(281) 242-1061 
Dr. Ravi Somayazula, known to patients simply as Dr. Ravi, performs High Definition (HD) Liposuction with a careful, anatomy first, safety driven philosophy. He does not chase trends or extreme etched looks. Instead, he sculpts highlight and shadow zones so your contours read as athletic and natural in motion, up close, and years from now. Every decision protects tissue health, preserves skin quality, and supports results that fit your frame and lifestyle.
With more than 20 years in surgery and 15,000 plus procedures across breast and body, Dr. Ravi blends SAFE liposuction with MicroAire power assist for precise control and, when it clearly benefits your tissues, VASER ultrasound to help free fat and support skin retraction. In early 2020, he trained with Dr. Alfredo Hoyos to deepen high definition liposculpting skills and to refine three dimensional mapping that complements his conservative, safety first methodology. Procedures take place in a QuadA accredited operating suite in Houston with a board certified anesthesiologist. His operating team includes skilled nurses and a first assist with multiple years of plastic surgery experience. They work in unison so surgery feels like a well coordinated performance. The practice culture is CAPPT: Character, Accountability, Professionalism, Patient focus, and Team approach.
Traditional liposuction debulks. High Definition liposuction designs shape. Dr. Ravi works with your body’s natural topography, enhancing highlight zones where light naturally catches and preserving shadow zones that create depth. The intent is to reveal structure that already exists under the skin. When done correctly, the result looks like fitness and proportion, not like surgery.
Typical highlight and shadow targets include the linea alba and semilunaris of the abdomen, the gentle deltoid, biceps, and triceps grooves of the arms, the pectoral borders in men, and clean transitions through the waist, flanks, back, and thighs. Instead of carving deep, harsh lines, he uses conservative debulking and feathered equalization so planes and curves read in normal light. The goal is elevated but believable contours that age gracefully.
You are likely a good candidate if you are healthy and close to a stable, sustainable weight, have localized fat that blunts definition despite diet and exercise, and have reasonable skin quality for your age and history. You should not smoke or should be willing to pause nicotine before and after surgery. Most importantly, your goals should align with an athletic and believable aesthetic rather than extreme etching.
HD liposuction is not a weight loss procedure. If you are still progressing toward health goals, Dr. Ravi uses the practice’s vertical integration to prepare your body first. Options include physician guided medical weight loss, hormone optimization for men and women, and RISE Med Spa plans for skin health and recovery support. Optimizing before surgery helps results last longer and often allows more refined definition.
Some factors can change candidacy or timing. Significant skin laxity after major weight loss may require skin tightening or an abdominoplasty to reveal shape. Diastasis of the rectus muscles can blunt abdominal definition, which is why HD lipo is sometimes paired with a SMART Abdominoplasty in a staged or combined plan. Prior surgeries and scar locations influence incision placement and whether energy devices are useful or best avoided. Dr. Ravi reviews these nuances during consultation so you understand the safest and most effective path.
Abdomen and waist. The abdomen is mapped to emphasize the midline and the semilunar lines while preserving a natural softness over the central muscle bellies. The waist is narrowed to support a balanced V taper. The aim is a torso that looks tight and athletic without harsh checkerboard patterns.
Flanks, lower back, and hips. Strategic debulking reduces bulk at the flanks and back rolls and blends the back into the hips for smooth transitions in both profile and three quarter view. This improves how clothing fits and creates a more continuous silhouette from ribcage to pelvis.
Arms and shoulders. Dr. Ravi defines the deltoid cap and the bicipital and tricipital gutters with care. Over carving creates stringy arms that photograph poorly and move unnaturally. He maps the anterior and posterior deltoid borders, favors soft highlight along the deltoid cap, and places shadowing carefully in the gutters. Cannula passes are shallow subcutaneous with conservative volumes to protect skin smoothness.
Chest in men. Male chest work accents the lateral pectoral border and the transition into the anterior latissimus. If fatty gynecomastia is present, it can be addressed during the same operation. The aim is a strong upper torso frame without over hollowing near the sternum.
Thighs and knees. Inner and outer thigh blending, subtle definition near the sartorius line, and clean knee framing help the leg look longer and more athletic. The focus is harmony with the hips and calves, not maximal reduction.
SAFE stands for Separation, Aspiration, and Fat Equalization. Instead of starting with suction, Dr. Ravi first separates fat from its connective lattice using specialized cannulas. This reduces trauma, limits chatter marks, and allows more even removal. Controlled aspiration follows with attention to shape rather than volume. He finishes with fat equalization, feathering passes with the cannula off suction to smooth planes and soften transitions so light rolls evenly across the surface. SAFE is ideal for HD work because it respects tissue planes and reduces the risk of lumps, dips, or harsh edges.
