Liposuction – Lipoplasty Toronto

Dr. Atul Kesarwani is the medical director of the Cosmedical Rejuvenation Clinic. As a board certified plastic surgeon, Dr. Kesarwani has 30+ years of experience in the field. Read more about Dr. Kesarwani >
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You’re concerned about stubborn areas of fat on your body that prevent you from having the ideal shape and body that you want. You live a healthy lifestyle with diet and exercise, but this hasn’t done anything to tone those bulges. You can’t spot reduce fat, so even if you lose a bit of weight the stubborn fat doesn’t go away.

Don’t give up hope!

Liposuction is the only way to spot reduce fat predictably with just one treatment. It is safe and effective to remove unwanted excess fat from the face and body. Imagine — you’ll finally be able to control exactly where you want to spot reduce fat to get rid of those bulges you don’t like!

What Is Liposuction?

Liposuction is a cosmetic surgical procedure to remove unwanted pesky areas of fat. While it is not a weight loss procedure, it is a safe and effective body contouring that allows you to tackle frustrating fat with just one treatment. Even though it will only reduce your weight by a couple of pounds at most, our patients love their post-surgery bodies so much that they often make improvements in their lifestyle and diet to maintain their results. These improvements can promote more meaningful weight loss in the long term.

This is a diverse treatment option that can be used to address a variety of areas of concern. Common treatment areas include:

On the Face

  • Cheeks
  • Chin
  • Neck

On the Body

  • Upper arms
  • Breasts
  • Abdomen
  • Buttocks
  • Hips
  • Thighs
  • Knees
  • Area of the Calves and Ankles

Liposuction can be used to treat many areas at once, so you can transform your body all at once. A consultation with our team in Toronto will help us develop a treatment plan unique to you and your goals. You’ll meet with Dr. Atul Kesarwani, a board certified plastic surgeon who has been performing liposuction for over 30 years.

An Important Note About Liposuction Methods from Dr. Kesarwani

“Who is doing the liposuction is more important than the technology.”

There has been a lot of hype the last few years about new technologies in liposuction – including SmartLipo, SlimLipo, BodyTite, Vaser and WaterJet systems. I have thoroughly looked into all of the new liposuction machines that have become available and have decided to stay with traditional tumescent liposuction for my patients.

The main reason to consider a new technology is if it is better for the patient. The laser-assisted techniques take much longer to do if done properly. Despite their claims, they have not consistently shown an advantage of tightening of the skin or quicker recovery and may be complicated with burns and scarring.

Liposuction patients want a reduction in the fatty layers, be left with a smooth contour and have a predictable recovery. Traditional suction assisted lipoplasty is the safest, surest way to achieve these goals. I had used ultrasonic liposuction extensively more than a decade ago when it was a new technology, but abandoned it, returning to regular liposuction because of more consistent results and happier patients.

It is the technique and experience of the surgeon operating the liposuction machine that is more important than the type of machine in deciding the final result. I am now using a procedure called SAFE Liposuction that uses special “basket” tip type of cannulas that evacuate the fat with less damage to the blood vessels and nerves and leads to an even smoother final result.

It is the hand operating the liposuction cannula and the experience behind it that will determine the final aesthetic outcome more than the type of machine used for our patients.

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Even Results with No Lumps and Bumps

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What Could I Expect from a Procedure?

Liposuction is performed as a cosmetic surgical procedure under general or local anesthesia (for smaller areas involving less fat removal). Once an incision is made, fat will be loosened and removed. You can save this fat to have it transferred to another area of your body, if you’d like (such as the face, breasts or buttocks).

Dr. Kesarwani applies advanced tumescent liposuction techniques, using PAL if recommended (PAL stands for  power-assisted liposuction.)

Lumps and Bumps

A common complaint following liposuction is lumps, bumps and general unevenness of the contours in the treated area(s). Dr. Kesarwani takes special care to minimize this risk by using an appropriately sized cannula for each patient. Generally, a thinner cannula is used on a thinner patient. He also performs even suctioning of the fat, carefully measuring your body contours to achieve symmetric results. By doing these things, you’ll enjoy a smoother, leaner profile that looks totally natural — like you’ve just been dieting and working out! You won’t have any lumps and bumps that will take away from your new look.

Liposuction can be performed in conjunction with other procedures, and our qualified team in Ontario can help you create the best plan for you to achieve your cosmetic goals.

You will likely require some downtime following a liposuction procedure. Our team will provide you with all of the post-care instructions you need. Experiencing swelling or fluid retention is common, but it will slowly decrease to reveal your amazing results over time. Maintaining your results requires a commitment to continuing your healthy lifestyle.

A garment is worn in the treated areas for 3-4 weeks continuously. This assists in recovery and helps you get a smoother, firmer result.

Am I a Good Candidate?

Liposuction is not intended to be used as a weight loss procedure. It is not effective for those concerned about obesity or cellulite, nor is it the right treatment choice for loose skin. This cosmetic surgical procedure should be approached as a body contouring procedure.

