Liposuction

Dr. Mark Mandell-Brown performs tumescent liposuction to remove exercise-resistant subcutaneous fat deposits from targeted body zones including the abdomen, flanks, back, hips, inner and outer thighs, and arms. With 30+ years of surgical experience and triple board certification, the practice offers precise, safe fat removal with contouring tailored to each patient's body proportions. Liposuction is frequently combined with tummy tuck or body lift procedures for patients seeking comprehensive body contouring, and can also serve as a fat-harvest step for fat transfer procedures.

Liposuction at this Nashville practice is performed using tumescent technique, in which a solution of dilute local anaesthetic and epinephrine is infiltrated into the target fatty layer before aspiration. This approach provides haemostasis — significantly reducing intraoperative bleeding — and delivers local anaesthetic benefit to the operative field. Once the tumescent solution has been allowed to take effect, a small-bore cannula is introduced through discreet incisions and moved through the subcutaneous fat layer in a fan-shaped pattern, selectively aspirating adipose tissue while leaving the overlying dermis, skin surface, and underlying musculature undisturbed. Dr. Mark Mandell-Brown's surgical planning for liposuction focuses on creating proportionate contour improvement rather than maximising volume removed: the goal is a body shape that transitions smoothly between treated and untreated zones, respecting the patient's natural proportions and skeletal framework. Commonly treated areas include the lower and upper abdomen, the flanks (love handles), the bra roll and upper back, the hips, the inner and outer thighs, the knees, and the submental and neck region. Arm liposuction for the inner upper arm is available as a standalone procedure or in conjunction with brachioplasty (arm lift) where skin laxity is also a concern. Liposuction is frequently performed in the same operative session as tummy tuck surgery: liposuction addresses the flanks and back where skin excision is not planned, while abdominoplasty addresses the lower abdominal skin excess and rectus diastasis that liposuction alone cannot correct. In patients undergoing fat transfer procedures — including Brazilian butt lift or facial fat grafting — liposuction of appropriate donor areas provides the autologous fat graft material. Post-procedure compression garments are worn for several weeks following surgery to support tissue healing, reduce oedema, and optimise the final contour result.