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Jason Emer, MD, FAAD, FACS

A year in the gym. One day to finish it.

Gladiator Lipo: High Definition Body Sculpting For Men Who Already Train

How Dr. Jason Emer sculpts the male physique using high definition liposculpture, fat grafting, and skin tightening to reveal muscle definition in men who have already put in the work.

Dr. Emer's patient from this film, after treatment. Background darkened for the page; the body is not retouched. Individual results vary.
THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

Dr. Emer carved abs, sculpted the chest, removed gynecomastia, grafted fat to the pecs and glutes, tightened skin with Renuvion J Plasma, performed a mini abdominoplasty, and enhanced the penis with fat grafting in one session to transform a year of training into a gladiator physique.

Your plan starts with Dr. Emer.

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Reserve online. West Hollywood and New York.

From the filmed session

Inside the treatment. With Dr. Emer.

Gladiator Lipo: High Definition Body Sculpting For Men Who Train | Dr. Jason Emer

Open on YouTube

What Dr. Emer did · MAXORIS

Every procedure. In order.

  1. 01

    High definition liposculpture MAXORIS™

    Tumescent fluid infiltration to lift fat planes, then cannula sculpting of the flanks, lower abdomen, inner thighs, and back to carve ab channels, define the V taper, and create sacral dimples; fat harvested for grafting.

    “We're sculpting out the ABS you guys you can see look at these huge monstrous ABS he's been working out for a year in anticipation for this surgery so what we're going to do because he's so lean you're actually really going to be able to see these adhesions so we're going to create them we're going to make him look sculpted he wants to be a gladiator we're going to give it to him today.”

    Dr. Emer, in the film
  2. 02

    Renuvion J Plasma skin tightening MAXORIS™

    Internal plasma heat applied to the flanks, abdomen, back, and inner thighs immediately after fat removal to contract skin and mold it to the new contour.

    “This is reuan J plasma this is going to use plasma heat to tighten his skin remember he doesn't have a ton of fat so our goal is to anything that we remove that loosens get it to contract get to tighten up especially since we're creating these back dimples.”

    Dr. Emer, in the film
  3. 03

    Fat grafting to chest MAXORIS™

    Purified fat, enhanced with exosomes, injected into the pectoralis to build roundness, upper chest volume, and an angled border for a gladiator aesthetic.

    “We just grafted his chest with fat I want to show you something guys that have good athleticism look at what it was able to do to the chest already take a look the roundedness and the angled border.”

    Dr. Emer, in the film
  4. 04

    Gynecomastia removal with nipple repositioning MAXORIS™

    Excision of glandular tissue, elevation and suturing of the nipples to a higher position to correct droop and outward orientation.

    “We got rid of the gomasa lifted the nipple sutured the nipple higher to give it a LIF.”

    Dr. Emer, in the film
  5. 05

    Mini abdominoplasty MAXORIS™

    Lower abdominal skin excision with no scar around the umbilicus, plication of the rectus fascia to flatten the lower abdomen and tighten the pubic area.

    “We had to do a mini tuck down here not only will it help the pubic area tighten flatten everything below making the penis even a little bit longer and look bigger but it tightens everything from here.”

    Dr. Emer, in the film
  6. 06

    Penile fat grafting PHALLONOX™

    Purified fat, mixed with exosomes, injected into the penile shaft to increase girth, enhance existing hyaluronic acid filler, and provide rejuvenation for improved erection quality.

    “When you put fat into the penis area you get better erection stronger orgasm you just get better results anti-aging for that area.”

    Dr. Emer, in the film
  7. 07

    Penile enhancement with hyaluronic acid and PMMA PHALLONOX™

    Injection of hyaluronic acid and polymethylmethacrylate microspheres to increase length appearance and girth after skin has stretched from prior treatment.

    “He actually has the ability cuz after a little bit of time the skin in some guys can actually stretch a little bit and allow it to get a little bit longer and actually a little bit more size and he has a substantial difference actually it's quite amazing as to how this has been a life change for him.”

