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.

Body Contouring Procedures That Work

Do you dream of flat abs, chiseled arms and glutes to die for? Have you tried everything without success? When diet and exercise simply aren’t enough, you may want to take advantage of body contouring procedures. With so many treatment options available, choosing the right one can be a challenge. It’s hard to know which treatments actually work and which ones are most appropriate for your particular issues.

If this sounds familiar, you’re in the right place. Keep reading to learn more about the most popular body contouring procedures. We’re here to provide you all the information you need and answer the most frequently asked questions.

Body Contouring Procedures in Indianapolis at the LASSI

At the LASSI, we offer cutting-edge body contouring procedures to help you achieve your ideal body image. Our dermatology practice offers tumescent liposuction, CoolSculpting and Kybella to serve a variety of patient needs.

Tumescent Liposuction: An Effective, Safe Liposuction Technique

body contouring procedures include liposuction

Individual results may vary from person to person.

Tumescent liposuction allows you to enjoy all the benefits of traditional liposuction without the risk and expense of general anesthesia. This surgical outpatient procedure is performed with local anesthesia to gently and painlessly remove fat deposits while the patient is awake. The local anesthesia also includes an agent to slow blood flow to eliminate the risk of excessive blood loss during surgery as well. The result is a safer procedure for the patient while giving the surgeon full control over the treatment area.

An advantage of tumescent liposuction is that your dermatologic surgeon can remove large areas of fat during a single treatment. It provides a uniform result with minimal bruising and fewer skin irregularities than are seen with traditional liposuction. Results can be seen soon after treatment and will reach their full potential within six months. If you have a desk job, you can expect to be back to work within a few days. Normal exercise can be resumed in about a week.

CoolSculpting: The Non-Surgical Liposuction Alternative


CoolSculpting is the #1 non-surgical body contouring procedure currently available and is one of our most popular treatments. It uses a cooling system called crylipolysis to freeze and permanently destroy fat cells. The cells are then naturally expelled through the body’s lymphatic system.

CoolSculpting provides long-term results that are noticeable after just a few treatments. Patients experience virtually no downtime since the procedure is completely non-invasive and is performed without needles or surgery.

popular cosmetic treatments include double chin reduction

Individual results may vary from person to person.

Kybella Double Chin Reduction

Having a double chin can do a number on your self-esteem. It is also one of the most difficult areas to modify through diet and exercise. Kybella is an FDA-approved, non-surgical solution for treating a double chin and creating the smooth, youthful jawline that so many men and women desire.

The treatment uses injections to target and break down fat cells. Much like CoolSculpting, the cells are eliminated through the body’s lymphatic system. Results can typically be seen after four to six treatments. You may experience some bruising and discomfort after treatment and should rest for a few days. Other than that, you can expect minimal downtime.

The fat cells are permanently removed, so you can expect your results to last for years.

Body Contouring Procedures FAQ

If you are considering one of the many body contouring procedures available in our Indianapolis dermatology practice, you are likely to feel some uncertainty and have many questions. We’ve gathered the simple answers to some of the most commonly asked questions to put your mind at ease before your consultation. However, we recommend coming in for a full consultation and evaluation by our team so we can answer questions specific to your needs.

Do Non-surgical Body Contouring Procedures Really Work?

Non-surgical body contouring procedures, like CoolSculpting and Kybella, have had extremely positive results. These procedures cause controlled damage to localized areas of fat cells, allowing the body to permanently eliminate them.

The primary downside of nonsurgical treatment is that multiple sessions are often needed to achieve the desired results. Most patients are willing to undertake treatment because the procedure requires no incisions and results in minimal discomfort and downtime.

Which Body Contouring Procedures Are Right for Me?

When choosing the appropriate body contouring procedures, you must consider your individual circumstances and preferences, including:

  • The number of treatment sessions you are willing to undergo
  • Your tolerance for downtime and discomfort
  • The extent of fat removal needed
  • Which procedure would give you the best possible results
  • Your overall health, including allergies, chronic health concerns, and medications

Who Is a Good Candidate for Body Contouring Surgery?

