• Anesthesia:
    Local
  • Duration:
    2 to 3 hours
  • Pain level:
    4 to 6/10
  • Recovery time:
    2 to 4 weeks
  • Resuming physical activities:
    6 weeks

Have you been working out or dieting and still have those stubborn areas of fat that bother you? You are not alone. For many people, stubborn fat deposits can lead to lower self-esteem and prevent them from wearing the clothes they love.

Liposuction is a popular cosmetic procedure designed to permanently and effectively remove fat. Awake liposuction represents the latest advancement in suction-assisted fat removal and is a signature technique by Dr. Gdalevitch at the Phi Plastic Surgery.

Dr. Perry Gdalevitch removes excess fat under local anesthesia. You will be fully alert as your body is sculpted, yet there will be no pain during your procedure. Since general anesthesia is unnecessary, you can expect to recuperate from the surgery more quickly.

Liposuction is often combined with other procedures such as abdominoplasty, breast reduction and other body contouring procedures. In this case, general anesthesia may be needed.

Patients who are good candidates for this procedure

  • Have a healthy and stable body weight
  • Do not have serious medical problems
  • Have an isolated area of excess fat
  • Have good skin quality
  • Do not have excess skin

Patients who are poor candidates for this procedure

  • Looking to lose weight
  • Obese
  • Have excess skin
  • Have poor skin quality
  • Have other medical problems

Are you a good candidate?

Our Self-Evaluation Quiz can help you decide if liposuction is the right procedure for you.

Technique for Awake Liposuction

Awake liposuction is a fat-removal techniques that is safe, effective, and minimally invasive. This surgery uses an anesthetic “tumescent” solution that is injected into the fat through small incisions. The liquid contains a vasoconstrictor, which is a medication that causes blood vessels to constrict as well as anesthetic liquid to freeze the fat.

After injecting the tumescent solution, Dr. Gdalevitch will insert a thin tube called a cannula to break apart fat cells, allowing her to remove them from underneath the skin. During this step, the patient may feel the vibration of the cannula and a bit of pressure. The procedure is nevertheless very comfortable and allows for optimal results as patients can be placed in multiple positions to allow for maximal fat removal and sculpting.

Discover the procedure through live surgeries

Awake liposuction presentation

Liposuction procedure

Consent for Awake liposuction

Pre-op instructions for Liposuction

At Phi Plastic Surgery, we believe that a beautiful body can take many shapes and sizes. The Phi philosophy centers on respecting your body's proportions and helping you let your inner beauty shine.

We offer our patients the best, most advanced techniques to help them achieve their aesthetic goals.

J-Plasma Skin Tightening

For better results and skin tightening after liposuction, Dr. Gdalevitch uses Renuvion Jplasma. This technology helps the skin contract to maximize the definition of the area treated. J plasma is typically used in areas of thin loose skin such as arms, inner thighs and lower abdomen. Awake liposuction combined with J plasma allows us better sculpt your silhouette.

Pre-op & post-op instructions

These pre-surgical and post-surgical instructions are provided as essential services for you. Please follow the instructions carefully to ensure optimum results. If there are instructions that need to be clarified, please feel free to contact our office as soon as possible. If some instructions are not followed, your surgery could be delayed if deemed necessary by your surgeon.

Pre-op INSTRUCTIONS

THREE WEEKS before your surgery

  • Stop all consumption of collagen
  • Prepare your surgery date: Plan to ensure a stress-free experience. Arrange your work leave and special assistance to help you with ride home. Prepare your return by organizing meals, delivery, babysitting, etc. Make sure you have someone scheduled to accompany you home after your surgery. Someone should also be on-call to help you during the first 24 hours after your surgery.

TWO WEEKS before your surgery

  • Stop the consumption of anti-inflammatory drugs.
  • Aspirin, drugs containing aspirin or any anticoagulants such as arixtra pf, clopidogrel, plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, fragmin pfsyringe, lepirudin, padaxa, dabigatran etexilate, xarelto, rivaroxaban.
  • A preoperative visit (if necessary), approximately two weeks before your surgery, will be scheduled to review your goals and provide you with additional information regarding your surgery.

SEVEN DAYS before your surgery

  • Stop taking any supplements or medications from the list below. These products can increase the risk of bleeding and other complications. Stop consuming any non-prescribed supplements including: Omega 3-6, nutricap, echinacea, glucosamine, fat burners, St. John’s wort.
  • Confirm your surgical support plan: This includes your transportation and post-surgical care, including an adult family member or a friend on-call for your support, 24 hours after your surgery.
  • Purchase any prescription provided by Dr. Gdalevitch (If applicable) and revise your pre-surgical instructions.

