Abdomen and flanks
The most frequently treated area — fullness that persists despite regular exercise and a healthy diet.
Sieveking/Plastic Surgery/Liposuction
Liposuction in Nashville
Precision Contouring · Conservative Sculpting · Natural Proportion
For many patients, the frustration is familiar: a healthy weight, a consistent fitness routine, and still certain areas that simply will not respond. Liposuction works because it addresses anatomy, not effort — precisely removing stubborn, localized fat deposits to reveal the natural contours your body is capable of.
Localized deposits, precisely removed. Shape and proportion, not body size. The best version of you.
Targeted sculpting. Conservative philosophy. Balance, proportion, harmony.
Liposuction is a surgical procedure in which a thin, hollow cannula connected to a suction device dislodges and removes localized fat deposits from beneath the skin. The goal is to refine shape and proportion, not to reduce overall body size. It sculpts and contours targeted areas with precision, but it does not tighten loose skin, eliminate cellulite, or substitute for weight loss.
Dr. Sieveking approaches every liposuction case with a conservative, sculpting philosophy. His Stanford training, 25-plus years of body contouring experience, and post-residency fellowship under the legendary Ivo Pitanguy in Brazil inform an aesthetic sensibility that prioritizes balance, proportion, and results that look like the best version of you — never hollowed or artificially thinned.
The approach
Techniques selected for your anatomy.
Dr. Sieveking selects the appropriate technique or combination of techniques based on your anatomy, the areas being treated, and the degree of precision required — a decision made at consultation, not assumed from a menu.
Tumescent liposuction — the foundational technique and clinical standard. A solution of saline, local anesthetic, and epinephrine is infused into the target tissue to reduce bleeding, minimize discomfort, and allow smooth cannula movement. Virtually all treatment plans incorporate the tumescent technique as the base procedure.
Power-assisted liposuction (PAL) — a motorized cannula vibrates at high frequency to break up fat cells more efficiently before removal. PAL is well-suited to fibrous areas such as the back, male chest, and revision cases, delivering more consistent, controlled sculpting throughout.
Ultrasound-assisted liposuction (VASER) — ultrasonic energy selectively liquefies fat cells before extraction while largely preserving surrounding blood vessels, nerves, and connective tissue. VASER is favored for cases requiring a higher degree of definition or denser, more fibrous tissue.
Areas liposuction can address.
A contouring plan built around the deposits that persist despite regular exercise and a healthy diet.
Inner and outer thighs
Disproportionate volume or saddlebag fullness that affects clothing fit and overall silhouette.
Upper arms
Localized fat that creates heaviness or limits definition, particularly in the tricep region.
Back and bra-line rolls
Stubborn fullness along the upper or lower back that affects how clothing sits.
Chin and neck
Small-volume contouring beneath the chin and along the jawline for a cleaner, more defined profile.
Male chest
Excess fatty tissue without significant glandular involvement, restoring a flatter, more masculine contour.
Why choose this procedure
Benefits of precision body contouring.
Liposuction rewards patients who have already done the work — delivering definition that cannot be achieved through effort alone, in proportion to the frame it refines.
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Targeted contouring
Addresses genetically resistant fat deposits where diet cannot reach, delivering definition that effort alone cannot achieve.
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Permanent fat removal
Fat cells removed during liposuction do not regenerate. Maintaining a stable weight preserves results long term, though individual results vary.
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Versatile, multi-area plans
Multiple areas can be treated in a single session to create a comprehensive contouring plan built around your anatomy.
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Natural proportion
Dr. Sieveking’s conservative philosophy produces harmonious contours that suit your frame — never hollowed or artificially thinned areas.
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Candid candidacy guidance
Patients with significant skin laxity may need a tummy tuck alongside or instead of liposuction — and the consultation says so plainly.
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Comprehensive restoration
Liposuction is frequently performed alongside a tummy tuck or as part of a mommy makeover in a single surgical session.
Approached conservatively and in proportion, liposuction refines shape rather than size — a silhouette that reads as harmonious, and simply looks like the best version of you.
Selected results
Sculpted results, true to the individual.
Liposuction cases are included in our full results archive — each pair represents a single patient photographed at the same angle, light, and camera.
The journey from consultation to lasting contour.
01
Consultation
Where the plan is built
The consultation is where your surgical plan is built. Dr. Sieveking evaluates your overall health, assesses tissue quality, and listens to your goals with candor and precision. The result is a customized plan identifying which areas will be treated, which technique or combination — tumescent, power-assisted, or VASER — best suits your anatomy, and whether combining procedures such as a tummy tuck or mommy makeover makes sense. Individual results vary, and a personal consultation is required to determine candidacy.
02
Procedure
In the on-site surgical facility
Liposuction at Sieveking Plastic Surgery is performed in the brand-new, on-site, accredited surgical facility in Franklin. Most procedures are performed under general anesthesia or IV sedation, determined at your consultation. Very small access incisions, typically two to four millimeters, are placed in discreet locations within natural creases. A single-area case may be completed in under 1 hour; multi-area sessions typically range from 2–4 hours, with each area sculpted evenly and in proportion to the surrounding anatomy.
