Quatela Center For Plastic Surgery | Rochester, NY
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Liposuction Surgery in Rochester, NY


Liposuction is a popular and effective solution to stubborn areas of fat that resist diet and exercise.

Areas of unwanted fat can accumulate around the waistline, arms, thighs, and buttocks which causes clothing to fit poorly.  Diet and exercise alone cannot always get rid of stubborn areas of fat.

Designed to contour and reshape specific areas of the body, liposuction permanently eliminates unsightly fatty deposits.  The technique can be performed alone for excellent sculpting results.  Common areas of treatment include the abdomen, hips, outer/inner thighs, flanks (love handles), upper arms, and breasts (male/female breast reduction).  Liposuction may also be used in conjunction with other procedures for a complete physical rejuvenation.

The Liposuction Consultation

Before deciding if a liposuction procedure is right for you, you will have a consultation appointment with Dr. Koenig.  This provides time to get to know the surgeon and allow him to understand your aesthetic goals.  First, he will perform a brief physical examination, review your medical history, and discuss current medications.  Dr. Koenig will explain the liposuction procedure in full, as well as any risks involved, and the recovery.  He will show multiple before and after photographs of his recent liposuction patients to assist in a visualization of potential results.  During the visit, Dr. Koenig will determine if the procedure is right for your unique needs.  If so, a personalized liposuction treatment plan will be created, and the exact cost of the procedure will be determined.

liposuction-before-after-1View more Before and After Liposuction Photos

Ideal Candidate for Liposuction

Any man or woman unhappy with the appearance of excess fatty tissue may potentially benefit from a liposuction procedure.  The ideal liposuction candidate will be in overall good health, understand the procedure, and hold realistic surgical expectations.  It is important that patients be no more than slightly above their ideal weight and possess firm/elastic skin.  This will ensure that after the liposuction procedure the tissues will not sag or droop.  It is also important to understand that liposuction is not a form of weight loss, but instead used to contour specific areas of the body.

During the consultation appointment, Dr. Koenig will determine if the liposuction procedure is right for an individual patient’s needs.  In some cases, he will recommend additional procedures which, when performed along with liposuction, can achieve optimum results.  These can include an arm lift, tummy tuck, or a Mommy Makeover.


Preparing for Your Liposuction Procedure

To guarantee a smooth procedure and long-lasting results, patients must prepare ahead for the surgery and the recovery process.  Dr. Koenig will provide detailed pre and post-operative instructions prior to the scheduled surgery, which will be reviewed by a nurse at your pre-operative appointment.  After meeting with the nurse and reading the instructions, contact the Quatela Center for Plastic Surgery if additional questions arise.

Prior to surgery, patients should schedule transportation to and from the surgery center.  Follow-up appointments with Dr. Koenig will also be scheduled.  Any prescription or necessary over-the-counter medications should be picked up from the pharmacy ahead of time.  It is also recommended that patients have assistance with light chores and children for the first several days after their liposuction procedure.

The Liposuction Procedure

Liposuction is performed as an outpatient procedure at the Lindsay House Surgery Center.  Dr. Koenig will use general anesthesia or local anesthesia depending on the areas and technique of liposuction performed.  The time that a liposuction procedure will take depends on the extent of the areas treated.. Dr. Koenig offers all available options for liposuction:

Tumescent Liposuction:  The most commonly performed liposuction technique.  This involves the injection of a medicated (tumescent) solution into the pre-determined treatment area.  The tumescent fluid combines a salt solution and anesthetic.

Laser Liposuction (SmartLipo): This modern technology liquefies subcutaneous fat with a laser before it is removed, and then heats the skin to optimize collagen elasticity and growth.  Sometimes performed under local anesthesia, the recovery time can be shorter.

Ultrasonic Liposuction: Uses ultrasound energy to break down fat cells.