    Dr. Emer, in the film

Why patients fly in

What Dr. Emer does differently.

Channels and borders carved by hand to define muscle separation

Dr. Emer sculpts ab adhesions, chest borders, and back dimples with cannula passes that mimic muscle anatomy, not just fat removal.

“We're going to create them we're going to make him look sculpted he wants to be a gladiator we're going to give it to him today.”

Skin tightened from the inside as fat is removed

Renuvion J Plasma heats the underside of the skin immediately after liposuction so it contracts around the new contour rather than loosening.

“Our goal is to anything that we remove that loosens get it to contract get to tighten up especially since we're creating these back dimples.”

Fat grafted to build volume where training cannot

Purified fat, enhanced with exosomes, is placed in the chest and glutes to create roundness and an angled border that completes the gladiator aesthetic.

“Look at what it was able to do to the chest already take a look the roundedness and the angled border.”

Built for men who have already lost weight and built muscle

This patient trained for a year and arrived lean; the procedure revealed definition he had earned, not created it from scratch.

“He's been working out for a year in anticipation for this surgery so what we're going to do because he's so lean you're actually really going to be able to see these adhesions.”

Multiple procedures staged in one session

Liposculpture, skin tightening, fat grafting, gynecomastia removal, mini abdominoplasty, and penile enhancement performed together under one anesthesia for a complete transformation.

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗
  1. 01Before

    The starting point

    He arrived lean, disciplined, and ready for the final step.

    He spent a year rebuilding his body before surgery. The muscle was there, but stubborn fat on the flanks, lower abdomen, and inner thighs obscured the definition he had worked for. He wanted to look like a gladiator, and Dr. Emer built the plan to get him there.

  2. 02The session

    In the room, in order

    Dr. Emer worked with Dr. Roz Hausz to perform high definition liposculpture, removing fat from areas that hid muscle and grafting purified fat to the chest and glutes. Renuvion J Plasma tightened the skin from the inside as fat was removed, so the skin contracted around the new contour. A mini abdominoplasty flattened the lower abdomen, and gynecomastia removal with nipple repositioning completed the chest.

    • Remove fat from areas that obscure definition
    • Carve channels and borders
    • Graft purified fat to areas that need volume
    • Tighten the skin from the inside
    • Finish with surgical refinement
  3. 03The result

    What changed

    The result was visible immediately: carved abs, a sculpted chest, a defined back, and a physique that matched the year of work he had put in.

Explore the full treatment details +

Abs, chest, and back sculpted as one plan / Patient story

A year of training. One day of sculpting.

He arrived lean, disciplined, and ready for the final step.

He spent a year rebuilding his body before surgery. The muscle was there, but stubborn fat on the flanks, lower abdomen, and inner thighs obscured the definition he had worked for. He wanted to look like a gladiator, and Dr. Emer built the plan to get him there.

Dr. Emer worked with Dr. Roz Hausz to perform high definition liposculpture, removing fat from areas that hid muscle and grafting purified fat to the chest and glutes. Renuvion J Plasma tightened the skin from the inside as fat was removed, so the skin contracted around the new contour. A mini abdominoplasty flattened the lower abdomen, and gynecomastia removal with nipple repositioning completed the chest.

The result was visible immediately: carved abs, a sculpted chest, a defined back, and a physique that matched the year of work he had put in.

A year of training, one day of sculpting

The patient in this video spent a year rebuilding his body before surgery. He arrived lean, disciplined, and ready for the final step: high definition liposculpture to carve out the muscle he had already built.

Dr. Emer worked with Dr. Roz Hausz to remove stubborn fat from the flanks, lower abdomen, and inner thighs, then used that fat to build the chest and enhance the lower body. The goal was not to replace the work he had done in the gym, but to reveal it.

