Liposuction FAQ

Do you want to get slimmer before summer arrives? Do you dream of a flatter stomach, sculpted thighs, or slimmer upper arms? While CoolSculpting is an effective solution for fat reduction without surgery, you likely won’t see full results before summer arrives. The fastest way to to reduce unwanted body fat is to have a liposuction procedure. After a single surgery, fat is gone and results are seen within a couple of weeks. But is liposuction the right solution for your needs? Are you a good candidate for lipo?

Click on the links below to jump down for more information about liposuction in this helpful FAQ about this popular cosmetic procedure at the Laser and Skin Surgery Center of Indiana.

Liposuction FAQ

What is liposuction?

Liposuction (also called “lipo”) is the process by which a skilled surgeon removes excess fat beneath the skin (subcutaneous). The fat is suctioned from an incision or series of incisions to both remove bulk and sculpt the area for a more contoured physique.

Is liposuction surgery?

Yes. Lipo is a surgical procedure. Even the least invasive techniques are considered surgery. This is because incisions are created in the skin, allowing for a cannula to be inserted to aspirate fat cells. Anesthesia is used, often locally, to prevent pain. However, some patients may also be heavily sedated via general anesthesia (rare).

Is liposuction safe?

Yes. Liposuction is considered safe for patients who are in relatively good health. This includes patients who are at a healthy weight, live an active lifestyle, and eat well. However, some medical conditions and prescriptions may prevent a safe procedure for some patients. A full consultation with a dermatologic surgeon will determine if lipo is safe for you.

What is tumescent liposuction?

Tumescent liposuction is a type of liposuction surgery that utilizes a tumescent formula for anesthesia. Tumescent anesthesia is local and contains both the diluted anesthetic and epinephrine. The anesthetic numbs the treatment area to prevent pain while the epinephrine reduces blood loss and bruising. Patients are awake during the tumescent procedure, as this is considered safer than putting the patient under general anesthesia or heavy sedation.

What areas can be treated using liposuction?

before and after liposuction chin

*individual results vary from person to person

Most areas that contain excess pockets of unwanted fat just beneath the skin can be treated using lipo. Treatment areas include large areas such as the thighs and abdominal region as well as smaller areas like the double chin and knees.

How much does liposuction cost?

Liposuction cost varies depending on a variety of factors, such as the size of the area treated, the amount of fat being aspirated, and how much tumescent anesthesia you’ll require. The best way to find out how much your lipo procedure will cost is to schedule a consultation with our dermatologic surgeon Dr. Hanke. After a full examination and discussion, our team will provide you with a customized treatment plan and total cost associated with your procedure.

Who is a good candidate for liposuction?

A good candidate for lipo is a patient who is in good health and already at a healthy weight. If you are within your ideal weight range, exercise regularly, and eat healthy, then you will likely see good results from a safe lipo procedure.

Can I have liposuction if I’m overweight/obese?

No. Liposuction is not a weight loss tool. Patients who are overweight or obese should consult with a physician to come up with a strategy for weight loss before considering lipo. It is a great procedure if you have lost a lot of weight recently and need help with the stubborn areas of fat that won’t go away, however. So come back and see us after you’ve lost the weight and feel healthy.

Who shouldn’t get liposuction?

If you are overweight or obese, then liposuction is not for you. If you take blood thinners or NSAIDS, it is not recommended that you get lipo. Patients with hypertension are also not considered ideal candidates. If you are underage, liposuction is generally not recommended as you’re still growing and have what is affectionately called “baby fat” that will thin out as you reach adulthood. It’s important to remember that this is a surgical procedure, so it carries risks that some patients should not take. Talk with your primary care physician or contact us to find out more.

Is abdominal liposuction like a tummy tuck?

abdominal liposuction before and after liposuction faq

*individual results vary from person to person

No. Lipo is fat removal while a tummy tuck, or abdominoplasty, is skin removal and tightening. While you can have both on your abdomen, they are not the same procedure.

What will my skin look like after liposuction?

For some patients, depending on how much fat is removed from one area, the skin may appear loose. However, in the hands of a skilled dermatologic surgeon, you should not have excess or sagging skin following your procedure. It’s best to discuss your unique situation during a consultation to make sure that your needs are appropriately met.

What about non-surgical liposuction alternatives?

Some patients can avoid surgery and still lose unwanted fat with non-surgical body sculpting treatments like CoolSculpting, offered here at the Laser and Skin Surgery Center of Indiana. Many areas can be treated using CoolSculpting, but not all patients are a good fit for non-surgical treatments. Depending on your needs, liposuction may be the procedure that will provide you with the best results. We also offer Kybella, an injectable fat melting treatment that is FDA-approved for double chin reduction.

It’s important to note that non-surgical body sculpting procedures often require multiple visits and treatments to see full results. If your goal is to achieve your new look in time for summer, lipo will provide faster results.

What are the risks associated with liposuction?

Liposuction is surgery, so there are always going to be risks. However, choosing a board-certified dermatologic surgeon with an excellent reputation for patient safety and results will minimize the risk of side-effects and complications. Also, being sure to follow pre- and post-procedure instruction is paramount to getting the best results and avoiding unwanted side-effects.

Risks involved with lipo are similar to other surgeries. However, by eliminating general anesthesia and heavy sedation, many other risks are eliminated. As with any surgery, post-procedure bruising and discomfort are common. More moderate-to-severe complications are rare and include infection, excess bleeding, and poor results. Again, following your dermatologic surgeon’s instructions and selecting a reputable surgeon are paramount to avoiding such complications.

What is the downtime following liposuction? How is pain and discomfort managed?

