Archive for category liposuction
Liposuction and Visceral Fat Study
Posted by admin in liposuction, plastic surgery news on May 18, 2012
Liposuction was effective in reducing sc abdominal fat (PRE vs. POST2, P = 0.0001). Despite the sustained sc abdominal fat decrement at POST6 (P = 0.0001), the NT group showed a significant 10% increase in visceral fat from PRE to POST6 (P = 0.04; effect size = −0.72) and decreased energy expenditure (P = 0.01; effect size = 0.95) when compared with TR. Dietary intake, adipocyte size, and gene expression were unchanged over time.
Conclusion: Abdominal liposuction does not induce regrowth of fat, but it does trigger a compensatory increase of visceral fat, which is effectively counteracted by physical activity.
Source: jcem.endojournals.org/content/early/2012/04/25/jc.2012-1012
Liposuction is a “frequent flyer” topic here at the blog and misconceptions about it rage partially fueled by hyperbolic advertising copy and unrealistic expectations.
This study tried to address the changes in fat metabolism following liposuction. As we know, most patients do not experience post-liposuction fat regrowth. Weight gain after liposuction is not prevented however. It seems a natural consequence that if weight gain after liposuction is experienced, then the fatty increases would go to other areas in which fat cells are present. This study seems to show that this includes visceral fat (fat contained inside the abdominal cavity.) The study also seemed to show that exercise seemed to prevent this.
As we have discussed before liposuction can help with your shape, but you need to include diet and exercise to hold the line against weight gain.
Best Regards,
John Di Saia MD
Liposuction : The Honest Truth
Posted by admin in Dr D's Truth, liposuction on April 18, 2012
Frequently patients who have received liposuction care elsewhere (usually somewhere else in Orange County California) find my practice or the blog here and e-mail. The points of confusion are usually issues regarding the qualifications of their former doctor and expectations of their result.
Who Can Do Liposuction Surgery?
Anyone who can get you to sign up….yeah really. There are no laws against practitioners trained in nearly any specialty performing liposuction. Doctors of differing backgrounds will have different technical skill in the surgery and will likely charge differing amounts for the service. Their philosophies will also likely be different. If a doctor only offers liposuction, he or she will probably perform it on anyone and everyone. There are practices of non-plastic surgeons who offer lipo to people to whom I would not. That is just a fact.
Can I Use Liposuction to Lose Weight?”
Practically speaking, liposuction is not a good way to lose weight. It is a contouring procedure best used on people with good skin tone meaning elastic non-droopy skin. You are better off having lipo when your weight is in a stable range…plus or minus a few pounds.
Will the Fat I Have Removed Ever Come Back?”
The fat cells you have removed are very unlikely to return, but you can fill the remaining fat cells up more. The is a technical point not frequently stressed by the shady outfits that advertise their liposuction services. This is why doing lipo is not weight loss. You need to use diet and exercise as well. Lipo can be good for areas resistant to diet and exercise.
Can New Liposuction technologies like Smart Lipo Tighten Skin? Are They Worth The Extra Money?
Not really. I have performed laser-assisted Liposuction, Smart Lipo and Ultrasound-assisted Lipo. After trying these differing technologies, I have returned to wet liposuction (a variant of tumescent lipo,) because I see the same results with less BS. I do not push BS.
Will a Plastic Surgeon Ever Tell A Patient “No?”
One who has integrity will and he or she is the one you want.
Best Regards,
John Di Saia MD
Related:
Dr D’s Website Liposuction Information
Originally posted 2010-07-07 07:30:04.
Reader Question: Liposuction for Lipoma?
Posted by admin in liposuction on May 31, 2011
Reader Question:
Can I have liposuction to remove my lipoma to make the scar smaller?
Lipomas are written about frequently on the web. They are fatty tumors that are non cancerous but do slowly grow larger. Not every soft lump you can feel through your skin is a lipoma however. You don’t really know something is a lipoma for certain until you remove it and preferably send it for pathology. The “lipoma” you are feeling could be something else.
Liposuction works by breaking up fat into small pieces and removing most of it by suction. The question is using it on a tumor that has the possibility of growing back is: “Why would you want to break it up into pieces?” This could result in many of them growing back later. It could make a nice mess in a few years even if that lump is just a lipoma.