MicroAire PAL provides small, rapid cannula movements that improve finesse. The subtle oscillation lets Dr. Ravi guide the tip precisely along highlight and shadow zones. This is especially helpful in fibrous regions, near old scars, and in revision cases where control is crucial. The result is consistent line quality with less strain on tissues.
VASER ultrasound can loosen fat and support skin retraction when tissues are a good match. Dr. Ravi does not use energy on auto pilot. He applies VASER only when it clearly improves the plan, such as the upper abdomen and flanks in patients with mild laxity where sharper edges would otherwise be blunted. Settings are conservative and tailored to tissue response. Energy is a tool, not a rule.
When skin laxity could blur definition, Dr. Ravi may layer in radiofrequency tightening such as BodyTite or Renuvion. The purpose is to support the sculpted framework and help the skin contract smoothly over the new shape. Not every patient needs it and not every area benefits. He explains the reason for each adjunct and the expected effect so you know exactly what each step contributes.
HD liposuction is about what is left as much as what is removed. Small volume subcutaneous fat transfer can soften step offs, round a hip dip, or improve a shape transition. Dr. Ravi keeps volumes conservative, maintains a safety first approach, and avoids intramuscular gluteal grafting. The principle is balance and proportion, not maximal augmentation.
The first visit is unhurried. Dr. Ravi listens to your goals, photographs the areas of interest with privacy and professionalism, and performs a detailed examination. He maps proposed highlight and shadow zones directly on the body and explains how the plan will respect the skin envelope, your fat distribution, and the way the result will look in different positions and lighting. Words like toned, athletic, or natural can mean different things to different people. You are encouraged to bring example photos of similar body types so language matches visual goals. The tone is clear, supportive, and realistic.
You receive a written preoperative packet with instructions, medication guidance, and garment planning. Nicotine is stopped well in advance. Certain supplements and medications are paused when appropriate. If you will benefit from weight stabilization, hormone evaluation, or skincare work before surgery, Dr. Ravi sequences those steps so your body is ready. Thoughtful preparation is one of the simplest ways to improve results and lower risk.
Comprehensive HD cases are usually performed under general anesthesia in the QuadA accredited operating suite with a board certified anesthesiologist. Focused areas such as the neck can be performed under local anesthesia when appropriate for safety and comfort. Before surgery, you meet the anesthesia provider and review the plan once more with Dr. Ravi so there are no surprises.
Tumescent solution is infiltrated to provide hemostasis and improve comfort. The exact composition and volume are tailored to the size of the field and your physiology. Careful infiltration is quiet work but it is critical. It sets the stage for controlled sculpting and smoother recovery.
Using SAFE technique with MicroAire PAL, Dr. Ravi separates the fat layer evenly, removes fat with controlled aspiration, and then equalizes with off suction feathering. He pays close attention to how the skin drapes when you are flexed and when the table is tilted. Small adjustments at this stage matter. The aim is crisp but soft edged definition.
If the plan includes VASER or radiofrequency tightening, it is applied only where it has a clear benefit and in doses that respect your tissue’s tolerance. Dr. Ravi explains before surgery which areas are candidates and why those choices support the outcome.
Incisions are a few millimeters and placed in discreet locations. They are closed with fine sutures or steri strips. Before leaving the OR, a compression garment is placed to support swelling control and skin adherence. You and your caregiver receive a refresher on garment use before discharge.
You wake in a calm recovery area with experienced nurses. Comfort is assessed, medications are reviewed, and early walking is encouraged. Most liposuction patients return home the same day with a responsible adult and clear written instructions.
Dr. Ravi uses enhanced recovery protocols built on multimodal pain control, so narcotics can be minimized. Plans usually include a non opioid backbone, a short opioid option for breakthrough discomfort, anti nausea medication when needed, an antibiotic if indicated, and a stool softener. You receive direct contact methods and a structured follow up schedule so support is easy to access.
Days 0 to 3. Compression stays on as instructed except for short showers when cleared. Gentle walking begins on day one to encourage circulation. Expect swelling and bruising that vary by individual and scope. Hydration and short frequent rests help more than long couch sessions.
Days 4 to 7. Bruising settles and many desk job patients feel ready to return to work within several days. Garment wear continues. Lifting, pushing, and pulling are avoided. Light ambulation continues.
Weeks 2 to 3. The first clear shape reveal begins as swelling shifts. Activity increases gradually. Some patients move to a lighter compression strategy or change wear time based on instructions.
Weeks 4 to 6. Many patients return to more robust activity with common sense limits. Definition sharpens as edema recedes and the skin continues to adhere to the new framework.
Months 3 to 6. Most swelling settles by about 3 months. Contours continue to refine up to 6 months and sometimes longer in very large treatment zones. Small touch ups are rarely needed and are discussed openly when appropriate.
