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high definition liposuction

HD Liposuction Without General Anesthesia

In Orlando & Lake Mary

Experience Precision Body Contouring While Fully Awake

What Is HD (High-Definition) Liposuction?

High-Definition Liposuction (also known as HD Liposculpture) is an advanced form of fat removal and body sculpting surgical procedure designed to define and enhance your natural contours. Unlike traditional liposuction that focuses solely on volume reduction and removing excess fat, HD liposuction emphasizes precision and aesthetics, creating visible definition in areas like the abs, waistline, arms, back, and flanks.

At Eterna MD, we elevate this fat removal process with techniques inspired by Colombian Liposculpture™, using state-of-the-art tools and artistic vision to deliver transformative results—all without general anesthesia.

Why No General Aneasthesia?

Our awake liposuction high definition body contouring approach is performed under oral sedation and local anesthesia, eliminating the risks of general anesthesia like intubation, nausea, and longer downtime. Patients are relaxed but alert enough to assist with positioning, allowing our team to sculpt with exceptional accuracy and safety.

Benefits of Avoiding General Anesthesia:

  • Lower surgical risk
  • Faster recovery
  • Reduced swelling and bruising
  • Shorter procedure time
  • No grogginess or hospital stay

How It Works: Awake HD Liposuction Technique

We combine the following innovations for optimal results:

  • Oral Sedation (Neuroleptanesthesia): You’ll take prescribed medication after a light breakfast to stay relaxed but conscious.
  • Tumescent Technique: A diluted anesthetic solution is injected into the treatment area, numbing the fat while minimizing bleeding and swelling.
  • Position-Assisted Sculpting: Because you’re awake, we can shift your position mid-procedure for better angles and more defined contours.

This combination allows us to contour with confidence and finesse, enhancing your body’s natural lines without compromising comfort.

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Gallery High Definition Liposuction

Liposuction Technology That Enhances Results

At Eterna MD, we use premium liposuction technologies for maximum precision and minimal trauma:

  • VASER® Liposuction – Ultrasound waves emulsify fat, making it easier to remove and enhancing skin tightening.
  • WAL (Water-Assisted Lipo) – Gently flushes out fat while preserving surrounding tissues and nerves.
  • Fat Transfer – We can reinject purified fat into areas like the hips or buttocks for smooth, balanced curves.
  • J-Plasma® Skin Tightening – Often combined post-liposuction to contract the skin and improve tone.

Body Mass Index

Body Mass Index (BMI) plays a crucial role in determining candidacy for cosmetic surgery. BMI is a measurement calculated by dividing a person’s weight in kilograms by the square of their height in meters, providing an estimate of body fat based on height and weight.

For the liposuction procedure, a BMI below 30 is generally considered ideal, as it indicates a lower risk of surgical complications and better body contouring results. Liposuction is not intended for significant weight loss but rather for removing fat deposits to enhance body shape. Individuals with a BMI above 42 may face additional considerations or be advised to pursue weight loss before undergoing the procedure to ensure safety and optimal results.

Calculate Your BMI

BMI Calculator

What Areas Can Be Treated?

  • Abdomen & Waist (six-pack definition)
  • Flanks / Love handles
  • Lower back & Bra fat
  • Thighs (inner/outer)
  • Arms
  • Chest (male/female)
  • Chin & Jawline

Ideal Candidates for Awake Liposuction

You’re likely a good candidate if you:

  • Are near your ideal weight (within 25–30%)
  • Have localized fat that resists diet and exercise
  • Want muscle definition or a smoother silhouette
  • Prefer not to undergo general anesthesia
  • Are in good health with realistic expectations

Meet Our Doctor

Dr. Mercado

Dr. Carlos Mercado is a renowned cosmetic surgeon and founder of Eterna MD. Since starting his medical training at 16, he has focused on treating patients both internally and externally. His innovative procedures, such as the Colombian Butt Lift and Erectus Shots, address underlying causes and conditions. Dr. Mercado has trained surgeons worldwide and pioneered regenerative medicine in cosmetics. He holds memberships in several prestigious medical organizations and has been repeatedly recognized for his excellence, including being named Doctor of the Year at Florida hospitals and one of America’s top physicians. His work at Eterna MD is noted for its effectiveness and innovation.