Liposuction might be better for you if you have large areas of fat to be removed. Tumescent liposuction will provide you with more dramatic results, and fewer treatment sessions will be needed. You’ll likely require only one procedure, so if you prefer the “one and done” approach, then tumescent liposuction should be considered.

Who Is a Good Candidate for Non-surgical Body Contouring?

Patients who want liposuction results without the hassle of surgery and the associated downtime are often good candidates for non-surgical body contouring procedures like CoolSculpting and Kybella. As long as you can return for repeated treatments until you get the desired result, you’re likely a great candidate. Some types of body fat, however, can’t be well treated with these procedures. In those cases, we’ll let you know if we recommend liposuction instead of non-surgical options.

Who Shouldn’t Get Body Contouring Procedures?

Both liposuction surgery and non-surgical treatments are recommended for people who are comfortable with their current weight and want to reduce fat in targeted areas. They are not meant to be a substitute for weight loss programs and should not be expected to deliver more than a 25% fat reduction. It’s important to have realistic expectations and understand the anticipated outcome prior to undergoing any cosmetic treatment.

Each of our body contouring procedures have certain contraindications. For example, patients who are allergic to the local anesthetic used in tumescent liposuction should not have that procedure. This is very rare. Furthermore, if you require blood thinning medications, Kybella and liposuction aren’t good options for you. We will determine which treatments aren’t recommended for you during you consultation when we take a full medical history. This maximizes patient safety during treatment and recovery.

Are Body Contouring Results Permanent?

When you lose weight through diet and exercise, your fat cells shrink in size but are not eliminated. If you begin to live an unhealthy lifestyle, they will simply expand again.

Body contouring procedures can bring about more permanent results by actually removing the fat cells from the body. However, you can still gain weight and cause the remaining fat cells to expand, so it’s important to continue to take care of your health.

Why Should I Choose the LASSI for Body Contouring Procedures?

Your body contouring results are greatly dependent on the skills of the professional that you choose. Dermatologic Surgeon Dr. C. William Hanke is a pioneer in tumescent liposuction, contributing to publications and lecturing to other surgeons around the world. He is ranked as one of the Best Doctors in America and is acknowledged as a Top Doc by U.S. News and World Report. Additionally, our practice has an accredited clinical trials facility which participated in the Kybella research trials. When you come to the LASSI, you’re entrusting your results and safety to some of the best providers in Indiana.

How Much Do Body Contouring Procedures Cost?

Many variables affect the cost of body contouring procedures. Some of the primary factors include:

  • Type of procedure
  • Areas being treated
  • Number of treatments required for nonsurgical treatments
  • Amount of fat removed for liposuction
  • Anesthesia costs
  • Necessary recovery time
  • Medication and pain management
  • Experience of the treatment provider
  • Surgical facility fees
  • Geographic location

Beware of facilities that offer extremely low-cost procedures. If the price seems too good to be true, it probably is. You may find that your initial consultation is provided by a high-pressure salesperson instead of a physician. Corners are likely to be cut when it comes to staffing and facility quality, and your final results may not be what you had hoped.

All medical procedures come with some inherent risks. You can minimize this by ensuring that you only work with a reputable and highly skilled dermatologic surgery practice.

Looking for Body Contouring Procedures in Indianapolis? Look No Further!

The Laser and Skin Surgery Center of Indiana has been the area’s premier dermatology resource since 1997. Our cutting-edge facility includes a world-class dermatology research department. When you choose Dr. Hanke, you are choosing one of the leading surgeons in the dermatological field.

At the LASSI, we understand that choosing between body contouring procedures is a significant decision. We want you to be confident that you have made the best choice possible. If you’re ready to try liposuction, Kybella, or CoolSculpting in Indianapoliscontact us today for a consultation. During your first appointment, we will review your individual circumstances, answer all of your questions, and help you choose the best option for your needs.

