At The Plastic and Cosmetic Center of South Texas, led by Dr. Thomas Jeneby and Dr. Connie Hiers, we offer an innovative approach to body contouring: Awake Liposuction, also known as Twilight Lipo. This advanced technique gives patients more control, comfort, and convenience than traditional liposuction—all while achieving stunning, natural-looking results.
What is Awake or Twilight Liposuction?
Awake Liposuction is a minimally invasive fat removal procedure designed to sculpt and refine your body with less downtime and more flexibility. Unlike traditional liposuction under general anesthesia, Twilight Lipo lets you choose your level of sedation based on your comfort and lifestyle. Whether you want to stay fully awake, lightly sedated, or deeply relaxed, our team customizes the experience for you.
Sedation Options Include:
- IV Sedation – Experience deep relaxation with minimal awareness of the procedure, without the grogginess of general anesthesia.
- Spinal Sedation – Achieve targeted numbness below the waist for maximum comfort without full anesthesia.
- Local Anesthesia – Stay fully awake and alert. Many patients are surprised at how comfortable this option can be.
- Oral Sedation – A milder choice for those who just want to “take the edge off” while remaining conscious.
This customizable approach means you are in control—awake or asleep, it’s entirely your decision.


Why Patients Love Awake Liposuction
- Minimally Invasive, Little to No Downtime – Awake Lipo uses gentle techniques that reduce trauma to the body. Many patients resume normal activities within a few days, making it ideal for busy lifestyles.
- Personalized Sedation Options – Your comfort matters. Whether you prefer oral medication, local anesthesia, or IV sedation, we tailor the plan to fit your needs.
- Natural-Looking Results – Define your contours without compromising your schedule. Awake Lipo allows precise fat removal for smooth, natural body shaping.
What Areas Can Awake Lipo Treat?
Awake Liposuction can target stubborn fat deposits that resist diet and exercise, including:
- Abdomen & Waist
- Love Handles & Flanks
- Thighs (Inner & Outer)
- Arms
- Back & Bra Rolls
- Chin & Neck
Who is an Ideal Candidate?
You may be a great candidate for Awake Lipo if you:
- Want targeted fat removal without full surgery
- Prefer little to no downtime
- Are close to your ideal weight but struggle with localized fat
- Desire a personalized, comfortable experience
Benefits Over Traditional Liposuction
Traditional liposuction often requires general anesthesia, extended recovery, and higher costs. Awake Liposuction offers:
- Lower risk compared to general anesthesia
- Shorter recovery time
- More affordable than hospital-based procedures
- Greater comfort with flexible sedation choices
The Experience at The Plastic and Cosmetic Center of South Texas
When you choose Dr. Jeneby or Dr. Connie Hiers, you’re choosing two of the most trusted cosmetic surgeons in San Antonio. Both doctors are highly experienced in advanced body-contouring techniques and are committed to making your experience safe, comfortable, and personalized.
initial consultation to your post-procedure care, our team ensures every detail is tailored to your goals. We use the latest technologies for fat removal and contouring, delivering natural, beautiful results without the risks of traditional surgery.
Recovery and Results
Because Awake Lipo is minimally invasive, most patients:
- Return home the same day
- Resume light activities in 1–2 days
- Notice visible improvements within weeks as swelling subsides
Final results typically appear within a few months, revealing a slimmer, more contoured figure you’ll love.
Why Choose Awake Liposuction with Dr. Jeneby & Dr. Hiers?
- Board-Certified Expertise: Both doctors bring decades of combined experience in cosmetic surgery.
- State-of-the-Art Facility: Our accredited center ensures the highest level of safety and care.
- Personalized Approach: Every body is unique—so is every treatment plan.
Take the First Step
Ready to sculpt your dream body—awake, comfortable, and confident? Schedule your Awake Liposuction consultation with Dr. Jeneby or >Dr. Connie Hiers today at The Plastic and Cosmetic Center of South Texas.












