For a long time, many patients—and even doctors—believed that the ideal order was:

Diet → Liposuction

However, when we carefully review patients with the best long-term outcomes, a different pattern emerges.

In reality, many of the smoothest, most natural results are achieved with:

Liposuction → Diet

Why “Liposuction First, Diet Later” Often Works Better

1. Waiting to lose weight can lead to skin laxity

Prolonged dieting takes time, and during that period:

• Skin elasticity naturally decreases
• Aging progresses
• Hormonal balance changes

This is especially noticeable in areas such as the upper arms, abdomen, and thighs, where skin laxity can worsen while waiting to “lose more weight first.”

In many cases, performing liposuction earlier helps preserve skin quality and contour.

2. Post-liposuction fibrosis improves with controlled weight loss

After liposuction, the body naturally goes through:

Inflammation → Fibrosis (firmness)

This occurs in all treated areas.

Interestingly, patients who engage in gradual, healthy weight loss after surgery often experience:

• Faster softening of firmness
• Smoother contours
• Better overall definition

This is likely due to improved circulation, metabolic activity, and tissue remodeling.

3. Creating the contour first makes the final result more predictable

Liposuction removes structural fat that diet cannot selectively target.

By first defining the body line with liposuction and then refining it through dieting, the final silhouette becomes more controlled, balanced, and predictable.

A Clinical Example

This patient underwent:

• Circumferential upper arm liposuction
• Upper arm thread lift
• Follow-up at 8 months post-op

After surgery, she continued dieting and lifestyle optimization.

The result is a smooth, natural arm contour that would have been difficult to achieve with dieting alone.

This outcome reflects not only surgical technique, but also proper postoperative management.

The Key Message: Earlier Is Often Better

Liposuction should not be viewed as:

• A last resort
• Something to do only after extreme dieting

Instead, modern body contouring increasingly follows this approach:

Liposuction first to create the shape

Diet during recovery to refine it

This strategy is becoming the new standard.

Our Philosophy at AVAN TOKYO Ginza Liposuction Clinic

At AVAN TOKYO, we do not simply remove fat.

We design a long-term body contouring plan, taking into account:

• Timing of surgery
• Skin quality
• Postoperative lifestyle and weight management

Choosing when to undergo liposuction can be just as important as choosing how it is performed.

If you are considering liposuction…

Before waiting “until you lose more weight,” we encourage you to consult with us.

There may be an ideal timing right now that leads to a more beautiful, natural, and lasting result.