Despite good health and a reasonable level of fitness, some people may still have a body with disproportionate contours due to localized fat deposits. These areas may be due to family traits rather than a lack of weight control or fitness. Dr. Gabriel and Dr. Champaneria at PeaceHealth Medical Group in Southwest Washington perform liposuction to slim and reshape specific areas of the body by removing excess fat deposits, improving the patient’s body contours and proportion and enhancing their self-image. Liposuction techniques may be used to reduce localized fat deposits of the thighs, hips, buttocks, abdomen, waist, upper arms, back, inner knees, chest area, cheeks, chin, neck, calves, and ankles. In some cases, liposuction is performed alone, but in other cases it is used with plastic surgery procedures such as a facelift, breast reduction, or a tummy tuck.
"Breast Reduction, Lipo of the Flanks, Inner/outter Thighs and Fat Transfer to Glutes - Vancouver, WA - I can’t say enough wonderful thing about Dr. Allen Gabriel. He is not only one of the very best in field, but he is also the most down to earth and compassionate doctor I’ve met. He is a perfectionist, making sure that you get the best results possible and takes that extra time to go the extra mile to ensure that you are ok both mentally and physically. I felt so comfortable and confident from the day I met him in the consultation. He was very honest with me and advised me on areas I should do and areas I should leave alone and I appreciated that so much. My after surgery care was amazing. Dr. Gabriel keeps close tabs on his patients and truly cares about them and how they are doing. He has this way of making you feel like you are his only patient and you never feel like just another name in a chart. His whole staff is so warm and welcoming. The ladies at the front desk are always sweet and have a smile on their face. His nurse, Ashley, was so helpful every time I came to the clinic or called. Melissa, the surgery scheduler, worked so hard and pulled off a miracle getting the insurance auth that was supposed to take 6-8 weeks in only 3.5 weeks so I could keep the dates I needed for the surgery and recovery time! Everyone went above and beyond for me and I can’t thank them all enough. I am so happy with my outcome. I received a breast reduction, liposuction of the flanks and the inner/out thigh and a last minute decision to do fat transfer to my gluts. I’m so impressed with the outcome and so happy that I trusted Dr. Gabriel on what areas to do and which ones to leave alone. I left a lot of it to his digression and knew I was in good hands. I truly wish there were more doctors out there like him. He is hands down the most caring, compassionate, down to earth, intelligent, generous, funny, passionate doctors I’ve had the pleasure of meeting. It’s so refreshing to have a doctor active and present every step of the way from start to finish. You are one in a million Dr. Gabriel. Thank you again!"- M. / RealSelf / Jul 31, 2014
"50 Year Old Library Lady Remodel - Vancouver, WA - Dr. Gabriel is the most amazing doctors I have ever known. His professionalism and perfectionism and the love of his job shows every time you see him. He is very knowledgable about each procedure and is willing to answer all questions to help you make the right choice. I have absolute trust in him and his staff. I have recommended him to several people and I will continue to do so. If you meet him once you will understand what I am talking about. He is simply the BEST! - - I turned 50 and decided I needed to stop complaining about my body andjust go and it fixed. My GYN recommended Dr. Allen Gabriel for my breastreduction and tummy tuck and scar revision. Scared out of my mind, Ifinally made the call and as soon as I walked into his office I knew Iwas in the right place at the right time. Everyone from the receptionistto his nurses and scheduler were fantasticat helping you feel at ease. Then, when you meet Dr. Gabriel hisknowledge that he shares and the compassion that he shows let's you knowthat you are in the best hands. Because of work I was only able to have 1 procedure at a time, so,breast reduction was first. OMG, I mean really, why had I waited solong? Dr. Gabriel is such a professional, perfectionist! I had neverbeen to a doctor that cares so much with your well being. A few months later tummy tuck and scar revision, this one took a whilelonger to recoup, however, the results is amazing. For over, 33 years ofnot having stomach muscles do to appendix surgery and living with largefat pouches, to now I have a perfect flat stomach. WOW!Now 5 months ago I decided to have some Liposuction done to refine a fewplaces and at the last minute, I decided on having a Brazilian ButtLift, WHAT!!! That last decision ended up being my funniest decision.Who knew that I would have more confidence in my body as a whole, oncemy once "little old lady butt" could turn out to be this perfect bubblebutt. I think everyday, I'm saying, I love my butt. Ok, don't get mewrong all of the other procedures were for medical reasons, and I love,love, love, the results, however, liposuction and Brazilian butt liftwas all for me. When I have gone to other doctors they all know who Dr. Gabriel is andeveryone of them have nothing but positive things to say about his workand about him as a professional perfectionists.I often wonder why I waited so long to have anything done, but Irealized as soon as my breast reduction was done....it's because Ihadn't meet Dr. Allen Gabriel! Side note: you will find yourself looking in the mirror at your newbottom and running around in your panties will become a new normal foryou. Oh, and after all these procedures your spouse will running aroundchasing you too, oh darn!"- L. / RealSelf / Aug 14, 2014
