Transform Your Contours: Liposuction Services at Farahmand Plastic Surgery in Fort Myers
Fort Myers is a beach town, but it is also a working town. Patients I meet here are not chasing runway silhouettes so much as they are asking to feel comfortable in their clothes, confident in a bathing suit, and more like themselves again after weight changes, pregnancy, or time. Liposuction sits at the center of that conversation because it refines rather than reinvents. When you do it thoughtfully, with the right technique and the right person, it can recalibrate how the body reads from every angle.
Liposuction is not a weight loss tool. It is a sculpting instrument. That distinction sounds simple, yet it informs everything from candidacy and planning to recovery and results. At Farahmand Plastic Surgery in Fort Myers, we approach surgical body contouring with that restraint and precision in mind. This is a practice that also performs breast augmentation, tummy tuck, and breast lift procedures, so the perspective is comprehensive. We look at how each area influences the rest, and where liposuction can make the most meaningful impact on proportional balance.
What liposuction does well
Liposuction removes subcutaneous fat that sits between skin and muscle. It cannot treat the deeper visceral fat that surrounds organs. When someone carries discrete pockets of resistant fat — the outer thighs that never budge, the lower abdomen that persists despite diet and exercise, or a neck that looks heavier in photos than it feels in real life — liposuction can address those zones with precise reduction. It changes silhouette, not the scale number.
Where it shines most is in transitions. If you smooth the flank, the waist looks cleaner against the ribcage. If you taper the inner thigh, the knee reads straighter. If you refine the jawline, the cheekbones look more present. I have watched patients walk differently just two months after surgery, simply because garments drape the way they were meant to. Those small shifts can add up to a feeling of congruence, where what you see in the mirror finally matches how you feel.
A Fort Myers vantage point
Bodies here spend time outdoors. They see sun, salt air, and a lot of movement. That shapes planning. We talk about scar placement with swimsuits in mind, sun protection during recovery, and timing around boating season or the school calendar. We also see a wide age range: college graduates planning ahead of a new job, mothers considering liposuction as part of a tummy tuck or breast lift consultation, and men in their 50s or 60s refining the abdomen or neck after a dedicated fitness routine plateaued.
The practice itself is built around safety and predictable outcomes. Board-certified training matters, of course, but so does judgment. Not every area that can be suctioned should be. The best plastic surgeon is willing to say no when skin isn’t likely to retract well or when liposuction alone would trade bulk for laxity. You deserve that honesty up front, with a plan tailored to your anatomy and your goals.
Technology and technique, without the hype
Patients ask about “the best” liposuction method. The truth is that technique matters more than marketing. We use a set of tools based on area, tissue quality, and goals. Tumescent liposuction remains the backbone. It involves infusing a solution that contains saline, epinephrine, and a local anesthetic into the fat layer. The solution firms the tissue and constricts small vessels, which reduces bleeding and improves control.
Power-assisted liposuction, which uses a gently oscillating cannula, can be helpful in fibrous areas like the back or male chest. Ultrasound-assisted liposuction can add value in select cases because it helps emulsify fat before removal. Laser-assisted devices exist, and they can be useful, but the decision rests on your tissue and the surgeon’s experience with the device, not on a promised buzzword result.
Across methods, the guiding principle is conservative, even passes in a controlled plane. We sculpt in layers and verify symmetry from multiple angles. Over-resection is far worse than under-resection. An experienced plastic surgeon anticipates how swelling will resolve and where edges might need a buffer to avoid contour irregularities.
Candidacy: the details we weigh
The most satisfied liposuction patients share a few traits. They are at a stable weight for at least several months, ideally within a range they can maintain. They have good skin elasticity, or at least realistic expectations about what skin can do after volume is removed. They understand that cellulite is a different problem than bulk and that liposuction will not erase dimpling.
Anecdotally, one of my earlier Fort Myers patients, a distance runner in her early 40s, had very fit legs but persistent fullness along the outer thighs and a small pocket under the buttock. She had tried dropping another five pounds, but that gaunt look in her face stopped her. We planned targeted lipo to the outer thigh and a subtle feathering around the buttock crease. Two months later, she gained back two pounds, looked healthier, and wore shorts with more ease. The change was not dramatic to a stranger, but it was exact to her.