With the tumescent procedure, downtime is significantly reduced compared to more traditional lipo involving general anesthesia. Bruising is nearly gone after 1-2 weeks. Patients may resume exercise as early as 3-7 days following the procedure, although Dr. Hanke may recommend a longer downtime for you. Most patients may return to work as early as 3 days following tumescent liposuction, as long as the demands of the job do not include activities such as heavy lifting or excessive bending and twisting.

For the first 24 hours following your lipo procedure, the tumescent anesthetic is still active and managing pain and discomfort. After the tumescent anesthetic wears off, most patients only require over-the-counter acetaminophen to manage any discomfort.

Will my procedure be performed in a hospital? Will I have to stay overnight?

No. Your procedure will be performed in a surgical center. A hospital is not required for tumescent liposuction, nor is an overnight stay. Most patients are able to leave (with the help of a caregiver who will transport them home) within 30-60 minutes following surgery.

How should I prepare for my liposuction procedure?

liposuction faq before and after lipo double chin

*individual results vary from person to person

For best results, it’s important to prepare far ahead of time for your procedure. These steps help ensure your safety during surgery and improve outcomes. You will receive a packet that includes your full pre- and post-operative care instructions. Some of the pre-procedure instructions include the following:

  • do not eat or drink after midnight the night before your procedure
  • quit smoking at least 2 weeks prior to surgery
  • do not shave ahead of your surgery to avoid ingrown hairs
  • wear loose fitting clothing the day of surgery
  • find a friend or family member who you can count on to transport you to and from your appointment

Our team will provide you with a full list of instructions prior to your procedure and are available to discuss any questions or concerns prior to your surgery date.

Why should I choose Dr. Hanke at the LASSI to perform my liposuction in Indianapolis?

In addition to being a skilled dermatologic surgeon and liposuction provider, Dr. Hanke is renowned as an expert and pioneer in tumescent liposuction. His experience includes:

  • authoring and co-authoring peer reviewed articles on tumescent liposuction
  • clinical trials and dermatologic surgery research
  • lecturing and teaching other surgeons on tumescent liposuction techniques
  • decades of lipo and body contouring experience

Schedule a consultation with one of Indiana’s top liposuction surgeons today at the Laser and Skin Surgery Center of Indiana.

Butt Implants vs Buttock Reshaping

Butt implants and buttock augmentation are trending procedures in Indianapolis, with more people actively searching for providers who can give them a perkier backside. However, as you search for more reputable information about such procedures, consider how less-invasive procedures that don’t require butt implants can reshape and enhance your derriere. At the Laser and Skin Surgery Center of Indiana, we offer surgical and non-surgical procedures that can provide buttock reshaping. These treatments use what you already have to your advantage without the need for butt implants for artificial enhancement.

In this article, we will discuss:

Enhance Your Assets Without Butt Implants

There are many reasons why you might want to avoid butt implants and rely on buttock reshaping procedures. First, both surgical liposuction and non-surgical body contouring treatments are safer than general plastic surgery procedures like butt implants. Butt implants require patients to be under general anesthesia, which is an increased surgical safety risk. Secondly, some patients find that their butt implants are too large after surgery. This can make it difficult to find clothing that fits properly as well as general unhappiness with your appearance. Finally, it is generally recommended by plastic surgeons that implants be inspected regularly after placement to ensure they are still intact and not causing harm to the patient’s health. This incurs long-term costs and, if the implants are compromised, they must be removed and/or replaced.

The benefits of forgoing butt implants and relying more on reshaping procedures like those we offer at the LASSI include:

  • safer treatment without using general anesthesia
  • no foreign implanted materials
  • more natural-looking results

Buttock Reshaping with Tumescent Liposuction

Liposuction is surgery. However, with the tumescent procedure, patients are not put under general anesthesia. This improves patient safety dramatically. During tumescent liposuction, tumescent local anesthesia is used to numb the treatment area. After making small incisions, your dermatologic surgeon inserts a cannula to remove unwanted fat.

Liposuction isn’t simply a vacuum to remove fat; it is a contouring procedure that helps reshape areas of the body. In the case of buttocks, removing excess fat surrounding the buttocks helps to naturally enhance your derriere without the need for butt implants. Recovery time is shorter and less intense as well, and the procedure is safer without general anesthesia or a foreign object being implanted into the body.

To visually enhance the buttocks, liposuction can be performed on the flanks (love handles), lower back, and just beneath the buttocks (banana roll). When these three areas are reduced, your backside will appear more prominent. The buttocks themselves may also be reshaped, depending on your needs.

Buttock Reshaping with CoolSculpting

With CoolSculpting, we can do something very similar to what tumescent liposuction accomplishes without any surgery at all. Using an FDA-approved fat freezing technology known as cryolipolysis (which was developed by dermatologists), we can slowly freeze and destroy excess fat beneath your buttocks and love handles. Over time and over a series of non-invasive treatments, body fat disappears to reveal a more contoured area that enhances the size and shape of the buttocks themselves. Again, no butt implants are required and there is zero downtime with CoolSculpting treatments.

By reducing unwanted fat in the banana roll (beneath the buttocks), flanks (love handles) and even the inner and outer thighs, the buttocks can appear more prominent and sculpted without butt implants or any surgery whatsoever.

Z-Wave Cellulite Reduction

In addition to buttock reshaping treatments, we also offer a cellulite reduction procedure called Z-Wave. The buttocks and upper thighs are the areas that most often have visible cellulite. Cellulite is present to some degree in 90 percent of women. With the Z-Wave, we can gently break up the fat pockets that form cellulite to smooth and tone the skin of the upper thighs and buttocks. Combined with a CoolSculpting procedure, Z-Wave can help break up frozen fat cells for faster results as well.

