Liposuction

Don’t settle for stubborn fat
You eat well. You exercise. But still, one or two areas might hold onto stubborn fat no matter what you do. That’s not a willpower problem. Genetics and hormonal factors decide where your body stores fat, and some of those deposits simply don't respond to diet or exercise.
Liposuction is the surgical answer to stubborn fat.
At PURE Plastic Surgery in Miami, Florida, double-board-certified plastic surgeons Dr. Alexander Earle, Dr. Natalia Vidal, and Dr. Garrett Wegerif use liposuction to remove pockets of fat that just won’t budge. If you’re looking to sculpt slimmer, more balanced contours, call 305-230-4326 to request a consultation and explore your options.

What is Liposuction?
Liposuction is a surgical body contouring procedure that removes subcutaneous fat from specific areas. It is commonly used on the abdomen, waist, hips, flanks, back, chest, arms and beneath the chin.
With liposuction, the goal is not weight loss but to improve shape and contour. During surgery, a thin tube called a cannula is inserted through small access points to remove unwanted fat. Your surgeon carefully controls where fat is reduced and where some fullness remains to preserve smooth transitions and natural proportions.
At PURE, every liposuction plan begins with Smart Aesthetics™, our approach for creating balanced results based on your measurements, anatomy and goals. Surgical Intelligence™ then guides how that plan is carried out, combining our experienced judgment with the tools and techniques best suited to your body.

What Can Liposuction Treat?
Liposuction can reduce localized fat almost anywhere on the body. Some patients want to refine one area, while others benefit from treating multiple areas to create a more cohesive result. Your surgeon will explain which areas can be addressed together and how each choice may affect your recovery.

Am I a Good Candidate for Liposuction?
You may be a strong candidate for liposuction if you’re bothered by stubborn fat that resists diet or exercise. Liposuction is a body contouring procedure, not a shortcut for weight loss, so the best results are seen in patients with a healthy BMI looking to refine their shape.
At PURE, good candidates usually share a few traits:
- Unwanted fat in areas like the back, abdomen, hips, thighs or flanks
- Reasonably firm skin that will retract over the new contour
- A desire to feel more confident in swimwear and clothing
- Realistic expectations about what liposuction can achieve
- A max BMI of 30 (Dr. Earle), 33.5 (Dr. Vidal) or 34 (Dr. Wegerif)
Even when liposuction seems like the obvious choice, it’s easy to overlook the level of planning and surgical judgment involved. “It sounds like a simple, in-and-out procedure, but it’s still surgery,” says Dr. Vidal. “This is something I want people to understand. Even though you’re only seeing a few small incisions, it involves healing across multiple body areas. That’s why we spend so much time making sure patients know what to expect before they move forward.”
How Does Skin Quality Affect Liposuction Results?
Skin quality is one of the biggest factors in your final result.
Liposuction removes fat from underneath the skin, which naturally retracts to fit your new contour. That said, how well it retracts depends on your existing skin quality. Firm, elastic skin tends to snap back readily, while skin that has lost some of its “bounce” due to aging, genetics, pregnancy or lifestyle factors may not tighten as fully on its own.
“If you’re a young patient with great skin quality, no stretch marks, it’s possible to get an amazing result from liposuction alone,” says Dr. Wegerif. “If your skin needs some extra support, we have some great options at PURE that can help: BodyTite and Renuvion.”
Read More: BodyTite vs. Renuvion

How Is Liposuction Different From a Tummy Tuck?
Both are popular body contouring procedures, but liposuction and tummy tucks are designed to address different concerns. Liposuction removes stubborn fat, while a tummy tuck removes loose skin and repairs separated abdominal muscles. Some patients benefit from one procedure alone, while others may need both to achieve the most complete result.
Read More: Tummy Tuck or Liposuction: Which Tackles Your Specific Concerns?

What Liposuction Techniques Are Available at PURE?
All modern liposuction procedures share the same basic foundation, with optional devices or technologies added depending on your goals.
“The most bare-bones approach is called tumescent lipo, and it’s the base of everything else,” explains Dr. Earle. “The first step of any liposuction procedure is infusing the area with tumescent fluid, which is IV fluid, like normal saline, plus epinephrine.”
At PURE, we offer several approaches depending on the area being treated and the degree of definition you want, including traditional tumescent liposuction, power liposuction, high-definition VASER liposuction, Lipo 360 and Total Definer HD Lipo.
What Is Tumescent Liposuction?
Tumescent liposuction has been used reliably for years and is the most basic form of liposuction. At PURE, it involves injecting a mixture of saline and epinephrine (a vasoconstrictor) into the fatty tissue. The tumescent fluid shrinks blood vessels to reduce bleeding and engorges the fat cells, making them easier to remove.
What Is Power Liposuction?
Power liposuction, also known as power-assisted liposuction (PAL), utilizes a specialized cannula equipped with a vibrating tip. The vibrations help to gently break apart fat cells for easier removal, causing less trauma to surrounding tissues. Ideal for larger areas or denser fatty deposits, PAL allows for more efficient fat removal and shorter procedure times.
What Is VASER Lipo?
High-definition VASER liposuction can be better described as liposculpture, and it incorporates ultrasound technology to liquefy fat before it’s removed from the body. It also has the added effect of promoting skin contraction. This state-of-the-art technique allows for highly detailed sculpting and is particularly good at enhancing visible muscle definition. It's frequently sought by patients wanting that really contoured, athletic physique.
What Is Lipo 360?
Lipo 360 is a popular technique that takes a circumferential, 360-degree approach to body contouring, targeting the entire midsection in a single session. Reducing fat throughout the entire torso, from the abdomen and waist to the flanks and back, helps ensure a more cohesive result, creating smoother transitions and a balanced hourglass figure.
What Is Total Definer HD Lipo?
Total Definer HD Lipo at PURE is a 10-point package that combines comprehensive body sculpting with advanced techniques and a world-class, all-inclusive patient experience. It uses VASER liposuction technology to achieve high-def contouring and includes a suite of complementary treatments and services to ensure optimal outcomes, including: fat transfer for natural augmentation, Cell Saver to minimize blood loss, BodyTite or Renuvion for skin tightening, and Morpheus8 microneedling to improve collagen production.