Houston climate note. Houston is warm and humid. Breathable garments, limited heat exposure early, and strict sun protection over incisions help comfort and scar quality. Avoid pools and hot tubs until incisions are sealed and you are cleared.
All procedures carry risk. For liposuction these include bleeding, infection, fluid collection or seroma, contour irregularities, numbness or altered sensation, delayed healing, issues related to anesthesia, and rare events such as fat embolism or deep vein thrombosis. Dr. Ravi lowers risk through careful candidacy screening and medical optimization, a QuadA accredited facility with board certified anesthesia, conservative fluid management, meticulous technique, early ambulation and compression, and honest communication between visits. The consent process is handled in plain language with time for questions so you understand benefits, risks, and alternatives.
Great HD work should look like you, only more defined. If your skin is thick and elastic with moderate subcutaneous fat, crisper lines are often achievable. When laxity or thin skin are present, Dr. Ravi adjusts the degree of definition and, when appropriate, layers in tightening so the result looks right in motion and ages well. He avoids aggressive etching that may photograph dramatically on day one but can look harsh over time. The priority is satisfaction that lasts.
Male definition is tailored to masculine anatomy and aesthetics. Dr. Ravi typically emphasizes a straighter abdominal midline with measured semilunar line definition, a tighter waist to lat interface to reinforce the upper torso V, and clear pectoral framing without over hollowing near the sternum. If fatty gynecomastia is present, he can address it in the same session with careful contouring and attention to skin retraction. He avoids checkerboard patterns and extreme depressions that can read artificial in motion or with future weight fluctuations.
Photography. Preoperative and postoperative photographs are part of care. Consistent angles, lighting, and posture allow you to see changes that the mirror can miss during swelling. Dr. Ravi reviews these images with you at follow ups to mark progress and to plan next steps when indicated.
Garments. Compression garments are sized for comfort and function. Too little compression can slow adherence. Too much can create unwanted lines. The goal is even support that you can tolerate for the recommended duration. Garments are typically worn full time early, then tapered based on the plan.
Massage and lymphatic care. Gentle self massage is often started after the first weeks when cleared. Formal lymphatic massage can be considered on a case by case basis. The intent is to help with comfort and swelling rather than to mold aggressive grooves.
Activity and travel. Short walks begin day one. Air travel is discussed based on scope of surgery and personal risk factors. When travel is necessary, you receive clear instructions about compression, hydration, and movement to reduce risk.
Fees vary based on the number of areas, the complexity of definition, the use of adjuncts such as VASER or radiofrequency tightening or small volume fat transfer, and the time required in the OR. After examination and mapping, you receive a written itemized quote that includes the surgeon’s fee, anesthesia, facility, garments, and standard follow up. If staging would be safer or more cost effective, Dr. Ravi explains the sequence and timelines. Flexible payment options are available. The team is transparent about inclusions, potential add ons, and what each service contributes to the outcome.
The practice operates as a one roof, many tools model. Surgical care pairs with RISE Med Spa for skincare and nonsurgical recovery adjuncts, hormone optimization for men and women when indicated, and medical weight loss programs to establish and maintain healthy baselines. This vertical integration simplifies preparation, supports comfortable recovery, and helps you maintain definition over time.
When the anatomy and skin allow, the abdominal lines associated with a toned look can be revealed. Dr. Ravi keeps the aesthetic athletic and believable. He avoids over etched lines that look artificial in motion.
No. Energy is used only when it clearly adds value for the tissues and goals. Many excellent HD results come from SAFE and MicroAire alone.
Yes. Neck liposuction and certain focused body areas can be done under local anesthesia when safe and appropriate. Comprehensive HD sculpting is generally performed under general anesthesia for precision and comfort.
Many patients with desk jobs return within several days, depending on the number of areas treated and individual healing. Patients with physical jobs may need more time.
Drains are not typical for standard liposuction plans. If a case requires a different approach, Dr. Ravi explains the reasoning and the expected duration.
Yes. Common pairings include SMART Abdominoplasty when extra skin or diastasis is present, or small volume fat transfer for balance. If staging is safer, the plan is staged with clear timelines.
Incisions are small and discretely placed. A scar care plan begins once the skin is sealed. It typically includes silicone therapy, sun protection, gentle massage, and optional microneedling or red light therapy at the right time. Early tension minimizing strategies help scars mature well.
Fat cells that are removed do not return, but remaining cells can enlarge with weight gain. Stable habits help preserve definition. The wellness team can support long term maintenance.
Often yes. Male HD lipo focuses on pectoral borders, the waist to lat interface, and measured abdominal line work. If fatty gynecomastia is present, it can be treated in the same operation.
