CoolSculpting or Liposuction | Which Is Right For You

CoolSculpting, cryolipolysis, is a non invasive technique to contour areas of the body. Liposuction is a procedure to permanently remove fat cells while accurately sculpting the body.

CoolSculpting or Liposuction

coolsculpting or laser liposuction

CoolSculpting vs Liposuction – The Procedure

CoolSculpting – The area to be treated is marked. Then a transparent gel pad is placed to protect the skin, and the applicator head is put into position. A vacuum is turned on. Once the bulge is sucked into a cup, two cooling panels numb the area. The fat cell freezing takes about an hour. After an hour, the area is massaged to break up fat cells.

Liposuction – The area to be treated is marked. An anesthetic solution is injected into the area fat. A small cannula, tube, is inserted into the fat and with the assistance of a vacuum  the fat is removed, precisely sculpting the area.

CoolSculpting vs Liposuction – The Results


  • a noninvasive technology
  • no or minimal down time
  • less dramatic results compared with liposuction. Only 20-25% of fat reduction
  • risks of pain or paradoxical increase in fat
  • treatable body part areas is limited by fit of application head
  • bulges must be pinchable to fit into cup


  • Surgical procedure
  • 1-2 day down time
  • More aggressive and complete fat reduction
  • Better contouring
  • More immediate results
  • The possibility of simultaneous surgical procedures

A recent study reviewed the effectiveness of cool sculpting of the saddlebag area. Forty women had one of their saddlebags treated and one untreated. According to the authors “at the conclusion of the study, 7 of the 40 subjects received optional equalization treatment to the control thigh. Thirty subjects declined equalization treatment.

If the treatment was so effective why would 75% of the patients not want to cool sculpt their other thigh for symmetry?

Liposuction Vs Tummy Tuck? How To Choose

Liposuction Vs Tummy Tuck

Reshaping of the tummy after having kids or weight loss is a popular procedure. But with so many options out there, it is difficult to decide which procedure is best. For liposuction vs tummy tuck, what does each procedure entail?  What is the cost of a tummy tuck; what is the price of liposuction? What is the recovery time for liposuction or days out of work for a tummy tuck?

First it’s important to know what a tummy tuck or liposuction can do and who it’s best for.

Liposuction vs Tummy Tuck – Evaluation Of The Abdomen

  • Abdominal Fat – liposuction vs tummy tuck- where's the fatSculpting the abdomen is a key element in both liposuction and
    tummy tuck. Both procedures only reshape the fat that is above the tummy muscles. Rule of Thumb- If you can pinch it, you can sculpt it.
  • Tummy Muscle – liposuction vs tummy tuck muscle bulgeThe abdominal muscles, the rectus abdomini muscles are the two central muscles of the tummy that, when toned, can give us a six pack. Between the muscles is a band of tissue that has no elasticity. After pregnancy or weight gain and weight loss, this band stretches. So despite doing thousands of crunches, the tummy bulge is not from muscles that are out of shape, just muscles in the wrong position. Repositioning the tummy muscles and tightening the laxity between them results in a flatter, tighter tummy. This is a key component of a tummy tuck.
  • Tummy Skin – With Liposuction, the tummy skin can shrink somewhat, but a tummy tuck removes excess skin, ensuring a firmer, flatter tummy.

Liposuction vs Tummy Tuck – The Procedure


I prefer Cold Laser Liposuction. External cold laser liquefies fat cells with no chance of burning the skin or other tissues. A small cannula is inserted into fat deposit. A low vacuum is used to sculpt the fat. The excess fat is permanently removed.

Tummy Tuck

The tummy tuck includes liposuction to sculpt and remove excess fat. In addition, the tummy muscles are tightened and excess skin is removed. This combination allows for a tight firm abdomen.

Liposuction vs Tummy Tuck – The Recovery


The recovery for liposuction is relatively quick. Most people undergoing liposuction are back to work and social activity is just a few days.

Tummy Tuck

The recovery for a tummy tuck is a bit longer. Most people can resume normal activities in about 1 week and return to strenuous activities in 2 to 3 weeks.

Liposuction vs Tummy Tuck – The Cost


What does liposuction cost? The cost of liposuction is about $3,000 according to the American Society of Plastic Surgeons. This is for the surgeon’s fee only and does not include other associated costs for liposuction such as anesthesia or the operating room. It’s important to know all the fees for plastic surgery procedures.

Tummy Tuck

What does a tummy tuck cost? The cost of a tummy tuck is about $5,500 according to the American Society of Plastic Surgeons. This is for the surgeon’s fee only and does not include other associated costs for a tummy tuck such as anesthesia or the operating room. It’s important to know all the fees for plastic surgery procedures.

Liposuction vs Tummy Tuck – The Results

Liposuction of the abdomen as well as tummy tucks can give great results. Make sure to discuss all of your options with your board certified plastic surgeon. That’s the best way to make sure you get the final result you envision.

Top 5 Cosmetic Surgery Procedures In 2014

The top 5 cosmetic surgery procedures from the The American Society of Plastic Surgery has recently been released for 2014. Over 1.6 million cosmetic surgery procedures and 13.9 million minimally invasive procedures were performed.

