Advanced Technology. Expert Technique. Natural Results. RFAL in Denver & Fort Collins

At Plastic Surgical Associates in Fort Collins, CO, board-certified plastic surgeon Dr. Diane Duncan uses RFAL to target areas like the abdomen, thighs, arms, and neck, delivering natural-looking results with less downtime. Serving Northern Colorado, including Loveland, Windsor, and Greeley, Dr. Duncan helps patients achieve a more toned, youthful contour and renewed confidence.

Radio Frequency Lipo Highlights

  1. New developments in equipment and techniques have made liposuction in Denver & Fort Collins even more popular than ever.
  2. A big advantage of adding radiofrequency energy is the ability to tighten skin up to 35% – without cutting any skin out.
  3. Skin that is lax or hangs slightly can now be tightened, in many cases, using minimally invasive techniques. Learn more about the liposuction and fat removal procedures offered in our Fort Collins surgery center.
Banner media
woman posing in black underwear set

What is RFAL?

Radiofrequency-Assisted Liposuction (RFAL) is an advanced body contouring procedure that combines traditional liposuction with radiofrequency energy to remove stubborn fat while simultaneously tightening the skin. This innovative technique is ideal for individuals who want to achieve a smoother, more sculpted appearance without the loose skin often associated with fat removal.

Liposuction Real Patient Story

Left: Patient before treatment.

Right: 6 weeks after liposuction plus radiofrequency-assisted skin tightening.

Note the dramatic improvement in contour and reduced prominence of stretch marks.

Schedule A Consultation

Contact Us
Contact us media

Patient Testimonials

Successful Liposuction

“I had liposuction done on my lower abdomen and flanks and everything went really well. I think Dr. Duncan and her staff are incredible. Everyone is incredibly nice and welcoming, and they were patient with all of my questions. My body looks as well as it should 6 weeks after surgery and I can't wait to see the final results in several months. I would definitely choose her again.”

5 star rating

58 Year Old Tummy Tuck

“I had 2 big babies. Every time I lost weight I still had an "apron" & had to Stuff it in my pants; also had a "roll" over the top. Have seen women who got yeast infections & skin breakdown under it & I didn't want that as I age. I feel so much better & healthier which was my goal! Well worth it!”

5 star rating

I had an amazing experience and results!

“My experience was great from the beginning. My options were reviewed and explained in detail. The staff took extra time to explain the procedure that would be best for me, considering my desired look and the doctors professional opinion. Doctor Duncan and staff always took the time to work with me during my follow up visits and explained exactly what I needed to do to get the maximum results. My results were amazing,...”

My experience was great from the beginning. My options were reviewed and explained in detail. The staff took extra time to explain the procedure that would be best for me, considering my desired look and the doctors professional opinion. Doctor Duncan and staff always took the time to work with me during my follow up visits and explained exactly what I needed to do to get the maximum results. My results were amazing, much more than I expected! Thank You all!

5 star rating

A smooth and wonderful experience

“Duncan and her staff were wonderful. Duncan showed an extremely high level of professionalism and concern for the best results. She was strict in a way I appreciated and the staff made me comfortable”

5 star rating

NEO resolving chronic back pain

“I had chronic back pain before I started EmSculpt Neo treatment. I could never bend over without having a lot of pain. Now, even three months after treatment, I can move freely without issue! I can lie on the floor or the couch, do workouts, and stand for long periods of time without any back issues whatsoever. I highly recommend this treatment.”

5 star rating

I feel beautiful and look natural

“I want to thank Dr. Duncan and PSA for the incredible transformation they were able to achieve with my body. Having children and age had made me feel disfigured and unfeminine. I researched for a long time, many different surgeons, and even considered going out of the country. I am so glad I went with Dr. Duncan and PSA. I feel beautiful and look natural. She is a true artist. Thank you for giving me my femininity ba...”

I want to thank Dr. Duncan and PSA for the incredible transformation they were able to achieve with my body. Having children and age had made me feel disfigured and unfeminine. I researched for a long time, many different surgeons, and even considered going out of the country. I am so glad I went with Dr. Duncan and PSA. I feel beautiful and look natural. She is a true artist. Thank you for giving me my femininity back.

