How Today’s HD Lipo Is Not What It Was Five Years Ago - March 10, 2026 -
Dr. Salazar returns to share how HD Lipo has evolved over the last five years and why realistic expectations are just as important as technology.Learn about HD Lipo recovery timelines, the importance of compression, how long it takes to see results, and why choosing an experienced plastic surgeon is critical for outcomes that look natural.
From candidate selection to long-term maintenance, hear Dr. Salazar’s honest look at what HD lipo can and can’t do.
Links
Read more about San Diego plastic surgeon Dr. Hector Salazar-Reyes https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/
Learn more about HD lipo https://www.ljcsc.com/procedures/cosmetic-surgery/body/hd-lipo-high-definition-liposculpture/
Listen to our previous episode, Plastic Surgery Doesn’t End When the Procedure is Over https://www.ljcsc.com/blog/podcast-plastic-surgery-doesnt-end-when-the-procedure-is-over/
Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.
Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.
La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.
To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram https://www.instagram.com/ljcsc/
Watch the LJCSC Dream Team on YouTube https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/
The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/
Theme music: Busy People, SOOP
00:00 Intro
00:05 Why It’s Time to Revisit HD Liposuction
01:22 Dr. Salazar’s Training & How He Learned HD Lipo
02:32 Why He Uses Power-Assisted Liposuction (PAL) Instead of VASER
04:32 What Fascia Is (And Why It Matters for Your Abdomen)
08:03 Six-Pack Etching & Back Sculpting
10:09 A Patient’s Life-Changing Result
12:02 How HD Lipo Works
13:10 The Detailed Marking Process Before Surgery
14:00 Natural Results & Why Results Look “Cartoonish” at First
16:13 Swelling, Healing, and the Tightening Phase
17:41 Setting Expectations & Recovery Timeline
19:57 Sculpting the Chest & Pectoral Definition
21:06 Goals of High-Definition Liposuction
23:25 Do You Need Muscle Tone for HD Lipo?
24:35 Ideal Candidates for HD Liposuction
25:31 Who Should NOT Get HD Lipo
26:08 Weight Loss Before HD Lipo
27:13 The Artistic Side of Liposuction
29:19 Compression Garments & Recovery Rules
31:40 What Happens If You Gain Weight After HD Lipo?
33:09 How to Choose the Right Surgeon
36:35 Pre-Surgery Nerves & Trusting Your Surgeon
37:30 Outro









