Many of Dr. Markelov’s patients follow a strict diet and exercise regimen yet still struggle with localized pockets of stubborn fat. The Awake Liposuction is a liposculpture procedure that can help reshape the body using only local anesthesia for a more youthful physique and enhanced contour definition.

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What is Awake Liposuction?

General anesthesia and extended recuperation times need not be a part of your liposuction journey. Compared to conventional liposuction, Awake liposuction is a safer procedure; because you are breathing on your own and eliminating any risks associated with general anesthesia. For example, there is a lower risk of developing blood clots or a pulmonary embolism.

The true advantage of awake liposuction, however, is that the surgeon has more control over how much fat tissue can be removed safely. They can ask the patient to participate in the procedure by moving around and flexing certain muscles for a more precise fat removal process and better contours throughout the body.

Dr. Markelov recommends this option whenever possible and regularly performs Awake Liposuction to remove fat from the arms, knees, legs, and ankles. This sets him apart from most plastic surgeons, who largely avoid performing liposuction in these areas.

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Awake and Painless Fat Removal: Too Good to be True?

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Awake Liposuction Secrets: No Pain - No Gain?

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What are the benefits of awake liposuction?

While some patients think that awake liposuction is a cheaper procedure, it is not. It is simply a better procedure, due to the following:

  • No general anesthesia needed
  • A safer procedure 
  • Patients stay in full control throughout the procedure (no surprises later on)
  • Smaller cannulas are used than with traditional procedures
  • Smaller incisions (approximately 2 millimeters in length) and little scarring
  • A virtually painless procedure
  • A lighter and shorter recovery period 
  • Little-to-no downtime
  • Patients can return to work after a few days
  • Patients can expect to walk immediately after
  • No sutures or scalpels are involved

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Why do patients pursue Awake Liposuction? When diet and exercise don’t work

Genetics and aging are common reasons why some of us have fatty tissue that won’t go away, regardless of how much we diet and exercise. Awake Liposuction is a clear solution that adds natural-looking definition to the target areas and removes stubborn fat, leading to dramatic and smooth results. A video consultation with Dr. Markelov is the best way to determine what parts of your body can benefit from this procedure. Awake Liposuction can be performed on the following regions:

  • Stubborn pockets of fat in the chin and neck areas
  • Front bra roll and back bra roll
  • Excess fat around the legs and lipedema 
  • Knees and ankles (cankle)
  • Sagging in the upper arms
  • Excess fat in the front (anterior), inner and outer thighs, banana roll
  •  Upper and lower stomach
  • Waist (muffin top) and hips (love handles)
  • Pubic area and lower back (tailbone)

Dr. Markelov carefully investigates the patient for any anatomical peculiarities and assesses where to sculpt the contours for a refined, beautiful look. He also ensures that scarring is as discreet as possible. In addition to sculpting the area carefully, Dr. Markelov uses specific techniques to improve skin retraction and avoid loose skin after the procedure. He highly prefers awake liposuction over traditional, as it simply elicits better results that leave patients happy with the way they look. 

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What can I expect from the procedure?

Before your procedure, Dr. Markelov will make sure you are comfortable and relaxed. Next, the selected area of your body is numbed using a tumescent fluid that also reduces blood flow to the area. This translates to minimal bleeding and significantly reduced swelling or bruising after the procedure.

The tumescent fluid also swells the fat in the targeted area, making it easy to break apart and remove. Dr. Markelov then makes small pokes using a biopsy punch and gently and carefully dislodges the fat. The procedure takes between 1-4 hours, depending on the extent of fat removal you desire.  

Awake Liposuction 360 With Hip Dip Correction

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Recovery Clear results right away

After liposuction, a compression garment is worn to help reduce swelling and maintain shape. Compared to conventional liposuction, awake liposuction quires less downtime and no drains. Most patients can return to work within 24-48 hours.

Though changes are immediately evident, patients can expect to see the final result after 4-8 weeks, once all swelling has gone down and the skin around the targeted area has adjusted. The results are elegant and slimming. For long-lasting outcomes, a healthy diet and exercise regimen are recommended.

Dr. Markelov has performed thousands of awake liposuction procedures, leaving each and every one of his patients happy and feeling their best. 

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Determining your candidacy If you’re in good health, Awake Liposuction fat removal could be right for you

Dr. Markelov carefully considers each patient's goals and medical history to determine if Awake Liposuction is appropriate for them. In general, the following criteria indicate a good candidate for fat removal in Tampa. Patients should be: 

  • In good overall health
  • Dealing with smaller fat deposits 
  • Within 30 lbs. of their goal weight


Awake Liposuction is a low-risk procedure with a quick recovery time, and results are visible right away. Often the skin of the targeted area tightens on its own, though in certain cases, a skin tightening procedure is recommended. Additional benefits include:

  • Results are visible right away
  • No general anesthesia is required
  • No drains
  • Excellent option for fat transfers to breasts or hips/buttocks
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Why choose Dr. Markelov? A leading authority in the field of fat removal

Dr. Markelov is an award-winning, double board-certified plastic surgeon in Tampa who specializes in liposuction in Tampa. He meticulously examines each patient and recommends personalized, specific solutions. One of the highlights of his work is seeing the changes that this minimally invasive procedure yields.

Dr. Markelov’s clinic AM Plastic Surgery is a state-of-the-art facility run by a warm and knowledgeable staff. Dr. Markelov understands that plastic surgery requires in-depth consideration, so he takes the time to listen to all concerns and answer every question. We offer convenient virtual consultations. To schedule a consultation, contact AM Plastic Surgery in Tampa today.


Meet Dr. Alexey Markelov of AM Plastic Surgery


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