Awake Liposuction Charlotte

“Awake Liposuction” is a safe, but minimally invasive approach to permanently getting rid of stubborn fat without having to go to sleep (general anesthesia).

Awake Liposuction

“Awake Liposuction” is a safe, but minimally invasive approach to permanently getting rid of
stubborn fat without having to go to sleep (general anesthesia). Arms, male chest, tummy,
love handles, inner thighs, muffin top, neck are really good areas to treat with awake liposuction.

Awake Liposuction is not a gimmick or promotion. Dr. Ditesheim has been using the technique of Awake Liposuction with Aquashape for 12 years in over 500 patients. Awake liposuction is not Sedation Liposuction: Different from IV sedation, oral drugs or laughing gas, there are no drugs. And because no drugs are given you can drive yourself to the procedure and back home.

What is the secret? How can I have Liposuction without drugs?

These particular fat areas: arms, male chest, tummy, love handles, inner thighs, muffin top and neck have a concentrated pocket of fat cells that are able to be made numb very quickly, similar to the dentist. Using Aquashape, a water-jet assisted liposuction technique, a pulsed water jet literally sprays local anesthesia into the fatty tissue area throughout the procedure. Traditional liposuction also called tumescent liposuction infuses a large volume of fluid before the procedure. Aquashape injects about 10-15% of the usual volume first and then continuously infuses the area while the fat is being removed. Literally, the fat is “washed out of the body and the numbing medicine is flowing the entire time. This assures that the nerves are “kept asleep” so you don’t feel pain. Continuous tumescent infusion also assures that there is minimal if any blood loss.

Who is a good candidate for Awake Liposuction?

To be a good candidate for Awake liposuction, you need to be comfortable having a surgical procedure awake. You will also want to treat one area ( bilaterally). This will remove between two to five pounds of fat.

Who is not a good candidate for Awake Liposuction?

Anyone too anxious to be awake for a surgical procedure. Anyone with health risks, unstable medical problems or taking anticoagulation drugs. Any patient who wants to treat multiple areas at one time. Patients with “tough fat”, previously treated with liposuction or scarring or who require a larger volume of fat removed are best to have general anesthesia.

Is Awake Liposuction the same as Lipo 360?

Lipo 360 or circumferential liposuction is a liposuction procedure that treats multiple areas of the body at one time. For example, the tummy, flanks, back, bra, hips and buttocks may all be treated at one surgical session. Total fat removed may be up to 10 lbs. Awake Liposuction treats only one area at a time, with limited fat removal.

Is Awake Liposuction the same as Cool Sculpting?

No. Cool Sculpting is a technique that freezes fat cells with a “cold clamp”. It is not designed to shape or sculpt the body area, only kill a percentage of fat cells. Multiple clamps and multiple sessions are usually required. Freezing an area with clamps applied to a roll of fat will cause up to 25% of the fat cells in the coldest part of the clamp to die over the next 3-6 months. So freezing fat, popularized by the minimal recovery, gives unpredictable results and can be expensive when all the clamps and sessions are added up. Plus the fat may come back ( something called paroxysmal adipose hyperplasia). Awake liposuction specifically treats an area to achieve better shape and definition. The fat is removed from the body permanently. It is a plastic surgical procedure. Results are predictable, only one session is needed and results are usually immediate. Yes there is recovery, but depending on the area 1-7 days recovery is the norm.

Is Awake Liposuction the same as Tumescent Liposuction?

No. Tumescent Liposuction or “wet liposuction” is the infiltration of local anesthetic into an area of fat cells to distend the tissues, prior to fat extraction with the liposuction cannula. This is the technique used by all liposuction surgeons. Awake Liposuction using Aquashape is different. There is no distention of the tissues with high volume fluid infiltration. There is no waiting time for local anesthesia to take effect. Aquashape technology continuously infuses local anesthesia during the entire procedure. This difference between Tumescent liposuction and Aquashape, is what is important in Awake Liposuction.

The Benefits of Awake Liposuction
  • AquaShapeTM is gentle on the body, there is less bleeding or bruising, no trauma to nerves.
  • Shorter recovery time compared to traditional liposuction.
  • Patients can return to work the next day or within three days.
  • No sequellae from general anesthesia ( nausea, vomiting)
  • Immediate results with less swelling and bruising.


What Areas Can Be Treated with Awake Liposuction?

