Lipo 360 removes stubborn fat from the entire midsection – front, back, and sides – helping reveal the slimmer shape you worked so hard to achieve after significant weight loss. This procedure is not a weight loss tool, but rather the finishing touch that enhances your new contours once you’ve reached your goal weight.
At Age Focus in Southampton, NY, this procedure is performed by Dr. Juan Gargiulio, a cosmetic surgeon with over 30 years of experience who specializes in advanced awake liposuction.
Lipo 360 stands for “liposuction 360 degrees.” Instead of treating just one spot, it addresses the entire circumference of your midsection – the upper and lower abdomen, the flanks (love handles), and the mid- and lower back – in a single session. The result is a smooth, proportional, natural-looking silhouette: an hourglass figure for women or a V-taper for men.
For those who have lost significant weight, this full-circle approach is especially effective. Weight loss often leaves fat spread across the entire torso, obscuring your new physique. Lipo 360 precisely targets and removes those fat cells to enhance your natural curves and muscle definition.
Traditional Liposuction: Focuses on isolated “problem areas” like the lower stomach or love handles. While effective for a single spot, it can leave uneven transitions when surrounding areas still hold fat.
Lipo 360: Treats the midsection as one interconnected unit. By removing fat from the front, sides, and back, it creates a holistic, wrap-around contour – crucial for major weight loss patients, whose residual fat is often distributed around the entire trunk.
After reaching your goal weight, you deserve to feel confident in your new body. Lipo 360 bridges the gap between the scale and the mirror:
Reveals your true shape. Removes the final layer of subcutaneous fat hiding your muscle tone and new physique.
Creates a defined waistline. Carves out the waist and eliminates bulk from the flanks and back for an hourglass or V-shaped contour.
Balanced results. Treating the whole midsection together avoids the “spot-treated” look.
Improves clothing fit. Clothes drape more naturally over smoother contours.
Addresses stubborn fat. Targets fat cells genetically programmed to resist diet and exercise.
Awake, local-anesthesia option.
Boosts confidence. Seeing your transformation fully realized can be a tremendous psychological lift.
Many patients combine Lipo 360 with other procedures for a fuller transformation, such as an awake tummy tuck or an awake BBL, where removed fat can be transferred to add volume elsewhere.
The goal of Lipo 360 is contouring, not large-volume weight reduction. The amount safely removed depends on your overall health, body mass index (BMI), how much fat is present, and the areas being treated. A standard guideline is to remove no more than 5 liters (approximately 10-11 pounds) of fat during a single surgery.
During your consultation, Dr. Gargiulio evaluates your anatomy, listens to your goals, and determines a realistic plan. The focus is always on shape, proportion, and safety – never simply removing the maximum amount of fat.
Your journey begins with a consultation where Dr. Gargiulio reviews your medical history, confirms your candidacy, and maps out a plan. Steps typically include:
Share your health details. If you take blood-thinning medications, share the type and reason. Avoid medications and supplements that increase bleeding, such as aspirin and anti-inflammatories.
Stabilize your weight to protect your long-term results.
Plan your time off. Arrange help at home and time away from work for early recovery.
Arrange a ride home after the procedure.
Follow pre-procedure instructions from Dr. Gargiulio’s office.
Lipo 360 at Age Focus is performed using advanced awake liposuction under local anesthesia – a key differentiator that enhances safety and recovery. You remain conscious and comfortable throughout, able to communicate while staying pain-free.
Dr. Gargiulio performs every surgery himself, so you receive his full expertise from start to finish. Small, discreet incisions are made through which a thin cannula gently suctions out targeted fat.
Because the procedure uses local anesthesia, recovery is often faster than with traditional methods. You’ll walk out of the office and rest at home the same day.
Many patients return to desk jobs and light activities within a few days, and to normal activities within about two weeks. Strenuous exercise should be avoided for at least four weeks.
Immediately after: You’ll be fitted with a compression garment to minimize swelling, support treated tissues, and help skin conform to its new contours.
First week: Swelling, bruising, and mild discomfort are normal. Wear the compression garment continuously as directed.
Weeks 2–4: Swelling subsides and your new shape begins to emerge. Follow-up may include professional post-operative massages to aid healing.
1–3 months: Most swelling resolves and results become much more apparent.
6–12 months: Final results are typically visible as all residual swelling disappears and tissues fully settle.
Following your post-procedure instructions – rest, hydration, and gentle movement – supports healing.
Lipo 360 removes fat but does not remove or tighten loose skin. Significant weight loss often leaves skin that has lost elasticity and cannot shrink back to a smaller frame.
If you have moderate to severe skin laxity, Dr. Gargiulio may recommend combining Lipo 360 with a skin removal procedure, such as an awake tummy tuck or an awake body lift. Your consultation will include a personalized plan to address both stubborn fat and excess skin.
The fat cells removed during liposuction are gone permanently and cannot grow back. However, remaining fat cells can still expand if you gain significant weight – which is why a stable weight matters.
The way to maintain your results is to continue the healthy habits that led to your weight loss success:
Eat a balanced, nutritious diet.
Stay active with regular exercise.
Stay hydrated and get adequate sleep.
If you’d like extra support, Age Focus offers a weight loss program to help you maintain your progress. Think of your procedure as the final step that enhances a healthy lifestyle – not a replacement for it.
Losing a small amount (5–10 pounds) is unlikely to harm your results and may even enhance them. However, significant future weight loss could lead to new areas of skin laxity – another reason to be at a stable goal weight before your procedure. If that happens, a skin-tightening or body contouring procedure may be worth revisiting later.
For patients whose primary concern is sagging skin, surgical excision is the most effective solution. These procedures are also performed using our specialized awake technique:
Awake Tummy Tuck (Abdominoplasty): Removes excess skin and fat from the abdomen and tightens the underlying muscles.
Arm Lift (Brachioplasty): Removes “bat wings” by excising loose skin from the upper arms.
Thigh Lift: Contours the inner and/or outer thighs by removing sagging skin.
Body Lift: A more extensive procedure addressing loose skin around the entire torso, buttocks, and thighs.
For patients with good skin elasticity and small, localized pockets of fat, non-surgical options may be ideal. The medspa at Age Focus offers CoolSculpting, which freezes and destroys fat cells without incisions or downtime, plus other body treatments. Explore the full range of medspa treatments to see what fits your goals.
Lipo 360 after major weight loss removes stubborn fat from the front, sides, and back of your midsection to reveal a smoother, more defined shape. At Age Focus in Southampton, NY, Dr. Juan Gargiulio performs this procedure using advanced awake liposuction under local anesthesia, prioritizing comfort and a streamlined recovery. It works when you’re at a stable weight, and results can last for years with healthy habits. If loose skin is a concern, pairing Lipo 360 with a skin-tightening procedure may deliver an even better result.
About the Author
Dr. Gargiulo
Dr. Juan Gargiulo is a highly accomplished physician with a diverse medical background and a commitment to excellence in preventive and aesthetic medicine.
Dr. Gargiulo
July 2, 2026
