Dr. Robert Mirabile
         Dr. Vivian Hsu


sculptLiposuction is the most popular cosmetic procedure in the United States. It involves the removal of the fatty deposits from “trouble areas” such as s the thighs, abdomen, back, neck, hips, buttocks and the upper arms. This procedure can even be used to shape the calves and trim above the knees and contour the ankles depending on each patient’s desire. Localized accumulations of excess fatty and breast tissue in teens or adult males, also called gynecomastia, can often be treated by liposuction as well.

Liposuction reshapes and trims desired areas of the body by removing excess fat deposits. This can improve your body’s curves and proportion ultimately enhancing your self-image. Even though you may have good health and exercise regularly, some people still have unwanted fatty areas or a body shape with disproportionate contours that just don’t seem to change with exercise. If this is your case, liposuction might be a good option for you.

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Dr. Mirabile and Dr. Hsu are able to use liposuction to remove fat from your “trouble” areas through very small skin incisions. This makes liposuction an attractive alternative to more invasive surgical procedures for patients. Unwanted areas of fat can be removed easily, allowing a rapid recovery. The procedure is often combined with other cosmetic surgeries, such as tummy tuck. Most patients return to work within three days.

Liposuction removes fat deposits located between the skin and muscle through very small incisions using a narrow metal tube or cannula, connected to a suction machine. Discreet incisions are made that are either hidden in the patient’s natural skin folds or in an inconspicuous space. The liposuction procedure is ideally suited to patients with localized areas of excess fat which can be sculpted to produce a more pleasing, overall shape.


Before your liposuction procedure, Dr. Mirabile and Dr. Hsu mark circles and lines on the areas of your body that you both have decided to be treated. Photos also are taken and kept in your file so that before and after images can be compared.

How your liposuction procedure is done depends on the specific technique that is used. Dr. Mirabile and Dr. Hsu will review these techniques with you, and recommend the optimum treatment for you.

Tumescent liposuction:
This is the most common type of liposuction. Dr. Mirabile and Dr. Hsu injects a sterile solution — a mixture of salt water, an anesthetic (lidocaine) to relieve pain and a drug that causes the blood vessels to constrict (epinephrine) into the area that’s being treated. This fluid mixture is absorbed by the fat cells and causes the area to swell and stiffen. Dr. Mirabile and Dr. Hsu then makes small cuts into your skin and inserts a thin tube called a cannula under your skin. The cannula is connected to a vacuum that suctions fat and fluids from your body. Placement of the tumescent fluid allows the area to be treated more completely and allows a smoother final result.

Power Assisted Liposuction:
This method utilizes a cannula that moves in a rapid back and forth type of motion to facilitate the breakup and removal of the fat. “Powered Liposuction” may sometimes cause less pain and swelling, often allowing Dr. Mirabile and Dr. Hsu to remove fat with more precision and less trauma.

Vaser Lipo:
This advanced procedure can be used after tumescent fluid is placed. Vaser lipo melts fat cells while preserving the surrounding tissues to promote smooth results and rapid healing. Often we see some skin retraction or tightening after vaser lipo. This is caused by an ultrasonic injury to the dermis. This often leads to a better post-treatment contour of the skin. Patients often claim they were able to have the procedure done Friday, and are “back to work on Monday.”


After your surgery, Dr. Mirabile and Dr. Hsu may prescribe medication to help control any pain or discomfort, and antibiotics to reduce the risk of infection. You will also be asked to wear a compression garment for approximately three weeks. During this time, expect some contour irregularities as the swelling decreases. After this period of time most swelling and bruising has resolved and approximately 60%-70% of the result is evident. It will take approximately three months to see the final result.

To schedule your liposuction appointment or a consultation, please call Best Impression Cosmetic Surgery and Medical Spa at 610-272-8821 or email us through our virtual consultation form.


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