Z-Wave is also used following liposuction once you are fully healed.

What about fat transfers for buttock augmentation?

Many liposuction patients ask about transporting the fat removed during liposuction into the buttocks for natural enhancement without butt implants. However, experience has shown that the results are unpredictable and don’t last. It is for this reason that we do not recommend fat transfers to the buttocks.

What about buttock reduction?

If you have a little too much volume in your backside, we recommend liposuction using tumescent anesthesa for fat reduction and buttock reshaping. CoolSculpting is not approved by the FDA for application directly onto the buttocks; it is approved just beneath the buttocks (banana roll) and the inner and outer thighs, as well as for fat reduction on the abdomen, flanks, and back/bra fat.

What if I want butt implants following my reshaping procedures?

If you still desire an enhancement of your backside following your buttock reshaping procedures, we can recommend a specialist in the area. It is best to choose a surgeon who specializing in buttock augmentations and butt implants for the best results.

What about exercising to enhance by buttock size?

Following your reshaping procedure, exercise can help enhance the gluteal muscles for an enhanced backside without butt implants. We recommend working with a personal trainer to help you achieve the results you’re looking for. It’s also recommend that you exercise regularly following any fat reduction procedure in order to maintain results. While fat cells removed during liposuction or CoolSculpting will not return, remaining fat cells can still expand if you gain weight. Maintain a healthy diet and exercise regularly to maintain your new sculpted physique.

Note that some exercises can make your derriere shrink in size if you’re burning fat in that area. That is why it’s a good idea to work with a personal trainer to make sure the gluteal muscles are activated for healthy growth.

Do creams or lotions help increase buttock size?

The short answer is no. There are no topical treatments that can help you grow fat or increase muscle mass anywhere in the body. Some of these topical treatments can temporarily firm skin in that area, but that is the most you can expect from these products.

Should I choose liposuction or CoolSculpting for fat reduction and buttock reshaping?

Every patient is different. If your only concern is excess fat beneath the buttocks and/or on the inner and outer thighs, CoolSculpting may work well for you. However, if you require more reshaping on and around the buttocks and even into your lower back for advanced reshaping, liposuction will likely be recommended. There are areas that liposuction can treat better than CoolSculpting can. You can come in for a personalized consultation to find out which procedure will provide you with the best results.

How much do these fat reduction procedures cost?

Tumescent liposuction and CoolSculpting costs vary for a variety of reasons. The amount of fat to be reduced and the number of treatment areas are just two factors in determining the cost of treatment. The best way to understand the cost of your total treatment at the LASSI is to schedule a consultation with our team. Find out which of these two procedures will be best for you and how much each would cost to help you see your desired results.

What about stretch marks on my buttocks and thighs?

If you have stretch marks, Z-Wave is also known to help. However, we also offer laser skin treatments and microneedling. Both of these procedures encourage enhanced production of collagen and elastin to the treatment area, reinforcing stretch marked skin to fade these imperfections over time.

Why Should I Choose the LASSI for Buttock Reshaping and Fat Reduction Procedures?

If you want a natural look without butt implants, the Laser and Skin Surgery Center of Indiana is one of your best options for fat reduction and body contouring procedures. The LASSI is owned and operated by board-certified dermatologic surgeon Dr. C. William Hanke, a top liposuction and body contouring expert in Indiana. Dr. Hanke helped pioneer modern-day tumescent liposuction techniques and educates other dermatologic surgeons on this procedure. He is published in peer reviewed journals on the tumescent technique and best practices in fat reduction. This experience, coupled with proven results, makes Dr. Hanke a top pick for patients in Indiana and around the country for tumescent liposuction treatments.

Schedule a consultation with Dr. Hanke and our team of dermatology and body contouring experts at the Laser and Skin Surgery Center of Indiana and find out if buttock reshaping without butt implants is right for you.

CoolSculpting or Liposuction: Which should you choose?

Do you see rolls of fat around your belly and hips when you look in the mirror? Are your upper arms a little flabby? Do your thighs touch, making you uncomfortable in skirts and dresses? Just a decade ago, getting rid of stubborn, unwanted fat required liposuction. However, times have changed and technology is growing rapidly. While you still may benefit from a safe and effective liposuction procedure, effective non-surgical options also provide real and lasting results. One such option is CoolSculpting. This article will give you an overview of both our surgical and non-surgical options. Which treatment is right for you? Will it be CoolSculpting or liposuction? Let’s find out!

Fat Reduction and Body Contouring in Indianapolis

Resistant fat is frustrating and you can blame your genetics. Even with belly-blasting moves and multiple strength-training sessions designed to hit your trouble-spots, you may still see that unwelcome bulge and flab taunting you. Unfortunately, no amount of cardio and strength-training exercises can eliminate it. We’re here to tell you that you deserve a break. Stop killing yourself to get rid of stubborn fat that just won’t budge. Try fat reduction with Coolsculpting or liposuction at the LASSI in Indianapolis.

CoolSculpting or Liposuction: Which is better and how are they different?

CoolSculpting and liposuction are FDA-approved procedures recommended by extensive dermatologic research for fat removal and body contouring. The choice as to which is best for you depends upon:

  • how much fat you want removed,
  • how quickly you want to see results,
  • how comfortable you are with each procedure, and
  • what your provider recommends.


indianapolis coolsculpting before and after

Individual results may vary from person to person.

