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Body Contouring

Awake Liposuction & Lipo 360

Circumferential fat removal under tumescent local anesthesia — no general anesthetic, no hospital, and you walk out the same day.

What awake liposuction is

Awake liposuction uses tumescent local anesthesia: a dilute anesthetic solution numbs the treatment area completely while you stay comfortable and responsive. Because there is no general anesthesia, you avoid intubation, airway risk, prolonged grogginess and a hospital facility fee — and Dr. Balgobin can ask you to shift position or engage muscles during the case, which improves contour accuracy.

Areas commonly treated

All-Inclusive Lipo 360

Lipo 360 treats the abdomen, flanks and back as one continuous circumference rather than isolated pockets. Treating the full cylinder is what produces a genuine waist — spot-treating the abdomen alone often leaves a shelf at the flank.

Candidacy

Good candidate

  • Within roughly 30 lb of a stable goal weight
  • Localized fat resistant to diet and training
  • Reasonable skin quality (or willing to add Retraction™ RF)
  • Non-smoker or willing to stop pre-op
  • Realistic expectations — contouring, not weight loss

Not yet a candidate

  • Actively losing large amounts of weight
  • Uncontrolled diabetes, clotting or cardiac disease
  • Significant skin laxity needing excision
  • Expecting the scale to change substantially

Recovery timeline

Day 0

Procedure day

2–4 hours in office. Compression garment applied. You walk out and rest at home; someone drives you.

Days 1–3

Drainage & soreness

Expect fluid leakage and a deep-bruise ache. Walk hourly. Most patients use only over-the-counter analgesics plus what's prescribed.

Week 1–2

Back to desk work

Most return to non-physical work in 3–7 days. Lymphatic massage begins as directed.

Week 6–12

Contour emerges

Swelling resolves progressively; compression continues per plan. Final contour at 3–6 months.

Frequently asked questions

Does awake liposuction hurt?

You will feel pressure and movement, and occasional brief stinging when the anesthetic is placed, but the treated area is fully numb. Most patients describe the experience as strange rather than painful and hold a conversation throughout.

How much fat can be removed?

Safe volume depends on your body size and the number of areas treated; Dr. Balgobin will give you a specific plan at consultation. Liposuction is a contouring procedure, not a weight-loss procedure — the goal is shape.

Will I need skin tightening too?

If your skin has moderate laxity, adding Retraction™ Smart RF during the same session drives subdermal contraction and meaningfully improves the final contour. Dr. Balgobin will tell you honestly whether you need it.

When can I train again?

Light walking immediately, cardio typically around 2–3 weeks, and full resistance training usually at 4–6 weeks depending on the areas treated.

Ready for a straight answer?

Request a consultation and Dr. Balgobin will tell you what's achievable for your anatomy, what it costs, and what recovery actually looks like.

Request a consultation