Dr. Koenig tailors each liposuction procedure to meet the individual patient’s specific body contouring needs.  Using a very small cannula, inserted through several half-inch incisions, Dr. Koenig will remove the excess fatty tissue, sculpting the area to the desired shape.  The most common areas where Dr. Koenig performs liposuction include:

Hip and Thigh Liposuction: The purpose is to remove any disproportionate amount of fat around the hips, which averages five to seven pounds.  Hip liposuction is performed using either general or local anesthesia, with the latter including the option of sedation. Surgery lasts for one to three hours.  The effects of local anesthesia last an average of four hours.

Arm Liposuction: The tumescent technique with laser is ideal for arm liposuction, as it uses a very tiny cannula to extract the fat. This allows for more uniform fat removal, little scarring, and less loose skin.  Healthy women are ideal candidates for arm liposuction.  It is not intended for large amounts of fat removal.

Abdomen Liposuction: This is the most popular type of liposuction.  It is a very successful procedure in men and women and utilizes laser assisted (Smart) lipo for skin tightening.

The Recovery after Liposuction

liposuction-before-after-2Patients should expect their liposuction recovery to take about two to three days.  Bruising and swelling are common at first and generally resolve over the following two to three weeks.  Dr. Koenig recommends a compression garment for the first three weeks to keep swelling at a minimum.  Expect to have pain in the treatment area for the first 24 hours, but your prescribed medications will assist in a comfortable recovery.

Light exercise and walking can be resumed after one day.  More strenuous activities, exercise, and heavy lifting should be postponed for one to two weeks.  Most of Dr. Koenig’s patients are feeling well enough to return to work in just a few days.

Liposuction is considered an extremely safe procedure.  It is an invasive technique, however, so there is always the small chance for complications to occur.  Risks can include bleeding, infection, blood clots, loose skin, and asymmetry.

Choosing the Right Liposuction Surgeon

Dr. William Koenig is a double Board Certified plastic surgeon with extensive experience in liposuction and body contouring.  He has performed over 2,000 liposuction procedures and is highly respected by his patients and peers in the field of cosmetic surgery.  Choosing a plastic surgeon with over 20 years of liposuction experience is the best way to ensure a successful procedure with long-lasting results.

Schedule a consultation with Dr. Koenig by calling the Quatela Center for Plastic Surgery at 585.244.1000.  We are here to answer all of your body contouring questions.  Additionally, if you have concerns about payment options for your upcoming liposuction procedure, one of our Patient Consultants will be happy to review the exact cost of your procedure and the associated payment options.

Liposuction Frequently Asked Questions

What is liposuction?

Liposuction is a moderately invasive technique for permanently eliminating unsightly fatty deposits.  The procedure can be used on almost any area of the body, including the thighs, abdomen, buttocks, lower back, and upper arms.

How long does the liposuction procedure take to perform?

Dr. Koenig’s liposuction can take between one and four hours to perform, depending on the area(s) and extent of treatment.

Where does Dr. Koenig perform his liposuction procedure?

Dr. Koenig performs his liposuction procedures at the Lindsay House Surgery Center, a fully accredited, on-site, private surgery center.

When can I return to work or school after a liposuction procedure?

Most patients feel well enough to return to work two to three days after having the liposuction procedure.

Does liposuction result in scars?

The liposuction procedure may result in several very small scars along the treatment area.  These are generally mild and will fade significantly over time.

Ideal Candidates
  • Concern with body fat and/or excess skin
  • Realistic goals and expectations
  • Want to change the shape of their body
  • Physically and psychologically healthy

Am I a candidate?

Frequently Asked Questions
  • What is the difference between liposuction and Smartlipo?
  • Is there a minimum age to have a liposuction procedure?

Get the answers to these and other questions on our Liposuction FAQ page


Post liposuction, a patient may have to wear a liposuction compression garment to absorb and contain the drainage following the procedure. After 24 hours, after the drainage has ceased a mild degree of compression is then needed.

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