Top 5 Cosmetic Surgery Procedures

The total number of procedures remained about the same as in 2013.

Tummy Tuck (abdominoplasty) filled the number six position, closely behind facelifts. Interestingly, tummy tucks have increased 87% since 2000.

The top 5 non surgical procedures include

The data collected was from board certified plastic surgeons who participated in the study sharing their operative data with the American Society of Plastic Surgery.

Since 2000 the total number of cosmetic surgery procedures has decreased 12%. Liposuction has decreased 44%, while breast augmentation has increased 35%. I think the most likely explanation for the decrease in liposuction is that physicians other than plastic surgeons are performing the procedure.

Just remember when it comes to your cosmetic surgery procedure, make sure your physician is a board certified plastic surgeon, who can show you pre and postoperative photographs of patients that he or she has operated on.

Make sure the facility is accredited and that an anesthesiologist is present during the procedure to monitor you.

While cosmetic surgery is safe and performed millions of times a year, it is still a surgical procedure and needs to be approached with careful thought and planning.

Mommy Makeover Before and After | Virginia Beach

Transformations: Before and After a Mommy Makeover


Kids are great but having children can produce changes to a woman’s body that no amount of diet and exercise can improve. This post will focus on one patient’s transformation from a mommy makeover before and after pictures are shown as well.

After having three children, this Virginia Beach mom was unhappy with excess fat and loose skin around her tummy.
While she was happy with the size of her breasts, she was unhappy with her breast droop.

Despite diet and exercise, this active woman couldn’t get her shape back. After talking with friends, she decided to explore a mommy makeover.

During her consultation at Galumbeck Plastic Surgery, we discussed her concerns and what she wanted as a result from her mommy makeover procedure. She said “I’m fifty years old, I don’t want to look twenty, but I want to look fabulous for fifty.”

Together we created a plan to address this patient’s concerns:

  • Abdominal Fat deposits
  • Loose Tummy Skin
  • Breast Droop

The Mommy Makeover plan for this Virginia Beach patient included:

Laser Liposuction Of The Abdomen
Tummy Tuck
Tummy Muscle Tightening
Removal Of Loose Skin
Belly Button Reconstruction

Breast Lift – Mastopexy
Removal Of Loose Skin
Repositioning Of The Nipple And Areola
Breast Tissue Suspension – Internal Brassiere Technique

These procedures were performed at the Galumbeck Plastic Surgery center accredited surgical facility in Virginia Beach. To ensure patient safety, we divided the mommy makeover into two procedures. The first procedure performed was Laser Liposuction and Abdominoplasty. The second procedure was a breast lift (mastopexy).

Here are her Mommy Makeover Before and After Pictures:

tummy-tuck-before-and-after-galumbeck tummy tuck before and after - galumbeck

After her tummy tuck her abdomen is flatter, she has a more defined waistline and her loose skin is gone. She lost two inches in her waistline and two dress sizes.

mommy makeover before and after breast-lift-before-and-after-galumbeck

Her breasts are perkier and firmer. When asked about her experience at Galumbeck Plastic Surgery, she replied, “ the staff is accommodating, compassionate, courteous, and caring. And I love the results.”

Liposuction Before After Pictures and Video | Virginia Beach

Liposuction Before After Pictures and Video | Virginia Beach

Over 350,000 liposuction procedures were performed last year. This video shows liposuction before and after pictures of patients operated on by plastic surgeon Matthew Galumbeck at his accredited facility, Galumbeck Plastic Surgery in Virginia Beach.

Dr. Galumbeck discusses many options for liposuction, including laser liposculpting.

Liposuction is the cosmetic surgery procedure to permanently remove areas of fat. In addition to having fat removed, these areas of the body can be sculpted to give a more definition and improved proportion.

While it is not a weight loss procedure, liposuction can be used on any area of the body where there is excess fat.

This video shows liposuction of the abdomen of a woman and liposuction of the abdomen and love handles in a man including before and after pictures. This video also discusses the quick recovery time after liposuction.


  • Permanently Removes Fat
  • Improves Shape
  • Short Procedure
  • Fast Recovery Time

Video Transcript
From Galumbeck Plastic Surgery this is new techniques in cosmetic surgery.

If you just tuned in, we have been discussing breast augments, breast lifts, and also breast reductions.

Now we are going to shift our focus to other aspects of the body, liposuction how that can help recontour the hips the thighs and other areas.

Doctor Galumbeck certainly liposuction and the type of liposuction that you use can make a significant difference in the shape of a person’s body but also in recovery time.

Right, well with liposuction the real advantage of liposuction is it removes fat cells, permanently removes fat cells, so not only do we make someone smaller, but we improve their shape.

Whereas diet and exercise, fat cells will shrink and the bulges may get smaller, but the bulges don’t go away. Now certainly If you get liposuction and then you start eating fast food and you don’t exercise you are going to get fat.

But most people say I’m frustrated because I am doing everything right, I have a personal trainer, some of the people who come in are personal trainers. They say I am doing everything right, but I still can’t get rid of these bulges. That’s what liposuction is for. To target those areas, remove the extra fat, and improve their shape.

