Posts Tagged fat returned
The new study, evaluated 301 patients having liposuction, either alone or in combination with abdominoplasty, using standardized photographs and computer-assisted measurements of body dimensions obtained preoperatively and at least three months after surgery. The study revealed no evidence of fat regrowth in treated areas of the arms, abdomen, or lower body. Additionally, upper body dimensions were unchanged after surgery, indicating no fat redistribution. Average reductions in hip measurements remained significant in patients followed one year or more after both liposuction and combined liposuction/abdominoplasty procedures. The average hip reduction was significant even among a subgroup of 34 patients who gained five pounds or more after surgery.
We have discussed fat returning after liposuction before.
Despite the fact that liposuction removes fat, it is not weight loss surgery. People have a hard time realizing this in part because advertising demonstrates the opposite picture usually.
People in whom large weight swings are common have a high redo rate or are just plain unhappy with liposuction. In their cases, weight tends to come back. The best patients for liposuction are those with stable weight.
Technically, the fat removed doesn’t “return.” The cells that were removed during surgery do not come back. You can however fill the fat cells that remain after surgery with more fat depending upon diet, exercise and your metabolism. In this newer study, it should be noted that tummy tuck surgery was included which has better long term rates of fat removal than other operations.
So both the study showing fat returning after liposuction and this newer one showing fat not returning after liposuction and tummy tuck surgery can both be correct…in the right patient groups. It depends upon the general conditioning of your average liposuction patient and this varies.
As always patient selection and consent are all important in choosing your procedure and your surgeon; that is, if you want that fat to stay off.
John Di Saia MD
Originally posted 2012-08-01 07:30:57.
I had abdominal liposuction in Los Angeles last year. Almost all the fat has returned to my entire trunk area. The Dr that performed to procedure did not advise me on how to eat or diet. What can I do now? I paid $4500 last June do I have to do it all over again or is there something else that would help my abdominal area? Please help!!
Liposuction removes fat but is not weight loss surgery. Some patients are better candidates for it than others. People in whom large weight swings are common have a high redo rate or are just plain unhappy. The best patients for this procedure are those with stable weight
Technically, the fat removed doesn’t “return.” The cells that were removed during surgery do not come back. Common thought is that new fat cells are not produced in the body after a patient’s twenties. You can however fill the fat cells that remain after surgery with more fat depending upon diet, exercise and your metabolism.
If you are looking for liposuction to take away your need to watch your diet and exercise levels, think again. In conjunction with sensible diet and exercise, it is a procedure with a very high satisfaction rate.
John Di Saia MD
BTW – Plastic surgeons rarely counsel you on eating or diet. This is not part of the considered norm for liposuction surgery.
Originally posted 2005-08-01 08:00:00.
Reader Laura’s Comment:
“A study was by Teri Hernandez and Robert Eckel of the University of Colorado says that fat removed during lipo returns to other parts of your body. That people who had fat removed from their hips, thighs and/or buttocks had the same amount of fat come back to other parts of their bodies. Have you found this to be true? Have any of your patients had an increase in arm, shoulder, or back fat after having lipo done on their hips, thighs or buttocks?
Also, Rudolph Leibel, an obesity researcher at New York’s Columbia University, said that liposuction surgically destroys the structure under the skin, which may be why the fat cells don’t regrow in the place from which they were removed. Have you found this to be true? After lipo are people unable to grow fat in the same areas again?”
This has been demonstrated clinically for years. It is amongst the reasons I wrote parts of my practice web site explaining that liposuction is not weight loss and is best suited for those in stable weight ranges. I have re-iterated that here at the blog when discussing the folly of a doctor’s guarantee of liposuction results.
Liposuction removes some of the fat cells in the areas in which it is employed. Part of the healing involves scarring and a reduced tendency to “refill fatty tissues” in the areas treated. People who gain and lose more than small amounts of weight frequently tend to gain weight again in different areas, but some can gain it back in the treated regions. These are tendencies well known to those of us who do this surgery.
With this in mind, I have been counseling my patients accordingly for over a decade. The key on having satisfied cosmetic surgery patients is developing a reasonable understanding and screening patients wisely.
Liposuction is a good procedure for the right patient, but like for any other cosmetic operation there are considerations for the patient beforehand.
John Di Saia MD