710 Park Avenue, New York, NY

The Art of Liposuction & Body Contouring

Liposuction is, at the most fundamental level, the removal of excess and unwanted fat through tiny access sites by means of suction techniques. The art of liposuction expands on this basic principle, by aesthetically slimming, smoothing, shaping and sculpting to achieve beautiful and natural contours. Skillful administration of such techniques can bring about excellent results in areas that are otherwise unresponsive to training or diet.

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / New York City
View Before & After Gallery

View Dr. Kolker's liposuction gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Liposuction NYC
    Best Liposuction NYC
  • Best Liposuction New York City
    Liposuction New York City
  • Liposuction Surgeon NYC
    Liposuction Surgeon New York City

While liposuction is one of the most common cosmetic surgery procedures, achieving beautiful results with liposuction is a most uncommon skill. Dr. Kolker brings finesse, artistry, and vast experience in the art and science of liposuction techniques and body contouring to attain the most beautiful results in his New York office.

Liposuction with Dr. Adam Kolker

The number of different types of liposuction available today can be a confusing distraction from the two most important parts of the liposuction process: safety and artistry. Understanding your desires and goals, appreciation of the balance between your unique distribution of fat excess and your skin elasticity, and your plastic surgeon's experience and skill are the prime determinants of the beautiful results you can achieve.

Regions that can be treated are almost limitless, provided the regional skin elasticity is sufficient. Liposuction can be used to reduce and refine the thighs, hips, knees, abdomen, flanks, lower back, chest, breast, arms, and neck, individually, or in varying combinations.

Liposuction should not be viewed as a quick fix for individuals who are significantly overweight. To attain beautiful results, the best liposuction approach is a "team effort" between you and your plastic surgeon. The best liposuction candidate is at or close to ideal body weight, maximizing diet modifications and exercise before surgery is ever performed. This will set the stage for the highest levels of safety as well as the most balanced and attractive contours. Dr. Kolker uses body mass index, or BMI, as a guideline for maximizing safety and aesthetics using liposuction. The ideal candidate for liposuction has a BMI between 20 and 25 kg / m2. Individuals with a BMI slightly above 25 that have reached a weight loss plateau after diet and exercise may be considered, and those with a BMI above 27.5 are not candidates for liposuction.

As every individual's physique and desires are different, so too is every plastic surgeon different. The plastic surgeon you choose to perform your liposuction is of paramount importance. What makes care by Dr. Kolker and his team different is comprehensive:

  • Vast experience, technical skill, and finesse,
  • Superior standards for certification, accreditation, and safety,
  • An artistic perspective and appreciation of natural, beautiful, and proportional body aesthetics,
  • A passion for achieving the most gorgeous results that can be stunning yet understated, and
  • A relationship between you, Dr. Kolker, and his staff that is extremely calming, warm, intimate, and comfortable.

From your initial consultation for liposuction in New York, during the planning phase, and throughout the perioperative period and recovery, you will experience Dr. Kolker's attentiveness, caring, and warmth, and that of our outstanding team with which we welcome and care for you. During your initial visit, Dr. Kolker spends time listening to and understanding your desires, and will examine and evaluate your physical requirements. He will then thoroughly inform you about the best liposuction techniques, or alternative treatments, that will suit you most ideally.

Dr. Kolker's Message to Those Considering Liposuction

Liposuction is much more than the simple removal of fat; it is truly a sculptural, artistic process. The best liposuction results are born of the union of technical finesse, vast experience, and aesthetic perspective balanced with your anatomic requirements, soft tissue dynamics, and your unique desires. For the right candidate, the outcomes of liposuction can be dramatic yet subtle, and can be truly life changing.Dr. Adam Kolker

Planning Your Liposuction

The best liposuction outcomes are achieved when you are at or close to your ideal body weight. When areas of localized adiposity, or contained accumulations of fat, remain after a regimen of diet and exercise, liposuction is most appropriate. The best liposuction candidates will have:

  • Localized excess fat of the anterior abdomen and flanks
  • Good skin elasticity in the region of fat excess
  • Worked at diet, cardio and strength training
  • A body weight within 10% of ideal, or BMI below 25

Liposuction can remove small, moderate and large amounts of fat depending upon the individual's desires and physical attributes. Liposuction does not, however, remove excess skin, and can have a variable effect on cellulite. The individual's inherent skin elasticity plays a significant role in the degree of change that can be achieved with liposuction.

Liposuction has gone through a number of changes over the past decades, the most significant of which was the introduction of a solution to improve both safety and comfort of the procedure. Tumescent liposuction, or superwet liposuction, describe these suction-assisted lipectomy techniques. There has also been a boom in the adjunct modalities with liposuction that can be puzzling to many when considering liposuction, which include:

  • Tumescent Liposuction - liposuction using a large volume of solution for maximizing safety, comfort and cosmetic results
  • Superwet Liposuction - a moderate volume of solution is used to achieve the best liposuction results
  • Suction Assisted Lipectomy (SAL) - classical liposuction, using tiny access sites with thin cannulas (tubes) to remove excess fat
  • Power Assisted Lipectomy (PAL) - adds an oscillating tip to help break up dense, fibrous attachments within the fat
  • Ultrasound Assisted Lipectomy (UAL) - adds an ultrasound emitting tip to the procedure, assisting in the emulsification of fat
  • SmartLipo™ - known as laser lipolysis, purported to "tighten skin" in addition to removing fat with liposuction
  • Lipoabdominoplasty - abdominal liposuction in conjunction with a tummy tuck, performed when significant skin excess or inelasticity is present in addition to fat excess

With so many liposuction options, how do you make the decision? A personal consultation with a board-certified plastic surgeon, who is experienced in liposuction techniques, well versed in the objective pros and cons of each procedure, and who will come to understand the nuances of your unique desires and physical requirements, will be able to advise you on the best liposuction options.

