Define the waist
Reduce localized fullness around the abdomen, sides and lower back to reveal a clearer waistline.
Awake body contouring · New York City
Awake Lipo 360 in NYC
A 360° approach to contouring the abdomen, waist, flanks and back, using an awake, local-anesthesia approach when appropriate, with a treatment plan designed around your anatomy.
- Dr. Sergei Kalsow, MD
- Madison Avenue, NYC
- 5,000+ surgeries performed
A considered, 360° approachDesigned around your anatomy
Individualized planning
Your anatomy, goals and medical history guide the treatment plan.
Same surgeon throughout
Consultation, procedure planning and follow-up with Dr. Kalsow.
Private NYC practice
635 Madison Avenue, 17th Floor, New York, NY.
Destination-patient coordination
Planning support for patients traveling to New York.
Start with the procedure
What Is Awake Lipo 360?
Awake Lipo 360 is circumferential liposuction of the torso performed with local, tumescent anesthesia and an individualized comfort plan when an awake approach is appropriate.
Instead of treating the abdomen as a single isolated area, Lipo 360 approaches the midsection as one continuous contour, typically including the abdomen, waist, flanks and back.
The objective is body contouring, not weight loss. The exact treatment areas, anesthesia plan and amount of fat that can be removed safely are determined after an in-person or virtual evaluation.
Treatment goals
What Can Awake Lipo 360 Achieve?
The goal is to improve the shape and transitions of the torso, especially the waistline, while respecting the patient's natural frame.
Improve 360° proportion
Treat the torso as a connected shape so transitions between the front, sides and back look more balanced.
Personalize the contour
Adapt treatment areas to body frame, fat distribution, skin quality and realistic aesthetic goals.
Individual results vary. Lipo 360 is not a weight-loss procedure and may not be appropriate for every patient.
Real patients
Awake Lipo 360 Results
Results are best understood from multiple views and across different body types. A consultation can help you understand how your anatomy, skin quality and fat distribution may affect the contour that is realistically achievable.
Before-and-after photographs show individual outcomes and do not guarantee a particular result.
The how
How Awake Lipo 360 Works
“Awake” does not mean that comfort is ignored. The anesthesia and medication plan is individualized based on the procedure and patient.
Awake does not mean sensation-free. Patients can experience pressure, movement and periods of discomfort, and the procedure should not be described as pain-free.
Consultation and planning
Review anatomy, goals, medical history, skin quality and the areas that may benefit from contouring.
Standing markings
Dr. Kalsow maps the treatment areas and transitions before the procedure begins.
Local, tumescent anesthesia
The treatment areas are numbed according to the individualized anesthesia and comfort plan.
360° contouring
The torso is treated circumferentially, with attention to symmetry and transitions rather than isolated fat pockets.
Garment and follow-up plan
Patients receive individualized instructions for garments, activity, medication and postoperative visits.
A liposuction-first practice
The Kalsow Approach to Awake Lipo 360
Liposuction and body contouring are a central focus of Dr. Kalsow's practice, with 360° planning that treats the torso as one connected shape rather than a collection of isolated areas.
Patients are evaluated individually for anatomy, skin quality, fat distribution, goals and the anesthesia approach that may be appropriate for them. Dr. Kalsow remains directly involved in planning, surgery and postoperative care.
5,000+
Surgeries performed
360°
Planning around the torso as one three-dimensional contour
NYC
Private practice at 635 Madison Avenue
Founder
Founder of Dreams Plastic Surgery
Candidacy
Is Awake Lipo 360 Right for You?
Awake Lipo 360 may be considered for adults who want to improve localized torso contour and who are appropriate candidates for liposuction and the proposed anesthesia plan.
Final candidacy is determined after medical evaluation. Some patients may be better suited to another procedure, a staged plan, or a different anesthesia approach.
- You are in appropriate overall health for the procedure.
- Your weight is reasonably stable.
- You have localized fat that has not responded as desired to diet and exercise.
- You understand that liposuction contours the body; it is not a substitute for weight loss.
- You have realistic expectations about shape, skin retraction and recovery.
- You can follow preoperative and postoperative instructions.
Set expectations early
Recovery After Awake Lipo 360
Recovery varies with the extent of treatment, the patient's health, the amount of liposuction performed and individual healing.
Compression
Compression garments may be recommended to support the early recovery period.
