Hello, thanks for your question and provided information. Many times, they're not, besides that you can ask your surgeon always, some surgeons include many massages in their prices though, good luck!! Advantages: One treatment may be all you need to reshape problem areas Treat more areas—and larger areas—in one procedure May be performed with either local or general anesthesia More consistent and predictable result than noninvasive treatments Liposuction, sometimes referred to as "lipo" by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion. Different areas of treatment: Thighs Hips and buttocks Abdomen and waist Upper arms Back Inner knee Chest area Cheeks, chin and neck Calves and ankles Liposuction can be performed alone or along with other plastic surgery procedures, such as a facelift, breast reduction or a tummy tuck. What liposuction can do? Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite—the dimpled skin that typically appears on the thighs, hips and buttocks—or loose saggy skin.