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Answer: 3-4 weeks. JG 7.25.10
Answer: just about any plastic surgeon that does liposuction on the face and neck should have a cannula that can do that for you. There are surgeons that do revision surgeries and enjoy it, I have done them for many years but I no longer do revision surgery on patients that had surgery elsewhere. I am fortunate that I am busy enough with new patients that I no longer do revision surgery. It is fine to have regular liposuction done after SmartLipo, the fat removal technique is the same, the difference would be in the alledged dissolving of the fat created with the laser only, the fat removal is the same. Where the other surgeon that does not do SmartLipo has the advantage that I do not is in seeing you in person, there are many cases where the potential negatives outweigh the advantages and things should be left alone though. At times, a surgeon may feel the risk is worth it and other times no. As to many sites claiming that SmartLipo is better than traditional lipo is becasue of marketing. There are many senarios where it has been discoverd that many blogs contain false postings written by people that work for docotrs and have never had the surgery at all, they are all lies. I am not saying that is the truth with the sites you have read, but the most famous case was in the state of New York where a 10 million dollar fine was imposed on the LifeStyle Lift for doing such things. Best of luck. JG 7.15.10
Answer: I do agree that waiting 6-12 months for a revision is best, but as to regular liposuction not being able to remove that small amount of fat, whoever told you that is obviously poorly educated. There have been small cannulas of the size used in SmartLipo for almsot 20 years, sounds like they are trying to sell you on something they spent money to buy. The changes after 6 months are subtle, and as to smoothing out the fullness versus the dents, once you make the layer of skin smooth, then it will look better. JG 7.13.10
Answer: hope it helps. JG 7.11.10
Answer: well, I will say that the first 6 weeks after liposuction will go through lots of changes so the first thing is to give it some time. I do agree 100% that you need to see your surgeon and let them see things so they can appreciate the issue at hand. Final results will not be seen for about 6 months after the surgery, so if something needs to be done, I suggest waiting at least that amount of time. What will need to be done at that point in time can be some further liposuction to the surrounding areas, possibly fat injections to fill in small dents.I wish you hte best and hang in there, things will likely get better with some time. JG 7.11.10
Answer: it makes no medical sense and I would not recommend it. JG 7.8.10
Answer: the skin tone is not affected by the liposuction, if you had good tone before, then it will remain good. Good skin before liposuction yields a better result after the lipo than in someone that has poor skin tone. But the most important factor is amount of fat removed. Peopel with good skin tone that have large volumes of fat removed from one area can still be left with loose skin I am afraid. Final skin tightening will take up to 6 months as the skin cannot fully tighten until all the swelling is gone. All the best. JG 6.28.10
Answer: hard to really say, if there are stretch marks in the area I doubt it, that location just does not have great elasticity, even in younger patients, and there is no chart that says this amount of fat removal is safe and more is not safe, sorry, wish I had a more concrete answer for you. JG 6.24.10
Answer: save your money. JG 6.8.10
Answer: the liposuction can be done after the Zerona fails. I do not perform nor believe the hype with Zerona, it is technology that has been around for a long time, has very little to any science to prove its effectiveness and is just preying on patient`s hopes and dreams of avoiding surgery. I personally think it is a scam to try to get patients in to try and then switch them over to liposuction, sorry. Best of luck. JG 6.8.10
Answer: in some cases a small amount of skin can be removed to open the belly button more but it is hard to say without feeling the skin to see if that would work. JG 6.4.10
Answer: ia think you are a case for diet, exercise and weight loss and not liposuction. Liposuction should not be done to lose weight. Sorry. JG 6.1.10
Answer:
Answer: at least 6 months, in people with a large amount of fat removed and older patients it might take longer for the skin to shrink back down as much as it will. Skin does not always contract evenly but in most cases it does. JG 4.11.10
Answer: it certainly is due to the use of the LipoEx and if you already had that problem, it could happen again. I suggest you do not proceed with an further sessions. JG 4.9.10
Answer: Run,do nto walk from that place, they do not know what they are doing and could harm you permanently in that area. As to the Rstylane for the tear trough, that is yes, but not at that place. JG 4.2.10
Answer: well, the one in a different town might give you a slightly more objective opinion. I will say that in many cases the patient thinks there was not enough fat removed but what remains is the necessary layer of fat to avoid dimples and then a large amount of loose skin that cannot shrink due to age and location. As to the type of anesthesia for the touch up, it depends on how much needs to be removed, no way for me to tell. Sorry and best of luck. JG 3.30.10
Answer: maybe for a very small area in most cases where significant amounts of fat are removed it is more like 50%. JG 3.15.10
Answer: I think they are making claims that are overinflated. There is no science behind the tightening in particular. JG 3.15.10
Answer: there can be contour issues if the fat was not feathered in some way. JG 3.15.10
Answer: no, still too early to say if it will be permanent. There was not much fat removed, yes, but the passing of the cannula is likely what caused the tethering.Hang in there. JG 3.14.10
Answer: the nerve bruising might be up to 6 weeks to return. It is possible for some fat to be left behind, no matter what technique is used for the removal. Need to give it some more time. JG 3.14.10
Answer: still likley swelling and some adherence of the skin to the underlying tissues that with time and massage should get better. Hang in there. JG 3.13.10
Answer: I always use general anesthesia. JG 2.21.10
Answer: yes I have heard of it and I would not spend a penny on it. JG 2.18.10
