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Body contouring, refining your shape

Liposuction

Almost everyone has a spot or two where fat sits stubbornly no matter how disciplined the diet or the training. Liposuction removes those localized pockets to refine the shape of the area, the abdomen, flanks, thighs, arms, or under the chin. It is a contouring tool, not a way to lose weight. At Santa Barbara Face & Body, Dr. Alain Polynice uses it to contour to your frame, not to a number.

sbfb-17 Santa Barbara, California
AT A GLANCE

Liposuction removes localized deposits of fat through small incisions using a thin cannula, refining the contour of areas such as the abdomen, flanks, thighs, and arms. At Santa Barbara Face & Body in Santa Barbara, California, a board-certified plastic surgeon uses it as a body-contouring procedure rather than a weight-loss method, for patients at a stable weight with good skin elasticity.

Liposuction, also called lipoplasty or suction-assisted lipectomy, removes subcutaneous fat from targeted areas through small incisions with a cannula, permanently removing those fat cells to improve body contour. It is not a treatment for obesity or a substitute for diet and exercise; it works best in patients near a stable, healthy weight with firm, elastic skin. It is often combined with procedures such as a tummy tuck.

What it does

Liposuction refines shape by removing fat where it is out of proportion.

  • Removes stubborn fat. Targets localized deposits that resist diet and exercise, permanently removing those fat cells.
  • Refines your shape. Contours the abdomen, flanks, thighs, arms, back, or chin so the area fits your frame.
  • Pairs with other surgery. Often combined with a tummy tuck or other contouring for a complete result.

What it is not is a weight-loss procedure; the change shows in your shape and how clothes fit, not on the scale.

Contour, not weight liposuction refines shape, it does not slim the scale

How it works

Liposuction is usually an outpatient procedure. Through tiny incisions, a thin tube called a cannula is passed under the skin to loosen fat, which is then suctioned out; power-assisted techniques vibrate the cannula to remove fat efficiently with less trauma. Most people take about a week off work, wear a compression garment to control swelling, and see the contour refine over the weeks as swelling settles.

Because results depend on how well the skin redrapes over the new contour, firm, elastic skin gives the best outcome, which is part of what the consultation assesses.

Outpatient most people take about a week to recover

What liposuction can and cannot do

Being clear about the limits is part of a good result, so here is the honest scope.

Liposuction doesLiposuction does not
Remove localized, diet-resistant fatServe as a weight-loss method
Refine and shape body contourTighten significantly loose skin
Permanently remove treated fat cellsRemove cellulite or dimpling
Pair with skin-removal surgeryPrevent future weight gain

When the issue is loose skin rather than fat, liposuction alone falls short and an excision procedure like a tummy tuck is the right tool; the two are often planned together. A board-certified surgeon tells you which your situation calls for.

What liposuction works with

This is what the consultation assesses, because fat, skin, and weight all matter.

What you haveWhat it meansThe plan
A stubborn pocket, firm skinIdeal for lipoLiposuction to that area
Fat plus loose skinSkin will not redrapeLipo with skin excision
Near a stable, healthy weightGood candidateContour to your frame
Well above goal weightNot a lipo goalWeight management first
Fat you want moved, not lostVolume elsewhereLipo plus fat transfer

The value is not the list. It is that a board-certified surgeon judges your fat, skin, and weight together, and is honest about whether liposuction alone will give you the result you want.

Why Santa Barbara Face & Body

Liposuction looks simple and is easy to overdo, leaving dents and irregularities; doing it well is a matter of restraint and an eye for proportion. Dr. Polynice is a Mayo-trained, board-certified plastic surgeon focused on breast and body surgery, and he contours to your frame rather than chasing maximum removal, and is candid when loose skin means you need more than lipo. A result that suits your frame is the standard here.

Shaped to you contoured to your frame, not to a number
A good fit if you
  • Have localized fat that diet and exercise have not shifted
  • Are near a stable, healthy weight
  • Have firm, elastic skin that will redrape well
  • Want to refine your shape, not lose weight
Worth talking through first if you
  • Have significant loose skin, where excision may be needed
  • Are hoping for weight loss, which lipo does not provide
  • Expect cellulite to improve, which lipo does not treat
  • Smoke or have conditions that affect healing

What to expect

Dr. Polynice examines the areas that bother you, checks your skin quality, and asks what shape you are after. He explains what liposuction can refine, whether your skin will redrape well or whether excision is also needed, and what recovery and the compression garment involve. If your goal is really weight loss, he will say so. You leave with a plan focused on contour and realistic about what lipo delivers.

What it costs

Liposuction is quoted by the plan, not by a shelf price, because it depends on how many areas are treated and the extent of contouring. You will have that number in writing at your consultation, before anything is scheduled.

What it is
Removal of localized fat to refine contour
Common areas
Abdomen, flanks, thighs, arms, back, chin
Not
A weight-loss method or a skin-tightening one
Recovery
Outpatient, about a week off, compression garment
Performed by
Dr. Alain Polynice, board-certified plastic surgeon

Will liposuction help me lose weight?

Not really; liposuction is a contouring procedure, not a weight-loss method, and the amount of fat safely removed is limited. You may see little change on the scale, but you will see a change in shape and how clothes fit. It works best for people already near a stable, healthy weight who want to refine a stubborn area.

Will the fat come back?

The fat cells removed from a treated area are gone permanently, but liposuction does not stop you from gaining weight, and remaining fat cells in treated and untreated areas can enlarge if you do. Maintaining a stable weight with healthy habits is what protects the result. Your surgeon will explain this.

Will my skin be loose afterward?

It depends on your skin’s elasticity and how much fat is removed. Firm, elastic skin usually redrapes well over the new contour, while skin that has lost elasticity, often after major weight loss or with age, may not, in which case a skin-excision procedure is the better fit. Your surgeon assesses this beforehand.

Does it get rid of cellulite?

No, liposuction removes fat but does not treat the dimpling of cellulite, which is caused by fibrous bands and skin structure rather than by the fat itself. If cellulite is your main concern, a surgeon can discuss treatments aimed specifically at it. Being clear about this up front keeps expectations realistic.

Which areas can be treated?

Common areas include the abdomen, flanks or love handles, thighs, upper arms, back, and under the chin, and often more than one area is treated in a session. A surgeon will map the areas that will most improve your proportion, since contouring is about balance rather than treating one spot in isolation.

Liposuction in Santa Barbara, CA

Liposuction is at its best when it’s about refinement — removing stubborn pockets so your natural shape can come through. In our Santa Barbara practice, Dr. Polynice contours carefully, so results look smooth and proportional rather than overdone. If there are areas that haven’t budged with diet and exercise, a consultation is a good place to begin. Fill out the form below or call us at (805) 764-9074 — we’d love to help.

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