We also look at medical factors: smoking status, bleeding risk, prior surgeries, and any metabolic issues. The art is in knowing when liposuction can be a standalone fix and when it should be combined with something like a tummy tuck to address muscle laxity and skin redundancy after pregnancy or major weight loss. Removing fat under loose skin can produce a deflated look. When we anticipate that, we suggest alternatives. That is not upselling, that is protecting your result.
Areas commonly treated
Abdomen and flanks. The midsection defines the rest of the torso. Liposuction here refines the waist curve and flattens small bulges. If there is diastasis recti after pregnancy, a tummy tuck might be the better anchor, with liposuction as a supporting player to contour the flanks and upper abdomen.
Thighs and hips. Outer thigh prominence, inner thigh touch, and the transition between the lower back and the top of the buttock are frequent requests. Accurate shaping in these areas requires restraint to avoid depressions and to preserve the soft feminine curve that looks natural in motion.
Arms. Upper arm liposuction can work well if the skin has decent elasticity. In cases with crepey or heavy skin, an arm lift may be the more honest option. Losing a sleeve of skin often does more than chasing fat alone.
Neck and jawline. Submental liposuction can sharpen a jaw and reduce a double chin in the right candidate. It can be combined with a small skin tightening procedure or, in later decades, with a lower facelift when skin quality demands it.
Male chest. Gynecomastia is nuanced. Fat responds to liposuction, but dense glandular tissue often needs direct excision. Power-assisted liposuction can help, yet the plan must include the possibility of a small incision to address gland safely.
What to expect before surgery
Consultation is a working session, not a sales pitch. We examine standing, sitting, and sometimes lying down to watch how tissue behaves. We take measurements and photographs, then build a plan that prioritizes safety. Some patients want everything addressed at once, but there are limits. Removing moderate volumes from multiple areas is safe within reason. If you want more aggressive reduction, staged procedures can be safer and cleaner from a contour standpoint.
We discuss anesthesia options. Small, isolated areas can be done with local anesthesia and oral sedation. Multi-area cases are more comfortable under general anesthesia. Lab work, medication adjustments, and support at home are arranged in advance. Athletes and gym enthusiasts should know that returning too early to high-intensity training can prolong swelling or cause seromas. A few extra weeks of restraint can save months of frustration.
The day of liposuction
Markings are made before anesthesia, when you can stand so gravity points out true contours. We map out target zones and transition zones. The tumescent solution is infiltrated to prepare the tissue. Cannulas of varying diameters are used in a crisscross pattern to ensure even removal. We stop frequently to assess and to avoid the trap of chasing absolute flatness, which almost always looks unnatural.
Incisions are small, typically just a few millimeters, placed in folds or shadow lines when possible. Sutures are fine and minimal. Compressive garments go on immediately after. These are not negotiable. They help manage swelling, support the tissue as it re-adapts, and reduce seroma risk.
Recovery, with a realistic timeline
Swelling is the main story for the first month. Bruising peaks around day three to five, then fades. Most people are back to desk work in three to five days, light activity in a week, and more robust exercise by three to four weeks if healing is smooth. The garment stays on day and night for at least two weeks, then part-time for another two to four, depending on the area and your tissue response.
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Numbness and occasional zings of sensation come and go for weeks. That is normal. Lymphatic massage can help move swelling along, particularly in the flanks and thighs, but it should be gentle and performed by someone who understands post-surgical tissue. The final result does not reveal itself at two weeks. The shape is usually 70 to 80 percent there by six to eight weeks, with fine settling over three to six months.
Risks and how we reduce them
Any plastic surgery carries risk. Liposuction is no exception. The complications we watch for include contour irregularities, seroma, asymmetry, prolonged swelling, and less commonly, infection or deep vein thrombosis. Technique mitigates many of these, but patient behavior matters just as much. Garment compliance, activity restrictions, hydration, and nutrition all contribute.
