WHAT IS LIPOSUCTION?
Liposuction or "lipo" is a body contouring procedure that surgically removes excess pockets of subcutaneous fat.
Dr. Kolker first injects tumescent fluid into the target site. He then breaks apart the adipose cells with a range of different liposuction technologies available at his New York City practice. He then suctions out the fat cells through a cannula, or thin tube, that is affixed to a vacuum device. This leaves the treated area noticeably slimmer and more defined.
Liposuction Before & Afters
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These Liposuction before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.
"Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful."
— A.H. / New York City
New York Liposuction & Body Contouring
While liposuction is one of the most common cosmetic surgery procedures, achieving beautiful results with liposuction is a most uncommon skill.
A board certified NYC plastic surgeon, Dr. Kolker brings finesse, artistry, and vast experience in the art and science of liposuction techniques and body contouring to attain the most beautiful results in his New York office.
Who is a good candidate for Liposuction?
Dr. Kolker's ideal candidate for New York City liposuction:
- Has realistic cosmetic goals
- Is not pregnant or breastfeeding
- Is committed to a healthy lifestyle
- Maintains a stable weight long-term
- Has a body mass index of 25 or less
- Does not have serious medical ailments
- Does not have a history of poor scarring
- Refrains from nicotine use or is willing to quit
- Accepts that potential risks of cosmetic surgery
Liposuction should not be viewed as a quick fix for individuals who are significantly overweight. To attain beautiful results, the best liposuction approach is a "team effort" between you and your plastic surgeon.
The best liposuction candidate is at or close to ideal body weight, maximizing diet modifications and exercise before surgery is ever performed. This will set the stage for the highest levels of safety as well as the most balanced and attractive contours. Dr. Kolker uses body mass index, or BMI, as a guideline for maximizing safety and aesthetics using liposuction. The ideal candidate for liposuction has a BMI between 20 and 25 kg / m2. Individuals with a BMI slightly above 25 that have reached a weight loss plateau after diet and exercise may be considered, and those with a BMI above 27.5 are not candidates for liposuction.
Dr. Kolker's Message to Those Considering Liposuction
"Liposuction is much more than the simple removal of fat; it is truly a sculptural, artistic process. The best liposuction results are born of the union of technical finesse, vast experience, and aesthetic perspective balanced with your anatomic requirements, soft tissue dynamics, and your unique desires. For the right candidate, the outcomes of liposuction can be dramatic yet subtle, and can be truly life changing."
Dr. Adam KolkerFrequently asked questions about liposuction
Planning Your Liposuction & Body Contouring
The best liposuction outcomes are achieved when you are at or close to your ideal body weight.
When areas of localized adiposity, or contained accumulations of fat, remain after a regimen of diet and exercise, liposuction is most appropriate. The best liposuction candidates will have:
- Localized excess fat of the anterior abdomen and flanks
- Good skin elasticity in the region of fat excess
- Worked at diet, cardio and strength training
- A body weight within 10% of ideal, or BMI below 25
Liposuction can remove small, moderate and large amounts of fat depending upon the individual's desires and physical attributes. Lipoplasty does not, however, remove excess skin, and can have a variable effect on cellulite. The individual's inherent skin elasticity plays a significant role in the degree of change that can be achieved with liposuction.
Liposuction has gone through a number of changes over the past decades, the most significant of which was the introduction of a solution to improve both safety and comfort of the procedure.
Types of Liposuction Procedures
Tumescent liposuction, or superwet liposuction, describe these suction-assisted lipectomy techniques. There has also been a boom in the adjunct modalities with liposuction that can be puzzling to many when considering liposuction, which include:
- Tumescent Liposuction - liposuction using a large volume of solution for maximizing safety, comfort and cosmetic results
- Superwet Liposuction - a moderate volume of solution is used to achieve the best liposuction results
- Suction Assisted Lipectomy (SAL) - classical liposuction, using tiny access sites with thin cannulas (tubes) to remove excess fat
- Power Assisted Lipectomy (PAL) - adds an oscillating tip to help break up dense, fibrous attachments within the fat
- Ultrasound Assisted Lipectomy (UAL) - adds an ultrasound emitting tip to the procedure, assisting in the emulsification of fat
- SmartLipo™ - known as laser lipolysis, purported to "tighten skin" in addition to removing fat with liposuction
- Lipoabdominoplasty - abdominal liposuction in conjunction with a tummy tuck, performed when significant skin excess or inelasticity is present in addition to fat excess
With so many liposuction options, how do you make the decision?
A personal consultation with a board-certified plastic surgeon, who is experienced in liposuction techniques, well versed in the objective pros and cons of each procedure, and who will come to understand the nuances of your unique desires and physical requirements, will be able to advise you on the best liposuction options.
Are there any alternatives to Liposuction?
Liposuction vs. nonsurgical treatments: Is there any role for external noninvasive fat reduction? While Zeltiq (CoolSculpting), Zerona (external laser), Liposonix (high intensity focused ultrasound), Exilis (dermal and fat heating), and others may be heavily marketed and purported to reduce fat and tighten skin, the data is inconclusive and results are inconsistent. When results are indeed achieved with nonsurgical fat reduction modalities, often after multiple treatments, they may variably reduce fat volume by ounces, whereas liposuction can reliably remove precisely as much as is required, and thereby achieve much more spectacular results with efficiency, consistency, and safety.
Real Patient Testimonials
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710 Park Avenue, New York, NY 10021