"Older Male with Love Handles - Vancouver, WA - Dr Gabriel is a very professional, experienced and approachable surgeon who genuinely cares about his patients. He is a perfectionist in his procedures and uses the lastest surgical techniques and equipment. I would highly recommend Dr Gabriel if you are considering liposuction. - - Had pronouned love handles causing clothes to never fit properly or look good. Didn't have high expectations for liposuction due to my age as skin is less resilient as one gets older. To say the least, I was amazed at the results. The love handles are completely gone, I have a waist, the skin is tight and clothes look great."- D. / RealSelf / Feb 24, 2015
"35 Year Old Mother ROCKS a Mommy Makeover and Brazilian Butt Lift - Vancouver, WA - Dr. Gabriel is a secret little gem here in the Northwest. He has a great bedside manner and has a brilliant surgical gift. I could tell at the hospital how respected and well-liked he is by how the nurses interacted with him during my recovery. He came highly recommended from a couple friends who had used his cosmetic services before me. I also am friends with a couple surgical nurses he frequently works with. They say "he's the best." He always answers my questions and has never left any of my needs unmet. He does beautiful work and is a pleasure to visit with in his office. I'd do it all again. - - Let me start by how absolutely thrilled I am with my surgical results. I went in for a Mommy Makeover consult where I knew I wanted the abdominoplasty with liposuction and breast lift with augmentation. I was super nervous to go in for my initial consult, but everyone in his office was so kind and put me at ease the entire time. I was laughing and joking (while naked) during my pre-op photos. Dr. Gabriel has an amazing way of being both incredibly professional yet comfortingly relaxed. After hearing my wishes for my body and evaluating and discussing my surgical options, Dr. Gabriel offered to inject the lipoed fat from my flanks into my (very flat) derriere. At first I scoffed at the idea, but Dr. Gabriel promised me I would not end up with a "J-Lo" butt. I went home to consider this new option. Unfortunately, there is not a lot of moderate or realistic sized BBL reviews and pictures out there (see my jeans photo). Everything is pretty extreme. But I decided to "get it all" and proceeded with my pre-op phase of surgery. There was a good amount of info given to me regarding what equipment, supplements, garments, and other recovery needs I would need to obtain before surgery. I felt quite prepared going in to my big day. Melissa and Rachel are wonderful resources of information and teachings, in addition to Dr. Gabriel. All of the Dr. Gabriel staff are amazing. They are so gentle, kind, and professional. Every nurse is so patient and helpful. Walking in the door, I am greeted by the lovely receptionists, who remember my name, and recall details of previous conversations I've had with them. Great personal touch. My recovery has been so smooth. Any little need or concern I have had, I call the office and they are able to help me, or even get me in for a swift appointment. I will continue to regularly visit with Dr. Gabriel for scar management (all included) throughout the next year. I am so thankful for choosing Dr. Gabriel to do my surgery. I love my new body. I love how my clothes fit. I love feeling confident every day and not being consumed with self ridicule. I love being curvy but tightened in just the right places. Thank you, Dr. Gabriel."- T. / RealSelf / Mar 11, 2015
"Tummy Tuck with Botox & Brazilian Butt Lift for 39 Year Old After 2 C-sections - Vancouver, WA - I felt comfortable right away and was impressed by Dr. Gabriel's professional and kind demeanor. He is a talented surgeon that produces beautiful results. I would gladly recommend him to anyone looking for a quality result and experience.The entire team, from reception to scheduling, was thorough and efficient, yet I never felt rushed. Dr. Gabriel has surrounded himself with a wonderful group of people that are great at what they do. - - My pregnancies left me with stretch marks that radiated from my belly button and a saggy flap of skin that hung over my c-section scar. When I first considered getting a tummy tuck, I only wanted to get the loose skin removed. What I received is 1,000 times better!Summary: I was extremely fortunate to get more than 2 weeks off (from