CoolSculpting is a non-surgical fat freezing treatment using a technology known as cryolipolysis. It can be used virtually anywhere on the body, including the upper arms, abdominals, and even the double chin. During the treatment, fat cells crystallize and safely die off. They are then naturally flushed from your body. After at least three treatments, the majority of patients see noticeable results. There are no incisions or injections and no downtime associated with CoolSculpting treatments, making it the preferred method for patients who aren’t good candidates for liposuction.

Your CoolSculpting provider will discuss your goals for fat reduction to determine if you’re a good candidate for treatment. During the procedure, they will place the applicator on the treatment area. At first, you will feel a tugging and intense cold sensation, but this will subside. CoolSculpting is a comfortable procedure. In fact, many of our patients will take a nap, read a book or watch television comfortably during their CoolSculpting treatment. After your fat freezing is completed, your provider will remove the pads and massage the treatment area to help break up the frozen fat cells more rapidly. Over the next few weeks, your body will gradually absorb and get rid of these cells through your lymphatic system. It’s at this time that you will return to our practice, take some after photos to see your results, and proceed with your next treatment until the desired results have been achieved.

What Areas Can Be Treated With CoolSculpting?

If you have stubborn fat in the following areas, our Indianapolis CoolSculpting specialists can help. Treatment areas include:

  • Upper arm fat
  • Abdominal fat
  • Flanks/love handles
  • Inner and outer thighs
  • Banana roll/fat beneath the buttocks
  • Submental fullness/double chin fat
  • Back and bra fat

If you don’t see your treatment area above, that’s okay. Come in for a consultation and we’ll work with you to find out if CoolSculpting or liposuction is right for your needs.

Who Can Get CoolSculpting?

You are a good candidate for CoolSculpting if you are a healthy weight and have stubborn fat deposits in one of the FDA-approved CoolSculpting treatment areas. Patients who aren’t good candidates for surgery can benefit from CoolSculpting, but results will vary depending on the size and number of treatment areas you want sculpted.

Who Shouldn’t Get CoolSculpting?

There are only a few reasons why CoolSculpting may not be right for you. Be sure to discuss any of these or other concerns with your providers before proceeding with treatment. CoolSculpting is not a weight loss tool and is not a good fit if you are overweight or obese. It is also not appropriate if you are looking for immediate results. You are not a good candidate if you are pregnant or breastfeeding or if you suffer from chronic pain, chronic fatigue syndrome or an autoimmune disease. If you have larger amounts of unwanted fat than can be successfully treated with CoolSculpting, we may recommend tumescent liposuction to provide you with the best possible results. Finally, let your providers know if you have received any other cosmetic treatments in the desired treatment areas.

Tumescent Liposuction

indianapolis tumescent liposuction before and after

Individual results may vary from person to person.

While CoolSculpting and liposuction help provide similar results in reducing unwanted body fat, that is where their similarities end. Unlike CoolSculpting, tumescent liposuction is a surgical procedure and can be used almost anywhere that fat collects around the body. However, don’t let the fact that this is a surgical procedure scare you. Tumescent liposuction is one of the safest cosmetic surgeries available today.

Tumescent liposuction is performed under local anesthesia, meaning you will be awake during the liposuction procedure. Prior to incision, Dr. Hanke will inject a solution containing lidocaine for pain relief and epinephrine for vasoconstriction; vasoconstriction is the constriction of blood vessels to minimize blood loss during the procedure. Up to eight tiny incisions will be made in the treatment area. Dr. Hanke will use a cannula to suction out the unwanted fat through these small incisions. Following the procedure, most patients are able to return home the same day to recuperate.

What Areas Can Be Treated With Tumescent Liposuction?

You can have liposuction just about anywhere on the body. This includes difficult areas that aren’t well treated using non-surgical methods or where our CoolSculpting applicators cannot be effectively applied.

Who Can Get Tumescent Liposuction?

While tumescent liposuction is not a weight loss solution, it is more helpful than CoolSculpting for larger amounts of body contouring. Therefore, if you have multiple inches of fat to lose from your waist or hips, tumescent liposuction may be the right choice.

The safety of tumescent liposuction has been well studied. Clinical research has shown that tumescent liposuction is very safe. In fact, in a study with over 15,000 patients, only minor complications were seen on a rare basis. No patients needed blood transfusions, and no one was admitted to the hospital.

Who Shouldn’t Get Tumescent Liposuction?

There are some reasons why tumescent liposuction may not be right for you, and you should approach these concerns honestly with your dermatologic surgeon as you make the choice between CoolSculpting and liposuction. For example, if you are not healthy and struggle with one or more chronic diseases, tumescent liposuction may be more than your body can handle. In this case, you may be at a higher risk of developing surgical complications, such as poor healing, infection or blood clots. Additionally, because it is an invasive procedure, you should not undergo liposuction if you are on blood-thinning medications, such as warfarin or aspirin. Finally, if your skin is very thin and crepe-like, you may not experience aesthetically pleasing results because your skin will not readily snap back after fat is removed.

Body Sculpting is NOT Weight Loss

When choosing between CoolSculpting and liposuction, keep in mind that both will significantly reduce the number of fat cells in your body. This is very different from the process of losing weight. When you lose weight through diet and exercise, your fat cells shrink. When you undergo CoolSculpting or liposuction, fat cells are removed. These fat cells do not return. That doesn’t mean you can’t gain weight again, however. The remaining fat cells can expand, so it’s important to maintain your healthy lifestyle following a CoolSculpting or liposuction procedure.

Should You Choose CoolSculpting or Liposuction?

The choice between CoolSculpting and liposuction is a personal one that must be undertaken with great thoughtfulness and after a thorough consultation with our body contouring experts. Both CoolSculpting and liposuction are appropriate for permanent fat removal.