A good candidate should be in good health and committed to living a healthy lifestyle. It is essential to have realistic goals and expectations for what liposuction could do for you. A consultation with our team in Toronto is critical to helping you understand the procedure and to determine if it is the best choice for you.

Schedule Your Consultation!

Interested in learning more about the possible benefits of liposuction? Contact us today at Cosmedical Rejuvenation Clinic and schedule your consultation! Dr. Atul Kesarwani and his qualified team proudly serve the Toronto, Ontario, area. Start your journey to a shape you love today!

An Overview of Tumescent Liposuction

Tumescent liposuction is the gold standard of this popular cosmetic surgical procedure. Explore the history of the technique and its advantages.

Being one of the most popular cosmetic surgeries performed in North America, liposuction has made some significant leaps in both technology and technique since it was first introduced in the 1970s. The early form of this procedure, sometimes referred to as “dry liposuction,” required blood transfusions because so much blood was lost during each surgery. It wasn’t until the mid 1980s, and developments made by Dr. Jeffery Klein, that tumescent liposuction became the gold standard.

Tumescent liposuction has many advantages over other techniques, including minimizing blood loss and eliminating the risks of general anesthesia. Since its invention, tumescent liposuction has shown an excellent safety record. That’s why we prefer it over other methods, including laser assisted liposuction (e.g. Smartlipo), power assisted liposuction (PAL) and ultrasonic assisted liposuction (UAL).


When liposuction was first developed, surgeons used a medical tube, called a cannula, to remove unwanted fat. Nothing was done to prep the area. This older technique, known as dry liposuction, was a fairly serious procedure, requiring both general anesthesia and hospitalization. Probably the most worrisome aspect was that it required a blood transfusion for every procedure. This unrefined technique resulted in a lot of blood being removed with the fat. In fact, blood would make up 30-45% of the fluid removed. That much blood loss was not only dangerous and impractical, but after further development it turned out to be horribly inefficient as well. If the percentage of blood in the tissue removed could be lowered, more fat could be removed in the same amount of time.

The dry technique also resulted in longer recovery times as well as a much higher rate of complications and poor aesthetic results. These issues led a few doctors to experiment throughout the early 1980s in an attempt to create a better method.

Experimental surgeons developed a technique we call “wet” liposuction today. This involves adding fluid to the area to assist in the liposuction. This extra fluid helps to both aspirate the fat and maintain an equilibrium of the fluid in the body. Wet liposuction still requires general and IV anesthesia, but the blood loss was reduced to 15-20% of the mass removed from the body. A significant improvement to be sure, but still somewhat risky.

The largest stride forward in liposuction safety and efficiency came about in the mid 1980s when Dr. Jeffery Klein, a dermatologic surgeon, introduced tumescent liposuction. Dr. Klein’s new tumescent liposuction technique was quickly considered to be the safest and most effective technique to be developed.

The tumescent liposuction procedure

The word “tumescent” means “swollen” or “becoming swollen,” making it an accurate description of the procedure. A fluid is injected into the areas that are to be treated. This fluid is usually made up of saline with doses of lidocaine (a numbing agent) and epinephrine (commonly known as adrenaline). The saline balloons the fatty tissue (hence “tumescent”), the epinephrine causes the blood vessels in the area to constrict, decreasing blood flow and reducing bleeding, and the lidocaine works as a local anesthesia.

Once one to four litres of the solution, depending on the scope of the procedure, has diffused evenly throughout the area being treated the suction can begin. This is done with a microcannula, which is much smaller than the cannulas used in older liposuction techniques, measuring only 1.5 to 3 mm in diameter. The smaller diameter of the microcannula requires a shorter incision and less traumatic procedure. Unwanted fat is suctioned out of the subcutaneous tissue, along with most of the tumescent fluid. Some fluid stays in the body for several hours after the surgery is completed, providing some relief from discomfort.


Tumescent liposuction offers a number of advantages over other techniques:

  • The risks involved with general anesthesia are completely removed.
  • There is no need for hospitalization and you will most likely be able to go home the same day.
  • The epinephrine contained in the fluid works wonderfully to prevent bleeding by closing off blood vessels, which results in:
    – No need for blood transfusions.
    – The blood lost can make up as little as 1% or less of the removed tissue, meaning more fat is removed in the same amount of time as previous techniques. This is a huge improvement in efficiency over earlier techniques.
  • The slow rate that the tumescent fluid is absorbed into the subcutaneous fat means that all the blood vessels are slowly closed and replaced with an equal volume of fluid. This maintains a fluid equilibrium inside your body throughout the entire procedure.
    Tumescence magnifies defects and problem areas, making them easier to identify, reducing the probability of needing a second surgery.