work/responsibilities) post-op for recovery. I had excellent at-home care for a full week. I followed my doctor's instructions closely with great results. What follows is a detailed account of my experience for the first 5 weeks after a T.T. and B.B.L.Pre-Op Measurements:Ht: 5'9"Wt: 185lbWaist: 34"Belly: 42.5"Hips: 42.5"Butt: 45"At the consultation appointment, I met with Dr. Gabriel and shared my request (just a Tummy Tuck) while he offered additional options (Botox in the abs to aid in recovery and a Brazilian Butt Lift) and explained all of the procedures to me. At that same appointment, I had my "before" photos taken, I was given a complete price estimate (including hospital fees), and I was able to schedule my surgery date. I began my pre-op preparations 2 weeks before the surgery date. I received a detailed list of supplements and instructions to help prepare my body for surgery and recovery from the doctor's office. I filled all of the prescriptions and followed the instructions exactly. I made a 1-week post-op medication schedule and preloaded a 28-pocket pill box. The total for the medications and supplements was around $150. (The most expensive was a $40 prescription for anti-nausea medication.)On the surgery date I arrived at the hospital 2 hours before my scheduled operation time. I had to take a (urine sample) pregnancy test before getting prepped. I took a sterilizing cloth bath and put on compression stockings with my hospital-issued gown. The nurse then hooked me up to an I.V. and Dr. Gabriel came in to the prep room and marked me up with "guidelines". I was wheeled to the O.R. where I met the anesthesiologist, P.A., and other nurses that assisted during the surgery. ***I made a special request that may not be available or advisable to many patients: I asked that the catheter that is used during surgery be left in post-op. All the people in the O.R. thought it was a strange request, but I knew I would rather sleep as much as I could that first night instead of get up every few hours to use the restroom.*** Once the general anesthesia was put in my I.V., I just closed my eyes and listened to their pre-op chat for all of about 5 seconds. The surgery consisted of removing about 2.5lb of skin and closing an almost 2" gap between my ab muscles. I had fat liposuctioned out of my back and a little from just below my butt and all of it was used in the B.B.L. Two drain tubes were stitched into my pubic area.The next thing I knew I was in the recovery room. When I woke up I wasn't groggy or disoriented. I was then taken to my "overnight suite" at the hospital. My request to leave the catheter in was honored, and my stay at the hospital was uneventful. I was given one dose of pain medication via I.V. just after I arrived in the room, and I was relaxed, painless, and drowsy. For the rest of the time I took oral medication to regulate the pain (I never got above a 4 on the pain scale). I didn't get out of bed until about 16 hours post-op. ***The nurse removed the catheter at this time. It wasn't a pleasant sensation, but it was worth it to me to have it in during my hospital stay.*** I was then able to use the restroom and take a nurse-assisted shower. The nurse showed me how to deal with the 2 drains I had in my pubic area. (The drains must be emptied and the fluid measured daily.) I was wrapped in a compression band (not a body garment) and then released to go home, roughly 24 hours after my surgery time. ***My husband took the week off from work to be my in-home nurse. He also took care of all of the day-to-day needs of our family.***I had set up a little "recovery center" in my living room prior to surgery. I used a reclining chair as a bed and had an easy-access table with the pre-loaded big pill box, a large water bottle, crackers, lamp, and cell phone charger. I used hiking poles (they are like adjustable-height ski poles) to get up and move around. (I had instructions to get up and walk around every 2 hours.) I was pretty bent over the first few days, and my back muscles got really sore. My butt was tender and there was a lot of bruising on my back that first week. My tummy tuck and incision never bothered me, and I believe that is due to the Botox that was injected into the muscles during surgery. ***I took a stool softener 3 times a day instead of 2, and I used Miralax powder, not the Ducolax pill. I only took pain medication for the first 2 full days I was home, which is what causes constipation. However, I knew my body would need the extra dose of stool softener. I was fortunate to have no problems with B.M.s post-op. I went down to 2 doses per day after day 4. After the first week, I went down to 1 per day.