What to Expect: The Patient Experience

Pre-Procedure:

We’ll complete a detailed medical assessment including labs, EKG, and physical exam. We also discuss your aesthetic goals and map out your treatment plan.

HD Liposuction Procedure Day:

After taking your sedative, we’ll administer the tumescent anesthetic, perform liposuction using advanced sculpting techniques, and keep you relaxed and comfortable throughout.

HD Liposuction Recovery:

  • Walk immediately after the procedure
  • Return to light activities in 2–3 days
  • Compression garments worn for 8–12 weeks
  • Lymphatic drainage massage enhances healing
  • Most swelling resolves within 1–2 weeks
  • Final results appear gradually over 3–6 months

Common Questions

Is awake liposuction painful?
Not at all. Most patients describe mild pressure or vibration during the procedure. The tumescent solution numbs the area thoroughly.

Can HD liposuction be combined with a BBL or tummy tuck?
Yes! Many patients combine awake liposuction with fat transfer (BBL) or skin tightening procedures for even more dramatic results.

Will I be able to talk or move during the procedure?
Yes. You’ll be conscious and able to adjust positions as needed, which allows for more symmetrical, customized sculpting.

Why Choose Eterna MD?

  • Board-certified plastic surgeon Carlos Mercado, inventor of Colombian Liposculptureâ„¢, is a global leader in awake, high-definition liposuction, a great alternative to the traditional liposuction procedure.
  • We specialize in artistic body contouring tailored to your body type, goals, and lifestyle.
  • Thousands of successful cases with minimal risk and rapid recovery.
  • Modern, AAAHC-accredited facility in Lake Mary, FL using top-tier technology.

For more information, don’t hesitate to schedule a consultation today. Call our office or message us via our online contact form.

Awake Liposuction FAQs

Is awake liposuction safe?

Yes. Awake liposuction is extremely safe when performed by experienced providers. By avoiding general anesthesia, we eliminate risks like breathing complications, blood clots, and extended recovery. The procedure is done using oral sedation and tumescent local anesthesia, which numbs the area while keeping you relaxed and alert.

Will I feel pain during the procedure?

Most patients describe the sensation as pressure or vibration rather than pain. The tumescent solution thoroughly numbs the area being treated, and oral sedation keeps you calm and comfortable throughout the experience.

What are the benefits of avoiding general anesthesia?

Faster recovery, Lower risk of complications, No intubation or IV sedation, More precise results due to awake positioning, No grogginess or post-anesthesia nausea

What areas of the body can be treated with HD liposuction?

Common areas include: Abdomen & waist (for ab etching), Flanks and love handles, Arms, Thighs, Back and bra bulge, Chin and jawline, Chest (for both men and women).

Am I a good candidate for awake high-definition liposuction?

You may be a great candidate if you: Are in good general health, Are close to your ideal weight, Have areas of stubborn fat, Have realistic expectations, and Prefer to avoid general anesthesia.

How soon can I go back to work or daily activities?

Most patients return to light activities within 2–3 days and resume normal routines within a week. You’ll wear a compression garment and may receive lymphatic massages to support healing and shape retention.

Can I combine awake liposuction with a BBL or skin tightening?

Absolutely. Many patients choose to enhance their results by combining HD liposuction with: BBL (Brazilian Butt Lift) using your own fat, J-Plasma® for skin tightening, and Mini tummy tucks or other body procedures.

How long do the results last?

Results are long-lasting when paired with a healthy lifestyle. Since the fat cells are permanently removed, areas sculpted with liposuction will not return to their original shape unless significant weight is regained.

Will I be awake and talking the whole time?

Yes—but you’ll be relaxed and calm thanks to the oral sedative. You’ll be able to talk, adjust position, and participate in the sculpting process to achieve the most flattering, symmetrical results.