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Sieber Plastic Surgery San Francisco

Can Fat Return After Liposuction?


Liposuction is one of the most popular and frequently-performed cosmetic procedures available today. In fact, over 200,000 liposuction procedures were performed throughout the U.S. in just one year: 2015 (the most recent year for which we have data).

Really, it’s no surprise. Liposuction is highly-effective, offers immediate results, and works on even the most stubborn pockets of fat. Men and women turn to it even when they’re healthy and fit because sometimes, it’s the only solution to those last few “vanity” pounds.

Still, one question often lingers in the minds of soon-to-be liposuction patients and those considering the surgical procedure: “What if new fat cells return afterward?”

Is it possible?


First, it’s important to establish that liposuction does permanently remove unwanted fat from from the body. Remaining fat cells are literally suctioned away from the target area and discarded. In this way, patients see immediate results after their liposuction results, which become increasingly apparent as procedure-related swelling decreases.

Can the number of fat cells really return over time? That’s another question, and the answer is: Technically, yes the fat cells can return over time. But the good news is that you can usually prevent the fat cells from returning.

Does fat come back after liposuctionCAN FAT RETURN AFTER LIPOSUCTION?

Generally speaking, fat will not return after liposuction if you are able to maintain the same weight you were right after liposuction or only have a slight weight gain,  unless you get pregnant. Here’s an example:

Let’s say you weighed 150 pounds before liposuction and had 7 pounds of fat removed during your surgery. This would have resulted in a net weight of 143 lbs. after surgery. If you’re able to maintain this same weight after liposuction (143 lbs.), you shouldn’t have to worry about regaining fat.

On the other hand, more fat cells also will return the more weight you gain. Even gaining four or five pounds can make fat return overall to the body. Keep in mind that this doesn’t necessarily mean fat will directly reappear in the concentrated areas where you had liposuction body contouring procedure. Rather, you’ll experience a general weight gain throughout your whole body as fat cell sizes increase.

If your weight gain weight after liposuction is more significant (say, 10-15 lbs. of regained fat), you may see fat come back to the areas where you your undergoing liposuction.

Basically, you want to remember that when fat gain happens, it’s usually even throughout the whole body. Therefore, to a certain extent, you can maintain the overall shape results that you achieved with your liposuction even if you gain a few pounds. But the more you gain weight, the more fat will return to those stubborn trouble areas.


As you can see, it is critical to maintain your post-surgery weight if you want to enjoy the results of your liposuction procedure for a long time. Here are some tips for leading a healthy lifestyle that will facilitate good weight gain after liposuction maintenance.


A healthy, fit body starts in the kitchen. We are going to go over the importance of physical activity later on, but first and foremost, it’s important to know that what you eat most directly affects your body shape, size, and overall weight.

A healthy diet with smaller meals that is one that full of vegetables, fruits, lean proteins, healthy fats, and whole grains. Try to reduce the amount of sugar in your diet. Get rid of as many processed foods as you can, including chips, donuts, frozen dinners, candies, etc.

When it comes to liquids, drink more water! Sometimes, when you think you’re hungry and craving a snack, you’re really just thirsty. Always have a water bottle with you, and follow this general rule for water intake: Drink half your weight in ounces of water every day.


While your body weight is most directly related to the foods you eat and how much you eat, your body shape and overall tone are more related to your physical activity. So exercise regularly!

You should get at least 15 minutes of physical activity into your schedule every day. This might be walking, jogging, riding your bike, swimming, or playing a sport. You can join a gym or an exercise class or even do some calisthenics or weight training in your garage or basement. More or less, it doesn’t matter how you move; it just matters that you move!


There’s really only one way to know if you’re gaining weight: you have to weigh yourself. Every day, make it a rule that you get up and weigh yourself first thing.

We recommend weighing yourself first thing in the morning before breakfast and even your first cup of coffee because it’s consistent. You’ll probably be wearing the same type of clothes (or you can weigh yourself nude), and you won’t have eaten anything yet. Therefore, you will get an accurate reading for your daily weight.

Keep track of your weight on a calendar or in a notebook. This way, you’ll be able to see if you’re slowly inching up and can take action sooner rather than later.


Lastly, keep in mind that a few pounds of weight gain may occur. It’s possible you’ll wake up one morning, weigh yourself, and see a higher digit than you’re used to. When this happens (and it probably will at one point or another), have a plan.

Your plan should simply be to get back on track. Renew your efforts with diet and exercise and start leading the healthy lifestyle you know you want.  Don’t go on a crash diet. Don’t start a vigorous exercise routine that you won’t be able to maintain. Don’t compromise your health with diet pills or other unproven methods of weight loss. Simply go back to the basics.


When San Francisco residents consider liposuction, they turn to Dr. David Sieber for first-class attention and care. Dr. Sieber is one of the only double board-certified plastic surgeons in the San Francisco area and comes highly recommended by numerous satisfied patients.

If you have been thinking about undergoing liposuction, book your first consultation appointment with Dr. Sieber today to discuss your candidacy and options for this weight loss procedure.


Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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