Awake for Liposuction? Tumescent Liposuction Safety

Awake for Liposuction: Why patients are choosing local over general anesthesia

When we think of any type of surgery, we usually picture a patient in a bed who is completely asleep as surgeons perform a procedure. There are well-known exceptions to this, such as cesarean births that provide patients with a spinal that blocks nerve impulses, affecting the sense of touch and ability to move. However, there are a growing number of both medically necessary surgeries and cosmetic surgeries that are exploring local anesthesia over general anesthesia, effectively keeping patients awake for surgery. Tumescent liposuction is no different, keeping patients awake for liposuction surgery. Why are dermatologic surgeons embracing this concept?

Awake for Liposuction and Other Surgeries: How does it work?

As stated above, many surgeries usually require general anesthesia with a few notable exceptions. The most well-known and extensive are c-section births. However, there are other well-known surgeries that use local anesthesia while patients are awake, including mole and skin cancer removals, wisdom tooth extractions, and cyst extractions. However, as these procedures are generally small and less invasive, many patients forget that they are surgeries.

Local anesthesia works by delivering a localized anesthetic to the treatment area. With a mole removal, for example, lidocaine is administered via needle to the treatment area. Once the area is sufficiently numbed, the dermatologic surgeon gets to work removing the mole. The same is true of other surgeries mentioned above, with the exception of c-sections that have anesthesia administered into the spinal column.

Liposuction, being less invasive that a cesarean, also uses local anesthesia that is injected directly into the treatment area. The anesthesia contains a combination of diluted lidocaine and epinephrine, which keeps the patient comfortable while minimizing bleeding. The patient feels no pain but may feel movement and some pressure to the area while the unwanted fat is extracted through a slim cannula that is placed through a very small incision.

Why do patients want to be awake for liposuction?

All surgeries carry risk, but that risk increases when general anesthesia is introduced. Risks associated with general anesthesia include, but aren’t limited to:

  • Sudden drop in blood pressure
  • Allergic reaction
  • Heart Attack
  • Stroke
  • Postoperative confusion and stress

These are only some of the risks associated with general anesthesia. In some cases, patients metabolize the anesthesia too quickly, resulting in a patient who wakes during surgery. Other patients have the opposite reaction, where the surgeons have trouble waking the patient once the procedure is completed.

Being awake for liposuction sounds scary. What if I’m nervous?

All surgery carries some anxiety with it, and this is totally normal for patients receiving tumescent liposuction. Dr. C. William Hanke, dermatologic surgeon at the Laser and Skin Surgery Center of Indiana, will be able to provide you with an anti-anxiety medication or sedative to calm your nerves for your procedure.

What do patients say about tumescent liposuction?

The majority of patients find that being awake for liposuction is worth it for the results and the reduction of risks associated with dermatologic surgery. Our primary goal is patient safety and comfort at every step of the process. Our team will ensure that the patient is both emotionally and physically comfortable. Patients report feeling relaxed during the procedure, experience less downtime than with surgeries requiring general anesthesia, and experience less postoperative discomfort.

Not everyone is a good candidate for tumescent liposuction for a number of reasons. Patients who are allergic to lidocaine should not have tumescent liposuction. Other patients would benefit more from a non-surgical procedure such as CoolSculpting or Kybella. Every patient is different and should schedule a consultation to discuss their concerns and desired outcome with our team.

Schedule a Consultation for Fat Reduction in Indianapolis

Dermatologic surgeon Dr. C. William Hanke is a leader in tumescent liposuction, performing countless procedures every year while also lecturing and training other dermatologic surgeons on his techniques. He has also contributed to numerous peer-reviewed publications about the trend of being awake for liposuction in addition to other high-profile dermatologic procedures. Our Indianapolis dermatology practice also participated in a clinical trial for Kybella, the first non-surgical double chin treatment to be FDA-approved. Dr. Hanke’s reputation, skill, knowledge, and expertise make him a top choice for patients seeking cosmetic fat reduction in Indiana, and we invite you to schedule a consultation with our team today to find out how we can help you achieve the figure of your dreams.

