Liposuction, the number one cosmetic surgery performed globally, is a procedure removing unwanted lumps, bulges, and areas of resistant fat deposits from specific areas of the body. Patients should be in good health, emotionally stable, and realistic in their expectations. Age is not a consideration, but older patients usually have diminished skin elasticity, thus will probably not achieve the same results as a younger person with tighter skin. While no method of liposuction is a substitute for proper nutrition and physical exercise, nor is it an alternative for general weight reduction, it is, however, ideal for permanently removing localized areas of fat that are diet and exercise-resistant. The most common areas for treatment include upper thighs (saddlebags), abdomen, flanks (Love handles), and upper arms. Other areas include facial fat accumulations, including a double chin, neck and jowls, breast, hips, buttocks, and knees. I can do cheeks, calves, and ankles, but results are less impressive in these areas. In men, liposuction can be used to correct gynecomastia (enlarged breasts) and, more recently as scarless breast reduction in females. In addition, liposuction is used to remove sweat glands in the underarm to reduce excessive sweating without affecting the body’s ability to cool itself. The application of external ultrasound before liposuction is a technique that applies the transcutaneous application of high-frequency ultrasonic fields delivered into the wetted fatty tissue to melt fat cells and make it easy for extraction. All types of energy (mechanical, ultrasound, laser, and radiofrequency have been combined with liposuction to reduce surgeon effort and improve the result. The “power” in power-assisted/power-tumescent liposuction (mechanical energy) refers to the use of a cannula with a back-and-forth motion of the tip passes through tissue to suction out fat in fibrous (male breast) or the back with reduced effort. Power-assisted liposuction helps skin tightening during the recovery period.