5 star rating

I immediately felt comfortable

“Most of my life, I was happy with my C-cup breast size. But after having four children and turning 41, my breasts were small and sagging and barely an A-cup! I made a consultation appointment with Dr. Duncan because of her 20+ years of experience, and at my initial consultation, I immediately felt comfortable. Dr. Duncan listened to me and took the time to answer all of my questions. I consulted with two other plasti...”

Most of my life, I was happy with my C-cup breast size. But after having four children and turning 41, my breasts were small and sagging and barely an A-cup! I made a consultation appointment with Dr. Duncan because of her 20+ years of experience, and at my initial consultation, I immediately felt comfortable. Dr. Duncan listened to me and took the time to answer all of my questions. I consulted with two other plastic surgeons, who both recommended an implant size larger than that of Dr. Duncan. I would have been very unhappy with breasts larger than I have now!! I definitely made the right choice in selecting Dr. Duncan for my breast augmentation.

5 star rating

Your staff was especially courteous, prompt, and caring

“Please accept my sincere gratitude for the excellent medical care I received from you and your staff. Your patience and understanding regarding my many inquiries were handled in a very professional manner. Your staff was especially courteous, prompt, and caring. Thank you for being the greatest Doctor I have ever met in a long, long time.”

5 star rating

Dr. Duncan exudes confidence in her craft, and it is displayed in her work

“I can’t say enough about Dr. Duncan and her staff! I was made to feel comfortable every step of the way, and I genuinely had a great time through the whole process, even during surgery. Diane Duncan exudes confidence in her craft, and it is displayed in her work, experience, and reputation worldwide. I have never had any type of surgery, and Dr. Duncan, the nurses, and staff members were wonderful on the day of...”

I can’t say enough about Dr. Duncan and her staff! I was made to feel comfortable every step of the way, and I genuinely had a great time through the whole process, even during surgery. Diane Duncan exudes confidence in her craft, and it is displayed in her work, experience, and reputation worldwide. I have never had any type of surgery, and Dr. Duncan, the nurses, and staff members were wonderful on the day of surgery (and throughout the process) and set me completely at ease. I am VERY pleased with my experience and would recommend Dr. Duncan to anyone interested in Plastic Surgery.

5 star rating

I am renewed, whole again, and complete

“Only after this wonderful surgery have I come to realize what you have given back to me, almost as a by-product of the surgical procedures. Joy, pure and simple joy! I am renewed, whole again, and complete. Astonishing discoveries, for someone whose expectations were so very limited. Thank you for being a part of the most positive experience of my life. I hear the scientist speak as I listen to your words. I see the ...”

Only after this wonderful surgery have I come to realize what you have given back to me, almost as a by-product of the surgical procedures. Joy, pure and simple joy! I am renewed, whole again, and complete. Astonishing discoveries, for someone whose expectations were so very limited. Thank you for being a part of the most positive experience of my life. I hear the scientist speak as I listen to your words. I see the artist’s work as I glance at my face. Thank you.

5 star rating

Dr. Duncan achieved a very natural look for my body

“From the beginning to the end, my experience with Dr. Duncan and staff was over-the-top exceptional. Everyone was helpful, knowledgeable, and very friendly. I feel the work I had done was perfect and that Dr. Duncan achieved a very natural look for my body. I highly recommend PSA and will be visiting them again in the near future for other procedures.”

5 star rating

Everything went smoothly and healed up great

“I had a rhinoplasty with Dr. Duncan about a month and a half ago. Everything went smoothly and healed up great! I had to get a septoplasty as well with a different doctor, and she was so great with accommodating for that. Little to no bruising anywhere, just a scar where my nose was opened, but with scar cream it is fading slowly. I love my new nose!”

5 star rating

Dr Diane Duncan with arms crossed in front of her wearing white lab coat and blue scrubs

Why Choose Us?

