Liposuction Washington DC

Results usually can be dramatic and reduce dress sizes and the way you fit in your clothes.

Typical areas are abdomen, love handles, hips, inner and outer thighs, upper or lower back, neck/chin, and upper arms. The abdomen typically has 3 main areas: Upper, lower and flanks (love handles) as pictured below:

Before & After Treatment

Even though up to 10 pounds can be removed, best candidates are those people who are close to their ideal body weight, and have stubborn areas that are resistant to diet and exercise. BMI ( Body Mass Index below 33). If your BMI is too high we may suggest our medical supervised diet. If your area of concerned is deemed mostly loose skin we may suggest J -Plasma body contouring.

Most patients can return to work in 2 days. Because the laser heats the skin and tumescent anesthesia is utilized, there is less bruising than traditional liposuction. Swelling usually subsides within a week. No sutures are required as the skin heals by a natural process. You may feel sore, but most individuals use over the counter pain analgesics for recovery (Tylenol). You will be fitted with a compression garment to wear for the first 2 weeks, and will be asked to avoid strenuous activity for 1-2 weeks.

Depending which area(s) are treated, you will notice an improvement of the skin and contour of your body shape after the swelling subsides. In general, just a few weeks after the treatment there will be a noticeable change. Improvements will continue to get better with each passing week over the first 6 months.

First, if you can not find the physician's name on the website, this is your first mistake. We take pride in our work and do not hide from potential clients. You can search out our testimonials CLICK HERE. Dr Varano has served as a luminary physician for the Palomar Slimlipo Company, which involves teaching and training other physicians the safe and effective uses of laser liposuction. His years of experience and more than 3000 treatments, you will easily recognize. Large nationwide chains use the “doc of the week” approach who have very limited experience and hide behind fancy branded names for what is only laser or tumescent liposuction. If they only show stock photos of before and after pictures and no photos performed by the actual treating physician, that should raise a red flag warning. It’s the physicians experience, not the brand that is most imprortant.

Second, you should have your consultation & assessment done by the treating physician not a member of the sales staff. Remember sales staffs are paid "to sell". Here you will meet with Dr Varano, and you and he can decide if this is the best treatment option for you. We offer non-invasive alternatives and meeting expectations and goals is of vast importance.

Last, pictures are worth a thousands words. See our before and afters below. During your consultation, we can show you additional before and after pictures of patients similar to your body type and age.

We realize the many brands and types of body contouring can confuse patients which is best. 
Some differences are listed below
Tumescent anesthesia- performed while awake, much quicker recovery and safer than general anesthesia
General anesthesia- done in an operating room, higher risk for complications, longer recovery and more costly. Generally used for what is referred to as traditional liposuction
SAL (Suction assisted liposuction)- fat is removed with vacuum suction cannula only
PAL-(Power assisted liposuction)- fat is removed by suction and the addition a machine that helps the motion of the suction cannula (helpful if you have had previous liposuction or previous surgery to the area)
LAL-(Laser assisted liposuction)-brands as Smartlipo and Slimlipo use laser energy to help minimally tighten skin
UAL-(Ultrasound assisted liposuction)-brands like Vaser use ultrasound energy to heat up fat and remove it 
Renuvion or J Plasma- energy used in addition to any of the types above for subdermal coagulation (under skin heating) to tighten skin better than all previous modalities.

In addition, some companies will try and "brand" their technique is better. Companies like Sonobello and Airsculpt perform the same basic liposuction procedure of removing subcutaneous fat as all other medical practices, with the perception they are unique. In reality, it comes down to basic removal of subcutaneous fat, physician experience and if additional heating is utilized to help tighten skin if necessary. Airsculpt enters the skin though 2 mm audits (puncture sites) and then performs the same liposuction with tumescent anesthesia. The puncture sites is the only difference, which our practice can easily perform the same entry if requested. Overall it does not change the basic fat removal procedure. Companies like Sonobello and Airscupt have a rotating doors of multiple doctors, and generally none that have been performed over 3000 cases like Dr Varano.
Many non invasive procedures will use energy, laser, freezing techniques etc to help reduce fat (names such as , sculpsure, emsculpt ,coolsculpting,"laser lipo" or “ lipo-laser”-this really confuses patients, cavitation lipo, zerona etc.) Many of these treatments will only get out a small fraction of the fat that a surgical liposuction procedure can perform in addition do not have the skin tightening effects. We offer free consults as we know patients can get an individual assessment and discuss pros and cons of all options.

Coolsculpting is able to freeze/remove 40 cc of fat per cycle/applicator (which is the size of a large iphone & covers that much tissue).   When treating an upper and lower abdomen and lovehandles , the typical treatment patterns consists of 8 applicators . Math would tell us 8 x 40cc = 320cc of fat removal (Other non invasive treatments such as Sculpsure, liposonix, Emsculpt Neo etc remove even less per area.) An average liposuction case in our office for treating the same areas we typically get 1500-2000cc of fat in a single one hour session. Of course this depends on each client and other variables, but on average individual who is 180 lbs 5'7  we remove 1500cc-2000 cc is average. In other words if you were to try to get the same amount of fat removed by coolsculpting as done with liposuction, it would require approximately 40-50 cycles ( 8 applicators per session x 5+ sessions which is not ideal on your time, body or pocketbook)