Amount of Fat Removed During Liposuction - Symmetry?

Is It Possible for the Surgeon to Remove the EXACT Same Amount of Fat Grams During Liposuction on both sides of body? Who is responsible for documenting this on records other than doctor?

Doctor Answers 7

Symmetry of fat removed during liposuction

During a liposuction procedure, the amount of fat removed is measured and recorded by both the surgeon and the circulating nurse. It is always noted what the fat removal similarities are between two different sides. Unless there was a significant difference in the shape of the two sides before surgery, an effort is made to extract similar amounts from both sides as possible.  

Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Measuring fat removal from both sides.

As no person is exactly the same on each side, it is not possible to remove exactly the same amount of fat from each side.  However by carefully  measuring the volumes that are removed,  a very close approximation can be achieved.  Far more important is the appearance of the 2 sides for symmetry after fat removal,  even if uneven amounts have been removed, which likely will give you the most satisfying result.  Measurement of the fat is done in concert between the surgeon and the circulating nurse. 

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 98 reviews

Measuring fat removal with liposuction

There are no tools that can measure the EXACT amount of fat but there are methods of measuring APPROXIMATE amounts using calibrated instruments or containers. Generally speaking the surgeon's assistant will record the amounts removed so that the surgeon can report this in the operative record.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

How can I make sure my Doctor takes and equal amount of lipo fat from each side?

Your surgeon should review your pictures and the operative plan with you immediately before surgery.   Most surgeons will draw on your body with surgical markers to mark the areas to be treated.

 We have a dual collection system on our equipment- one for each side.  If the preop op plan calls for slightly more fat to be removed from the left side, for example, then it is easy to keep track of that.  For tiny amounts such as the neck, then syringes are used for suction, since these are clearly marked.  It is relatively easy to be precise in this kind of work.

Claudio DeLorenzi MD FRCS

Claudio DeLorenzi, MD
Toronto Plastic Surgeon
4.2 out of 5 stars 8 reviews

Asymmetry involved in liposuction

No one is built exactly the same side-to-side. It is also not possible to extract fat to the exact cc initially thought to be a good endpoint as it is more of an aesthetic sense then a true scientific analysis. There may be more bony or muscle proliferation on one side pushing the fat up more making it appear to have more fat when in reality it could be less. In that case, liposuction done to remove the same ccs of fat on either side might have an undesirable asymmetric outcome.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Amount of Fat Removed During Liposuction - Symmetry

No not possible there are too many factors to achieve exact symmetry in fat remove on the opposite sides of the body. It is a more artistic issue than a measurement issue. Regards Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews


First, all patients have asymetry and not everyone needs sexactly the same amount removed from both sides. I take into account the volume I remove and the appearance of the region being treated to assess the final result or the need to remove more fat.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.