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8 a.m.: I'm back at the office to see a mix of medical and cosmetic dermatology patients. This morning I have a liposuction case, sculpting the contours of a patient so they no longer have those hips that don't lie (and that they don't like), and their inner thighs so they don't rub together when they walk. It's a great procedure that I do under local anesthesia, but it's hard work for me — I often break a sweat. This is a focused, very specific fat removal and is truly fantastic. It is not a weight loss option; it is a body sculpting option. The ideal patient is thin, exercises, and is in good shape. If you're doing it for weight loss you'll likely gain that weight back but on a different area of your body. Just like people may use Botox or filler to make them feel better about their face, this is a way to help someone feel better about their body.