If you have small areas of body fat that are stubborn and you want to avoid surgery, CoolSculpting is likely the choice for you. However, if you want to see immediate results or have a larger area of unwanted fat, liposuction may be recommended.

Keep in mind that many patients come to our practice seeking one type of treatment and learn they will get better results from another procedure. This is because, after a thorough examination and medical intake, our providers make recommendations based on your health, medical history and prescriptions. Furthermore, it’s all about which procedure will give you the best possible final result. Bottom line: it’s all about patient safety and results.

Other Options for Non-Surgical Fat Reduction

If you have double chin fat you’re looking to say goodbye to, you have yet another option for treatment. Kybella is the first ever non-surgical solution to submental fullness and is FDA-approved to elminate double chin fat. While both CoolSculpting and liposuction can both eliminate your double chin, Kybella is simply another option for your treatment.

Like CoolSculpting, Kybella is non-surgical. However, instead of freezing your fat, Kybella uses an injectable substance designed to target and melt away fat cells. These fat cells are destroyed and flushed through your lymphatic system just like with CoolSculpting. After six treatment sessions, most patients have visible reduction in submental fullness.

Why Choose the Laser and Skin Surgery Center of Indiana for Body Contouring?

The Laser and Skin Surgery Center of Indiana is home to Dr. C. William Hanke, a top dermatologic surgeon in Indiana. Dr. Hanke is a leader in dermatology and is a frequent guest lecturer at dermatologic conferences where he is regarded as an expert in his field. Dr. Hanke also trains other physicians on body contouring techniques and has pioneered much of what we see in tumescent liposuction today. In addition, our aestheticians are certified and fully trained in CoolSculpting technology. We provide a multitude of treatments for body contouring and skin improvement and have also been a part of important clinical trials, including for Botox and Kybella. When you come to the Laser and Skin Surgery Center of Indiana for CoolSculpting or liposuction, you can know that your safety and aesthetic goals are going to be our top priorities.

Schedule a Consultation for CoolSculpting or Liposuction in Indianapolis

Contact us at the Laser and Skin Surgery Center of Indiana to schedule a consultation or for more information about choosing between CoolSculpting and liposuction for body contouring in Indianapolis. During your consultation, we will work together to determine which of these procedures is right for your needs to ensure you get the best results in a safe, comfortable environment. We look forward to helping you achieve your aesthetic goals.

Non-Surgical Turkey Neck Lift

Turkey neck, wattle, double chin, dewlap…whatever you call it, unwanted fat and loose skin on the neck can be a pain in the…well…neck! But how can you get rid of the loose hanging skin and extra fat beneath the chin without neck lift surgery or liposuction? For years, patients’ only option was elective surgery; today, however, non-surgical turkey neck lift options are numerous, giving patients more choices in their cosmetic care.

Non-Surgical Turkey Neck Lift Treatments in Indianapolis

At the Laser and Skin Surgery Center of Indiana, we offer patients with loose skin or excess fat on the neck several non-surgical options, including cosmetic injectables and newly FDA-approved non-surgical fat reduction treatments. While these treatments are non-surgical, all procedures are provided by board-certified dermatologic surgeon Dr. C. William Hanke. This provides patients with the best possible cosmetic results, as Dr. Hanke is an experienced liposuction surgeon and board-certified dermatologist who conducted clinical trials on a few of the treatments discussed below.

Cosmetic Injectables for Neck Rejuvenation

Botox Neck Lift: Botox is commonly used as a localized muscle relaxer, or what is commonly referred to as a wrinkle relaxer. However, Botox is also administered as an off-label solution for neck tightening. When injected into the platysmal bands of the neck, patients see a marked improvement in skin laxity and wrinkling. Results are temporary, lasting 3-4 months. However, most patients say that returning for repeat treatments is worth it to avoid turkey neck lift surgery.

Dermal Fillers for Neck Lines and Tech Neck: For patients who have tight, youthful skin in the neck, but are dealing with horizontal lines associated with tech neck, dermal fillers like Belotero Balance can help. When injected below the skin by a dermatologic surgeon, the thick gel filler plumps up the area to smooth out lines and folds, revealing a smooth, youthful neck.

Non-Surgical Double Chin Reduction

Kybella Non-Surgical Double Chin Injections: Before 2015, the only solution for double chin fat was liposuction. However, after clinical trials were conducted across the United States, including here at the Laser and Skin Surgery Center of Indiana, Kybella was FDA-approved and placed on the market as a non-surgical double chin reduction treatment. After a series of 4-6 treatments provided at one-month intervals, patients see a dramatic reduction in submental fullness.

CoolMini Double Chin Reduction by CoolSculpting: Not long after Kybella received the first ever FDA-approval for non-surgical double chin reduction, CoolSculpting received FDA-clearance for their new CoolMini applicator. Using a technology known as cryolipolysis, CoolSculpting was already a popular choice for non-surgical body contouring to reduce fat around the midsection and thighs. With the addition of the CoolMini applicator, patients now have more choices for double chin reduction.

Seeking a Non-Surgical Turkey Neck Lift in Indianapolis?

Whether you’re looking for a non-surgical solution to correct loose skin, lines, and wrinkles, or just want to eliminate your double chin, there are a variety of turkey neck lift options available here at the Laser and Skin Surgery Center of Indiana. With options such as Botox, dermal fillers, Kybella, and CoolSculpting, patients can work with Dr. Hanke to determine the best non-surgical turkey neck lift options for them. Contact us for a consultation and start on the path toward a more youthful neck.