Bring goal photos of bodies with similar height and frame so words like athletic or toned align with actual proportions. Share medications and supplements and be ready to discuss work and lifestyle so the plan fits your life.
Most patients describe early recovery as soreness and tightness rather than sharp pain. Multimodal pain control is designed to limit narcotics while keeping you comfortable enough to walk and sleep.
Medical review and labs. A focused medical review confirms that you are a safe candidate. Depending on age and history, basic labs and clearance may be requested. Medications and supplements that increase bleeding risk are paused when appropriate in coordination with your prescribing clinicians.
Nutrition and hydration. Aim for balanced meals rich in lean protein, complex carbohydrates, and fiber in the weeks leading into surgery. Adequate hydration supports circulation and comfort. Avoid crash diets that deplete energy or compromise skin quality.
Nicotine and alcohol. Stop all nicotine products well before surgery and remain nicotine free through the early healing phase. Limit alcohol and avoid binge patterns that interfere with fluid balance and sleep quality.
Sleep and stress. Consistent sleep and light activity help regulate inflammation. Simple breath work or short walks can help lower stress, which can improve perceived pain and recovery momentum.
Home setup. Prepare a recovery space with extra pillows, a phone charger, a water bottle, and a simple log for medication timing. Place commonly used items at waist height so you are not reaching overhead in the first days.
Support person. Arrange a responsible adult for the first night. Review instructions together. A prepared support person lowers anxiety and improves adherence to the plan.
Medication plan. Multimodal analgesia uses non opioid medication as the backbone, with a small reserve of opioid for breakthrough discomfort. Anti nausea medicine is available when needed. A stool softener supports comfort when appetite is reduced. Follow the schedule provided in your packet and do not wait for pain to escalate before taking the next approved dose.
Garment roadmap. Expect full time compression for the early phase, usually the first two weeks unless instructed otherwise. The next phase often uses lighter compression or adjusted wear times. The purpose is to control swelling, guide skin adherence, and support comfort without creating pressure marks.
Incision care. Keep incisions clean and dry until cleared to shower. Once sealed, gentle soapy water and careful pat dry are sufficient. Ointments are used only if instructed. When approved, begin the scar program with silicone therapy and strict sun protection.
Activity progression. Short walks begin day one. Light daily activity increases during weeks two to three. More robust exercise usually resumes in weeks four to six with individual guidance. High impact training and heavy lifting are reintroduced after review in clinic.
Signs to contact the office. Call for rapidly increasing swelling on one side, new redness that spreads, fever, drainage with foul odor, calf pain with swelling, chest pain, or shortness of breath. Early communication is encouraged for any concern.
Goal images and language. Bring a private album of goal photos that match your height, shoulder width, and frame. Words like natural or athletic are translated into shape choices during mapping so the surgical plan is grounded in what the body can realistically express.
Balance and proportion. Removing more fat is not always better. Lines look sharpest when the surrounding tissues are in proportion. Dr. Ravi focuses on relationships between the abdomen, waist, back, and hips so the result reads as a coherent whole.
Skin behavior over time. Even with excellent technique, skin thickness, elasticity, and history of weight change influence how sharply definition can be expressed. When appropriate, selective tightening is added. In other cases, a SMART Abdominoplasty is the definitive solution for lax skin or muscle separation.
Revision thinking. Most patients do not need revision. When it is indicated, the discussion is clear and unemotional. Plans might include small volume fat transfer for a transition, limited additional liposuction, or skin tightening in an area that proved more lax than expected. The purpose is to protect the long term look, not to chase extremes.
Athletic build with focal fat. Expect crisp highlights with minimal adjuncts. SAFE and MicroAire often suffice.
Medium build with mild laxity. Expect selective VASER in specific zones and possible radiofrequency tightening to help the skin contract to the new framework.
Post pregnancy changes. If diastasis is present, a conversation about repairing the muscle with a tummy tuck is honest and direct. HD lipo can complement, but it does not close muscle separation.
Massive weight loss. When skin redundancy is significant, excision procedures create the canvas that HD lipo can then refine. Dr. Ravi sequences surgery to minimize risk and maximize predictability.
For High Definition Liposuction in Houston, performed the way Dr. Ravi believes it should be done, schedule a private consultation to align your goals, your anatomy, and a plan that makes sense for your life.
Body by Ravi Plastic Surgery and Aesthetics
9230 Katy Freeway, Suite 520, Houston, TX 77055
Phone: (281) 242 1061 or 1 281 346 9038
Website: https://www.bodybyravi.com/
Surgeries are performed in a QuadA accredited operating suite with a board certified anesthesiologist. The operating team includes skilled nurses and a first assist with multiple years of plastic surgery experience, which supports a smooth, sterile, and calm experience.
