There are many different techniques for liposuction, and this can be confusing to patients who research liposuction online. One way of simplifying the concept of liposuction is that in all different versions of the procedure, the fat under the skin surface has to be reduced using small cannulas through small incisions. Typically, all plastic surgeons certified by the American Board of Plastic Surgery, the only organization that is recognized by the American Board of Medical Specialties for certifying plastic surgeons, will use some form of tumescent formula (i.e., a fluid mixture containing lidocaine, a numbing medication) and epinephrine (i.e., medicine that shrinks blood vessels temporarily). This is to make the liposuction comfortable for the patient and also to decrease bleeding and bruising.

The best candidates for LipoShaping have sufficient skin elasticity, so that their skin can “shrink” back to a smaller size or shape once the fat has been reduced. This is why certain parts of the body respond to LipoShaping better than others. For example, the outer thighs and flanks, or love handles, are typically tighter in skin elasticity. These areas tend to respond the best to LipoShaping because the skin overlying the area “shrink wraps” around the smaller area, once the fat is reduced. Other areas such as the inner thighs and abdomen respond well too, but if a patient has had pregnancies or major weight fluctuations, performing LipoShaping in these areas may result in loose skin. Individuals with poor skin elasticity may be better candidates for tummy tuck or another body lift surgical procedure involving the reduction of excess skin.

Laser liposuction, ultrasonic liposuction, cryo-freeze liposuction, Smart Lipo, liposuction, power-assisted liposuction and all other techniques used for liposuction involve a technology that helps break up the fat cells before they are reduced. Some of these techniques also claim to help shrink the overlying skin, so that the plastic surgeon does not have to excise the loose skin that may have remained in the treated area after liposuction with earlier-generation liposuction methods. This assertion has proved to be untrue and can lead to potential complications such as burns to the skin and internal scarring, which can lead to uneven skin texture. The bottom line is this: Studies have shown that each of these techniques do not make a difference in the results. The only factor that does make a difference is the qualification and experience of the surgeon. So, please… buyer, beware. You want your LipoShaping to be done by a qualified and experienced plastic surgeon. LipoShaping is an advanced body contouring procedure, and can be performed on its own, or in combination with other procedures such as abdominoplasty, mommy make-over, arm lift, male breast reduction, face lift and more.




To begin the LipoShaping procedure, Dr. Rosing marks the area(s) of fat excess as well as the best access incision site.  He then injects a small amount of local at the access site(s) where a very small incision (3 millimeters) is made. The incisions are placed in areas of the body that are easily concealed, either by clothing or by the body’s natural shape.  Tumescent solution comprised of saline solution (sterile saltwater), lidocaine (a local anesthetic) and epinephrine (a medication that temporarily shrinks blood vessels) into the treatment area before reducing the fat to minimize swelling, bleeding and bruising.  Dr. Rosing then inserts a cannula (a thin, hollow tube) through the incision and gently suctions out the unwanted fat.  The tumescent solution makes subcutaneous, or fatty area being treated, temporarily numb allowing for the liposhaping procedure to be performed with minimal discomfort.