Liposuction Myths Debunked

Of all the cosmetic treatments available today, it’s quite possible that liposuction gets the most negative press attention. Prevailing ideas about liposuction that stem from its original use in the 1970s, media misinformation, and poorly executed surgeries by providers who aren’t properly trained or licensed for liposuction help keep these liposuction myths alive and kicking. The truth is, however, that liposuction isn’t the cosmetic bad guy most people believe it is. Use this quick list of liposuction myths as the first step to learning the truth about liposuction, and contact our team to find out more about liposuction and if it’s right for you.

Top 5 Liposuction Myths Debunked

Is liposuction just weight loss for lazy people? Doesn’t the fat just come back? Is liposuction dangerous? These are all questions we’ve heard over the years, and the short answer to all of these is, “No.” Get the details on the top liposuction myths below.

Liposuction Myth #1: Liposuction Will Help You Lose Weight

One of the most common liposuction myths is that it’s used as a weight loss tool. The reality, however, is that liposuction is designed to contour stubborn problem areas that a healthy diet and consistent exercise failed to correct. These stubborn pockets of fat are often genetic, so no amount of dieting or exercise will ever correct them. Liposuction can, however.

Liposuction Myth #2: You’re Too Old for Liposuction

Surgery and advanced age are often concerns primarily because of the dangers of general anesthesia. General anesthesia, which is when the anesthesia drug puts you to sleep for your treatment, is often the most dangerous part of any surgery, no matter your age. With local tumescent anesthesia, however, liposuction is much safer as patients are fully awake during the treatment. As long as you are healthy, your dermatologic surgeon will likely approve you for Tumescent Liposuction. Your surgeon may also recommend surgical or non-surgical skin tightening to complement your liposuction treatment, however, as aging reduces the skin’s ability to “bounce back” after weight loss or liposuction. It’s important to have realistic expectations regarding the treatment’s results.

Liposuction Myth #3: Liposuction is Just for Women

While women seek liposuction more frequently, men are increasingly requesting body contouring procedures. Like women, some men have stubborn fat deposits on their bodies. These trouble areas for men are usually around the abdomen or chest. “Love handles” can be a persistent problem for men regardless of their exercise routine or diet.

Liposuction Myth #4: Liposuction Will Get Rid of Your Cellulite

We wish that liposuction could be a cure-all for a body fat, but unfortunately, liposuction as a cellulite treatment is another of the most common liposuction myths. While cellulite is partially caused by fat deposits beneath the skin, it’s a unique problem with a specific solution that liposuction alone cannot address. However, we also urge you to be very wary of topical cellulite treatments. They just don’t work!

Liposuction Myth #5: The Fat Will Come Back

Did you know that you do not produce new fat cells when you gain weight? Weight gain is caused by the expansion of existing fat cells. If you feed them, they will grow, but they will not reproduce. With fewer fat cells, your body has less opportunity to increase in size. Liposuction removes excess fat deposits, which means that once they are gone, they are gone for good.

This doesn’t mean that you cannot gain weight after liposuction, which is another one of the common liposuction myths. Your remaining fat cells can expand and cause you to gain weight again, so it’s important to maintain a healthy lifestyle following your treatment.

Looking for Liposuction in Indianapolis?

tumescent liposuction results

Individual results may vary from person to person.

Liposuction gets rid of the persistent, unwanted fat that you’ve tried time and again to tone away by embracing a healthy diet and regular exercise. Liposuction can remove the stubborn fat on your belly, thighs, hips, back and buttocks. The treatment can even eliminate fat around your face and neck as well as your knees.

Dr. C. William Hanke of the Laser and Skin Surgery Center of Indiana is a renowned liposuction expert in Indianapolis who has lectured and trained countless physicians worldwide and contributed to numerous publications on the use of tumescent anesthesia in liposuction. In our Indianapolis dermatologic surgery center, we offer Tumescent Liposuction to patients for surgical removal of stubborn, unwanted fat. We also now offer Kybella for non-surgical double chin reduction and CoolSculpting for non-surgical fat freezing and elimination to patients who aren’t good candidates for surgical procedures or prefer a non-surgical approach.

To find out what fat reduction treatments are right for your needs, contact our team of experts at the Laser and Skin Surgery Center of Indiana, located just north of Indianapolis in Carmel. We look forward to meeting you!

CoolSculpting in Indianapolis

Now Offering CoolSculpting in Indianapolis at the LASSI

We’re pleased to announce that our Indianapolis dermatologic surgery center is now offering CoolSculpting, a popular and effective non-surgical liposuction alternative.

CoolSculpting uses cryolipolysis, a deep cooling technique that freezes unwanted fat cells beneath the skin, leaving skin tissue unaffected. This fat freezing process destroys the fat cells, which are then disposed of using the body’s natural waste removal system.


CoolSculpting is FDA approved for non-surgical body contouring and can be used to treat:

  • Belly Fat: CoolSculpting is perfect for subcutaneous fat (fat beneath the skin) in the abdominal region.CoolSculpting in Indianapolis
  • Obliques: Also called “love handles,” the stubborn pockets of fat just above the hips can be eliminated using the CoolSculpting system.
  • Inner & Outer Thighs: Whether you’re striving for the thigh gap or want to get rid of your saddle bags, cryolipolysis has proven fat reduction results. Need to sculpt both? No problem!
  • Back and Bra Fat: If you have some bulge in your bra area or back fat, CoolSculpting can help smooth things over.
  • Double Chin Fat: Using the new CoolMini applicator, CoolSculpting can be used to freeze away submental fullness for a smoother, more youthful profile.

