Safe & affordable aesthetic care that’s all about you

Laser liposuction, body sculpting, and weight loss programs led by a board-certified surgeon in Columbia, SC

Feel at home in your body.

A confident and beautiful woman taking a selfie, showcasing results of laser liposuction and body sculpting services in Columbia, SC.

Rediscover joy in how you look & feel.

Close-up of a woman's legs in joggers walking her dog, highlighting an active lifestyle during laser liposuction recovery in Columbia, SC.

Move through your day feeling lighter & brighter.

A full-figure woman laughing and enjoying the sun at a pool, showcasing confidence after body sculpting and laser liposuction services in Columbia, SC.

Enjoy lasting results with minimal downtime.

  • “There aren’t enough stars to warrant the exceptional service provided by Dr. Rivera and her team!”

    ★★★★★
    T.M., Columbia, SC

  • “I adore this team. Their supportive approach toward patients on their journey is brilliant.”

    ★★★★★
    E.D., Columbia, SC

  • “I love that The Ratio team is enthusiastic about what they do, and I can trust them to get the results I desire.”

    ★★★★★
    J.O., Columbia, SC

  • “I felt my comfort and safety were top priorities throughout the procedure and recovery.”

    ★★★★★★
    S.Y., Columbia, SC

  • “The office is beautiful and clean. Safety and cleanliness during the procedure were top notch!”

    ★★★★★
    S.U., Columbia, SC

A woman practicing meditation in a peaceful setting, promoting wellness and relaxation during body sculpting and laser liposuction recovery in Columbia, SC.

It shouldn’t be a luxury to love your body.

It’s hard to feel confident when nothing seems to work.

Maybe your favorite outfits don’t fit as well as they used to. Or you avoid photos because they don’t reflect how you see yourself. It feels like the changes you want to see in the mirror are just out of reach.

It’s time to try something that actually works and feels right for you.

At The Ratio, we offer effective and modern cosmetic treatments to help you feel at home in your body again.

With personalized plans tailored to your goals, we’re here to support you in loving your body and living with confidence. 

“The ratios we see in nature are intrinsically beautiful; my goal is to help you reveal the beauty that feels authentic to you.
”
— Dr. Mariangela Rivera, FACS & Founder of The Ratio

What makes The Ratio different

Board-Certified

Non-Invasive

Flexible Financing

Patient-Centered

Local Expertise & Care

It’s easy to get started.

Step 1:
Book your first call.

Spend one hour with our cosmetic surgeon to explore your goals & treatment options.

Step 2:
Make a plan together.

We’ll design a personalized treatment plan tailored to your needs & desired outcomes.

Step 3:
Keep in touch.

Enjoy 6+ months of local follow-up care to help you recover & optimize results.

SERVICES

  • A woman's leg lounging in bed, showcasing confidence and relaxation after laser liposuction and body sculpting services in Columbia, SC.

    Body Contouring

    • Laser Liposuction (Awake)

    • Brazilian Butt Lift (BBL)

    • Fat Transfer: Hands, Face, Breast & Buttocks

    • Body Sculpting

  • A woman in a swimsuit holding a glass of water with lemon at the pool, representing IV hydration, weight loss, and wellness services in Columbia, SC.

    Weight Loss & Wellness

    • Weight Management Programs

    • Weight Loss Injections

    • Trizepetide (Mounjaro & Zepbound)

    • IV Hydration Therapy

    • Recovery Massage: LUX Massage Therapy

  • A woman happily looking in the mirror and rubbing her skin, showcasing the benefits of fine line and wrinkle treatments in Columbia, SC.

    Skin Rejuvenation

    • Fine Line & Wrinkle Treatments

    • Reveal Lasers: AdvaTX & Eterna

    • Injectables & Xeomin Bottle Service

    • Radiofrequency Laser Treatments

    • Red Light Therapy

    • Cavitation Treatments

Not sure which Service is Right For you? ↠

Meet Mariangela Rivera, MD, FACS

Dr. Rivera is the founder and board-certified surgeon behind The Ratio. Combining 15  years of surgical expertise with a passion for empowering her patients, she listens, understands, and helps you look and feel your best.

  • Education: Yale Medical School

  • Surgical Residency: University of Nevada

  • Head & Neck Surgery Fellowship: Roswell Park Cancer Institute

  • Fellow of the American College of Surgeons

  • Member of the American Head & Neck Society

Dr. Rivera’s achievements in microsurgical reconstruction have earned national recognition, with published research and presentations at esteemed conferences.

Besides her shining smile, Dr. Rivera brings advanced expertise, local care, and a “You come first” approach to every treatment—ensuring you feel supported, cared for, and confident in your skin again.

A strong woman performing yoga, highlighting wellness and body sculpting services available in Columbia, SC

Our promise:
You come first.

We’re here to help you feel amazing in your own skin—and we’re not happy until you are. If your treatment plan doesn’t feel right, we’ll work with you to make it better.

Your confidence, comfort and safety are our top priorities.

Let’s reveal your new Ratio!

Explore your financing options.