When it comes to your aesthetic journey, choosing the right provider makes all the difference. Plastic Surgical Associates is dedicated to meeting your unique needs, whether you're seeking minor or major aesthetic transformations, addressing specific health concerns, or looking to enhance your overall well-being.

Our Fort Collins plastic surgery center offers tailored solutions, ensuring a comprehensive approach to your care. Experience personalized services that align with your individual goals and contribute to a more vibrant and fulfilling lifestyle.

Why Patients Trust Us!

Skilled & Experienced Team

Led by a board-certified surgeon with over 30 years of experience and specialized staff trained in advanced aesthetic techniques, our team brings unparalleled expertise to every procedure.

Attentive & Compassionate Care

We take the time to listen, ensuring you feel heard, valued, and confident every step of the way.

Cutting-Edge Techniques

Dr. Duncan has developed proprietary techniques, including the PERKYLIFT™, with over 350 successful cases and ongoing clinical research to continually refine and enhance results.

Proven Patient Satisfaction

Join hundreds of satisfied patients who've achieved natural, beautiful results at our Fort Collins center, with many returning for additional procedures and referring friends and family.

Background media

Common Questions About Liposuction

I haven’t ever heard of this procedure. I know about VASERlipo® and Smartlipo. Why don’t you use either of these anymore?

Left: 34-year-old with gynecomastia and abdominal lipodystrophy. Right: Six weeks following treatment with J-Plasma® to flanks, chest, and abdomen.

Neither Vaser nor Smartlipo can create this dramatic level of skin tightening and contour improvement. Vaser produces an 8-10% skin surface area reduction, about the same as traditional liposuction or SAL. Smartlipo can create a 13-17% skin surface reduction. Using radiofrequency in combination with liposuction can give up to 35% skin surface contraction as measured with a Canfield computerized Vectra system. He felt the project “turned out really well”. He returned to work 3 days postop and resumed gym workouts at about 5 weeks.

Back in the late 1980’s, when liposuction was new, people were happy with just having fat gone. Now we all want more: less risk, less down time, and skin that doesn’t look wavy or ripply. What’s changed?

Because liposuction remains at the top of the popularity list monitored by ASAPS, both practitioners and consumers continue to focus on improving outcomes. The use of tumescent fluid infused before removing fat reduces blood loss and perioperative discomfort. A close tab on the use of lidocaine reduces the risk of lidocaine toxicity. Limiting the amount of fat removed in an outpatient setting has made the procedure safer. Also, use of soft tissue tightening has greatly reduced the likelihood of wavy, ripply skin. Nowadays, instead of using superficial liposuction for that purpose, RF-based devices can achieve measurable skin tightening without adding risk. This provides our liposuction patients in Denver & Fort Collins with skin tightening benefits.

I’ve heard that men have mostly “Internal fat” that cannot be removed with liposuction. What is a realistic expectation for a result in a man who has a bulging abdomen?

Left: 48-year-old with a desk job. Right: Patient three months after RFAL by Dr. Duncan.

The patient still has a slight bulge due to internal or omental fat. This can easily be lost with a low carb diet in men. Women tend to have a bit more subcutaneous fat. Their results with diet and exercise are much slower.

I’ve heard that the flank area is difficult to get good results with the flank area as the fat there can be “athletic”. What does that mean?

Left: 36-year-old had diet/ exercise resistant spots. Right: Same patient, same underwear 3 months post RFAL.

An Austrian colleague explained it to me: old fat is usually soft, or pudding-like. Young fat is usually more fibrous and can be found even in otherwise trim athletes. Soft fat responds quite well to liposuction. The more fibrous fat can be stubborn. These types of areas are very responsive to the addition of RF energy.

What about thighs? My friend had hers done and now the skin looks drapey and has divots. Can liposuction fix cellulite?

Left: 28-year-old with cellulite and fat in the inner and outer thigh region. Right: Six months after RFAL. Using RF heat to tighten skin gives a smooth look postop.

Schedule a Consultation

Start your journey with personalized guidance, expert insights, and a clear plan tailored to your goals for natural, confident, long-lasting results.

Contact Us
Contact us media
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 970-540-4586.
Contact Us