Patient Details
This patient presented to Dr. Mihail Climov seeking comprehensive improvement of her torso, with a particular focus on reducing stubborn fat, defining the waist, smoothing the back and bra-line areas, and improving skin and soft-tissue firmness.
At the time of surgery, she weighed 159 lbs with a BMI of 27.3.
Dr. Climov combined circumferential 360° power-assisted liposuction with Renuvion subdermal soft tissue coagulation to address two different components of body contouring: unwanted subcutaneous fat and soft-tissue laxity.
Additional bra-line liposuction was performed to create a smoother transition between the upper back and waist.
These before and after photographs were taken only 6 weeks after surgery, while the patient's tissues were still healing and postoperative swelling was continuing to resolve.
Procedures Performed
The patient also underwent an ultrasound-guided BBL and bilateral mastopexy as part of her comprehensive surgical plan; however, this gallery focuses specifically on her Lipo 360 and Renuvion results.
Why Combine Liposuction with Renuvion?
Liposuction and Renuvion perform two different roles.
Liposuction removes and sculpts unwanted subcutaneous fat.
Renuvion is used beneath the skin to produce controlled coagulation and contraction of subcutaneous soft tissues.
For appropriately selected patients, combining the two allows Dr. Climov to address both fat distribution and soft-tissue laxity during the same body-contouring procedure.
This can be particularly useful for patients who have enough skin elasticity to avoid a tummy tuck but have some degree of laxity that may limit the quality of a liposuction-only result.
What Is 360 Liposuction?
360 liposuction, also known as Lipo 360 or circumferential liposuction, approaches the torso as a three-dimensional structure.
Instead of treating only the front of the abdomen, Dr. Climov evaluates the abdomen, waist, flanks, and back together.
Depending on the patient's anatomy, circumferential contouring can target:
The goal is not simply maximum fat removal. Strategic liposuction is used to create a smoother, more proportional torso with greater waist definition from multiple viewing angles.
What Is Renuvion?
Renuvion is a minimally invasive surgical technology used beneath the skin for subcutaneous soft-tissue coagulation.
The technology combines radiofrequency energy with helium plasma to deliver controlled energy to the targeted subdermal tissues.
When used as an adjunct to liposuction in appropriately selected patients, Renuvion can help address soft-tissue laxity that fat removal alone does not directly treat.
This is important because removing fat and tightening tissue are not the same thing.
A patient may have an excellent reduction in unwanted fat after liposuction but still have some degree of loose or lax tissue. Incorporating Renuvion allows Dr. Climov to address this additional component of the body contour.
Lipo 360 + Renuvion: Fat Reduction Meets Tissue Tightening
One of the easiest ways to understand the combination is to think about what each procedure contributes:
360 LiposuctionRenuvionTargets unwanted subcutaneous fatTargets subdermal soft tissueRemoves and sculpts fatProduces controlled tissue coagulation and contractionHelps narrow and define the waistAddresses an additional component of tissue laxityImproves abdominal, flank and back contoursComplements the contour created with liposuctionFocuses on body sculptingFocuses on soft-tissue contraction
For the right patient, these technologies can complement one another to create a more comprehensive body-contouring result.
Why Skin Quality Matters After Liposuction
Good liposuction results depend on more than how much fat is removed.
After fat is removed, the overlying tissues must adapt to the newly sculpted contour underneath. Younger patients and those with good skin elasticity often experience more natural contraction.
However, pregnancy, aging, weight fluctuations, genetics, and previous stretching can reduce tissue elasticity.
This is why Dr. Climov evaluates both fat distribution and skin quality when planning Lipo 360.
In selected patients with mild-to-moderate tissue laxity, Renuvion may be incorporated as an adjunct to liposuction.
Renuvion vs. Tummy Tuck
An important distinction is that Renuvion is not a replacement for a tummy tuck when significant excess skin is present.
Renuvion does not surgically excise hanging or redundant skin.
Lipo 360 + Renuvion may be considered when:
A tummy tuck may be more appropriate when:
Choosing the appropriate procedure is more important than simply choosing the less invasive option.
Power-Assisted Liposuction for 360° Sculpting
For this patient, Dr. Climov performed power-assisted liposuction (PAL).
PAL uses a specialized mechanically assisted cannula to facilitate controlled removal of subcutaneous fat.
During circumferential contouring, Dr. Climov treats the torso as a continuous structure rather than a collection of separate areas.
This approach allows careful attention to the transitions between the abdomen, flanks, waist, lower back, upper back, and hips.
Bra-Line Liposuction
This patient's Lipo 360 procedure also included bilateral bra-line liposuction.
Fullness in the upper-back and bra-line regions can remain noticeable even after significant improvement of the abdomen and waist.
Treating this area can help:
For comprehensive body contouring, Dr. Climov evaluates the torso from the front, sides, and back rather than concentrating only on the abdomen.
Who Is a Candidate for Lipo 360 with Renuvion?
You may be a candidate if you:
Not every liposuction patient needs Renuvion, and not every patient with loose skin is a candidate for Renuvion.
The decision depends on skin quality, degree of laxity, fat distribution, previous pregnancies or weight changes, and the patient's desired result.
Is Lipo 360 with Renuvion a Tummy Tuck Alternative?
For carefully selected patients, it may provide an option when the primary problems are unwanted fat and a limited degree of tissue laxity.
However, it should not be considered a direct substitute for abdominoplasty.
A tummy tuck physically removes redundant skin. Renuvion does not.
If a patient has significant loose abdominal skin, choosing liposuction simply to avoid a tummy tuck scar may produce a less satisfactory result.
Dr. Climov recommends the procedure based on the patient's anatomy rather than scar preference alone.
Results at 6 Weeks
These before and after photographs were taken approximately 6 weeks after Lipo 360 and Renuvion.
At this early stage, the patient demonstrates improvement in:
Six weeks is not the final result.
Swelling and firmness can remain after extensive liposuction, and the treated tissues continue to heal and evolve over the following months. Final contour should therefore be evaluated later in the recovery process.
Why Choose Dr. Mihail Climov for Lipo 360 with Renuvion?
Dr. Mihail Climov is a fellowship-trained aesthetic plastic surgeon performing advanced body-contouring procedures in the Houston area.
His approach to liposuction focuses on three-dimensional body sculpting rather than simply removing fat.
During consultation, Dr. Climov evaluates the abdomen, waist, flanks, back, skin quality, fat distribution, and overall proportions to determine whether the patient would benefit most from liposuction alone, Lipo 360 with Renuvion, abdominoplasty, or a customized combination of procedures.
The goal is to choose the operation that best matches the patient's anatomy.
Schedule a Lipo 360 + Renuvion Consultation in Houston
If you have stubborn fat around your abdomen, waist, flanks, or back combined with some degree of tissue laxity, 360 liposuction with Renuvion may provide a more comprehensive approach than liposuction alone.
Schedule a consultation with Dr. Mihail Climov to determine whether Lipo 360 with Renuvion is appropriate for your body and aesthetic goals.