The day BEFORE your surgery

Prepare a bag. It should include:

  • All necessary papers
  • Your identification (RAMQ card)
  • Prescription Drugs
  • Glasses if necessary
  • Confirm the person who will assist you for the first 24 hours after surgery.
  • Take a shower. Use a non-perfumed soap. Wash your hair. Do not put cream or lotions. Do not put deodorants, hair products, perfumes, or makeup.
  • Relax. Enjoy a good night's sleep and avoid stress.

YOUR SURGERY DAY

  • If you wish to have oral sedation, do not eat or drink 4 hours before the surgery.
  • Do not train before surgery.
  • Please bring your medications that have been prescribed to you in a bag as above.
  • Do not wear any make-up, jewellery, contact lenses, hairpin or piercings: during surgery, an electric cautery is used, any piercing or jewellery can cause burns.
  • Wear light and comfortable clothing. Wear a top that opens forward. Do not wear a sweater, turtleneck or tight clothing. You can wear a skirt, but pants and a jogging jacket are ideal. Flat shoes should be worn that are easy to remove and to put on (no heels).

post-op instructions

When you get home

You can expect to have some pain in the chest areas. It is normal for the incisions to leak a reddish fluid (like cranberry juice) for 48 hours and this may stain your bed sheets.

To help you rest comfortably, follow these instructions:

  1. Take extra-strength Tylenol every 4 hours
  2. Take an anti-nausea medication such as Gravol 30 minutes before taking your prescribed pain medication
  3. Take your pain medication as prescribed
  4. Take your antibiotics as prescribed
  5. Wear your post operative garment

Contact us immediately if you experience any of the following

  • Pain that is not controlled by the pain medication
  • A fever of greater than 38.5
  • Redness that is rapidly spreading
  • Severe nausea or vomiting
  • Hallucinations or incoherent behavior
  • Pain or swelling of one calf
  • Difficulty breathing

The day after surgery

  • Your pain will start to dissipate after 48 hours
  • Avoid staying in bed all day
  • Avoid strenuous activities
  • You can shower after 48 hours, do not sit in a bath or pool

Healing and follow up

  • Your liposuction surgery will not be fully healed for 4-6 weeks
  • You need to wear your garment 24/7 for 1 month
  • Exercise is not recommended for 4 weeks after surgery
  • You should be resting for at least 1 week after surgery and gradually regain daily activities after
  • You will have follow up appointment in 1-2 weeks after surgery, then at 1 month and at 2 months.

Your results

The results are seen immediately! Upon standing up, you will already see the difference in the areas we treated. The result improves over time (1 month) as the swelling dissipates and skin tightening occurs. The results from liposuction continue to improve up to 1 year.

With this procedure, we are not only focused on thinning your treated areas but also on sculpting your shape.

Recovery from liposuction consists of two days of pain requiring medications, one week for the skin to heal and 4-6 weeks for the initial swelling to resolve. A compression garment is worn for 4-6 weeks to help contour the area.

View most frequently asked questions

Should I lose weight before or after liposuction?

Liposuction never replaces a healthy diet. It aims to sculpt your body in order for you to get more aesthetic proportions. Liposuction is done in patients with excess fat that is out of proportion to the rest of their body. Often these areas are resistant to diet and exercise.

How long do the results of liposuction last?

The results are for life, as long as the weight remains stable. The fat that is extracted can never grow back.

How much fat can I expect to lose?

This depends on each person. Typical liposuction varies between 1 L and 4 L of fat.

Is liposuction painful?

The pain is present for about 2 -7 days. Taking regular pain medication and wearing compression garments helps to decrease the discomfort.

What are the risks of liposuction?

Like any surgical procedure, there is the risk of anesthesia as well as the risk of infection and bleeding. All possible complications and how to avoid them will be discussed during your consultation.

How much does the procedure cost?

Liposuction submental

starting at $5,000

Liposuction 360 local anethesia with sedation

starting at $12,000

Arms Liposuction

$8,000 - $10,000

Full Thigh Liposuction

starting at $12,000

Medial Thigh Liposuction

starting at $8,000

Lateral Thigh Liposuction

starting at $8,000

Renuvion (add on) Liposuction

starting at $4,000

For a more beautiful and proportional you!

φ Phi is the Greek symbol that indicates the golden ratio, a ratio that is synonymous with beauty.

Dr. Perry Gdalevitch offers a unique approach that involves applying the principles of perfect proportions (phi) to help you achieve your aesthetic and reconstructive goals.

PHI Surgery, Dr Perry Gdalevitch
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