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Aesthetic concern

Localized fat.

Some pockets of fat simply resist diet and exercise. When your weight is stable but a stubborn area will not budge, contouring can refine the shape that effort alone cannot.

Illustrative portrait; not a patient photograph

Contouring

Not weight loss

3D imaging

At every consultation

AAAASF

Accredited surgical suite

Dr. Kirwan

Board-certified surgeon

Overview

Shape, not weight.

Liposuction removes localized pockets of fat that stay put despite a healthy lifestyle, refining the abdomen, flanks, thighs, arms, and other areas. It is a contouring procedure, not a weight-loss method, and works best on a stable, healthy body.

Dr. Kirwan often combines liposuction with skin-tightening or muscle-building treatments for a balanced, all-angles result, and can pair it with radiofrequency when mild skin laxity is present.

Contributing factors

Why it stays.

Genetics

Where you store fat is largely inherited, so certain areas resist even disciplined effort.

Stable but stubborn

Fat cells in specific zones shrink less with weight loss, leaving a disproportionate bulge.

Contour, not size

The issue is the shape of a localized area rather than overall body weight.

Distribution shifts

Hormonal and age-related changes move fat to the flanks, thighs, or upper arms over time.

What you might notice

Where it shows.

Midsection

  • Flanks or “love handles”
  • Lower-belly pooch
  • Fullness at the bra line

Thighs

  • Inner-thigh fullness
  • Outer-thigh “saddlebags”
  • Rubbing between the legs

Arms

  • Fullness in the upper arm
  • Heaviness in fitted sleeves
  • Disproportion to the forearm

Neck

  • Fullness under the chin
  • Blurred jawline
  • Persists despite weight loss

Treatment options

Refining the contour.

  • Liposuction

    Removes and sculpts diet- and exercise-resistant fat to refine the contour of a targeted area.

    Procedure detail
  • BodyTite

    Combines fat removal with radiofrequency skin tightening for areas with mild laxity.

    Procedure detail
  • Emsculpt Neo

    A non-surgical option that builds muscle and reduces fat with no downtime for the right candidate.

    Procedure detail
  • BodyFx

    Non-invasive fat reduction and tightening for patients who prefer to avoid surgery.

    Procedure detail

Medical content on this page is illustrative and is reviewed with Dr. Kirwan before any treatment is recommended. Images do not represent patient results.

Questions

Common questions.

Will liposuction help me lose weight?

No. It contours localized, resistant areas once your weight is reasonably stable. It is not a treatment for obesity or visceral fat around the organs.

Will the fat come back?

The removed fat cells are gone, but remaining cells can enlarge if you gain significant weight. A stable weight keeps the result.

Surgical or non-surgical?

Liposuction gives the most definitive, single-session change. Device-based options suit smaller areas or patients who prefer no downtime, with more gradual results.

What about loose skin?

If skin quality is good it retracts well. Where there is laxity, adding radiofrequency tightening improves the final contour.

Next step

Refine what effort cannot.

A consultation identifies whether surgical or non-surgical contouring — or a combination — best suits the area and your skin.

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