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!"- 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."- 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."- 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."- 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 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?
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?
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.