Lipo 360 generally means liposuction across selected areas on the front, sides, and back of the torso. It is not a precise description of every area included in an operation. New York City board-certified plastic surgeon Darren M. Smith, MD, FACS explains why he asks patients to describe their individual concerns rather than relying on the label alone.
Originally published October 1, 2020. Prices, anesthesia preferences, and recovery protocols in the recording are historical examples from his practice, not current quotes or personal instructions.
Key takeaways
🔎 Define the treatment areas.
The episode discusses the abdomen, waist, flanks, underarm region, and upper and lower back as possible components.
🔎 Assess each area separately.
Dr. Smith considers the amount of fat, skin quality, and the patient's goal for each region before assembling a plan.
🔎 Multiple areas affect logistics.
He explains anesthesia choices, markings, and repositioning during the procedure as described in his 2020 practice.
🔬 A BBL is a separate fat-transfer component.
The recording discusses combining procedures, rather than treating buttock fat grafting as an automatic part of Lipo 360.
🔎 Ask what a quote includes.
Treatment extent, the clinical team, facility, monitoring, and planning are part of the conversation.
🎧 Episode guide
00:00 — Introduction
01:00 — Areas described by Lipo 360
02:44 — Planning each treatment area
04:35 — Anesthesia and the procedure
07:20 — Combining liposuction with a BBL
09:16 — Historical pricing and questions to ask
Does Lipo 360 include every part of the torso?
Not necessarily. Dr. Smith's central point is that the term can mean different things unless the exact areas and goals are specified. A consultation should turn the broad label into a defined plan.
Does Lipo 360 automatically include a BBL?
No. The episode describes BBL as a procedure that can be combined with liposuction by transferring harvested fat to the buttocks. It requires its own assessment and planning.
How much does Lipo 360 cost?
The quoted figures in this recording are from 2020 and should not be treated as current prices. Dr. Smith explains why the term's variable scope makes a single price misleading. Use the current cost guide and an individualized consultation to understand a proposed quote.
ℹ️ Current related reading
Lipo 360 in NYC | Liposuction cost factors | Brazilian butt lift | Request a consultation
About the host — current biography
Darren M. Smith, MD, FACS specializes in mommy makeover surgery, breast surgery, and body contouring in Manhattan. He was named to Newsweek’s America’s Best Plastic Surgeons 2026 and has co-authored authoritative peer-reviewed publications on combined breast surgery and abdominoplasty and the surgical care of postpartum patients.
Educational information; candidacy and recovery vary. Follow your treating team's current instructions. Show notes updated September 30, 2026.
Full transcript and related resources