What high definition liposculpture actually does

This is not standard liposuction. Dr. Emer sculpts channels and borders to define the abs, chest, and back, creating the appearance of muscle separation and depth. Fat is removed from areas that obscure definition, then purified and grafted to areas that need volume, like the upper chest and glutes.

The team also used Renuvion J Plasma to tighten the skin from the inside as fat was removed, so the skin contracts around the new contour rather than loosening. A mini abdominoplasty tightened the lower abdomen and pubic area, flattening everything below the waistline.

How the session is built

Five moves. One transformation.

High definition liposculpture is not standard liposuction. It is a sculpting session built around your muscle.

  1. 01

    Remove fat from areas that obscure definition

    Fat is removed from the flanks, lower abdomen, and inner thighs to reveal the muscle underneath.

  2. 02

    Carve channels and borders

    Dr. Emer sculpts the abs, chest, and back to create the appearance of muscle separation and depth.

  3. 03

    Graft purified fat to areas that need volume

    Fat is purified and grafted to the chest, glutes, and other areas to build roundness and definition.

  4. 04

    Tighten the skin from the inside

    Renuvion J Plasma heats and contracts the skin as fat is removed, so the skin molds to the new contour.

  5. 05

    Finish with surgical refinement

    A mini abdominoplasty, gynecomastia removal, or nipple repositioning completes the transformation.

The treatment, explained

What is high definition liposculpture?

Also called high def lipo, ab sculpting, gladiator lipo, male body contouring, gynecomastia surgery, chest sculpting, Renuvion J Plasma, fat grafting to chest, penile fat grafting, mini abdominoplasty, male body sculpting.

What it is
High definition liposculpture for men is a body contouring procedure that removes fat from areas that obscure muscle, carves channels and borders to define abs and chest, grafts purified fat to build volume in the pecs and glutes, and tightens skin from the inside with Renuvion J Plasma. It is often combined with gynecomastia removal, mini abdominoplasty, and penile enhancement in one session. The goal is to reveal the physique a patient has built through training, not to replace the work of diet and exercise.
How it works
Dr. Emer begins with tumescent fluid infiltration to lift fat planes and minimize bruising. He then uses cannulas to sculpt the flanks, abdomen, back, and inner thighs, carving channels that mimic muscle separation. Fat is harvested, purified, and enhanced with exosomes before being grafted into the chest and glutes. Renuvion J Plasma is applied internally to heat and contract the skin as fat is removed. Gynecomastia tissue is excised and nipples are repositioned. A mini abdominoplasty removes loose lower abdominal skin and tightens the fascia. Penile fat grafting and filler injections increase girth and improve function. The entire session is performed under general anesthesia with Dr. Emer and Dr. Roz Hausz working together.
Who it is for
Men who have already lost weight and built muscle through training but carry stubborn fat in the flanks, lower abdomen, inner thighs, or back that obscures definition. Candidates are lean, disciplined, and want a finishing tool to match their physique to the effort they have invested. Men who want chest volume, gynecomastia correction, or penile enhancement as part of a complete transformation are ideal. Skin quality, muscle development, and realistic expectations are assessed during consultation.
Recovery
Most patients are back to light activity within a week and cleared for full training within a few weeks, depending on the extent of the work. Compression garments are worn to support healing and skin contraction. Swelling and bruising are managed with lymphatic drainage and medication. The chest, abdomen, and penis require specific care instructions. Full results develop over several months as swelling resolves and skin tightens. Recovery and activity timelines are set during consultation based on the procedures performed.
When results show
Definition is visible immediately after surgery and improves as swelling resolves over the following months. Skin continues to tighten for up to a year with Renuvion J Plasma. Fat grafting to the chest and glutes establishes volume that matures over several months. Gynecomastia removal and nipple repositioning create a flat, masculine chest. Mini abdominoplasty flattens the lower abdomen and tightens the pubic area. Penile enhancement increases girth and improves erection quality. Results are long term when weight is maintained and training continues.

