Innovations Medical · Dallas, Texas · Since 2007
Liposuction without general anesthesia, performed by Dr. Bill Johnson, a board-certified physician who has performed more than 6,000 awake liposuctions since February 2007.
Mon–Fri 8:30 AM–5 PM · Financing up to 60 months, subject to credit approval · HSA/FSA accepted · En español: (972) 362-9256
How "awake" works here: you take an oral medication when you arrive, breathe nitrous oxide during the procedure, and Dr. Johnson numbs each area with tumescent local anesthesia. You stay awake, you can talk with him, and you go home the same day.
Awake liposuction removes stubborn fat through small openings in the skin while you stay awake. Instead of putting you to sleep, we combine three things: an oral medication at the start to help you relax, nitrous oxide during the procedure, and tumescent fluid that numbs the treatment area and reduces bleeding.
Because you are not under general anesthesia, you can change position when Dr. Johnson asks, tell him how you feel, and walk out with a driver the same day. The numbing fluid is one part of a combined approach; the oral medication and nitrous oxide are there so you stay relaxed and comfortable.
Dr. Johnson is a board-certified physician. He sees you at your consultation, performs your procedure himself and follows your recovery. He opened the practice as Innovations Medspa in 2005, and it has been Innovations Medical since 2007.
Read Dr. Johnson's background and the records behind these milestones.
awake liposuctions
fat transfers
BBLs
Dr. Johnson has appeared on Good Morning Texas for more than 14 years and on local and national news for more than 20 years, often to show what awake procedures actually look like.
Your price depends on how many areas you treat and how much fat is in each one. Dr. Johnson gives you an exact quote at your free consultation.
Upper, lower and side abdomen. $6,500–$9,500.
From $3,500.
Bra-line and upper back rolls. From $3,500. Back liposuction.
From $3,500. Arm liposuction.
$2,500.
Priced at your consultation.
Stomach, flanks and back together: some patients treat the whole midsection in one visit, which many people call "Lipo 360." Dr. Johnson will tell you whether that makes sense for your body and what it costs, or whether treating fewer areas gets you where you want to be.
| Awake liposuction at Innovations Medical | Liposuction under general anesthesia | |
|---|---|---|
| Anesthesia | Oral medication, nitrous oxide and tumescent local anesthesia | You are fully asleep |
| During the procedure | Awake; you can move and talk with the doctor | Unconscious; airway managed by an anesthesia provider |
| Where | Our office in North Dallas | Usually a surgery center or hospital |
| Going home | Same day, with a driver | After recovering from anesthesia |
| Back to work | Most patients in 2–5 days | Varies by surgeon and procedure |
Some patients need a larger procedure. If you have more fat to remove, read about large-volume liposuction.
These are real Innovations Medical patients treated by Dr. Johnson. Individual results vary.
Before
After
Before
After

See more in our before and after gallery.
Expect soreness, swelling and bruising in the treated areas for the first days. That is normal. You wear a compression garment as instructed.
See the awake liposuction recovery timeline and our guide to compression garments.
We arrange a hotel stay for qualified out-of-town patients, and parking in front of the office is free. Travel information.
You may be a good candidate if you are in good general health, close to a weight you can keep, and bothered by fat that does not respond to diet and exercise.
Liposuction is not a weight-loss method, and it is still surgery. Possible effects include bruising, swelling, numbness, uneven contour, infection and fluid collection. Dr. Johnson goes over the risks that apply to you at your consultation.
If loose skin on the lower stomach is the main problem, liposuction alone may not be enough. Ask about the awake mini tummy tuck.
| Procedure | Price | Notes |
|---|---|---|
| Full stomach | $6,500–$9,500 | Upper, lower and side abdomen |
| Love handles, upper back or arms | From $3,500 per area | Final price set at consultation |
| Underarm | $2,500 | Single area |
| Awake mini tummy tuck | From $12,500 | Includes liposuction of the upper, lower and side abdomen; desk work in about 1 week |
| Awake BBL | From $7,500 | Uses your own fat; see awake BBL |
Paying for it: cosmetic surgery financing is available for up to 60 months, with 0% options, subject to credit approval. We also accept HSA and FSA cards. See financing options and the full awake liposuction cost guide.
Want to use the fat you remove? Dr. Johnson can transfer it to the buttocks, breasts or face. Learn about fat transfer and awake BBL in Dallas.
Dr. Bill Johnson has appeared on Good Morning Texas for more than 14 years and on local and national news for more than 20 years. On air, he has performed awake liposuction live in our office so viewers could see the patient awake and talking. Read more about live awake liposuction on TV.








Logos identify programs and stations where Dr. Johnson or Innovations Medical has appeared. They do not imply endorsement.
You may feel pressure, pulling or vibration. The tumescent fluid numbs the treatment area, nitrous oxide and an oral medication help you relax, and because you are awake you can tell Dr. Johnson right away if a spot feels sore.
We use an oral medication at the start, nitrous oxide during the procedure and tumescent local anesthesia in the treatment area. There is no general anesthesia.
Dr. Bill Johnson, a board-certified physician, performs every awake liposuction at Innovations Medical himself. He has performed more than 6,000 since February 2007.
Most patients go back to work in 2–5 days. Plan on soreness, swelling and bruising during the first days.
You will notice a change once the first swelling goes down, and your shape keeps improving over weeks to months as the swelling settles.
Full stomach is $6,500–$9,500. Love handles, upper back and arms start at $3,500 per area, and the underarm area is $2,500. You get an exact quote at your free consultation.
Yes. Cosmetic surgery financing is available for up to 60 months, with 0% options, subject to credit approval. We also accept HSA and FSA cards.
Often, yes. Many patients combine the stomach, flanks and back in one visit. Dr. Johnson will tell you at your consultation what can be done safely in one session.
Liposuction removes fat but does not remove loose skin. If loose skin on the lower stomach is your main concern, ask about the awake mini tummy tuck, which starts at $12,500 and includes liposuction of the upper, lower and side abdomen.
Yes. Fat removed with awake liposuction can be transferred to the buttocks in an awake BBL, which starts at $7,500.
Yes. We arrange a hotel stay for qualified out-of-town patients, and parking in front of our office is free.
Financing: cosmetic surgery financing is available for up to 60 months, with 0% options, subject to credit approval. HSA and FSA cards accepted. Financing options.
Talk with Dr. Johnson about your goals, get an exact price and decide with no pressure. The consultation is free.
Medically reviewed by Dr. Bill Johnson, board-certified physician, Innovations Medical. Last reviewed November 2026. This page is general information and not medical advice. Individual results vary.