Awake, under local numbing
Our doctors perform liposculpture with patients awake under local anesthesia, through incisions small enough that stitches are typically not needed.
Body contouring and fat reduction in San Ramon
Laser-assisted fat removal performed while you are awake under local numbing, by Dr. Fotsing and Dr. Riopelle in San Ramon. Most patients are back to normal activities within a day or two.
Book a consultationLiposuction in San Ramon, CA
Liposuction, also called lipoplasty, removes excess fat from specific areas of the body to improve contour. It may be considered when localized deposits remain despite healthy habits, but it is not a weight-loss procedure or a treatment for cellulite.
At SF Bay Cosmetic Surgery Medical Group, every recommendation begins with an individualized assessment. Your clinician will discuss whether liposuction, Smartlipo®, or another body-contouring approach fits your goals, health history, and treatment area.

Serving San Ramon and the Bay Area
5401 Norris Canyon Road, Suite 312 · San Ramon, CA 94583
Real Results,
These photos show real SF Bay Cosmetic patients. Individual outcomes vary, and a consultation is required to determine what may be realistic for you.



Why SF Bay Cosmetic,
Comparing liposuction providers in the East Bay? Here is what to expect at our San Ramon office.
Our doctors perform liposculpture with patients awake under local anesthesia, through incisions small enough that stitches are typically not needed.
Smartlipo®, VASERlipo®, tumescent liposuction and Smart Lipo Ultra, so the technique fits the area instead of the other way around.
Most Smartlipo® procedures take about 1.5 to 2 hours, and most patients return to normal activities within a day or two.
Dr. Laurena Fotsing and Dr. Jeffrey Riopelle perform Smartlipo® and liposuction at our San Ramon office.
Techniques,
Dr. Laurena Fotsing and Dr. Jeffrey Riopelle perform liposculpture with patients awake under local numbing, choosing the technique that suits each area.
Smartlipo® is laser-assisted liposuction using an FDA-cleared laser. The fine laser melts fat while coagulating small blood vessels and heating the skin to help it tighten. It is usually performed under local anesthesia through incisions small enough that stitches are typically not needed, and most patients return to normal activities within a day or two.
VASERlipo® uses ultrasound energy to emulsify fat between the skin and muscle, then removes it while leaving the surrounding connective tissue intact. Preserving that tissue supports smooth, consistent contours and a faster recovery.
Traditional awake liposuction for patients who need fat removed from larger areas. It can be paired with Smartlipo®: deeper fat is removed first, then the laser smooths the layer nearer the skin.
A combination of VASERlipo® and the Smartlipo® laser for slightly larger areas or skin that needs extra tightening. VASER removes the bulk of the fat first, then the laser contours and heats the skin.
Your consultation determines which technique, or combination, is appropriate for you. Results vary.
Cost & Planning,
Cost depends on how many areas you treat, their size and which technique fits them.
Your first step
Start with a complimentary call with one of our specialists
Abdomen, flanks, thighs, arms, back and chin are planned individually or together.
Larger areas usually take more treatment time.
Smartlipo®, VASERlipo®, tumescent liposuction or Smart Lipo Ultra, chosen for each area.
Your plan covers follow-up and recovery instructions, and explains what is included.
Treatment Areas,
The right treatment area and approach depend on an in-person assessment. Common areas discussed during consultation include:
Abdomen and waist
Hips and flanks
Thighs and knees
Upper arms
Back and bra area
Chin and neck
Liposuction is not effective for every concern. Loose skin, cellulite, visceral fat, and other factors may call for a different or combined treatment plan.
A thoughtful starting point
The American Society of Plastic Surgeons describes ideal candidates as healthy adults near their ideal weight who have firm, elastic skin, good muscle tone, specific contouring goals, and no conditions that impair healing.
That guidance is general—not a personal recommendation. Your clinician must review your health, anatomy, medications, goals, and risk factors before determining whether treatment is appropriate.
Review ASPS candidacy guidancePatient Reviews,
Rated 4.9 stars by our patients
I love this place. Beautiful facility! Nice people. Lost 10 pounds and gained 10 years here!!!
An absolutely amazing experience! Minor discomfort so very little downtime, fast healing, killer results, friendly service & caring staff & a meticulous sculptor in Dr.
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San Ramon office
5401 Norris Canyon Road, Suite 312 · San Ramon, CA 94583
Welcoming patients from the East Bay, San Francisco and the wider Bay Area.
Your Consultation,
01
Share the areas you want to address, your health history, and what a meaningful result would look like for you.
02
A clinician evaluates the treatment area, skin quality, and whether liposuction or another body-contouring option is appropriate.
03
Your consultation covers the recommended approach, preparation, expected recovery, risks, and follow-up before you decide.
Our Team,
SF Bay Cosmetic’s clinicians tailor each treatment plan to the individual. Dr. Laurena Fotsing and Dr. Jeffrey Riopelle perform Smartlipo® and liposuction at our San Ramon office. Dr. Fotsing completed residency training at UC Davis–San Joaquin General Hospital and advanced cosmetic training in liposuction, fat transfer, laser technologies and injectables under the direct mentorship of Dr. Riopelle. Dr. Riopelle has trained with world experts in cosmetic surgery and has taught cosmetic surgery techniques to physicians internationally.
Common Questions,
Your Next Step,
Visit SF Bay Cosmetic in San Ramon to discuss your goals, ask questions, and receive an individualized recommendation—without pressure to proceed.
Book a consultationResults vary. Consultation is required to determine candidacy.