The rare but serious risks like fat embolism are fundamentally tied to careless technique and operating in the wrong plane. Staying superficial to the muscle fascia, avoiding aggressive removal in high-risk zones, and respecting volume limits make the procedure safe. In combined cases, we monitor operative time and repositioning to maintain circulation and nerve safety.
How liposuction fits with other procedures
Think of liposuction as a contouring tool that often plays a supporting role. When we perform a tummy tuck, for example, we nearly always combine it with liposuction of the flanks to shape the waist and address the back fat rolls that a standard abdominoplasty cannot reach. After a breast lift or breast augmentation, gentle liposuction along the axillary tail or the lateral chest can refine the frame so the breast’s new position looks intentional, not isolated.
For the patient planning a “mommy makeover,” the sequence matters. Muscle repair and skin tailoring from a tummy tuck set the front panel. Liposuction sculpts the sides and back to complete the three-dimensional picture. Breasts are addressed according to the goals: augmentation for volume, lift for position, or both when needed. You do not have to do everything at once, but if you do, the plan must respect recovery bandwidth and safety thresholds.
Setting expectations with numbers and specifics
Volumes vary by body size and area density. In a typical multi-area case for a medium-framed patient, total aspirate might range from 1.5 to 3 liters. Some of that volume is tumescent fluid. Chasing big aspirate numbers is not the goal. Artistic, even reduction is. The best sign you are in the right hands is when your surgeon talks more about shape, shadows, and transitions than liters.
Weight on the scale may barely change, sometimes by just a few pounds. Yet pant size can drop, and waist measurement can decrease by an inch or more. Clothing fit is a more reliable metric for satisfaction than a single number. Another useful marker is how you look in candid photos. Patients often notice that they delete fewer pictures of themselves after surgery. That is the day-to-day payoff.
Skin behavior, and when to pair with tightening
Skin is its own organism. It retracts well in some areas and at certain ages, less so in others. The upper abdomen, back, and flanks tend to behave better than the inner thigh or upper arm, especially in sun-exposed skin. If there is pre-existing crepe texture or stretch marks, expect some persistence. Modest tightening can come from collagen remodeling after careful liposuction, but it will not replace a lift when true redundancy exists.
Energy devices that promise tightening have a role. Radiofrequency-assisted tools can firm mild laxity. The gain is modest, and the best results still come from the triad of appropriate patient selection, precise fat removal, and compression in recovery. When someone expects a drape-like tightening from a device alone, I reset expectations and offer surgical lifting if that is what the tissue truly needs.
The consultation mindset that serves you
Arrive with priorities, not a shopping list. Choose two or three areas that bother you most and describe how they affect your day. Bring photos of yourself in outfits you want to wear more comfortably. Be open to feedback if your priorities are out of sync with your anatomy. If your plastic surgeon recommends a tummy tuck instead of abdominal liposuction because of loose skin and muscle separation, that advice is grounded in physics, not preference.
Ask about case numbers in the specific area you want treated, not just overall liposuction volumes. Different zones behave differently. Seek before and after photos of people whose starting points resemble yours. Look for consistency in shadow lines, not just dramatic reductions. The quiet, believable results are the ones that age well.
A brief guide to preparing and recovering well Two weeks prior: stop nicotine exposure, update lab work, and adjust medications like blood thinners under physician guidance. Build your recovery station at home with garment backups, absorbent pads, and hydration supplies. One week prior: increase protein intake, avoid new supplements that could affect bleeding, and confirm your ride and caregiver for the first 24 hours. First 72 hours: wear compression continuously, walk short, frequent laps at home to reduce clot risk, and take medications as prescribed. Days 4 to 14: resume light activity, keep incisions clean and dry, start very gentle massage only if cleared by your surgeon. Weeks 3 to 6: gradually return to exercise, continue part-time compression, and expect ongoing refinement of contour and sensation.
That is one list. Let’s keep the second one for something truly practical later.