Liposuction vs. nonsurgical treatments: Is there any role for external noninvasive fat reduction? While Zeltiq (Coolsculpting), Zerona (external laser), Liposonix (high intensity focused ultrasound), Exilis (dermal and fat heating), and others may be heavily marketed and purported to reduce fat and tighten skin, the data is inconclusive and results are inconsistent. When results are indeed achieved with nonsurgical fat reduction modalities, often after multiple treatments, they may variably reduce fat volume by ounces, whereas liposuction can reliably remove precisely as much as is required, and thereby achieve much more spectacular results with efficiency, consistency, and safety.

Before & After Gallery

View Before & After Gallery

View Dr. Kolker's liposuction gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Liposuction Before and After Photos
    Liposuction Before and After Photos
  • Liposuction Before and After Photos
    Liposuction Before and After Photos
  • Liposuction Before and After Photos
    Liposuction Before and After Photos

Hear From Dr. Kolker's Patients

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / NY

Preparing for Liposuction Surgery

In preparation for your New York City liposuction, the most important factor is reaching a sustainable weight-loss and fitness plateau. As the best liposuction results are achieved when there is only localized adiposity, or isolated fat deposits, it is important that you make every effort to optimize health and fitness with diet and exercise before your surgery. This will maximize the safety, aesthetics, and longevity of your results.

During a visit approximately two weeks before your surgery at Dr. Kolker's office in NYC, liposuction perioperative instructions will be reviewed, prescriptions will be given, and routine lab work will be arranged.

The Liposuction Procedure

Immediately before the liposuction procedure, Dr. Kolker will make "topographic markings" on all of the areas that will be treated. In Dr. Kolker's fully accredited surgical facility located on Park Avenue in New York City, liposuction is performed under sedation (twilight anesthesia) or general anesthesia, depending on the number of liposuction zones to be treated and the extent of fat reduction. For very small areas of excess fat, local anesthesia only will be considered on a case-by-case basis. Dr. Kolker's surgery suite is accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgery Facilities), conforming to and exceeding the rigorous requirements for ambulatory surgery safety. The anesthesiologists are board-certified specialists from the Department of Anesthesia at the Mount Sinai Medical Center. The procedure duration varies depending on your unique requirements, and may range from 30 minutes to 2 hours.

The liposuction procedure is performed using tiny access sites. In most cases, an IV needle is used to provide access. A series of liposuction cannulas (thin, hollow tubes with small openings at the tip) are passed sequentially through these access sites, removing excess fat preferentially from the deeper fatty planes. NYC liposuction surgeon Dr. Adam Kolker favors using the thinnest liposuction cannulas, which require smaller access sites and remove fat more evenly. Every region is treated as an "aesthetic unit"; for example, when knees, inner thighs, and outer thighs are treated with liposuction for localized adiposity, the entire thigh "unit" is treated to achieve the most balanced and natural results.

Recovery

Liposuction is an ambulatory procedure. After surgery, you will rest in our recovery room, attended to by a registered nurse, until you are awake and comfortable, generally for about one hour after surgery. A liposuction compressive garment is worn home.

Return to work may be as early as two days after liposuction, however more extensive lipoplasty may require up to one week. The liposuction compression garment is worn religiously for 2 weeks, with more respites during weeks 3 and 4. The garment is worn only for exercise during weeks 5 and 6. In many cases, Spanx can be used in place of a surgical garment. Swelling predominates for the first two weeks, then begins to resolve quickly; at 6 weeks, swelling decreases even more rapidly, with an approximate result achieved around 12 weeks after your NYC liposuction.

Exercise after Liposuction

After most liposuction procedures, light cardio (treadmill, elliptical, outdoor walking) can be resumed around 5 days, more vigorous workouts can resume around two weeks, and exercise and training are generally unrestricted at 4-6 weeks.

Aftercare

Dr. Kolker will see you several times during your early recovery, and then at one year after your liposuction. Dr. Kolker and his staff will always be available to answer any questions you may have about recovery and all activities following the procedure.

How do I determine the best liposuction technique for me?

This website, and other online resources, can provide a great deal of basic information about liposuction and the myriad techniques associated with it, but it can be at the same time confusing. To determine the best liposuction candidates and the appropriate techniques, there is no substitute for a personal consultation and examination with a board-certified plastic surgeon who is well-versed and experienced in the varied liposuction techniques. Understanding your unique physical requirements and your particular goals, Dr. Kolker will devise a treatment plan, and will advise you regarding the best liposuction approach. Liposuction is much more than simply removing excess fat. As no two patients are the same, no two surgeons are the same, and the plastic surgeon you choose absolutely makes a difference. To achieve the safest and the most beautiful results, liposuction requires experience, finesse, artistry, personalization and maintenance of the highest standards of accreditation and certification. We invite you to schedule a consultation with Dr. Adam Kolker, who has earned a reputation among his patients for providing some of the best liposuction NYC has to offer.

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