Thank you for contacting realself.com and offering up a question. BodyTite bipolar radiofrequency assisted lipolysis (RFAL) using the larger RF applicator by InMode/Invasix is most commonly performed in addition to some form and amount of liposuction. As one of the first 25 surgeons trained in both FaceTite, and BodyTite in the US, I have completed quite a number of cases thus far. BodyTite is a technique, at present, that only surgeons trained and certified in liposuction can perform. Training strongly suggests that the surgeon begin and progress through cases involving the tummy, thighs, face/neck, and then arms lastly. There is a "Goldilocks" amount, and location of fat removal for every person. If you have very little fat to remove, but need soft tissue tightening, then BodyTite alone may be offered to you. I have completed a few cases applying BodyTite alone. My patients were very toned Cross-Fit athletes that just wanted soft tissue tightening. There was really very little, if any, fat to treat. Actually, on one patient with a small tummy, I used a FaceTite applicator. As for the rest of us (mere mortals), you will achieve a much better result with liposuction and BodyTite together. Typically, liposuction, and BodyTite are listed and charged for separately. It may seem your surgeon is just trying to "pad the bill." Please, remember, prior to BodyTite, we had SmartLipo with mild skin and soft tissue tightening, but now I have BodyTite with about 30 to 40% tightening. You will get what you pay for. Thanks again, and good luck.