Awake liposuction can be used to treat concentrated pockets of fat that are able to “numb”

Typical areas treated with awake liposuction include:

● lower abdomen ( stomach)
● Waist and Muffin Top
● Arms
● Neck
● Inner Thighs, Knees
● Male Chest

It’s important to remember liposuction (awake or not) is not intended as a weight loss solution. Dr. Ditesheim uses tumescent techniques to remove stubborn pockets of fat with minimal invasiveness.

Awake Lipo at Ditesheim Cosmetic Surgery

Our one-day Charlotte liposuction procedure removes troublesome fat with less discomfort and downtime. Awake Liposuction is not for everyone. It is not a gimmic or marketing ploy. It is an adaptation of the tried and true liposuction techniques Dr. Ditesheim has perfected in over 5000 patient procedures over 28 years. Awake liposuction offers the right person, the opportunity to have a minimally invasive body shaping procedure without the requirement of general anesthesia.

Do you want to recycle your fat? It may be possible to reuse the fat removed for augmentation of the face, breast or buttocks. Usually for breast and buttocks (BBL) a greater amount of fat is needed.

Awake Liposuction FAQs

Does awake liposuction hurt?

You may feel some discomfort at the start of the local anesthesia infusion. Most patients are
able to relax or fall asleep while the procedure is being done.

How does AquaShapeTM work?

Aquashape is a water-jet assisted liposuction technique Dr. Ditesheim has used since 2006 in over 1000 patient procedures. The pulsing water-jet serves to numb the area continuously throughout the procedure as fat is being extracted from the body. The jet solution contains lidocaine ( local anesthesia), epinephrine ( adrenalin for shrinking blood vessels) and salt water.

Am I a good candidate for awake liposuction?

If you’re in good overall health and have localized areas of excess fat that are resistant to diet and exercise, you may be a good candidate.

How does non-surgical fat loss compare to liposuction?

Non-surgical approaches, like mesotherapy chemical injections (Kybella) or fat-freezing (Cool Sculpting) only target very small amounts of fat and require multiple sessions. The goal is only a small reduction in number of fat cells. ( see above question: Is Awake Liposuction the same as Cool Sculpting?)

Will I be in pain after having awake liposuction?

After awake liposuction, there can be some discomfort when the local anesthesia wears off, usually 8 hours after the procedure. Pain is usually easily managed with non-narcotic medication.

Awake Liposuction in Charlotte, North Carolina

Are you considering liposuction to eliminate pesky, unwanted fat and help achieve your body
goals? Visit us today at Ditesheim Cosmetic Surgery to learn more about AquaShapeTM or other specialized liposuction techniques in Charlotte.

Awake Liposuction Before After
Awake liposuction: Athletic young male had awake liposuction for gynecomastia treatment male chest ( 1 yr after)
Awake Lipo Charlotte: Male treatment of love handles with (Aquashape) Awake Liposuction
Lipo360 (awake)
Liposuction of the abdomen in two stages, skin contracted to give a flatter tummy. Both procedures were done with the patient awake with local anesthesia.
This athletic 46yr woman had a tummy "pooch" which was removed with Aquashape liposuction awake.

Incredibly professional, kind and caring!

Dr. Ditesheim and his staff are incredibly professional, kind and caring. My experience with Renuvion has been so positive and has definitely enhanced my self esteem. I highly recommend Dr. Ditesheim and his team if you are considering improving your well being!

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State-of-the-art, on-site surgical suite located in Charlotte, North Carolina

Our suite is certified with the highest level of accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).

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Jeffrey A. Ditesheim, MD, FACS


Charlotte, NC plastic surgeon Dr. Jeffrey A. Ditesheim is a highly accomplished, board-certified plastic surgeon with a reputation for excellence. In choosing a plastic surgeon, you want to be completely confident that your procedure will be performed with advanced surgical skills and true artistry. Dr. Ditesheim has an impeccable reputation in Charlotte, North Carolina and beyond, drawing discerning patients to his exclusive clinic in Ballantyne.

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“I was recommended by my primary care doctor when looking to get top surgery. I am very glad I went with Dr. Ditesheim. Throughout the process, he and his staff were very attentive and made me feel safe and heard. It has been a year now since my surgery and my confidence and comfort in my own body is the best it has ever been! - J. Rice (Google Reviews) Read More Reviews

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