Liposuction Questions

What is the Difference Between Butt Augmentation and Brazilian Lift and Which is a Better Route?

posted by ajimerson

Q:  I’m 128 pounds height 5’3 I’m looking for the best option, to go. Also what is the difference between the both . Also i was 117. Most of the weight is in the stomach area.

A:  A Brazilian Butt lift is a specific type of butt augmentation like a Ford is a specific type of car.  The Brazilian butt lift is fat transfer to the butt.  I use liposuction to shape the midsection and remove fat from unwanted areas and then inject this fat into the buttocks.  The other option for buttock enlargement is a silicone implant.  Fat transfer (Brazilian Butt Lift) is my favorite method for a lot of reasons.  First, it looks and feels natural.  Second, you can customize (with implants you have a set option of sizes/shapes).  Third, you get liposuction to slim your midsection, which, in my opinion, is just as important as shapely buttocks.

I Am Considering Doing a Brazilian Butt Lift. I Am Wondering if It Will Help with Lovehandles? (photo)

posted by ajimerson

Q:  I would like to know if a brazilian butt lift would help shrink my waist and lovehandles at all. Currently my measurements are 34-30-38 I would like to have a smaller waist and a little more booty. I have been working out and eating right but my waist line seems to have this fat that is harder to get rid of.

A:  During a Brazilian Butt lift, I use liposuction to remove fat from unwanted areas and then inject that fat into the butt to give shapely curves.  Generally, the fat can easily be harvested from the midsection (tummy, waist and/or lovehandles).  It would be nice to have a back view to assess just how much fat you have in your lovehandles.  Liposuction was designed for people like you who have stubborn fat stores despite a healthy diet and regular exercise.

Lipo on Inner Thighs, Will It Make Your Thighs Saggy?

posted by ajimerson

Q:  I want to know if lipo on my inner thighs will tighten them or make them saggy. I’m 54 years old.

A: Liposuction on any area of the body can lead to sagging skin.  When the fat is removed, you lose volume in that area without removing the skin.  Whether or not you will “snap back” depends on the condition of your skin.  Sun damage, scars and stretchmarks can lessen the ability of your skin to contract after liposuction.  Genetics and age also play a role as well as the amount of fat removed.  Plastic surgeons are specially trained to evaluate skin quality.  It would be a good idea to meet with a board-certified plastic surgeon. Part of his or her evaluation of you will be a skin examination. He or she can then advise you about whether liposuction can provide the toned thighs you are seeking.

Does Liposuction Cause Scar Tissue?

posted by ajimerson

Q:  If you get liposuction in your legs, but still unhappy, can you get another liposuction procedure on your legs? Does it cause more scar tissue?

A:  Liposuction does cause scarring (ALL surgery results in some degree of scarring).  Certainly there are small scars visible on the skin where the liposuction cannula is inserted, but there is also scarring created inside.  Most of the time, this internal scar tissue does not preclude a repeat liposuction procedure.  Liposuction should only be performed by a surgeon trained in its use.  When improperly performed, liposuction can be disfiguring.  I recommend finding a board-certified plastic surgeon.

Normal to Gain Weight After Tumescent Lipo? (photo)

posted by ajimerson

Q:I had lipo of U/L abs, flanks, bra line and abdominal skin excision 5 days ago via tumescent. I weighed 140 the am of surgery, today I weigh 152. I expected a few pounds fluctuation but I am tremendously swollen. Is a weight gain of 10 lbs or so typical ? If so, when can I start to feel some relief/ see a difference in the swelling ? I can’t fit into anything pre op at all.

A:  What a great question and common concern.  I am repeatedly asked how much weight I expect my patients to lose with liposuction and they usually seem appalled when I answer, “none.”  Liposuction is NOT a weight loss tool.  It is a great way to permanently remove stubborn fat stores, but it does not typically result in significant weight loss.  The weight gain you are seeing is likely “water weight” and will go away over the upcoming weeks.  During liposuction you receive intravenous fluid.  Also, tumescent fluid is injected into the treatment areas by your surgeon.  Additionally, your body responds to the surgery with inflammation and swelling.  Elevate the swollen areas above your heart as much as possible – this uses gravity to enhance drainage.  Talk to your surgeon about getting an appropriate sized compression garment – this is an invaluable tool to deal with post-operative swelling.  At about 2 weeks post-op, some plastic surgeons recommend lymphatic massage to encourage swelling to subside, but definitely speak to your plastic surgeon first.  Be encouraged, this is a common post-operative problem and is generally short-lived.