This page is dedicated to: Liposculpture, Laser Liposuction, Tumescent Liposuction, Ultrasonic Liposuction, Ultrasound Liposuction, SmartLipo, SlimLipo, Lipolite Laser Liposculpture, LipoLite and ProLipo PLUS


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When a patient has tried to exercise and diet away unwanted fat and it still remains, Cosmetic Surgery Affiliates in Oklahoma City recommend liposuction.

With this procedure, the stubborn fat is removed by plastic surgeons Dr. Erik Nuveen and Dr. Courtney Caplin with a cannula, or steel tube, with a suction device attached to it. The tube is inserted into very tiny incisions to minimize pain, scarring and the risk of infection.

The doctors can perform liposuction on various parts of the body like the abdomen, buttocks, thighs, arms and even the face and neck. It is recommended that patients be at or near their ideal weight for their best results.

Surgical Technique

Tumescent "Super-Wet"

Tumescent liposuction, known as the “Super-Wet” approach, is a suction-assisted (SAL) technique that uses a solution and power-aided motor to help remove stubborn fat. The surgeon injects the solution, made of saline, lidocaine and epinephrine (to control bleeding), into the problem areas. The surgeon then inserts the cannula attached to the motor to remove fat cells from the body at a controlled speed. The motor helps surgeons remove anywhere from several ounces to a few pounds of fat.

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Ultrasound-Assisted (UAL)

Another surgical technique commonly used is the ultrasound-assisted (UAL), or ultrasonic, approach. Surgeons perform this dual process on denser areas of fat, such as in the thighs and stomach. During this technique, ultrasound waves loosen and melt fat into a liquid. Surgeons then use the cannula to extract the solution. This surgical method is more popular among men wanting more defined and contoured muscles.

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Laser-Assisted (LAL)

Laser-assisted liposuction uses laser technology on specified areas of fat to burst energy that will loosen and liquefy the fat for removal. LAL liposuction includes brands such as SmartLipo, SlimLipo, Lipolite Laser Liposculpture, LipoLite, and ProLipo PLUS.

During/After Surgery

Liposuction is an outpatient procedure performed under general anesthesia at a hospital or surgery center. The procedure lasts about 30 minutes for each body part. It can be a stand-alone surgery, or combined with other procedures. However, the surgeon may suggest performing the surgery over a period of time for the safety of the patient.

Great experience! I had a abdominoplasty with flank lipo! And they were amazing from start to finish! Completely changed my life!


After surgery, patients are required to wear a compression garment to help the body adjust to its new shape. Bruising and swelling will subside within 1 week, but patients will not see final results for several months. Liposuction does leave a small scar, but it fades over time.

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    Had a phenomenal experience! The staff was kind and understanding. I was having a double incision mastectomy with free nipple graft (chest reconstruction & masculinization). I had a platysmaplasty and some liposuction on my flanks (love handles). The staff and Dr. Caplin made an uncomfortable situation bearable. They walked me through the process and made certain I understood everything. Dr. Caplin and Dr. Nesiba kept in touch with me throughout my healing process thru text messages and phone calls. I could not have asked for a better experience for my very first surgery.


    I had a tummy tuck & flank lipo & am currently 3 weeks post op. I'm thrilled with the results thus far & am looking forward to the final result. Dr. Nuveen is very talented, friendly, & knowledgable. I went to three different consultations & he was the one that my husband & I both agreed on hands down! All three doctors were concerned about an existing gall bladder scar on my abdomen & Dr. Nuveen told me the worst case scenerio & if it happened, how it could be fixed. During surgery he opted not to cut out my belly button to help the blood flow hindered by that old scar & my incision has healed with NO complications. I went in yesterday for my belly button & that also went very well. I was informed up front by the staff that all follow up visits will be with the nurse unless I request to see Dr. Nuveen. I have complete confidence in the nurses so I have no problems with that. I would recommend Dr. Nuveen to any of my friends and I intend to go back next year for augmentation.

    Susan S.

    Dr. Nuveen and the entire staff at Cosmetic Surgery Affliliates were very professional, patient, and understanding. They answered all my questions and addressed any concerns prior to my surgery. After my surgery the staff continued to call and check up on me. I truly believe they care a great deal for their patients well being. I couldn’t be happier with my results! It has changed my life. I am more confident in my appearance than ever before. I can’t thank them enough for all they have done! I highly recommend Cosmetic Surgery Affliliates to anyone wanting to improve themselves. They can help change your life.

    Mary Vetters


    Liposuction FAQs

    What is liposuction?

    Liposuction is the surgical removal of excess fat with a thin, straw-like instrument called a cannula that is attached to a liposuction machine. The cannula is inserted into the fat layer of the skin, where it is manipulated within the layers to remove unwanted fatty deposits. The result is a correction of bulging, fatty areas into more attractive contours.

    Is it safe?

    While today’s surgical techniques are safe, patients can experience poor results from inexperienced surgeons. It is important for patients to do their research, and find an experienced surgeon that can help them achieve the best, most natural-looking results.

    Permanent results?

    The results of liposuction can be seen for many years following surgery if the patient follows a healthy diet and exercise program. Removed fat cells do not come back, but patients can still gain weight if their remaining fat cells grow.

    Too much fat?

    Yes, there can be too much fat. The American Society of Plastic Surgeons does not recommend removing more than 10 pounds of fat for the safety of the patient. Removing more than 10 pounds is considered high-volume liposuction, which increases the chances of complications from the surgery. Patients are advised to be near or at their ideal weight before undergoing liposuction.

    Who is a good candidate?

    A good candidate is someone who has stubborn areas of fat that cannot be eliminated with diet or exercise. Liposuction is not a method of weight loss, but rather it is a way of correcting specific pockets of fat.

    Skin tightening?

    While liposuction removes fat and improves contour and shape, it does not address sagging or drooping skin. If skin laxity is a concern, patients can talk to the surgeon during the consultation to discuss their options for improving skin texture, such as a tummy tuck, thigh, neck, arm or butt lift.

    Who is not a good candidate?

    Someone who is proportionate but overweight is not a good liposuction candidate. In this case, Dr. Nuveen and Dr. Caplin recommend a regimen of diet and exercise to lose excess weight. If stubborn pockets of fat are presented upon losing weight, the patient may now be a candidate for liposuction.

    How long is the procedure?

    Most liposuction procedures are between 45 minutes and 2 ½ hours.

    How many areas can be done?

    Usually between three to four areas can safely be done with a single liposuction procedure.

    Can I resume sexual activity?

    You can resume your sexual activities as tolerated.

    When can I exercise?

    You will be up and moving the day of your surgery. Dr. Nuveen and Dr. Caplin recommend that every patient get up every couple of hours and walk around, because this promotes healing. Most patients return to their regular exercise routine between one to two weeks, although they may engage in mild exercise prior to that.

    When do I see the results?

    Final results usually take between 6-12 months, but most patients see the beginning of results within one month. Usually by 3 weeks much of the swelling is down and most patients are looking better than before the surgery and are able to wear a swimsuit and go on vacation. Prior to surgery, you and our doctors will thoroughly discuss expectations.

    Can't have a bowel movement?

    Pain medication can cause constipation. We suggest purchasing an over the counter stool softener to assist in regularity (Colace or Dulcolax). Take one with each meal until you are finished taking narcotic pain medications. If this is not productive in 24 hours, take one quarter of a bottle of Magnesium Citrate.

    Bruising after liposuction?

    Some bruising is normal following any surgical procedure. Once again, ice is strongly recommended to reduce bruising. If you have excessive or very dark bruising, you should contact our office or your physician if outside of normal business hours.


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