Swelling and bruising
These are expected during early healing and improve gradually over time.
Activity
Walking is often encouraged, while strenuous activity is restricted until cleared.
Final contour
Results evolve as swelling resolves and tissues settle; final timing varies by patient.
Trust through clarity
Safety, Limits and Informed Decision-Making
Every surgical procedure has risks. The safest plan depends on the patient, treatment areas, total procedure, medical history, facility and anesthesia approach.
No specific amount of fat removal, pain-free experience, guaranteed skin tightening or predetermined shape can be promised.
During consultation, Dr. Kalsow reviews the expected benefits, limitations, alternatives, recovery plan and procedure-specific risks so the decision is individualized.
Optional combined planning
Can Fat Transfer Be Combined With Lipo 360?
In selected patients, fat collected during liposuction may be considered for contour enhancement in another area. Whether this is appropriate depends on anatomy, available donor fat, goals and safety considerations.
Awake Lipo 360 remains the primary procedure. The exact treatment plan is individualized after consultation, and not every patient is a candidate for combined fat transfer.
Destination patients
Traveling to New York for Awake Lipo 360
Patients traveling to New York need more than a procedure description. They need to understand how consultation, arrival, postoperative visits and clearance to travel home fit together.
- Virtual consultation before travel when appropriate.
- Pre-arrival instructions and required medical documentation.
- Guidance on where to stay and how long to remain in New York.
- Transportation planning for the day of the procedure.
- Postoperative visits before returning home.
The surgeon behind the procedure
Meet Dr. Sergei Kalsow, MD
A New York plastic surgeon who has made awake liposuction, Lipo 360 and advanced body contouring a central focus of his practice.
Dr. Kalsow has performed more than 5,000 surgeries and built his practice around the kind of repetition that matters in a highly anatomy-dependent procedure: evaluating different body types, planning circumferential contours and adapting the approach to each patient rather than applying one template to everyone.
He is the founder of Dreams Plastic Surgery and sees patients from his Madison Avenue practice in New York City. His role does not end after the consultation: treatment planning, the procedure itself and postoperative follow-up remain surgeon-led.
Why his liposuction practice stands out in New York
- Liposuction-focusedAwake Lipo 360 and body contouring are core areas of the practice.
- 5,000+ surgeriesExperience built through a high volume of surgical cases.
- Founder of DreamsThe surgeon behind Dreams Plastic Surgery and its body-contouring practice.
- Direct accountabilitySurgeon-led planning, procedure and postoperative follow-up.
Liposuction is not a side service here. It is one of the procedures the practice is built around.
Questions
What patients ask us.
What does “awake” Lipo 360 mean?
It refers to performing Lipo 360 with a local, tumescent anesthesia approach and an individualized comfort plan when appropriate, rather than automatically using general anesthesia.
What areas are treated with Lipo 360?
Lipo 360 commonly includes the abdomen, waist, flanks and back. Exact treatment boundaries depend on the patient's anatomy and goals.
Is Awake Lipo 360 painful?
The numbing process and parts of the procedure can be uncomfortable. Patients may feel pressure or movement. Comfort varies, and the procedure should not be described as pain-free.
Is Lipo 360 a weight-loss procedure?
No. Lipo 360 is a body-contouring procedure designed to reduce localized fat and improve shape. It is not a substitute for weight loss.
How long is recovery?
Recovery varies based on the extent of treatment and individual healing. Swelling and bruising are expected early, and activity is gradually increased according to postoperative instructions.
Can I travel to NYC for surgery?
Potentially, yes. Destination patients need a plan for consultation, preoperative clearance, local accommodation, transportation, postoperative visits and safe timing for travel home.
How much does Awake Lipo 360 cost?
Pricing depends on the treatment plan, number of areas, complexity and other clinical factors. A consultation is needed for an individualized quote.
Can fat transfer be combined with Lipo 360?
In selected patients, harvested fat may be used for contour enhancement. Whether fat transfer is appropriate depends on anatomy, goals, available donor fat and safety considerations.
Next step
Find Out Whether Awake Lipo 360 Fits Your Goals
Request a consultation with Dr. Sergei Kalsow in New York City. The first step is understanding your anatomy, goals, medical history and the treatment plan that may be appropriate for you.
Prefer to speak to someone? (212) 653-8726
635 Madison Avenue, 17th Floor · New York, NY 10022