Liposuctionrefining what diet cannot reach
Liposuction removes stubborn fat through fine surgical cannulas to refine the shape of the body. It is a contouring procedure, not a weight-loss method, and it addresses the bulges and irregularities that stay put no matter how disciplined your diet and exercise.
What Liposuction Actually Does
Liposuction, sometimes called body contouring, removes localized pockets of fat to smooth and reshape areas that resist diet and exercise. Common targets are the abdomen, hips, love handles, flanks, thighs, and the area beneath the chin. The point is not to lower your weight on the scale. It is to refine proportion and restore a smoother line where fat has collected out of balance with the rest of your body.
Think of it as sculpting rather than shrinking. Many patients are already near their goal weight and simply cannot budge a particular bulge. Liposuction reduces the fat in that specific zone so the surrounding contour looks more even. Dr. Lenny is known for natural, proportional results, and that same philosophy guides how he approaches body contouring: refine the shape without over-treating it.
“Good liposuction is about the line, not the scale. My goal is a contour that looks natural in and out of clothes and still looks like you.”
Am I a Good Candidate?
The best candidates are healthy adults at or near a stable weight who have firm, elastic skin and specific areas of fat that have not responded to a good diet and regular exercise. Skin tone matters, because liposuction removes fat but does not tighten loose skin. When skin has lost its elasticity, another approach or a combination of procedures may give a better result.
It also helps to have realistic expectations. Liposuction is not a treatment for obesity, and it is not a cure for cellulite, the dimpled skin that can appear over the hips, thighs, or buttocks. If loose abdominal skin or separated muscles are the real issue, a tummy tuck may fit your goals better. Dr. Lenny will assess your skin, your areas of concern, and your overall health in a private consultation and tell you honestly whether liposuction is the right tool for what you want to change.
How Dr. Lenny Approaches Body Contouring
Dr. Leonard "Lenny" Roudner is a board-certified plastic surgeon and a Diplomate of the American Board of Plastic Surgery who founded the Aesthetic Surgery Center in Coral Gables in 1989. Over decades of practice, his reputation has been built on results that look natural and proportional, and he brings that same restraint to liposuction. Removing the right amount of fat from the right places is what creates a smooth line. Removing too much can leave dents and contour irregularities, so judgment matters as much as technique.
He is also known for a personal, unhurried chair-side manner. In your consultation he examines the areas that concern you, listens to what you actually want changed, and builds a plan around your body rather than a fixed template. Liposuction also pairs well with other procedures, and it is a common part of a mommy makeover or a companion to a tummy tuck when that combination serves your goals.
The Procedure and Anesthesia
Liposuction is performed through very small incisions. Dr. Lenny inserts thin tubes called cannulas into the fat layer and moves them through the targeted areas to loosen and suction the fat away. The incisions are small and placed to stay discreet. Depending on the areas being treated and the amount of fat involved, the procedure may be done under local anesthesia or general anesthesia, and Dr. Lenny will review the right choice for your case beforehand.
After surgery he may place small drains and will fit you with a compression garment. That garment supports the treated areas, helps control swelling, and encourages the skin to settle against the new contour.
Recovery and What to Expect
Some swelling, bruising, numbness, and soreness are normal after liposuction and are managed with medication. Most people take it easy for the first several days and gradually return to routine activity over the following weeks, with more strenuous exercise added back later. You will wear your compression garment as directed, and a follow-up visit is typically when any drains or sutures come out. Recovery from a smaller, single-area treatment is generally quicker than from more extensive contouring, and Dr. Lenny will give you a timeline that fits your specific plan.
Your Results and the Next Step
You will notice a change early, but the final contour appears gradually as swelling resolves over the weeks and months after surgery. Fat cells removed during liposuction do not come back, so maintaining a stable weight with a steady diet and exercise helps your result last. The remaining fat cells can still enlarge if you gain significant weight, so keeping your habits consistent protects the shape.
Every body is different, and the honest answers to how much can be treated, what recovery will look like, and what result is realistic come from an in-person evaluation. Consultations with Dr. Lenny are private and unhurried. To talk through your goals and see whether liposuction fits them, call 305-444-8585. The office is open Monday through Friday, 8am to 5pm.
Frequently asked questions
Is liposuction a weight-loss procedure?
No. Liposuction is a contouring procedure that removes fat from specific, stubborn areas to refine your shape. It is not a substitute for diet and exercise and it is not a treatment for obesity. Most candidates are already at or near a stable weight.
Will liposuction get rid of my cellulite?
Liposuction does not treat cellulite, the dimpled skin that can appear over the hips, thighs, or buttocks. It also does not tighten loose skin. Dr. Lenny will set clear, honest expectations about what it can and cannot do during your consultation.
Which areas can be treated?
Common areas include the abdomen, hips, flanks and love handles, thighs, upper arms, back, and the neck and area beneath the chin. Your plan is tailored to your body and goals. Dr. Lenny will map out the areas that make sense during a private consultation.
What kind of anesthesia is used?
Depending on the areas treated and the amount of fat involved, liposuction may be done under local or general anesthesia. Dr. Lenny determines the right approach for your case and reviews it with you before surgery.
How long is recovery?
Some swelling, bruising, numbness, and soreness are normal and are managed with medication. Most people ease back into daily activity over the following weeks and add strenuous exercise back later. A smaller, single-area treatment generally recovers faster than more extensive contouring, and Dr. Lenny will give you a timeline for your specific plan.
Are the results permanent?
The fat cells removed during liposuction do not return. Your result lasts best when you keep a stable weight, since the remaining fat cells can still enlarge with significant weight gain. A steady diet and regular exercise help protect the contour over time.
Will I have visible scars?
Incisions for liposuction are very small and placed to stay discreet. Any marks tend to fade over time. Dr. Lenny will explain incision placement for your treatment areas during your consultation.
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The clinic, uncut. Real before-and-after results, quiet moments in the operating room, and the Miami life behind 30,000+ breast surgeries. New work, every day.
30,000+ Breast Surgeries
Coral Gables, FL
The name Miami trusts to keep it natural.
For more than three decades, Dr. Leonard A. Roudner has built a singular reputation across South Florida: breast surgery that reads unmistakably natural, and an unhurried chair-side manner the editors, executives, and public figures in his Coral Gables waiting room have come to expect.
Board-Certified Plastic Surgeon. Diplomate of the American Board of Plastic Surgery. Member of ASPS and ASAPS, with hospital privileges at Baptist Hospital and South Miami Hospital. Since founding the Aesthetic Surgery Center in Coral Gables in 1989, Dr. Lenny has devoted his career to one pursuit: natural, beautiful breast surgery, and the personal, unhurried care behind every result.
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550 Biltmore Way, Suite #890
Coral Gables, FL 33134
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