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Category: Body Contouring

Lipedema Surgery: The Fat Diet Cannot Fix, and How Liposuction Treats It

Lipedema Surgery: The Fat Diet Cannot Fix, and How Liposuction Treats It

November 09, 2026 | Body Contouring, Liposuction

Lipedema is the fat that stays when the rest of you shrinks. Diet moves the waistline and leaves the legs alone. Here is how I diagnose it, how I remove it with lymph-sparing liposuction, why I do it in stages, what it costs at a practice that does not take insurance, and what the result looks like a year later.

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Swelling, Scar or Muscle? Five Tummy Tuck Bulge Questions I Answer on RealSelf

Swelling, Scar or Muscle? Five Tummy Tuck Bulge Questions I Answer on RealSelf

November 08, 2026 | Abdominoplasty, Ask Dr. Agullo, Body Contouring

The most common tummy tuck question I get on RealSelf is some version of “is this bulge going to go away?” Here are five of those questions, paraphrased and de-identified, with my answers lightly edited for the page, and the rule under all of them: swelling moves, tissue stays, and the fix depends on which layer it is.

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The Citrus Supplement for Lipedema: What I Told the Daily Mail

The Citrus Supplement for Lipedema: What I Told the Daily Mail

November 07, 2026 | Body Contouring, Liposuction

A Daily Mail reader with heavy, swollen legs found relief with a citrus supplement. I was asked whether it treats lipedema. Here is what it can do, and what it cannot.

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The GLP-1 Mommy Makeover: Why I Wait Until the Weight Stops Moving, and What I Use When There Is No Fat Left

The GLP-1 Mommy Makeover: Why I Wait Until the Weight Stops Moving, and What I Use When There Is No Fat Left

November 03, 2026 | Body Contouring, Mommy Makeover, Weight Loss

A beauty magazine has a name for it now: the GLP-1 mommy makeover. The weight comes off on a shot, the skin stays behind, and the consult is for a tummy tuck, a lift and a BBL in one day. My rule has not changed. The weight has to stop moving first. Here is what three months of a flat line buys you, how loose skin changes the plan, and what I reach for when the fat that would have gone into the buttock is gone.

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When Needle-Free Is Not Enough: The Skin Tightening Ladder From a Facial to My Operating Room

When Needle-Free Is Not Enough: The Skin Tightening Ladder From a Facial to My Operating Room

November 01, 2026 | Body Contouring, Facial Rejuvenation, Skin Tightening

Barry Keoghan paid about $6,000 for two needle-free radiofrequency sessions, and the story ran everywhere. The device is the gentlest rung of a ladder I run end to end: home gadgets, needle-free handpieces, Morpheus8 Cool, then QuantumRF, BodyTite and Renuvion under the skin, then a lift. Here is how I decide which rung a patient needs, and when none of them will do.

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Miami Thong Lift in El Paso: Fixing a Double Butt Crease Without a Visible Scar

Miami Thong Lift in El Paso: Fixing a Double Butt Crease Without a Visible Scar

October 27, 2026 | Body Contouring

A patient with a BBL from two years ago still had a second fold under each buttock. Dr. Agullo’s real answers on the Miami thong lift, the hidden scar, fat to the outer thighs, and what causes fibrosis.

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