What is Liposuction?
Liposuction is a surgical procedure that uses suction to remove fat from specific treatment areas of the body, such as the hips, thighs, abdomen, buttocks, arms, and neck. In addition to removing fat, it also helps to shape and contour the area, which is why it is sometimes called lipoplasty or body contouring.
Schedule onlineLiposuction is not a method for losing weight, nor is it considered to be an alternative to weight loss. Dieting, exercise, or gastric bypass surgery are likely to be far more effective methods if that is your goal. Instead, liposuction is used when you have the accumulation of too much body fat in a specific area but are otherwise at or near to your ideal body weight. In general, you will be a good candidate if you follow a healthy diet and exercise regularly, but are struggling to shift stubborn fat deposits.

Liposuction removes fat cells, and therefore liposuction surgery will reduce the number of fat cells in a specific area. Your surgeon will determine the amount of fat to be removed based on your goals, the appearance of the area, and the volume of fat to be removed. The changes are permanent, as long as you are able to keep your weight stable.
After the surgery, your skin will mold to the new areas smoothly if you have good skin elasticity and tone. For patients with thin skin and poor elasticity, the treated areas may appear loose and may require additional tucking surgery. Liposuction doesn’t help with cellulite or stretch marks.
The Advantages and Disadvantages of Liposuction Surgery
Pros
- Enhances body contours by reducing problematic fatty areas
- Helps men suffering from gynecomastia by removing the fatty breast tissue
- Offers long-lasting results as long as the patient maintains their weight following the procedure
- Health benefits due to fat reduction mean less stress on the body’s systems and organs
- Immediate results and swelling resolves within a few weeks
- Improves well-being and confidence by restoring proportions and contours
Cons
- Downtime is around two weeks and comes with significant swelling, bruising, and pain.
- You may develop permanent contour irregularities where the skin appears bumpy or dimpled if the fat is removed unevenly, or if you have poor skin elasticity
- Liposuction is the permanent removal of fat cells, but if you gain weight, the remaining fat cells can expand, or new ones can form
- Fluid accumulation and pockets of fluid may form under the skin which will need to be drained with a needle
- Kidney and heart problems caused by fluid that is injected and suctioned out, it can impact your kidney, lung, and heart
- Lidocaine toxicity can affect your heart and nervous system, but it is rare
Answers to Your Most Frequently Asked Questions About Liposuction in CA
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What are the different types of liposuction?
There are several different types of liposuction, and your surgeon will determine the best option based on your needs.
Tumescent liposuction is the most common form of liposuction where the surgeon injects a solution of sterile saline, anesthetic, and epinephrine, a drug that causes the blood vessels to constrict. The saltwater aids in fat removal and the anesthetic (usually lidocaine) relieves pain. The combination causes the treated area to swell and stiffen. From there, the surgeon can make small cuts into the skin and insert a cannula (a thin tube) under the skin. The cannula is connected to a vacuum that suctions the fat from the body.
Variations on tumescent liposuction include:
- Ultrasound-assisted liposuction (UAL): Often used in conjunction with traditional liposuction, UAL involves using a cannula that emits ultrasonic energy. The energy ruptures the walls of your fat cells ad breaks down the fat, making it easier to remove.
- VASER Lipo: A more modern variation of UAL, which evenly disperses the ultrasonic energy through a grooved cannula and probe, reducing injury to the skin.
- Laser-Assisted Liposuction (LAL): Uses a high-intensity laser to break down fat before it is removed. The laser fiber is interested into the skin through a small incision and used to emulsify fat deposits, which are then removed using a cannula. This includes SmartLipo that used low-energy waves to liquefy fat. This won’t be used if the fat is to be transferred to another area of the body (such as a Brazilian butt lift).
- Power-Assisted Liposuction (PAL): This type of liposuction uses a cannula that vibrates back and forth rapidly, allowing the surgeon to move hard-to-shift fat quickly and easily. It may cause less pain swelling and allows the surgeon to operate with a greater degree of precision. It is often used if there are large volumes of fat that need to be removed, or if you have had a liposuction procedure in the past.
- Vibration-Assisted Liposuction (VAL): Sometimes called Vibro lipo, uses vibration to break up the fat cells for easier removal as well as evening out the remaining fat to prevent lumps and dimpling.
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What areas can be treated with liposuction?
Liposuction removes fat from areas of the body where consistent exercise and a healthy diet haven’t been able to bring about the desired results, such as the:
- Buttocks: Fat is desirable in the posterior region, but the removal of excess fat can reduce dimpling, and restore balanced proportionality to the figure.