Who Can Get a Tumescent Liposuction Procedure?

For most of us, the desire to look and feel better by getting rid of unwanted fat doesn’t supersede our need to be safe while undergoing a procedure to do so. If excess fat is causing you to feel uncomfortable about your appearance, consider getting a tumescent liposuction procedure or other contouring treatment. A tumescent liposuction procedure removes stubborn sections of fat that remain despite a healthy diet and regular exercise. While traditional liposuction requires patients to be asleep with general anesthesia, the tumescent option improves patient safety by keeping them awake and utilizing local anesthesia to ensure total patient comfort during surgery.

The tumescent liposuction procedure can be used almost anywhere on the body, including the abdominal area, flanks, back, thighs, upper arms, and especially the double chin. These stubborn pockets of fat are usually caused by genetics and cannot be reduced with diet and exercise alone. Once treated, fat cells are gone for good.

Am I a Good Candidate for a Tumescent Liposuction Procedure?

tumescent liposuction procedure before and after

Individual results may vary from person to person.

You are a good candidate for a tumescent liposuction procedure if you have one or more fat deposits on your body that remain despite your best efforts to eat a healthy diet and exercise regularly. Your candidacy for the procedure also relies on whether your general health is good and you’re committed to a healthy lifestyle. While it’s safer for you to have a procedure with local anesthesia, your body still needs to be healthy enough to undergo surgery. If you’ve ever had an allergic reaction to local anesthesia, a tumescent procedure is not right for you. Reactions to local anesthesia, however, are rare.

It’s also important to have realistic expectations regarding the results of a tumescent liposuction procedure. Keep in mind that liposuction is not a weight-loss tool, but a contouring procedure that allows you to remove stubborn fat deposits that remain despite a healthy lifestyle.

What’s it Like to Get a Tumescent Liposuction Procedure at the LASSI?

What If I’m Not a Good Candidate for the Tumescent Liposuction Procedure?

If you’re not a good candidate for a tumescent liposuction procedure due to a health condition or simply because you would prefer to avoid surgery, there are alternative options. At the Laser and Skin Surgery Center of Indiana, we provide two of the best non-surgical fat reduction treatments, both of which are FDA approved: CoolSculpting and Kybella.

CoolSculpting Nonsurgical Liposuction Alternative

coolsculpting before and after

Individual results may vary from person to person.

When it comes to non-surgical liposuction alternatives, CoolSculpting has quickly become one of our most popular options. CoolSculpting involves the use of a handheld device that’s designed to freeze and eliminate the fat cells that are located below the skin’s surface. Most people get this procedure to treat love handles, belly fat, thighs, and the rolls that tend to form across the back, beneath the chin, and under the arms.

Kybella, the First FDA-Approved Nonsurgical Double Chin Reduction Treatment

Modern technology is bringing specialized treatments to the cosmetic industry. An example of this is Kybella. The cosmetic product is designed to diminish your double chin without surgery. To do away with your double chin, the injectable substance attacks fat cells in this part of your body, causing them to die off. Your body will naturally remove the dead fat cells. After several treatments, the skin under your chin will become tighter. Once fat cells are eliminated, they are gone for good.

Dr. Hanke of the Laser and Skin Surgery Center of Indiana took part in the clinical trials for Kybella, so if you are considering this type of treatment, you’ll have peace of mind knowing that you’re working with someone who has more experience with this product than most other physicians in the area. Kybella is also FDA approved, so you know that it has been thoroughly vetted.

Interested in a Tumescent Liposuction Procedure in Indianapolis?

Is a tumescent liposuction procedure right for you? Whether it’s a liposuction treatment or one of our non-surgical alternatives, the best way to find out if it’s right for you is to schedule a personalized consultation with our board-certified dermatologic surgeon Dr. C. William Hanke. He will give you a thorough examination and go over your medical history with you to help you determine which treatment is right for your needs and desired outcome. Contact us for a consultation or to learn more about these procedures from our helpful staff in our Indianapolis practice today.