Liposuction

Dr. Vladimir Grigoryants performs liposuction at his Glendale practice using a small metal cannula through 3–4mm incisions to remove exercise-resistant fat deposits from the face, neck, back, chest, abdomen, flanks, arms, thighs, and buttocks. Anesthesia is either local or general depending on the treatment area and volume. Results are permanent provided weight remains stable. Recovery includes return to work within 5–10 days and compression garment wear for 3–4 weeks. Liposuction is frequently combined with tummy tuck or Brazilian butt lift at the same surgical session.

Liposuction at VG Plastic Surgery in Glendale, California is performed by Dr. Vladimir Grigoryants using the tumescent technique — infusion of a dilute local anesthetic and epinephrine solution into the target fat compartment prior to aspiration — which significantly reduces intraoperative bleeding and provides post-operative analgesic benefit. Small-bore cannulas (3–4mm diameter) are passed through discrete incisions of similar size, placed in natural skin folds or areas of concealment where possible, and connected to a suction device that aspirates the liquefied fat in a controlled, criss-crossing fan pattern designed to produce smooth, even contour results. Treatable areas span virtually every region of the body: the submental area and neck, upper and lower cheeks (buccal fat not included), the upper and lower back, the chest and axilla, the upper and lower abdomen, the flanks and iliac crest region, the arms from axilla to elbow, the inner and outer thighs, and the buttock contour. The choice between local anesthesia with oral or IV sedation and general anesthesia is made based on the anticipated volume of fat removal, the number of treatment zones, and patient comfort preference. Large-volume liposuction (more than 4–5 litres of aspirate) is performed under general anesthesia with appropriate fluid management to ensure safety. Abdominal etching (high-definition liposculpture) is a specialised variant available at the practice: using precise 3mm cannulas under sedation or general anesthesia, fat is selectively removed from around the natural muscle planes — the linea alba, linea semilunaris, and tendinous intersections — to reveal the underlying abdominal musculature and create the visual impression of athletic definition. This is appropriate for patients with good baseline muscle tone and a thin-to-moderate overlying fat layer. The Brazilian butt lift (BBL) is the most common procedure combining liposuction with fat transfer at the Glendale clinic: harvested fat from the abdomen, flanks, back, upper arms, and thighs is processed, purified, and reinjected in layered passes into the subcutaneous tissue of the buttocks and hip dips, adding volume and reshaping the overall posterior silhouette. Transfer volumes of 390cc–700cc per buttock have been documented from the clinic's before-and-after gallery. Patients are advised to expect 20–40% natural fat resorption over the first 3 months, with the surviving fat permanent. Recovery from isolated liposuction typically involves 5–10 days before return to sedentary work, compression garment wear for 3–4 weeks, avoidance of strenuous exercise for 4–6 weeks, and gradual resolution of swelling over 3–6 months. Final results are visible once swelling fully subsides.