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Recovery
Compression and patience
In the first days, a compression garment is worn continuously; soreness, swelling, and bruising are expected, and small amounts of tumescent fluid may drain from incision sites, which is normal. Light walking is encouraged as soreness transitions to a deeper achiness, and patients with sedentary work may return to the office within 5–7 days if comfort allows. Bruising resolves over weeks 2–4 as swelling meaningfully reduces, and most patients are cleared to resume structured exercise at 4–6 weeks.
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Results
The final contour, revealed
By weeks 4–6, results begin to look closer to the final outcome. Residual swelling fully resolves over months 3–6, when the final contour becomes visible and the skin has contracted. Maintaining a stable body weight during this period is essential to protecting the outcome — and because the fat cells removed do not regenerate, the change in contour is long-lasting when weight remains stable. The measure of success is shape and proportion, not the number on the scale.
Why Sieveking
Meet Dr. Sieveking
The judgment behind the contour.
Stanford-trained. Triple board-certified (including The American Board of Wound Management, ABWM) plastic surgeon.
Dr. Nicholas Sieveking is Stanford-trained and triple board-certified (including The American Board of Wound Management, ABWM) in plastic and reconstructive surgery, with a fellowship in anti-aging and functional medicine. His post-residency training under Ivo Pitanguy in Brazil shaped a body contouring philosophy built on harmony, proportion, and conservative precision. With 25-plus years of experience and multiple Best Plastic Surgeon in Nashville recognitions, he brings a depth of surgical judgment that is rare in Middle Tennessee.
Procedures are performed in the brand-new, on-site surgical facility at 1200 Old Hillsboro Road in Franklin, designed for a private, concierge-caliber experience from consultation through recovery.
Sieveking Plastic Surgery is the only practice in Middle Tennessee combining world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one triple board-certified (including The American Board of Wound Management, ABWM) physician at a single address — and 90% of new patients arrive by referral.
Investment
Cost of liposuction.
The cost of liposuction varies based on the number of areas treated, the technique used — tumescent, power-assisted, or VASER — anesthesia, and the surgical facility. Because every plan at Sieveking Plastic Surgery is tailored to the individual patient, pricing is discussed during your personal consultation rather than quoted from a menu.
Contact the practice for a customized quote that reflects your specific goals and anatomy. Financing options are available for qualified patients, and HSA and FSA funds are accepted where eligible — with every component of the plan explained before any decision is made.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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No. Liposuction is a body contouring procedure designed for patients at or near their goal weight who want to refine specific areas that do not respond to diet and exercise. Patients should expect a meaningful change in shape and proportion, not a significant change on the scale. It does not tighten loose skin, eliminate cellulite, or substitute for weight loss.
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Good candidates are healthy adults at a stable weight with good skin elasticity and realistic expectations about what contouring can achieve. Patients with significant skin laxity may need a tummy tuck alongside or instead of liposuction, because removing volume beneath loose skin can worsen its appearance. A consultation with Dr. Sieveking is the only way to confirm candidacy.
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Most liposuction procedures at Sieveking Plastic Surgery are performed under general anesthesia or IV sedation, determined at your consultation. A single-area procedure may be completed in under 1 hour, while multi-area sessions typically range from 2–4 hours. Surgery takes place in the practice’s brand-new, on-site, accredited surgical facility in Franklin, TN.
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Liposuction removes localized fat but does not address loose skin or separated abdominal muscles. A tummy tuck removes excess skin and tightens the abdominal wall, and can be combined with liposuction for comprehensive contouring. Dr. Sieveking will recommend the appropriate approach at your consultation, based on your skin quality, anatomy, and goals.
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Liposuction is a surgical procedure that removes fat cells directly and produces more immediate contouring results in a single session. CoolSculpting is a non-surgical option that gradually reduces fat over several weeks and is best suited to smaller volumes with no downtime. Dr. Sieveking can help you evaluate both options at a consultation and recommend the right fit for your goals.
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Many patients notice a meaningful change in contour within 4–6 weeks as swelling subsides. Final results typically become visible between 3 and 6 months after surgery, once residual swelling has fully resolved and the skin has contracted. Maintaining a stable body weight during this period is essential to protecting the outcome for the long term.
More in Plastic Surgery.
Facial Sculpting
Begin your journey
Schedule your liposuction consultation at Sieveking Plastic Surgery in Franklin, TN.
If you are ready to address areas that diet and exercise have not been able to reach, we invite you to begin the conversation with Dr. Sieveking. Your consultation is a private, unhurried appointment where your goals, anatomy, and options are evaluated with candor and care — at the same address where surgery and every follow-up take place. Individual results vary, and a personal consultation is required to determine candidacy and build a plan suited to your anatomy. Contact the practice today to take the first step toward a more refined, proportionate silhouette.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment