09/07/2026
Back to Basics: Liposuction and the Evolution of Body Contouring
By Dr. Deborah Ekstrom
Orange County Plastic Surgery, Corona del Mar/Newport Beach
After discussing some of the newer procedures available in plastic surgery in recent newsletters, I thought Labor Day was a good opportunity to go back to basics and discuss one of the procedures that truly transformed our specialty: liposuction.
When I entered plastic surgery, modern liposuction was just beginning to emerge. Early techniques were introduced in Europe during the 1970s, and by the early 1980s liposuction was gaining acceptance in the United States. What followed was extraordinary. Improvements in cannulas, anesthesia, fluid management and surgical techniques helped turn liposuction into one of the most commonly performed cosmetic surgical procedures.
Yet one misconception remains: liposuction is not a weight-loss operation.
The ideal patient is generally healthy, reasonably close to his or her desired weight, has good skin elasticity, but has localized fat deposits that simply do not respond adequately to diet and exercise. Genetics plays a major role in where our bodies store fat, which explains why even very fit people can have stubborn areas they simply cannot exercise away.
Common treatment areas include the abdomen, waist and “love handles,” hips, thighs, back, upper arms, knees, and beneath the chin. In men, the neck, abdomen and flanks are particularly common concerns.
During liposuction, small incisions are made in inconspicuous locations and a thin tube called a cannula is used to loosen and remove unwanted fat. Today's techniques allow us to sculpt rather than simply “remove fat,” creating smoother transitions and more natural proportions.
Most patients are surprised by how quickly they can resume normal activities. Swelling and bruising are expected, compression garments are commonly worn during recovery, and strenuous exercise must wait—but many patients are back to routine activities relatively quickly. The final contour continues to improve as swelling subsides over the following weeks and months.
Perhaps the most important point is that good liposuction is about shape, not pounds. Removing a relatively modest amount of fat from precisely the right places can sometimes produce a dramatic change in proportion—one that may change how clothing fits and how a patient feels about his or her silhouette.
As summer draws to a close and we transition into another season, it is a good reminder that sometimes relatively small changes can make a surprisingly large difference.
And that is as true in plastic surgery as it is in life.
https://orangecountyplasticsurgery.com/making-the-most-of-lifes-transitions/