Liposuction
Traditional Liposuction
Superwet Liposuction
Tumescent Liposuction
Ultrasonic Liposuction
Mechanical Liposuction
VASER® LipoSelection

Manhattan, New York, Board Certified Plastic Surgeon, Douglas M. Senderoff offers the latest in body contouring with superwet liposuction, tumescent liposuction, ultrasonic and mechanical liposuction. These liposuction procedures provide a permanent and immediate solution to eliminate stubborn unwanted fat deposits. The NYC Plastic Surgeon performs Liposuction to permanently remove the fat cells in areas such as the abdomen, waist, chest, hips, thighs and chin.

As part of the liposuction procedure, as performed by the Manhattan Plastic Surgeon,  a solution containing lidocaine, (a local anesthetic), saline and epinephrine is injected into the fatty area to be suctioned by the NYC Plastic Surgeon. The cannula is then carefully guided through the fatty deposits. The fat and the injected fluid are then drawn out by suction.

The amount of fat removed by the Manhattan Liposuction Plastic Surgeon during one liposuction session depends on several factors including the quality and availability of the fat, the size of the fatty deposits, the patient's health and the surgeon's judgment.

In women the most frequent areas of liposuction are the inner and outer thighs, hips, buttocks, arms knees and abdomen. Other areas include the area beneath the chin and the rolls of the back. In men, commonly suctioned areas include the love handles, abdomen, chest, and chin. Definition of the abdominal muscles may be enhanced through specialized liposuction of the abdomen known as abdominal etching.

It should be noted that there are several techniques employed by the Manhattan liposuction Plastic Surgeon. Each liposuction technique has its own distinct advantages that contribute to producing improvements in body contour and definition.

The NYC Liposuction Plastic Surgeon has extensive experience in liposuction surgery offering the latest technology (including VASER® LipoSelection) in order to enable him to produce consistently good results.

Who are the best candidates for liposuction?
The best candidates for liposuction, as defined by the Manhattan Plastic Surgeon, are healthy patients with localized deposits of fat and good skin elasticity.

Should I diet and exercise to lose weight before or after liposuction?
Liposuction is an excellent way to change body contours, but it is most effective when the treatment can be focused on a few problematic areas. Liposuction is best used as a treatment for diet-resistant areas of fat rather than diffuse collections of fat.

What happens if I gain weight after liposuction?
When fat cells are removed through liposuction, those cells never return. If the patient consumes more calories than are burned, however, those extra calories are stored as fat in the remaining cells. The areas treated with liposuction will never be as prominent as they would have been, but the patient will likely have a generalized increase in size. Weight gain after surgery should be avoided.

What is the most important decision for a patient when considering body sculpting?
Choosing a surgeon is the most important decision a patient makes when choosing to have body sculpting. The patient should make sure that the surgeon is board certified in plastic surgery and has expertise in liposuction. The quality and experience of the surgeon is of paramount significance. Dr. Senderoff is a Board Certified and performed hundreds of liposuction procedures.

What are the available techniques for liposuction?
Tumescent liposuction, ultrasonic liposuction and power-assisted liposuction are the three main classifications of liposuction techniques.

What is tumescent liposuction?
Tumescent liposuction is the pretreatment of the fatty tissues with a dilute solution of local anesthesia and adrenaline. This was a major advance approximately fifteen years ago because it substantially reduced blood loss and improved patient comfort. Following the tumescent treatment, any of the techniques may be used to remove the fat.

What is the most common technique for suctioning fat?
The most commonly employed method for removing fat is the basic suction-assisted liposuction. The surgeon's own arm movement transmits force to the rigid suction cannula and disrupts clusters of fat cells. The vacuum suction device then removes the loose fat. Although this rudimentary technique is still the most commonly used worldwide, it has a number of disadvantages. It is inefficient at removing fat and requires many more passes of the cannula. This results in more trauma to the surrounding tissues, less precision sculpting and longer operations. Recovery is prolonged and the complication rate is higher. The basic suction technique is inferior to power-assisted liposuction.

What is ultrasonic liposuction?
Ultrasonic liposuction transmits high-energy sound waves to fat cells, causing the cells to rupture. This liquefied fat is then removed through the basic suction-assisted technique. The ultrasound energy may be transmitted from an external or an internal source. Ultrasonic liposuction was first used in the early 1990's and was a major advance in treating fibrous areas (such as the chest or flanks) and previously treated areas. The newest generation of ultrasonic devices includes the VASER®. VASER® LipoSelection selectively targets the fat cells while preserving nerves, blood vessels, and connective tissue. The fat cells are emulsified and then removed by suction with minimal disturbance of surrounding tissue yielding smooth results.

What is power-assisted liposuction?
Power-assisted liposuction is a new and exciting technique that was first used in the late 1990's. The suction cannula is powered so that it vibrates while it suctions. The vibration is a low-energy way of gently releasing clusters of fat cells from the surrounding tissues. Imagine a ripe orange tree. If you shake the tree, the ripe fruit falls to the ground, but the leaves and branches stay intact. Similarly, power-assisted liposuction shakes the fat cells loose but the nerves, blood vessels and skin remain intact. The low-energy vibration is a very efficient way of removing unwanted fat deposits. This results in shorter operations and less trauma to the surrounding tissues. The incisions are smaller and the fat sculpting is more precise. Most importantly, the complication rate is less than with the other liposuction techniques.

Which technique of liposuction is best for me?
This decision should be made in a personal consultation with the NYC Board Certified Plasitc Surgeon, Douglas M. Senderoff, MD, FACS.

Is liposuction safe?
Yes, the Manhattan, New York Plastic Surgeon is experienced with the latest techniques in liposuction including VASER® LipoSelection.

Does liposuction hurt?
Patients who have liposuction do experience discomfort, but the newer techniques have reduced it. The areas to be sculpted are treated with a long-acting local anesthesia solution that minimizes pain in the hours following the operation. Power-assisted liposuction is much less traumatic to the body and allows patients to recover more quickly with less pain.

How much time do I need to take off from work?
Most patients are able to return to work within a few days of liposuction surgery. For patients who have many areas treated or who have physically active jobs, it is better to rest for at least one week after surgery.

Liposuction plastic surgery is customized by the NYC Plastic Surgeon according to the needs of the patient. The liposuction procedure is performed in our fully accredited outpatient surgical facility in Manhattan.

If you have any questions about any of our liposuction procedures (Traditional Liposuction, Superwet Liposuction, Tumescent Liposuction, Vaser Liposuction, Ultrasonic Liposuction or Mechanical Liposuction), or would like a complimentary liposuction consultation with the Manhattan Plastic Surgeon, please feel free to contact the NYC Plastic Surgeon at our Manhattan or Westchester offices.