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Working out at the gym and eating a healthy diet is often a winning combination for attaining a sculpted body. But what happens when you do all of that hard work, but the excess fat around your stomach, hips, thighs, buttocks, or back refuses to disappear? Plastic surgery procedures suchas liposuction can efficiently removed unwanted stubborn fat from the body. Excess body fat can be removed through liposuction techniques including ultrasound assisted liposuction, laser assisted liposuction, and power assisted liposuction.

The Cosmetic Surgery Associates in Bethesda offer liposuction for patients exactly like you. Dr. Jabs, Dr. Magge, or Dr. Richards can sculpt your body into that highly defined physique you have been fighting for. Our office is located just under 7 miles from Chevy Chase, MD, and 5 miles away from Rockville, MD.

Liposuction is a highly popular plastic surgery procedure in the United States. This minimally invasive body contouring procedure is an excellent way to reshape body parts that have diet and exercise-resistant fat deposits. Liposuction is performed on an outpatient basis (no overnight hospital stay) and can be done under local or general anesthesia depending on your unique surgical plan.

Anatomy of Fat Cells

Fat cells, or adipocytes, accumulate in your body through diet and get stored to use as expendable energy and insolation. These fat cells can be divided into two different categories; white fat and brown fat. White fat is developed in connective tissue when people gain weight from excessive eating, without burning the calories they consume. The white adipocytes can enlarge up to quadruple the size and begin to divide and proliferate. This is the fat we complain about. White fat ideally should remain between 15% to 25% in men and 15% to 30% in women.

When your body needs a source of energy or heat, brown fat steps in. Brown fat, which is given its color by iron-containing mitochondria and small blood vessels, is stored in the muscle tissue and surrounds internal organs. Brown fat is also referred to as “baby fat”, as those adorably large baby rolls actually serve to keep infants at a stable temperature.


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What is Liposuction?

Liposuction is a minimally invasive surgical procedure to extract subcutaneous fat cells, or white adipose tissue that is stored under the skin. Liposuction cannot be used on visceral fat, which is the important tissue that is stored between the vital organs.

Patients who receive liposuction are generally in good health within a normal weight range and have difficulty getting rid of stubborn fat deposits despite vigorous exercise and a healthy diet. The procedure is performed on an outpatient basis and only takes 1 to 2 hours. Along with diet and exercise, liposuction can sculpt and define the body to help patients achieve their ideal physiques.

One of the most common surgical procedures is the abdominal liposuction procedure. Liposuction can also treat a variety of other issues in men and women. Males may also opt for liposuction to treat enlarged male breast tissue.

Types of Liposuction We Perform

During your consultation, Dr. Jabs, Dr. Magge, or Dr. Richards will determine the best suitable type of liposuction for you based on your specific needs and desired results. Listed below are the types of liposuction procedures that Cosmetic Surgery Associates offer. Both types utilize the tumescent liposuction technique, in which fluid is first put into the area to help shrink blood vessels and numb the area prior to using the liposuction device. This decreases postoperative bruising as well as helps soften and loosen the fat cells prior to suction.

Suction Assisted

Suction-assisted liposuction (SAL) extracts the patient’s fat manually with a small cannula, or a hollow tube, that is attached to pressurized vacuum equipment. The tube is inserted through small incisions in the desired areas to allow for the most precise contouring. This is the traditional form of liposuction surgery.

Areas Treated

  • Chin
  • Abdomen
  • Back
  • Arms
  • Waist
  • Hips
  • Stomach
  • Buttocks
  • Thighs
  • Knees

Ideal Candidates

Although most people assume that liposuction is only reserved for people suffering from obesity or who are in a higher weight range, the ideal candidate is actually in good health with an average body fat percentage. Men and women who exercise regularly and eat a balanced, nutritional diet, but have localized pockets of fat that they find difficult to get rid of, can greatly benefit from receiving liposuction. Patients should be in good health with no existing health conditions or blood disorders. The ideal candidate should have high elasticity in their skin so a tight form can be achieved after the fat is removed.

A good candidate for liposuction is one who has realistic goals and expectations for the procedure. That is why a personal consultation with your plastic surgeon is important. Together, both you and the doctor will help formulate a plan that will help you achieve the best results.

If you would like to discover if liposuction is right for you, please set up a consultation online to meet with Dr. Jabs, Dr. Magge, or Dr. Richards at our Bethesda office.


During your consultation, Dr. Jabs, Dr. Magge, or Dr. Richards will ask you about your cosmetic concerns, which areas you would like to eliminate unwanted fat, and answer any questions you may have.

You will be asked about your health history and medications you routinely take.

You will be able to look through prior patients’ before and after photographs, which will help you to understand the realistic results, although results do vary between patients. Your surgeon will perform a thorough examination, and you both will work together in creating a treatment plan that will give you the results you are looking for.