Developed in the mid 1980s, tumescent liposuction has remained one of the safest and most efficient forms of liposuction ever developed. Dr. Klein was able to develop a tumescent fluid, sometimes still called “Klein’s solution,” made up of a saline solution with lidocaine for anesthesia and epinephrine to restrict blood flow. When large volumes of this fluid are injected into the fat below the skin, the area to be treated becomes swollen and firm, making it easy to identify and remove, reducing the possibility of subsequent surgeries. This technique not only delivers a local anesthetic directly to the area, removing the need for general anesthesia in some cases, it also reduces blood flow. This prevents unnecessary blood loss, significantly reducing the risk to you. Tumescent Liposuction has remained the standard technique for cosmetic plastic surgeons because of the increased safety and the multitude of advantages it offers.

Frequently Asked Questions About Liposuction

How dangerous is liposuction?

When performed by a board certified plastic surgeon with experience in liposuction, liposuction is not dangerous. It is safe and thousands of procedures are performed every year without issue.

How much does it cost to get liposuction on your stomach?

The cost of liposuction depends on the extent of the area and correction. In Toronto, the average cost ranges from $3,000 and upward.

Does liposuction really work?

Yes, liposuction is a safe and effective way to remove unwanted fat located below the skin, above the internal organs.

How much fat can be removed?

This is a question that many patients interested in liposuction ask. It would be great if we could give you a specific number, but unfortunately we can’t. The amount of fat that can be safely removed during liposuction depends entirely on the individual patient. We can remove as much as can safely be done. If too much fat is removed from one area, the blood supply to the skin can be affected leading to a loss of skin or contour irregularities. If too much is removed from multiple areas, too much blood will be lost, the heart will have to work harder, the patient will be anemic, lightheaded, and go into shock. On the other hand, if too little fat is removed then there will be insufficient improvement. Florida is the only jurisdiction where there is a “rule” to remove a maximum 5 litres of fat. It is not clear whether this is pure fat or fat aspirate (fat mixed with blood). Many people use this 5 litres “rule” as a maximum amount of fat removal, but it really depends on the size of the patient. Removing 5 litres from someone weighing 100lbs will put them into shock, but removing 5 litres from someone weighing 200 lbs may be very safe. So, the short answer is “it depends.” Only a qualified surgeon can determine this when assessing a patient.

How long does it take to recover from liposuction?

This depends on the amount of fat removed and the individual patient. Usually, patients can expect to return to sedentary work a few days after their surgery, with restrictions on vigorous physical activity for a couple of weeks. A compression garment is worn for a few weeks as well. Generally speaking, liposuction recovery is less intense than other procedures.

Does fat come back after lipo?

Liposuction permanently removes fat cells, and these fat cells will never come back. However, the remaining fat cells can expand and shrink with weight gain.

Can you die from lipo?

It is extremely rare that any complications experienced from liposuction surgery would be fatal.

Is it easier to lose weight after liposuction?

Some people do find it easier to lose weight after their liposuction because they’re more motivated to maintain and improve on their results. However, liposuction is not for weight loss.

Does lipo hurt?

You won’t feel anything during the surgery. There may be some discomfort following surgery, however, but this can be controlled with prescribed pain medications.

Can liposuction remove cellulite?

Cellulite may be unseemly, yet it is not dangerous. It can happen to people of all sizes and occurs in 80-90% of women. Cellulite is a skin condition caused by fat deposits pushing through the connective tissue that lies beneath our skin. Both sexes can get cellulite but it is more common in women because fat, muscle, and connective tissue are distributed differently throughout female bodies. Cellulite makes the skin appear dimpled and lumpy and usually affect the thighs and buttocks, but it can make an appearance in other areas as well. Although it is natural, many women wish to get rid of it completely and often think liposuction is the answer. Liposuction is not an effective treatment for cellulite. It may remove some cellulite if it lies in the area being treated, but it cannot successfully remove all of it. It’s important to remember that liposuction is not an effective weight loss tool and can only be done on people who are within the range of their ideal weight. The only way to ensure that cellulite doesn’t form is to maintain an active lifestyle and eat a balanced diet. Try eating lean proteins and increase your consumption of fresh fruits and vegetables. Regular exercise can also keep cellulite away. However, smoking can increase the occurrence of cellulite. If you do smoke, you should think about quitting. Finally, stay away from creams that promise to eradicate cellulite. They do not work.
You won’t feel anything during the surgery. There may be some discomfort following surgery, however, but this can be controlled with prescribed pain medications.

Can liposuction treat lipedema?

Lipedema is a condition that causes an abnormal amount of fat to accumulate in the body, most often in the legs. It mainly affects women. Diet and exercise are ineffective at treating lipedema, however numerous studies have shown that the condition can be improved with liposuction. A 2019 study found that women with lipedema who were treated with liposuction experienced a decrease in the pain, bruising, swelling and frequency of migraines associated with their condition.

Contact us

Cosmedical Rejuvenation Clinic is dedicated to providing you with the care and support you deserve on your aesthetic journey, in an open and supportive environment that caters to your unique needs.

If you have any questions or concerns, or would like to book an appointment with our head plastic surgeon, Dr. Atul Kesarwani, or facial plastic surgeon, Dr. Priya Kesarwani, please fill out this form and we will respond shortly.

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