Folks say look, I want to get something done, I don’t have a lot of time to recover and really I think that this is one that things that is really opened up and allowed more people get liposuction, because really they can fit into the schedule you know you can get liposuction of the abdomen on a Friday or Saturday and be back to work Monday.

Oh, you know you are a little sore like you’ve worked out too hard, but they say you know I’ve done that before.

Medically there are no restrictions, and your up and around a lot sooner and people can really fit it into their schedule.

You can really do any of the body: tummies, hips, thighs, back, arms, neck, and chest. Anywhere there is fat, you can get rid of it.

You said you can fit into your schedule, you can also fit into clothes a lot better if you pursue this type of technique. And the abdomen, of course, is the one place, I think the men and women probably complain about a lot because it tends to be right where everything goes.

So that’s that certainly one of the areas I imagine that’s pretty often requested, especially for woman, the lower abdomen. They say, I have this lower pooch and I can’t get rid of it.

When I look at the abdomen, I usually do not only do the lower abdomen, but I will contour the upper abdomen and the sides to bring everything so that it flows and blends nicely.

Here’s a woman that we did liposuction of the abdomen. You can see in her before picture she’s got an extra bulge mainly in her lower abdomen but also in the upper abdomen and on the sides. And by performing the liposuction not only do we give her a better waistline you know we’re also getting rid of the extra fat in her abdomen and she’s flatter and tighter. You can see in her after pictures just that in the front view that she’s got a better waistline. In the side view, you can see the abdomen is much flatter. The liposuction incisions are about an eighth of an inch or a quarter of an inch long. They are in the panty line and well hidden and you can get a result like this and be up and around in no time.

So it takes about how long for this to be performed. Liposuction of the abdomen takes about forty-five minutes. We use intravenous sedation to the patients have a nice little snooze and for them it’s just like that. And they’re recovering for an hour at our facility and then they can go home and are up and about immediately. Maybe a little soreness but that of course also will abate.

I did say something about men a little bit earlier. Yes if you are a male when you’re watching the show right now, certainly there’s liposuction for you. And there are certain areas of the body that men certainly complain about. And that would probably be something called what, love handles, the love handles and the abdomen on men.

They say the same thing as women; they say I go to the gym all the time to work out and I can’t get rid of this stuff. And they come in for liposuction again small incisions, remove the fat, improve the shape.

And here’s a gentleman that we did liposuction, on you can see his before picture in front of his abdomen he’s got excess fat and not a lot of definition. On this on his back picture you can really see the love handles. They are big, they are there, and he can’t get rid of them. and in this after picture you can see that his abdomen is much flatter and his love handles are gone. And this is the kind of result you can get with liposuction. He’s out of the garment in four days, back to work and social activities in no time. Well hidden incisions and then again I do the incisions below the belt line so in shorts, in bathing suits, you won’t see any of the incisions. And those to fade with time.

Good stuff and so gentleman if you’re out there looking at this, know something can be done. On that note thank so much for joining us this has been new techniques in cosmetic surgery I’m your host Jan Callahan along with board certified plastic surgeon Dr. Matthew Galumbeck. We’ll see next time.

Mommy Makeover | Get Your Shape Back After Kids

Mommy Makeover | Get Your Shape Back After Kids

Having a child changes a woman’s body. The effects on body shape, muscle tone, skin elasticity and fat distribution become more distinct with each child carried.

The abdominal muscles stretch to accommodate the increased size of the abdomen. Often, during this stretching process the muscles separate. This causes a permanent weakness in the abdominal wall and makes it almost impossible to regain a flat stomach.


Many moms feel that they will never recover their pre-pregnancy shape. They find it hard to juggle diet and work out time in addition to their devotion to their children. It is hard to eat healthy food when your children will only eat chicken nuggets. More than 325,000 tummy tuck, breast augmentation and breast lift procedures were performed on women ages 20-49. The Mommy Makeover is the answer to women wanting a body that’s in synch with their energy, spirit and overall good health.

Changes to a woman's body after pregnancy can affect both the breast and the abdomen

Mommy Makeovers are an individualized set of procedures used to restore a woman’s body back to the shape and proportion before having children (sometimes even better). These procedures may include

  • a tummy tuck or abdominoplasty to eliminate excess fat through laser liposuction, to restore muscular tone, and to remove loose skin (reducing stretch marks)
  • additional laser liposuction to address stubborn, specific fat deposits anywhere on the body – thighs, buttocks, back, chin, upper arms
  • a breast lift (or Mastopexy) to correct droop and restore breasts to their pre-pregnancy position
  • often, breast implants to restore breast fullness and shape lost after pregnancy and breast-feeding, and to give the whole body a better proportional shape
  • Many women want more fullness and perkiness. A combination of a breast lift with breast augmentation can achieve these goals.

Mommy Makeovers address a critical concern of wives, moms and working women – to get the best, long-lasting results with the least downtime. With a single surgery date, there is a single recovery to manage, and women get back to family, work and daily activity sooner.

Over the next few posts, I will show Mommy Makeover before and after pictures and how these procedures can improve your shape.

For a complimentary evaluation contact us now.

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