- Waist: Often called love handles, this is a common area for liposuction when diet and exercise fail. It offers excellent results and contouring, especially if the patient has good skin elasticity.
- Upper arms: Saggy upper arms are more common in women (although it can affect men, as well), and becomes more pronounced as women age. Even if you are at your ideal weight, you can still have ‘batwings’ which can be resolved by liposuction to smooth and tighten the area.
- Stomach: The abdomen is divided into the upper and lower regions which are often treated separately. The lower region gives the ‘muffin top’ appearance, and the upper area (between your ribs and belly button) may have a layer of fat that is difficult to shift. In both cases, liposuction offers a slimmer, more streamlined profile.
- Hips: This is an important part of a sleek silhouette but may be prone to the accumulation of fat deposits. Liposuction can help to define the area and may improve the proportions of the buttocks.
- Back: Liposuction can address back rolls, giving the back a slimmer appearance and allowing clothes and underwear to sit more comfortably and attractively.
- Face: If you have access cheek or neck fat, liposuction has proven effective at slimming and contouring and is often used alongside other cosmetic procedures.
- Thighs: This area can be separated into three different sections, the outer thigh (saddlebags), inner thigh, and anterior thigh. Liposuction offers benefits for all three areas, which are often treated together.
- Chest: This is more common for men than women, especially for those who suffer from gynecomastia (swelling of the breast tissue) or in older men where a loss of muscle mass can benefit from liposuction for removing excess accumulated fat. In some cases, liposuction is also used for breast reduction in women.
- Lower Legs: Although less common, lower leg liposuction can effectively reshape the area for a slimmer profile.
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What should you expect from the procedure?
The procedure itself should not be painful, as it is usually done under general anesthesia, but recovery post-surgery can be painful due to the swelling and bruising. On the day of the procedure, you will need to be driven to the out-patient facility for pre-operation photos and to have the target areas mapped out on your body.
You will then be prepared for surgery, with an IV line to regulate your fluid levels and a monitor to track your oxygen levels, blood pressure, and heart rate. An anesthetic will be administered, either general or local (with intravenous sedation), depending on which is the best option for you.
The procedure for removing the fat starts with a small incision that is made, generally in natural body creases, to reduce visible scarring. And the fat is prepared for suctioning, using one of the various liposuction techniques. The fat is then suctioned through cannulas (narrow, hollow tubes) that are inserted through the incisions. The cannulas then move back and forth to loosen and suction fat, which is drained from the body through the tubes.
Once all the fat has been removed, the incisions will be closed with surgical sutures. If there is excess fluid, small tubes will be placed at the incision sites.
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Who is a good candidate?
If you are at or near your ideal weight but are struggling to shift stubborn areas of fat through diet or exercise, you can benefit from liposuction.
You should be a non-smoker in good health, with good muscle tone and skin elasticity. Patients with loose hanging skin due to significant weight loss may not be ideal candidates as liposuction can worsen the problem.
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How long does recovery take?
After the surgery, you will be taken to a recovery area and fitted with a compression garment to control swelling and encourage your skin to conform to your new contours. After a few hours, you will be able to return home unless there are reasons for staying at the hospital overnight. You will need someone to drive you home and to stay with you in case you need assistance for the following 24 hours.
Your doctor will prescribe pain medication, although over-the-counter pain relief will usually suffice. You should expect bruising and swelling, and the treated area might feel firm to the touch as a result of the swelling. This will resolve within six weeks. As the swelling goes down, there may be some lumpy areas which will improve over time but can be further improved by wearing a compression garment. If your doctor recommends a compression garment, you will need to wear it for two weeks, 24/7, and the hours will be gradually reduced over the next month.
If you have a non-strenuous desk job, you can return to work within a week, but if you have a physical job, you will need to take off two to three weeks. The amount of time off will depend on the extent of your procedure, the areas that have been treated, and how quickly your body heals. Exercise should also be avoided for the first month, and most people are able to return to their normal daily routines after three to four weeks. Your journey to recovery will be impacted by the techniques used, your health, and the areas that have been treated. If you notice any pain, especially if it increases, contact your doctor immediately.
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How long until you see results?
It many cases, it is possible to see immediate improvements to your contours, but the swelling will mean that you won’t see the full results for the next few months.
It’s going to take at least a month, often up to three, before you will see the full results of the procedure as there is usually significant swelling and bruising after the surgery. Bruising will typically fade after two to four weeks, but swelling can last as long as six months. Modern liposuction techniques mean that the incisions made will quickly fade and become close to undetectable, thus making it possible to achieve a streamlined, well-proportioned body contour.
