What is the Most Controlled Way to Remove a Very Small Amount of Fat?

I seek to remove approximately 200 ccs of fat - a roll of fat which lies directly and continues obliquely and over the iliac crest towards the back. I can be skinny everywhere else and still have thickness in this area. I am 5"6" and weigh 115. However, because I am so slim any mistake would certainly show up. Does anyone have any suggestions how this area should be addressed to reduce is so it curves in smoothly and blends in with the upper hip without creating superficial dents and waves?

Doctor Answers 13

Liposuction of Small Amount of Fat

   In general, smaller amounts of fat can be removed effectively, but you will need an exam to determine if this is feasible.  Find the board certified plastic surgeon with ELITE credentials who performs hundreds of liposuction procedures each year.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Removal of small amounts of fat

You sound like a good liposuction candidate, though in excessively skinny people, liposuction may produce contour irregularities.  I recommend seeing someone who is experienced in lipo, or alternatively looking into something like CoolSculpting which can reduce isolated fat bulges as the one you describe with less incidence of contour issues.

Adam David Lowenstein, MD, FACS
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 56 reviews

Liposuction hip roles in someone thin

Your best bet is liposuction. But any of the energy sources with liposuction technique can wrok accurately and effectively, i.e. Smart lipo. Personally, I use standard liposuction and have used it since 1982. We have evolved with tumescent liposuctioin, and smaller cannulas. With care and skill, you will get a smooth result. Just like any art work, the result is in the hands of the artisan and not the equipment. This should not be a problem for you. Good luck.

E. Ronald Finger, MD
Savannah Plastic Surgeon
4.8 out of 5 stars 78 reviews

Liposuction requires some finesse by the surgeon, particularly for areas was modest fat.

Generally speaking liposuction is not a particularly difficult technical exercise. There are however nuances to the procedure is separate the good surgeon from the hack. With experience liposuction can be refined by technique employing cannulas of different caliber and different lengths.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews


Liposculpting or removal of the fat using very small cannulas and controlled suction techniques are best for this kind of excision

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews


I agree with above comments that using small cannulas allows for more accurate liposculpturing.  By using local anesthesia, you can change positions which further helps the plastic surgeon contour a small area.  Any gentle technique that the surgeon is comfortable with can be used.



Lawrence Enisman, MD, FACS
Albany Plastic Surgeon
5.0 out of 5 stars 4 reviews

Ways to remove a small amount of fat

Thanks for your question.  Without seeing a photo, it is difficult to make a specific recommendation.  However, the area that you describe is a very common area of concern for women.  Liposuction is always an option to reduce areas of fat and allows the surgeon the ability to contour the area.  Liposuction does carry the risk of contour irregularities but in the hands of a qualified plastic surgeon the risk is low.  Coolsculpting is another option to reduce small areas of fat by freezing the fat cells.  The procedure is non-surgical and has a very low complication rate.  I have not seen any patients develop contour irregularities with this procedure.  I hope this helps.  Best wishes!

William J. Vinyard, MD, FACS
Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews

Most Controlled Way to Remove a Very Small Amount of Fat?

Thanks for a very interesting question. In a situation like your I perform a dry liposuction using thin 2 mm cannulas that can show me on the operation table the result as compared to wet where the liquid injected distorts the area and you never know what shape will finally emerge. It however has a chance of bruising in the area of liposuction that will settle down in 7 to 10 days time. I hope it answers your question and surely it must be performed by those who are regular doing liposuctions.

Ashok Govila, FRCS, MCh, MS
Dubai Plastic Surgeon
4.7 out of 5 stars 88 reviews

Small Cannulae and Slow technique to get great results

I agree with other replies: accurate results are not achieved with power tools (laser/hydro/power/ultrasonic/gizmo/etc.). 

Michael Kreidstein, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 32 reviews


I think that a surgeon who is good at liposuction can do this elegantly to produce the desired results that you want.

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.