*** Instead of pain medication, I took 1 muscle relaxer at bedtime for the first week post-op. I was consistent about taking the prescribed anti-inflammatory, which probably helped regulate pain as well. I didn't need the anti-nausea medication at all.I had 2 follow-up appointments scheduled in the first week. The hiking poles ($30 at Costco) were great because I could adjust the height as I was able to stand more upright over the first several days. My husband helped me bathe in the bathtub by putting a camping cooler in the tub so I could sit on it while he poured water over me with a pitcher. The sitting position allowed me to keep the incision line dry. I was able to get in and out of the tub myself, but it was nice not to have to reach up and wash my hair. I was bent over pretty far at the 2nd-day appointment, and almost completely upright at the 7th-day appointment. I had one of my drains removed at the second appointment. Still no abdominal pain, just a tender tush. After a week, the bruising on my back was mostly gone, and I was walking upright without assistance. The places on my butt where the fat had been injected were hard lumps. I was released to drive, as long as I wasn't taking pain medication or muscle relaxers. The only exercise I was allowed to do was walk.At the 2-week post-op appointment my second drain was removed. I received a small marble to help shape my new belly button. I was still wearing my compression band at all times. Dr. Gabriel suggested buying some Spanx compression undergarments. He was quite pleased at how the Botox had given me back my mobility so quickly. I was happy that it didn't hurt!I started massage therapy to soften the scar tissue and help speed my recovery at 2 weeks post-op. The nerves in my back and butt started to "wake up", and I would get the odd pins-and-needles sensation in my back. After my first massage therapy appointment I had absolutely NO pain or skin-tightness anywhere on my body. For a day I felt like my pre-surgery self. It was recommended that my husband repeat the massages daily. He ended up giving me 3 massages that week (1 every other day). At the 3-week appointment, I was given clearance to wear the compression garment 12 hours at a time. I preferred to wear it at night while I slept, or when I was sitting for long periods of time. Often, I would wear compression undergarments under my regular clothes. "- A. / RealSelf / Aug 05, 2015
Tumescent liposuction, known as the “Super-Wet” approach, is a suction-assisted (SAL) technique that uses a solution and power-aided motor to help remove stubborn fat. The surgeon injects the solution, made of saline, lidocaine and epinephrine (to control bleeding), into the problem areas. The surgeon then inserts the cannula attached to the motor to remove fat cells from the body at a controlled speed. The motor helps surgeons remove anywhere from several ounces to a few pounds of fat.
Another surgical technique commonly used is the ultrasound-assisted (UAL), or ultrasonic, approach. Surgeons perform this dual process on denser areas of fat, such as in the thighs and stomach. During this technique, ultrasound waves loosen and melt fat into a liquid. Surgeons then use the cannula to extract the solution. This surgical method is more popular among men wanting more defined and contoured muscles.
Laser-Assisted (LAL) @headingTag>
Laser-assisted liposuction uses laser technology on specified areas of fat to burst energy that will loosen and liquefy the fat for removal. LAL liposuction includes brands such as SmartLipo, SlimLipo, Lipolite Laser Liposculpture, LipoLite, and ProLipo PLUS.
Liposuction is an outpatient procedure performed under general anesthesia at a hospital or surgery center. The procedure lasts about 30 minutes for each body part. It can be a stand-alone surgery, or combined with other procedures. However, the surgeon may suggest performing the surgery over a period of time for the safety of the patient. After surgery, patients are required to wear a compression garment to help the body adjust to its new shape. Bruising and swelling will subside within 1 week, but patients will not see final results for several months. Liposuction does leave a small scar, but it fades over time.
Plan Your Procedure
- Recovery Time
- 3-4 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- Procedure Recovery Location
Is it Safe?@headingTag>
While today’s surgical techniques are safe, patients can experience poor results from inexperienced surgeons. It is important for patients to do their research, and find an experienced surgeon that can help them achieve the best, most natural-looking results.
The results of liposuction can be seen for many years following surgery if the patient follows a healthy diet and exercise program. Removed fat cells do not come back, but patients can still gain weight if their remaining fat cells grow.
Too Much Fat?@headingTag>
Yes, there can be too much fat. The American Society of Plastic Surgeons does not recommend removing more than 10 pounds of fat for the safety of the patient. Removing more than 10 pounds is considered high-volume liposuction, which increases the chances of complications from the surgery. Patients are advised to be near or at their ideal weight before undergoing liposuction.
While liposuction removes fat and improves contour and shape, it does not address sagging or drooping skin. If skin laxity is a concern, patients can talk to the surgeon during the consultation to discuss their options for improving skin texture, such as a tummy tuck, thigh, neck, arm or butt lift.