Targeted removal of stubborn fat deposits to sculpt and refine the contours of the body.
Liposuction is a body-contouring procedure that removes localized deposits of fat that have not responded to diet and exercise, refining areas such as the abdomen, flanks, hips, thighs, back, arms, and under the chin. It is not a treatment for obesity and does not replace weight loss — instead, it sculpts and smooths the areas where fat sits out of proportion to the rest of the body.
Dr. Marciales approaches liposuction as a contouring art rather than simple fat removal. Using fine cannulas and a meticulous, layered technique, he sculpts natural, even transitions between treated and untreated areas so the result looks proportionate and never "operated."
Because it addresses stubborn, genetically determined fat, liposuction is often the missing step for patients who are close to their goal but frustrated by a specific area that simply will not change.
The best candidates are healthy adults at or near a stable weight who have specific pockets of fat that resist diet and exercise, along with reasonably firm, elastic skin. At your consultation, Dr. Marciales confirms whether liposuction alone will give you the result you want, or whether a skin-tightening or lifting procedure would serve you better.
Liposuction is performed through a few tiny incisions, each only millimeters long and placed in discreet, easily hidden locations. A gentle tumescent solution is first infiltrated to numb the area, shrink blood vessels, and ease fat removal with minimal bruising.
Dr. Marciales then uses fine cannulas to loosen and suction fat in smooth, controlled passes, sculpting the area layer by layer for an even, natural contour. Depending on the areas treated and your goals, power-assisted techniques may be used for added precision and efficiency.
Most sessions take one to three hours and are performed on an outpatient basis at the accredited surgical facility within New City Medical Plaza.
Expect soreness, swelling, bruising, and some fluid drainage from the incisions — all normal. You'll wear a compression garment continuously and rest, with light walking to support circulation.
Discomfort eases steadily. Many patients with desk jobs return to work around day 5–7, once off prescription pain medication. Keep using the compression garment and stay gently mobile.
Bruising fades and you feel increasingly like yourself. Light activity resumes; strenuous exercise is reintroduced gradually with Dr. Marciales' clearance, usually around 3–4 weeks.
Swelling continues to settle and the contours refine. Most swelling is gone by about six weeks, with the final, smooth result emerging over three to six months.
You'll notice a difference as soon as the initial swelling begins to subside, but the true result reveals itself gradually. Most swelling resolves within about six weeks, and the final, refined contour settles over three to six months.
The fat cells removed during liposuction do not return. As long as you maintain a stable weight with a healthy lifestyle, your improved shape is long-lasting.
Because every plan is tailored — to the number of areas, the technique used, and whether liposuction is combined with another procedure — pricing is quoted individually rather than as a fixed price. After your consultation you'll receive a clear, written quote with no surprises.
Individual results vary. Photographs are of Dr. Marciales' own patients, shared with consent.
No. Liposuction contours specific areas by removing stubborn fat; it is not a treatment for obesity or a substitute for diet and exercise. It works best for patients at or near a stable weight.
Often several complementary areas can be treated in a single session — for example the abdomen, flanks, and back together. Dr. Marciales will advise what is safe and appropriate for you.
The fat cells removed are gone permanently. If you gain significant weight afterward, the remaining fat cells elsewhere can enlarge, so maintaining a stable weight keeps your result looking its best.
Liposuction removes fat but does not lift skin. When skin elasticity is limited, Dr. Marciales may recommend a skin-tightening or lifting procedure alongside it for the smoothest result.
Many patients with desk jobs return in about a week. More physically demanding work and exercise are resumed gradually, typically around three to four weeks with your surgeon's clearance.
Incisions are only millimeters long and placed in discreet, hidden locations. They typically fade to become very difficult to notice.
You'll see early improvement within a few weeks, but the final contour emerges as swelling fully resolves over three to six months.
Yes — it is frequently paired with a tummy tuck for the midsection, or with fat transfer to add natural volume elsewhere. Combining procedures can be efficient for traveling patients.
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