Your Consultation
Your journey starts with a virtual or in-person consultation. This is where you meet with your surgeon or one of our coordinators to review your form submission, discuss your treatment goals and learn more about our costs and financing options. You’ll also have the opportunity to ask us any questions you might have, including: Are you board-certified? Do you operate in an accredited facility? How do you ensure patient safety? At PURE, our number one priority is making sure you feel confident and informed should you decide to move forward.
Read More: What to Expect During Your Plastic Surgery Consultation

Your Surgery
Liposuction is an outpatient procedure performed at our Joint Commission-accredited surgical facility in Miami, Florida. Most sessions take one to two hours, although larger or more complex plans can take longer.
At PURE, liposuction is done under general anesthesia. To begin, your surgeon will infuse the area with a tumescent solution, then insert a cannula through small incisions or access points. The cannula is attached to a suction machine and, once under the skin, is used to remove unwanted fat and sculpt the treatment area.
Depending on the type of liposuction being performed, a vibrating tip or ultrasonic probe may also be incorporated to address specific needs or goals.
Read More: How Does Liposuction Work?
Your Recovery
Shortly after surgery, you’ll return home wrapped in a compression garment with detailed aftercare instructions. You can expect to be sore and swollen in treated areas, and over the next few days, there will be some drainage from the incision sites. Use absorbent pads to catch leaking fluid and try to take it easy for the first 24-72 hours.
Don’t hesitate to contact our team if you have any questions or concerns during this time! You’ll return for a follow-up after five days, after which you’ll be cleared to fly home if you traveled to Miami for your procedure.
What Is the Recovery Timeline Like?
Although it can differ from person to person, recovery after liposuction is fairly predictable. Here’s what you can expect as your body heals and your final results begin to develop.
Days 1-2: Swelling, soreness and bruising are common, along with excess tumescent fluid draining from your incisions. Dizziness and fatigue are also normal. Focus on rest and hydration, but try to walk for at least 10 minutes every hour to promote circulation. Wear your compression garment 24/7 (except when bathing) as directed.
Days 3-4: Drainage begins to decrease. As fluid shifts from the tissues back into circulation, you may urinate more frequently or notice a change in your energy levels. This is expected, not a setback. Make sure you’re getting your lymphatic massages, as they will help.
Week 1: Most drainage has stopped, although swelling remains. Many patients start feeling more comfortable and return to work by this time. Continue with your compression and massages, and avoid strenuous exercise until cleared by your surgeon. Out-of-town patients stay in Miami through their day-five visit before traveling home.
Weeks 2-6: Swelling gradually declines and your new contours become more visible. Continue to follow your surgeon’s aftercare instructions and limit strenuous activity until cleared to resume, usually after six weeks.
Months 3-6: Residual swelling continues to resolve, allowing your final shape and definition to emerge. Maintaining a stable weight helps preserve your results.
Does Liposuction Remove Visceral Fat?
No. Liposuction removes subcutaneous fat, which sits just beneath the skin. It cannot target the visceral fat located deeper within the abdominal cavity.
“Visceral fat is under your abdominal muscles and wraps around your internal organs,” explains Dr. Earle. “No plastic surgery can remove it. The only way to reduce visceral fat is through diet and exercise.”
Visceral fat can make the abdomen project outward even when little pinchable fat is present. Your surgeon will evaluate how much abdominal fullness comes from subcutaneous fat, visceral fat, muscle separation or loose skin to determine what liposuction can realistically improve.

Can Liposuction Be Combined With Other Procedures?
Liposuction is often the starting point of a larger body-contouring plan. Depending on your anatomy and goals, your surgeon may recommend pairing it with:
- Fat Transfer: Removed fat can be used to add volume where you want it, most often the hips (hip dip fat transfer) or buttocks (BBL or SoBeBL).
- Rib Remodeling: For select patients, rib remodeling may further narrow the waist and complement the results of abdominal contouring.
- Cell Saver: For larger-volume sessions, Cell Saver collects, filters and returns blood that would otherwise be lost during surgery.
- Skin-Tightening Devices: BodyTite or Renuvion can be added when the skin needs additional support after fat removal.
Why Patients Choose PURE for Liposuction in Miami
Miami is one of the hottest body contouring markets in the country, which means experience here runs deep. So does the range of quality. PURE was built as the deliberate answer to high-volume, low-cost centers that focus too much on their profit margins and too little on patient safety, education and results.
“Patients shouldn’t have to choose between safety and quality,” says Dr. Earle. “Liposuction might be common here, but that doesn’t mean it should be taken lightly.”
Three Double-Board-Certified Plastic Surgeons
Joint Commission-Accredited Facility
Support for Out-of-Town Patients
Frequently
Asked Questions
Is liposuction painful?
Does PURE offer awake lipo?
Can I get laser lipo at PURE?
Is liposuction a weight loss procedure?
Can liposuction create curves without a BBL?
Are liposuction results permanent?
Why is Miami such a popular destination for liposuction?
Can liposuction be combined with a tummy tuck?
How much does liposuction cost in Miami?
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