CoolSculpting is also being tested on the knees and upper arms and shows promising results.

CoolSculpting in the Media

CoolSculpting isn’t just a great solution to unwanted body fat, it’s a media favorite as well. It’s been featured in health and beauty magazines, nationally syndicated talk shows and local news stations across the country. Also, CoolSculpting’s Brand Ambassador Molly Sims isn’t just their spokesmodel; she’s a CoolSculpting success story herself!

Why Get CoolSculpting in Indianapolis at the LASSI?

Looking for a great provider for CoolSculpting in Indianapolis? The Laser and Skin Surgery Center of Indiana was founded by Dr. C. William Hanke, a dermatologic surgeon who has helped pave the way for modern liposuction surgeries worldwide. In addition to providing tumescent liposuction in our Indianapolis dermatologic surgery practice, Dr. Hanke also lectures to physicians nationally and internationally and has contributed to dozens of publications related to liposuction on awake patients using tumescent local anesthesia. The LASSI also served as a clinical trial facility for the new Kybella, from the makers of Botox, the first non-surgical double chin reduction treatment approved by the FDA.

There are many non-surgical fat reduction devices on the market for body contouring, but after much research, Dr. Hanke determined that CoolSculpting provides the best results for patients who would rather not have liposuction surgery or aren’t good candidates for surgical treatments. We’re excited to be able to offer patients another option for body contouring and fat reduction in the Indianapolis area.

Schedule Your Consultation for CoolSculpting in Indianapolis Today

Our Indianapolis dermatologic surgery practice is a full-service general, surgical and cosmetic dermatology facility offering everything from facials and injectables to skin cancer surgery and liposuction. We are a premier destination for body contouring in Indianapolis and invite you to try CoolSculpting in the hands of Dr. Hanke, a skilled and renowned liposuction expert.

Schedule a consultation for CoolSculpting in Indianapolis today!

What Causes a Double Chin?

What Causes a Double Chin, and How to Get Rid of it

Striking a pose for a selfie sounds quick and easy, but some of us need to position ourselves just right so our double chin doesn’t photobomb us! Even though our bodies may showcase an hourglass figure, that pesky double chin can continue to haunt us. So what causes a double chin, and how do you get rid of it?

What Causes a Double Chin?

Technically, double chins are caused by a layer of fat that gathers around the neck and forces the skin to sag. Some families are predisposed to double chins through genetics, which can affect where fat is stored in the body or determine the bone structure of your chin, while others develop a double chin due to weight gain. For some, even after weight loss, the double chin doesn’t go away.

How to Get Rid of Double Chin Fat

No matter what causes a double chin, there are many solutions to get rid of it. At the Laser and Skin Surgery Center of Indiana, we offer cosmetic treatments to eliminate double chin fat in Indianapolis.

Double Chin Reduction With Liposuction

tumescent liposuction neck and face

Individual results may vary from person to person.

Liposuction is the process of removing fat cells from areas of the body that don’t respond to diet and exercise. A dermatologic surgeon makes a small incision in the desired area and uses a tube called a cannula to suction out the pockets of fat. This is done using tumescent local anesthesia. The patient is totally awake and conversant throughout the procedure. Because this is a surgical procedure, your recovery time depends on your overall health and can last up to two weeks. You can usually resume normal activities within a week of having a tumescent liposuction procedure, which is our preferred method here at the LASSI.

Kybella: The First Non-Surgical Double Chin Eliminator

Kybella double chin reduction

Individual results may vary from person to person.

If you are not a good candidate for liposuction, or you prefer a non-surgical alternative, Kybella may be an option for you. Kybella is the first non-surgical, FDA-approved double chin eliminator designed to naturally break down fat cells, which are then removed from the body through the lymphatic system. The procedure includes injections of deoxycholic acid, a substance identical to the acid our bodies already use to break down fat cells for absorption.

Kybella treatments take about 20 to 30 minutes, during which time your dermatologic surgeon will use a small-gauge needle to inject the substance into the fat layer. Depending on the size of the treatment area, you could receive anywhere from 1-5 or more painless injections to ensure full coverage. You may also need between three and six sessions. Patients may experience slight swelling and tenderness at the injection site, but this discomfort is easily managed without prescription pain killers.

Freeze Away the Double Chin With CoolSculpting’s CoolMini

coolsculpting double chin before and after

Individual results may vary from person to person.

A non-invasive, FDA-approved alternative also exists for double chins called CoolSculpting Mini, a controlled cooling technology referred to as cryolipolysis that gently cools the fat cells without damaging surrounding tissues. A small vacuum applicator called CoolMini is placed on the area, and the skin is brought into contact with the cooling panels. The cold creates an anesthetic effect on the area while the fat is cooled over an hour to a fat-freezing temperature. The frozen fat cells are then absorbed by the body and removed, never to return.

This technique has no recovery time. You may experience redness or slight bruising in the area treated, but those effects will be gone within a few hours. You may need multiple treatments, but you will see a noticeable difference in two to three months.

Ready to Get Rid of Your Double Chin?

Now that you understand what causes a double chin and the methods available to get rid of it, where do you go? The Laser and Skin Surgery Center of Indiana (the LASSI) provides both of these wonderful procedures in our Indianapolis dermatology practice. You will meet with dermatologic surgeon Dr. C. William Hanke, a pioneer and innovator in fat reduction techniques, to explore your options. Our team of cosmetic experts will take into account your full medical history to ensure you receive the safest procedure for you, whether that’s Tumescent Liposuction, Kybella or CoolSculpting’s CoolMini. Each option will be discussed with you based on your medical history and the size of the area you want to be reduced.