If you are considering a liposuction revision to correct irregularities or if you want more noticeable results, you’ll need to wait at least six months before consulting with your surgeon.
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How long does liposuction last?
Liposuction results last for many years if you are able to maintain your post-liposuction weight. Unfortunately, weight gain increases the size of the remaining fat cells. This means that the results won’t last, and significant weight gain can even result in the development of new fat cells. But the area will still look better than it did before the surgery, and shape change benefits are still retained.
Exercise is important for maintaining the ideal weight, and it is important to guard against a false sense of confidence following the improvements of liposuction. This is especially true for the recovery time immediately after the surgery when exercise is not possible.
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How much does liposuction cost?
The total cost of your liposuction surgery will depend on the number of areas that need to be treated as well as the technique that your surgeon uses. Your choice of cosmetic surgeon will also have an impact on the final cost as skills, qualifications, experience, geographic location, and reputation all play a role in determining the costs.
You expect to pay around $4,000 for liposuction per treatment areas, and will still need to factor in anesthetic fees and hospital costs along with medication and after-care expenses.
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Can liposuction be combined with other surgery?
Liposuction may be used to improve the body’s proportions and is therefore often combined with breast augmentation or breast lift surgery. For patients with loose and sagging skin along with excess fat, liposuction may be performed along with a tummy tuck.
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What are the alternatives to liposuction surgery?
Nonsurgical alternatives to liposuction include:
- CoolSculpting®: This intervention is effective in treating localized trouble spots and is commonly used to treat upper arms, abdomen, thighs, and hips. The treatment utilizes a specialized device to freeze unwanted fat cells without affecting other surrounding tissues. These dead fat cells are then eliminated from the body over the next few weeks for a final result that is visible after three months.
- TruSculpt®: Radiofrequency technology is used to eliminate fat cells and is often used to target fat deposits on the thighs, buttocks, hips, and abdomen. This is a short treatment and usually requires a few sessions to see results.
- Zerona®: You’ll notice faster results with this cold laser that targets superficial fat cells. The technology disrupts the cell’s ability to store fat, which leaks out and is flushed from the body, and reduces the size of the fat cell.
- WarmSculpting®: This uses SculptSure’s diode-laser energy to create heat that kills fat cells. It’s painless and allows for the treatment of multiple areas at the same time. It’s affordable, has very few side effects and no downtime. Most patients require two or more sessions, and it can take up to three months to see the full effects.
Other options include Kybella®, Liposonix®, Ultrashape®, and Vanquish®.
The results from these alternatives are not as dramatic as liposuction, offering a 25% reduction in fat in the treated areas. They are ideal for patients who are happy with their current body weight but want to reduce fat deposits in areas that are difficult to tone.
It is important to choose a board-certified cosmetic surgeon in CA who specializes in liposuction surgery.
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Patient testimonials
Read real reviews from the Anzolo community
I LOVE my new body but would i recommend Dr.Marshall to anyone else? Honestly I don’t think so. Here’s why. I came to Beverly Hills thinking I would get GREAT customer service and I was disappointed to find out otherwise. I rather pay more money for peace of mind and that includes great customer service. If I would have known I’d be treated this way I would have gone elsewhere! I came to Beverly Hills thinking I was getting the best of the best
Paid my deposit around June/July & was told 3 weeks before surgery he wanted to see me the next day. Very last minute but I booked a hotel last minute & had to scramble for my partner to take an extra day off work. Then day of surgery I was told no, he will see me in a week! I lost $400 on my hotel & this information should have been given to me when I gave my deposit! Upsetting because Marshall couldn’t see me after surgery & I would have liked for my doctor to make sure I was okay.
