing a compression garment over the suctioned areas and will wear this as much as possible for several months, especially when sleeping and exercising. Bruising and most of the swelling resolve over about two weeks.  Pain is minimal as the incisions are small. You can return to work after two to five days. It takes several months for all of the swelling to resolve and see the final result.

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