The first step in ridding yourself of that double chin is scheduling a consultation with Dr. Hanke to see which method is appropriate for you. Call us at (317) 660-4900 to set up an appointment for evaluation today. You have nothing to lose but that extra chin!

Liposuction vs Tummy Tuck

Liposuction vs Tummy Tuck: Which do I need?

Struggling with excess fat around the middle? Fed up with loose skin following weight loss or pregnancy? While working out, losing weight and eating right is a great start to a journey to a healthier you, it doesn’t always leave you with the look you want. So while those side bends and leg lifts are great for flexibility and muscle strength (keep up the good work!), you may be considering a cosmetic surgery procedure such as a liposuction or tummy tuck (abdominoplasty) to rid yourself of that extra inch or two. But which treatment is right for you? This article examines the difference between liposuction vs tummy tuck surgery.

Liposuction vs Tummy Tuck: What’s the Difference?

You might assume that a tummy tuck and liposuction are essentially the same thing. However, there are many differences between the two procedures. When it comes to liposuction vs tummy tuck, a professional can determine which will work best for you. With liposuction, excess fat is removed. A tummy tuck, on the other hand, is designed to remove the sagging or loose skin left behind after weight loss or pregnancy. It is also designed to help tighten your underlying abdominal muscles to give you a toned, taut appearance.

What to Expect During a Liposuction Procedure

Indianapolis liposuction before and after

Individual results may vary from person to person.

If you want to trim excess fat with a low-risk procedure that doesn’t have a lot of downtime, Dr. Hanke’s tumescent liposuction procedure has been proven to be extremely effective and safe for removing any localized fat deposits that have accumulated over the years. The patient is awake during the procedure which utilizes tumescent local anesthesia. Post-procedure recovery is rapid with outstanding results.

Following tumescent liposuction, you can typically return to work in one to three days. Depending on how much you weigh, the amount of tumescent local anesthesia will vary. Your safety is our top priority, so the amount of fat removed is limited. Unrelated surgical procedures are not performed along with this procedure to protect your health and well-being.

What to Expect During a Tummy Tuck Surgery

Tummy tucks are major surgical procedures that require general anesthesia. Excision and liposuction are both used to eliminate fat and a large portion of excess skin. While you do end up with a flatter stomach, some scarring may remain. The muscles in your abdominal wall are visible during this procedure so the surgeon can tighten the muscles at the same time. Tummy tucks provide a trim and toned core, but the recovery time is much longer than liposuction alone. Recovery time varies from patient to patient, but you can expect complete recovery to take four weeks or more.

Can I Get Liposuction and a Tummy Tuck Together?

Tummy tucks and liposuction tend to go hand-in-hand. If you have a lot of loose, sagging skin and excess fat, having both procedures done at the same time can help tackle both problems simultaneously. In fact, tummy tucks use liposuction to eliminate the excess fat before the surgeon can remove the excess skin and help sculpt and tighten any loose abdominal muscles. Most patients do not require both procedures, which is why it is so important to discuss your concerns with the surgeon beforehand. Your dermatologic surgeon will want to know what you are looking to achieve with the procedure and get a chance to do an evaluation in person to determine if you need a liposuction vs tummy tuck, or both.

Considering a Tumescent Liposuction Procedure in Indianapolis?

Dr. Hanke is an internationally recognized expert in dermatologic surgery. He began researching tumescent liposuction in 1988 when he published a safety study of nearly 9,500 patients. He published another study from 1995 involving more than 15,000 patients. He has taught tumescent liposuction to physicians in Europe, South America and North America.

The Laser and Skin Surgery Center of Indiana is a state-of-the-art facility dedicated to excellence in the field of dermatologic surgery in the Indianapolis area. If you are ready to consider tumescent liposuction, schedule your consultation and begin the process to a whole new you.

What is Tumescent Liposuction

Tumescent Liposuction involves a dilute solution of local anesthesia that is injected into the fat beneath the skin. This area becomes swollen and firm, or tumescent. The two main components of the tumescent solution are epinephrine and lidocaine.Liposuction Epinephrine causes contraction of the muscular walls in blood vessels, leading to a narrowing of the blood vessels. This effect of the drug almost eliminates all surgical bleeding during liposuction. The other component, lidocaine, provides strong local anesthesia and eliminates the need for IV sedation or general anesthesia. This method eliminates the risks associated with general anesthesia and excessive surgical bleeding. The tumescent technique solves the concerns and dangers associated with the early form of liposuction.

Before the tumescent liposuction technique was created by Dr. Jeffrey Klein, a dermatologic surgeon, liposuction required blood transfusions because blood loss was so high. Some doctors would require their patients to donate their own blood several weeks before surgery, to later be transfused during surgery. Patients who receive liposuction with the tumescent technique lose approximately 15 to 30 ml of blood. Routine laboratory studies require the same amount of blood to be taken. Today, blood transfusions are no longer a necessity in liposuction surgery.

The excessive bruising associated with liposuction is considerably reduced with the tumescent technique. This is because of the minimal amount of blood loss linked with the tumescent technique and because of the amount of drainage of blood after the operation. The small incisions do not require stitches and are left open to allow the remaining mixture of blood and anesthetic to drain.
The advantages of the tumescent technique include the following:

  • Minimal blood loss
  • Lidocaine can be used safely up to 45 mg/kg
  • Lidocaine is suctioned out with the fat
  • The effects of the anesthetic may last as long as 24-36 hours
  • The swelling can highlight defects that need to be removed
  • Blood transfusions are not required
  • Lidocaine may decrease the risk of infections
  • Post-operative bruising is reduced

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