The bottom line is that I prefer not to use liposuction for soft fleshy tumors that might be lipomae. I don’t like taking the chance. I have a few more posts on these frequently ignored tumors.
Best Regards,
John Di Saia MD
Related:
Originally posted 2009-11-09 07:30:29.
Reader Question – Liposuction Gone Wrong? Malpractice?
Posted by admin in liposuction on March 12, 2010
I had liposuction on Sept. 15, 2009. It was a very painful & horrible experience. The doctor did my lipo while I was awake & rushed thru it, since I was in tears. For the last 2 weeks I’ve been having pain around my naval & irritation appeared. I spoke to a doctor from urgent care over the phone & he said that with what i told him, sounded it was result from procedure. I spoke to a paralegal & she asked me to get my medical records. The paralegal also suggested I find another doctor to see me & confirm the liposuction was done wrong & to give me a quote to fix me.
Your story does not sound like the kind my liposuction patients experience. Then again I do liposuction in an operating facility with an anesthesiologist in attendance. You might have a problem finding a doctor to certify that your surgery was done incorrectly. That statement is a matter of opinion and can be hard to assess looking at a patient’s results. While I know your experience is not the kind I give my patients, there are others performing liposuction who might consider your experience to be within their standards.
As a reviewer or the California Medical Board I have reviewed many cases of proposed negligence. The records you seek might not document as much as you might hope either.
What your case does underscore is the need for patients to be discriminating of their proposed surgeon before surgery occurs. I do hope that you are able to find the results you seek.
Best Regards,
John Di Saia MD
Tara Reid Interview in People and Plastic Surgery
Posted by admin in liposuction on November 5, 2008
Source: people.com/people/article/0,,20236224,00.html
Tara Reid bemoans her “body image/lipo dents” fame in People magazine. It is true that she is one of the most famous “Plastic Surgery Poor Outcomes” Celebrities. That is a good thing as her continued presence in the blogs and magazines provides the buzz upon which she makes a living producing independent films and working on her first clothing line, etc. Her actual acting has been limited as of late.
She has improved upon her abdominal dents as recent images show. Her backside is another story. It would be interesting to know what surgery may have occurred back there.
Best Regards,
John Di Saia MD
Related:
Botched Liposuction?
Posted by admin in celebrity plastic surgery club, liposuction on April 3, 2007
Source: cityrag.blogs.com/main/2007/04/celebrity_lipos.html
CityRag and Awfulplastic surgery.com blog about tummy liposuction and poor results. I am not sure of all of the treatments these women have had. If they have had liposuction, there are a few questions of note for each woman:
(1) Was her weight stable at the time of the surgery? I ask my liposuction patients to have surgery when they do not plan on large weight gain or loss (usually around 15-20 pounds) afterward. Weight change after liposuction can introduce contour irregularities that look like those we see in our image.
(2) Was there excess skin in the areas treated with liposuction at the time of surgery? If so, a tummy tuck would have been the better choice. Of course big cigarette smokers do poorly with tummy tuck surgery. They don’t heal so well (even with liposuction). I believe all of these women smoke.
Liposuction only addresses fat. It requires that the skin over the fat is elastic and pretty tight. Loose skin over liposuction-treated areas can look ripply like we see in our image. Of course “over suctioning” could contribute to the problems we see in our image as well. Yes, believe it or not you can “take too much fat” with liposuction and make problems especially with weight change later. Liposuction is not the “do all” of plastic surgery. That’s why it is best to see a good honest plastic surgeon for an opinion before you jump toward surgery that may not be the best thing for you.
Best Regards,
John Di Saia MD
RegisterFly CEO uses company funds for liposuction
Posted by admin in liposuction, plastic surgery news on March 7, 2007
A lawsuit filed by RegisterFly’s parent company, Unified Names, blames the meltdown on misuse of company funds by President and CEO Kevin Medina, who was fired by the company’s board. The suit alleges that Medina spent company funds on liposuction surgery and escort services, this is hilarious. “After his termination, Mr. Medina deleted email accounts, access to support tools, and access for our risk/billing department to issue refunds,” RegisterFly’s Glenn Stansbury said in a statement posted at RegisterFlies, a customer protest site. RegisterFly is also reported to have changed the root password of its web server to prevent sabotage.
Talk about revenge of the nerds?
Best Regards,
John Di Saia MD
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