Then what really got me upset was my nurse Silvia. She had ZERO BED SIZE MANNER. I was in shock at how she treated me and so was my partner. So 3 weeks before my surgery I asked one of the medical assistants how I was going to leave the hospital. I even asked if they would wheel me out in a wheelchair and she told me no. That Marshall didn’t even like when girls came with a walker and he wanted to walk right away. It threw me off but i said okay. Then right after the surgery I was clearly all drugged up trying to wake up and nurse Silvia told me to sit in the wheelchair. I was so confused because my doctor told me repeatedly NOT TO SIT AT ALL. So I told Silvia “but I can’t sit” she repeated in a STERN voice “sit down” I said “is there a bbl pillow” and she repeated “SIT DOWN” in a stern rude tone. I just listened to her because maybe I just didn’t see the bbl pillow. Then she takes me to the elevator and I’m squeezed in the middle with two strangers to my left and two strangers to my right. We could all barely fit in that elevator but I just closed my eyes because I was so embarrassed. (Like, there was no patient dignity).Then we get downstairs and my partner had the back of my car ready for me. She tells him I can’t sit up front because I can’t sit and he told her all my stuff was set up in the back. She said “get up” in a stern voice and told me “get in” in a stern voice and left! I felt like a chop shop where they just drop you off and leave immediately after like just another number. She didn’t even talk to my partner or say anything. I feel like “surgery went well, I hope you guys drive safe” or SOMETHING! Even my partner was taken back at how she handled everything. Personally I didn’t expect her to go completely out of her way to be sweet but HELLO. I JUST HAD SURGERY! Being polite is so important when someone just came out of surgery. I wish that rather than being rude telling me to sit on the wheelchair with that tone she could have just said it nicer “I know they told you not to sit but it’s totally okay for now”. Something along those lines!
Here’s the catch. I thought it was just my experience but NOPE. I told my massage therapist about my experience and she told me that a lot of girls she’s massaged from Marshall actually complained about similar stuff! She told me not one person has said something nice about nurse Silvia. So right when she told me that i was like “okay, it’s not just me”. If I was a doctor and I heard my nurse was treating patients like this I would have an immediate talk or get her removed if I found out she was treating patients this way.
Over all, it was upsetting and disappointing that this was the service in Beverly Hills. I’ve gotten better customer service in Mexico! I paid so much money thinking I was going to be treated amazing just to be let down
April Graff on Andre P. Marshall, Dr via Google Reviews
Dr. Marshall is simply amazing!!! I had the Lipo 360 procedure done, and I am extremely happy with my results. I have received many compliments on my new...
Danielle S. on Andre P. Marshall, Dr via Yelp
Dr Andre Marshall Is Top Notch
I got a tummy tuck, lipo 360 and bbl October 2023. I’m 3 months post op. First, I had Zero complications which is so important to me as my first experience. I had some fear going in which is normal but I was confident that I chose the right Dr and team after searching for over 10 years. Dr Marshall did an Excellent job on my body. I look BOMB and feel like a Million Bucks in everything I wear. I can put on a cheap dress and look Stunning. Everyone that sees my new body says “ You look Amazing!” I used to dread summer because I knew I couldn’t wear what I wanted and now I can’t wait!
His staff and nurses are responsible, friendly and responsive. They will not leave you hanging. As a nurse myself I’m super picky and they have not disappointed me yet. I am so happy that I chose Dr Marshall to do my surgery.
Felicity Stanley on Andre P. Marshall, Dr via Google Reviews
I recently had the privilege this summer of being under the care of Dr. Andre Marshall and his staff. I must say that my experience was nothing short of exceptional. He and his staff made me feel at ease, from my first consultation to my post op visits and follow-up.
Dr. Marshall’s attention to detail is truly remarkable. He listened attentively to my goals and concerns, making my health his number one priority, and he preaches this. His thoroughness and dedication to achieving the best possible outcome for his patients are evident in every interaction and decision and are what made me ultimately choose him as my surgeon. He has a drive to be the best in his field and actively educate himself and his patients on the new technologies and ways of plastic surgery, this was one of the many reasons why I proceeded to go with him. It was an easy and quick decision I made and do not regret it.
I had a particularly “challenging case of liposuction”, per Dr. Marshall. However, his expertise and skill turned what could have been an unpleasant experience elsewhere into a success. I am still within the healing stage of my post surgery journey, the results have exceeded my expectations. Dr. Marshall’s commitment to excellence truly shines through in the results he delivers.
When it comes to the financial aspect, the value of the money invested in Dr. Marshall’s services was worth it. He offers competitive pricing that includes the quality of care and results he provides. In my experience, it has been well worth it, not only in my confidence but also boosted my self-awareness of a healthy lifestyle.
I can 100000% wholeheartedly recommend Dr. Andre Marshall for anyone seeking plastic surgery. His friendly and communicative staff, unwavering attention to detail, dedication to your health, and ability to tackle even the toughest cases with success make him a top-tier choice. My results have been outstanding, and I couldn’t be happier with my decision to trust Dr. Marshall with my surgical journey. If I decide in the future to want additional work done hands down it’ll only be Dr. Marshall. For reference my surgery included lipo-360, arm lipo, j-plasma and breast augmentation.
Kathleen Carrillo on Andre P. Marshall, Dr via Google Reviews