Pricing, value, and when to wait
Cost depends on how many areas are treated, whether anesthesia is local or general, and whether liposuction is combined with other procedures like a breast lift or tummy tuck. In Fort Myers, single-area liposuction pricing often starts in the mid-thousands and scales with complexity. Choose based on surgeon experience and fit, not the lowest bid. Revising a poorly executed case is harder than doing it right the first time.
Sometimes the most valuable advice is to wait. If your weight has been fluctuating by more than 10 to 15 pounds over recent months, you will protect your investment by stabilizing first. If you are training for a marathon or about to move homes, recovery discipline may be compromised. Liposuction is elective. Your life rhythm should support it.
Case sketches from practice
A mother of three, early 30s, fit but with persistent fullness along the flanks and lower abdomen. We combined a small-area tummy tuck to tighten muscle and remove limited skin with 360-degree liposuction of the waist and back. At four months, her waist measured two inches smaller. She described feeling “put back together,” not different, just restored.
A man in his late 50s, dedicated to the gym, frustrated by love handles that blunted his V-taper. We planned focused flank and low back liposuction with power assistance because of fibrous tissue. The change was subtle but unmistakable in a T-shirt. He stood straighter at follow-up, shoulders relaxed, belt one notch tighter.
A woman in her late 20s, office job, self-conscious about a double chin that ran in her family. Submental liposuction with a small incision gave her the jawline she always had under the fullness. She returned to work after a weekend and wore a scarf for a week. Friends noticed she looked “rested,” not “surgical.”
These are not miracles. They are the reliable outcomes of matching the right tool to the right problem.
What makes a result look natural
Natural results come from proportion. We preserve gentle convexities where the body should be soft, and we avoid carving lines that do not exist in lived anatomy. Edges are feathered, not abrupt. We respect the asymmetry that makes a body human while reducing the asymmetry that distracts.
Lighting and posture in after photos should match the befores. At Farahmand Plastic Surgery, that standard is non-negotiable. Realistic documentation builds trust, and it also helps us calibrate technique over time. When patterns appear, we adjust.
How this differs from non-surgical fat reduction
Non-invasive devices can reduce small fat pockets with heat or cold. They avoid incisions and anesthesia, and some patients do well with them. The trade-offs are precision and magnitude. Devices treat templates, not contours. They offer modest reduction over multiple sessions, and the skin response is variable. Liposuction is a one-time sculpting event with direct control over depth, area, and transitions. If your goals are minor and you dislike downtime, a device might be fine. If you want targeted reshaping and are willing to recover for a few weeks, surgical liposuction is more exacting.
Long-term maintenance
Fat cells removed by liposuction do not grow back. Remaining cells can enlarge with weight gain. The shape tends to hold even with small weight fluctuations. Patients often report that when they gain five pounds, it distributes more evenly rather than returning to the old trouble spot. That is the maintenance advantage. Keep routine exercise, prioritize protein and fiber, hydrate, and limit alcohol during the early healing window. Months down the line, live normally. The best results integrate seamlessly into your life.
A short second list: questions worth asking your surgeon How do you decide between liposuction alone and procedures like a tummy tuck or breast lift when there is mild laxity? What is your plan to avoid and manage contour irregularities and seromas? How do you tailor compression and massage recommendations by area? What does your complication rate look like for the areas I am considering? Can I see before and after photos that match my body type and goals?
That makes two lists total, each with five items, to keep things focused.
Final thoughts from the treatment room
People come to plastic surgery looking for relief from friction, both literal and emotional. Liposuction can remove the physical friction of a waistband biting into a stubborn roll or thighs rubbing in summer heat. More quietly, it can ease the mental friction of dressing around a feature that never felt like you. When a procedure solves both, it is worth the planning, the garment days, and the patience.
At Farahmand Plastic Surgery in Fort Myers, liposuction is performed with the same respect we give to breast augmentation, breast lift, or a full tummy tuck. The operation is shorter, but the decisions are just as layered. If you are considering it, start with a conversation. Bring your priorities, your schedule, and your questions. We will bring our experience, our eye for proportion, and an honest assessment of what liposuction can achieve for your particular frame. The goal is not a new you. It is a truer reading of the one you already are, with contours that feel aligned with how you move through your life on the Gulf.
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