Your surgeon will explain the entire procedure process, any preparation you will need prior to your appointment, as well as a recovery protocol. Pricing can be discussed at this time as well. The Cosmetic Surgery Associates staff want to ensure a comfortable process and make you feel prepared.



Your doctor may require certain tests or examinations from your primary health care provider before you are cleared for your surgery. Please refrain from alcohol, smoking, sunbathing, and blood-thinning medications or supplements 2-3 weeks prior to your procedure date. Ensure that you continue eating a healthy, balanced diet that is rich in nutrients, as well as getting enough hours of sleep each night. You will want your body in elite shape for optimum healing.

Obtain all of your prescriptions and post-procedure materials discussed in your consultation to have readily available when returning home. Organize for a friend or family member to pick you up after your procedure and assist you in recovery for the next 24 hours.

The night before your appointment, wash your body with an antibacterial soap that we will provide. Do not consume any food or drinks after midnight. Arrive at your procedure wearing comfortable, loose-fitting clothing. If you have any more questions regarding preparing for your liposuction treatment, please do not hesitate to contact us.

The Procedure

Your liposuction procedure will be performed at a hospital-affiliated outpatient surgery center where your care is provided by board-certified anesthesiologists. The procedure will take a few hours and you will be on your way home soon thereafter.

The entire process will take between 1 to 2 hours depending on the treatment area(s). When you arrive for your liposuction procedure, you will be given a local or general anesthetic and marked for proper incision placement.

After the treatment, you will be wrapped in a compression bandage to reduce swelling and reinforce the desired form. At this time, your family member or friend will be able to take you home and help you with your recovery.

Alternative & Complementary Procedures

During your consultation, your surgeon may see it fit that you would benefit more from a different procedure. In some cases, complementing procedures are performed together to achieve greater contouring results.

Tummy Tuck

If you have given birth or lost an ample amount of weight and have either stretch marks or sagging skin, a tummy tuck may be right for you. A tummy tuck will eliminate excess skin, remove fat, and tighten midsection muscles. This procedure can be done in conjunction with a liposuction treatment, or on its own. Traditional liposuction does not include skin tightening, so it is often paired with a tummy tuck

Mommy Makeover

Mothers who have given birth who wish to regain the body they had prior to pregnancy can greatly benefit from a mommy makeover. A mommy makeover is a combination of body contouring procedures that aim to enhance the breasts and stomach. This can include breast augmentationbreast liftbreast reduction, liposuction, and/or tummy tuck. Mothers can choose a combination of 2 or more procedures, depending on the extent of body contouring they desire.


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Pain after liposuction is not sharp and feels more like a bruise or soreness of the muscles. Drains are not typically needed, but are used in some cases. A compression garment is worn for one week after the procedure to help mold the area and allow the soft tissue to adhere to the underlying muscles.

Most individuals that undergo liposuction find they are more at ease with their bodies and feel more comfortable in a variety of clothes. Even though the results of liposuction can be permanent, you can still gain weight following treatment. However, many find that this new weight is distributed more evenly and does not settle in the bulging areas. A healthy regimen of dieting and exercise can help maintain the results.

Scheduling a Liposuction Consultation

If you have been thinking about liposuction and would like to see if you are a good candidate for this procedure, we recommend meeting with one of our Maryland board-certified plastic surgeons. During the one-on-one consultation, our surgeons will answer any questions you have and will help decide if you are a candidate for the surgery. Our office is located just 11 minutes away from Potomac and 10 minutes away from North Bethesda & Rockville.

Frequently Asked Question

Can I gain weight after liposuction?

It is important to remember that liposuction is not a weight-loss procedure, merely it removes fat. It is possible to gain fat in other areas that have not been treated by liposuction and you can still gain weight as well.

When will I see results after liposuction?

Most people will notice differences in their body immediately following liposuction. The full results won’t be seen until you are recovered from liposuction which takes about 3 weeks in total.

Can I choose fat transfer after liposuction?

Fat transfer is a procedure that harvests fat from one portion of the body to use in a different area. If you are considering fat transfer getting it in combination with liposuction is ideal. If you still have enough excess fat in an area after liposuction then a fat transfer is still possible.

Are you put to sleep for liposuction?

You dont have to be. Small areas can be done with you awake under local anesthesia. Often larger areas of liposuction are done with sedation in the office avoiding general anesthesia.

Can visceral fat be removed?


Does a tummy tuck remove fat?

Yes, a tummy tuck not only removes and tightens skin, but fat is also removed.

Does liposuction get rid of cellulite?

Liposuction is not a treatment for cellulite. Sometimes it does improve cellulite, but it is not predictable like Cellulaze.

How long do you drain after lipo?

Most liposuction procedures can leak from the incisions, but that should stop after 48 hours.

How much does liposuction cost without insurance?

Insurance usually does not cover liposuction.

Who is good candidate for liposuction?

The best candidate for liposuction is someone who is close to their ideal body weight and has isolated areas of fat that is out balance with the rest of the body.

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Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers