At our Rochester, NY practice, we offer a range of liposuction options for sculpting unwanted fat from around the waist, arms, thighs, and buttocks. Stubborn pockets of fat in these areas often resist exercise and diet, creating bulges even when you are in good overall shape. Men and women from throughout the Northeast come to the Quatela Center for treatment by board-certified plastic surgeon, Dr. William Koenig, due to his reputation as a liposuction specialist.

Patients travel from Buffalo and Syracuse and throughout New York to the Quatela Center for Plastic Surgery for liposuction and other body contouring procedures performed by Dr. Koenig. Request a consultation using the online form to meet with him, or give our office a call at (585) 244-1000 to schedule an appointment.

Before & After Photos

Photo Gallery

What Is Liposuction?

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:

  • Abdomen
  • Hips
  • Outer/inner thighs
  • Flanks (love handles)
  • Upper arms
  • Breasts (male breast reduction)
  • Upper back (bra line area)

Liposuction may also be used in conjunction with other procedures for a complete physical rejuvenation.

William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

Read On

Ideal Liposuction Candidates

Any man or woman unhappy with the appearance of excess fatty tissue may potentially benefit from liposuction. You're a good candidate for the procedure if you are in good overall health, understand the procedure, and have realistic goals about the outcome. It is important you are at or near your ideal weight and that your skin retains most of its elasticity so that it will not sag or droop after the underlying fat is removed. It is also important to understand that liposuction is not a weight loss procedure, but instead is used to contour specific areas of the body.

In some cases, Dr. Koenig may recommend additional procedures which, when combined with liposuction, can achieve optimum results. These can include an arm lift, tummy tuck, or a Mommy Makeover.

Choosing the Right Plastic 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.

Your Consultation

The consultation is a time when you get to know Dr. Koenig and to describe your aesthetic goals. Dr. Koenig performs a brief physical examination, reviews your medical history, and discusses any current medications you may be taking. He will then explain the liposuction procedure, as well as any risks involved, and the recovery. He shows 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, he creates a personalized liposuction treatment plan and you'll be quoted the cost of the procedure.

Preparing for Your Procedure

To guarantee a smooth procedure and long-lasting results, you must prepare for surgery and the recovery process. Dr. Koenig provides detailed pre- and post-operative instructions, which a nurse reviews with you during a pre-op appointment. After meeting with the nurse and reading the instructions, contact the Quatela Center for Plastic Surgery if you have additional questions.

You should make sure you have a ride to and from the surgery center. Follow-up appointments with Dr. Koenig will also be scheduled prior to surgery. Any prescription or necessary over-the-counter medications should be picked up from the pharmacy ahead of time. It is also recommended that you have someone help with light chores and children for the first several days after the procedure.

Your Procedure

Liposuction is an outpatient procedure that's performed at the Lindsay House Surgery Center. Dr. Koenig uses either general anesthesia or local anesthesia, depending on the treatment areas and the liposuction technique used. The time that a liposuction procedure will take depends on the extent of the areas treated.

Dr. Koenig tailors each liposuction procedure to meet the individual patient's specific body contouring needs. Using a very small cannula (a thin tube), inserted through several half-inch incisions, Dr. Koenig removes the excess fatty tissue, sculpting the area to the desired shape.

Dr. Koenig offers most available options for liposuction, including:

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 to improve comfort, reduce bleeding and bruising, and to streamline the fat removal process.

Laser Liposuction (Smartlipo™): Smartlipo's advanced technology liquefies subcutaneous fat with a laser before it is removed, and then uses heat to help tighten the skin. Sometimes performed under local anesthesia, the recovery time can be shorter.

Ultrasonic Liposuction: This technique uses ultrasound energy to break down fat cells prior to suctioning.

The most common areas where Dr. Koenig performs liposuction include:

Hips and thighs: 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.

Arms: The tumescent technique with a 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: This is the most popular type of liposuction. It is a very successful procedure in men and women and utilizes Smartlipo laser-assisted liposuction for skin tightening.


Expect your 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 wearing a compression garment for the first three weeks to keep swelling at a minimum. Expect some discomfort 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 a 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.

Liposuction Frequently Asked Questions

How much does liposuction cost?

Determining the specific cost of liposuction depends on several factors, including the areas being treated and the technique used. The cost of cosmetic procedures also vary based on the geographic location of the practice and the plastic surgeon's training and experience. After your consultation with Dr. Koenig, one of our patient consultants will be happy to review the exact cost of your procedure and the associated payment options.

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.

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.

What is the difference between liposuction and Smartlipo?

Smartlipo uses a laser to assist the liposuction process. The laser dissolves fat and promotes collagen production to promote skin tightening. Also, because it is often used on smaller areas, there is sometimes the option to use a local anesthetic instead of general anesthesia.

Is there a minimum age to have a liposuction procedure?

Generally Dr. Koenig does not perform liposuction on patients younger than 18 years old.

Does liposuction cause an increase in cellulite?

No, liposuction does not increase cellulite. Cellulite may appear more noticeable due to tightening of skin but the fibrous bands that cause cellulite to appear are not created or affected during liposuction.

Will liposuction alone fix my post-baby belly?

Liposuction alone may or may not fix your post-baby belly. If skin is stretched significantly due to pregnancy, a tummy tuck procedure might be necessary to remove redundant skin and tighten the abdominal muscles. At your consultation with Dr. Koenig, he will be able to determine if liposuction will be sufficient on its own or if you would also benefit from a tummy tuck.

How much bruising will I have after liposuction?

Bruising is localized to the area that liposuction was performed and is normal. Each patient's level of bruising is different; however most patients do experience some bruising for two to three weeks.

Do I have to be under general anesthesia to have a liposuction procedure done?

With traditional liposuction the patient is always sedated. With Smartlipo, in some cases patients can be awake and use a local anesthetic. This depends on the treatment areas, and if a patient does multiple sites of Smartlipo, it is sometimes still recommended to be under general anesthesia.

Can I have liposuction done to multiple areas at the same time?

Yes, you can have liposuction done to multiple areas at the same time. At your consultation you can share with Dr. Koenig the areas that you are considering, and he will be able to determine if it is possible to do them all during one procedure.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

Contact Us

The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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