Each day in my Maryland and Baltimore Maryland offices I see people in consultation for Liposuction. While Liposuction is one of the most popular procedures that I perform I find that often it is the most misunderstood. Liposuction is not only about the fat—it’s about the overlying skin. Liposuction can be used to remove fat from just about any area of the body but the key to a nice looking result is having good skin tone. When I evaluate my Clientele in Maryland and Baltimore Maryland for Liposuction, with their permission, I pinch them to assess the skin tone. If the skin tone is good (good elasticity) and I remove fat from under the skin, the skin will shrink up and that person will have a nice result. If the skin tone is loose, I can still remove fat, but the skin may wind up looser, wavier or more irregular. In order to be happy a patient with a skin tone that is loose will need a different set of expectations then a patient with good skin tone. The paradox of liposuction is the people who do the best are often the people who need it the least. Young people with good skin tone often get the best results from liposuction. This is not true with all procedures of cosmetic surgery. The best candidates for cosmetic liposuction have good skin tone and specific diet resistant areas. It is much easier and safer to satisfy a patient with a specific goal than someone who says “make me skinny”. I used to think the term “body contouring” was just an attempt to call liposuction something sexier. Twenty years later body contouring describes exactly what I do. I can’t make a heavy person skinny, but I can make them more streamlined. I can’t erase all fat but I can make it fit the body better. Liposuction can be performed alone or in combination with a procedure such as abdominoplasty. The treatment option depends on a patient’s goal, healthy, amount of fat, and location of area or areas that need treatment. If you live in the Maryland, D.C. or Baltimore Maryland area and have been considering liposuction and want to be as healthy as you can be; contact my office. I’d be happy to give you a pinch and a heartfelt opinion.