Signature procedures

Only at Emer.

Body / AETHRAFORM top tier

MAXORIS™ APEX

The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.

Male enhancement

PHALLONOX™

Penile enhancement with filler or the patient's own fat, staged and performed personally by Dr. Emer, with private consultation.

Peptides / biologic optimization

RECODEX™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.

Face / jaw

MAX-JZ

Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

Why Dr. Emer

Sculpting is a craft. He set the standard.

Two decades of results, a global patient base, and techniques other surgeons travel to learn.

Dr. Emer built his reputation on outcomes that read as natural at rest and unmistakable in motion. He pioneered high definition body sculpting approaches that are now taught internationally, and he personally performs every procedure in his practice.

Patients come to him when the result has to be precise: athletes protecting a physique they earned, men who want definition without looking overdone, and people who have been elsewhere and want it done right.

  • MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
  • Former Chief Resident in dermatology, Mount Sinai, New York
  • More than 10,000 patient encounters
  • Male facial sculpting longer than anyone in the United States
  • The highest filler volume on the West Coast
  • West Hollywood and New York
About Dr. Emer Schedule Consultation
EMER METHOD™×RECODEX™

Channels and borders carved by hand

Dr. Emer sculpts the abs, chest, and back to create the appearance of muscle separation, not just fat removal.

Fat grafted to areas that need volume

Purified fat is placed in the chest, glutes, and other areas to build roundness and definition where training alone cannot.

Skin tightened as fat is removed

Renuvion J Plasma heats and contracts the skin from the inside, so the skin molds to the new contour rather than loosening.

Built for men who train

This is not a shortcut. It is a finishing tool for men who have already put in the work and want the physique to match the effort.

Asked plainly, answered plainly

What men ask before they book.

Is this the same as regular liposuction?+

No. High definition liposculpture carves channels and borders to define muscle, grafts fat to areas that need volume, and tightens skin from the inside with Renuvion J Plasma. It is a sculpting session built around your muscle, not just fat removal.

Do I need to be in shape first?+

Yes. This is a finishing tool for men who have already lost weight and built muscle through training. It reveals definition you have earned, it does not create it from scratch. The patient in this case trained for a year before surgery.

What is the downtime?+

Most patients are back to light activity within a week and cleared for full training within a few weeks, depending on the extent of the work. Compression garments are worn to support healing. Recovery and activity timelines are set during consultation based on the procedures performed.

Will the skin tighten or will it sag after fat is removed?+

Renuvion J Plasma heats and contracts the skin from the inside as fat is removed, so the skin molds to the new contour rather than loosening. A mini abdominoplasty removes loose lower abdominal skin if needed. The goal is a tight, sculpted result that lasts.

Can I combine this with gynecomastia removal?+

Yes. Many patients combine high definition lipo with gynecomastia removal, nipple repositioning, fat grafting to the chest, and penile enhancement in one session. The patient in this case had all of these procedures performed together under one anesthesia.

How much fat can be grafted to the chest?+

The amount depends on how much fat is available and how much volume the chest can accept. The patient in this case was very lean but Dr. Emer was able to harvest enough fat from the flanks and inner thighs to build roundness and an angled border in the pecs.

Does penile fat grafting improve function or just size?+

Both. Fat grafting increases girth and can improve erection quality, orgasm strength, and overall rejuvenation of the area. The patient in this case had prior filler and Dr. Emer added fat to enhance the result further.

How long do the results last?+

Results are long term when weight is maintained and training continues. Fat grafting establishes volume that matures over several months. Skin tightening with Renuvion J Plasma continues for up to a year. Gynecomastia removal and mini abdominoplasty are permanent.

Find out what your body can carry.

A consultation with Dr. Emer covers your build, your goals, and whether high definition body sculpting fits your plan.

Schedule Consultation

West Hollywood and New York City

Dr. Jason Emer West Hollywood · New YorkSchedule Consultation