Answer: I think the VelaShape or Endermologie will help while you are using them, as to the Thermage, Smart-lipo and subcision, I would not waste my money on them for cellulite reduction. JG 2.17.10
Answer: well, it will depend on how much is taken off and how the skin is, if there are lots of stretch marks and a lot of fat to be removed, the skin can become loose. Having said that, hips and thighs are areas where skin tends to shrink better than the abdomen or arms due to the attachments of the skin to the underlying muscle. The less fat that is removed, the less risk there is of saggy skin, but the less fat that is removed, the less the degree of improvement. It will be balance. JG 2.15.10
Answer: that is tto a lot of fat for the areas you had removed, but the results vary greatly on the perosn and what they had to begin with. Everyone can get liposuction done, but it takes experience to know what it will look like after the procedure is done. Many times, as it appears in your case, fat was removed and it left the skin loose and with more folds. I guess you now see that the hype about SmartLipo is not all that it is cracked up to be. You can certainly take a detoxifying body cleanse if you wish but I am afraid it will not help you remove any fat that you were told was lasered. You have to give it time and see how it all settles in, that might take a few months. Best of luck. JG 2.10.10
Answer: we use Arnica 6X at 4 trouches sublingual 4 times per day and bromealin 200mg twice daily. As to he Lipo-Ex, sorry, no experience with it. JG 2.7.10
Answer: I think fat injections or Sculptra are an option. I think promises are difficult to fulfill in surgery, so just be conservative. Best of luck. JG 1.31.10
Answer: all depends on how much fat there is and if there is loose skin to start off with, the more fat that is removed, potentially the greater the chance for loose skin afterwards. In many cases it is a good option, but not in all, no way for me to tell without seeing you in person though. JG 1.24.10
Answer: I will be honest, that technology has been around for a number of years and the claims made and the photos of the cell disruption have been shown to not be accurate. Also, the patient photos they show have, from what I have been told, patients that were placed on diet and exercise programs too along with the Zerona, I would not spend my money on the machine or a treatment either. JG 1.18.10
Answer: if the same amount of fat is removed with the same size cannulas, yes. That is part of the unfair claims, they show patients that have a lot less fat remved so the results are different when compared to aggressive liposuction cases done with other techniques. Best of luck. JG 12.3.09
Answer: there is absolutley no scientific article published in a non-biased journalthat back their claims of superior skin shrinking. The loose skin or cellulite appearance is more likely due to the amount of fat removed and the quality of the skin. If they had taken out less fat years ago, you likely would have had a smoother result, my preferecnce is an ultrasonic assited liposuction and I also stress that the results, especially in places like arms have to be downplayed as that skin never shrinks as well as other areas. Best of luck. JG 12.2.09
Answer: good option for hanging skin, so-so at best for cellulite as cellulite is a problem in the skin itself, not due to the laxity. I think getting down to your target weight is paramount prior to the body lift. It is a big surgery but can yield big changes. All the best. JG 12.1.09
Answer: well, I am not a believer in the claims of better skin tightening with SmartLipo, I think if you had regular liposuction with the same amount taken off, the results would be the same. Best of luck. JG 12.1.09
Answer: I think the quicker healing time has never been proven or published in a medical journal, it is all a marketing ploy to get people to choose that over a traditional anesthetic. In many case, in tolerant patients, it can be done, but the problems arise when you get to an area that is not adequately numbed and you cannot perform the liposuction to the desired degree. I will also say that the process of numbing the area with long needles and injecting large amounts of fluid is not always as easy as they promote or claim. I do not use tumescent local anesthesia for liposuction unless it is a very samll area for touch ups only. Best of luck. JG 11.30.09
Answer: might benefit from some undermining of the skin to release it from the underlying tissues or some fat injections to smooth it out. I cannot say whether it is worth it without seeing you in person, sorry. JG 11.30.09
Answer: there have been studies done at Washington Univesity in St Louis where the technology has been examined and published in medical journals and the claims of fat cell disruption have been disproven.JG 11.28.09
Answer: sorry, I am not a believer. JG 11.24.09
Answer: the lumps are infrequent, it is just that people do not go on blogs to talk about things when they are happy. As to sagging skin after liposuction, the can happen if you have poor skin tone before the liposuction. Extended periods of pain are very rare and are the exception. I would say that over 95% of people are happy. JG 11.13.09
Answer: it might get better to some extent, but it will likely take one year or so to get to wherever you will be long term. The Vela treatments are temporary and I am not a believer in lipodissolve, the improvement you had from that is likely something you would have had even without it. Wish I had more to offer.JG 11.11.09
Answer: I think that is a reasonable request, yes. JG 11.11.09
Answer: well repeat fat injections might help, as to legal options, if you are so inclined, a lawsuit could be filed, I think the issue here is getting the word out that people need to investigate the doctor more thoroughly before undertaking a surgery. I am sorry to hear about your problems. JG 11.11.09
Answer: I would at least wait until it is approved for use in the US with FDA clearance. As to the claims, I will be honest, I think some of the claims are a little hyped, they like to show pictures from certain views, but they are careful not to show other views on the same patient where the limitations of the procdure become evident. All of the visual skin tightening shown on the interent is on skin that has already been cut out and if you also notice, the probe is not moved, thereby it heats the skin to a much higher and more dangerous level. If you see the procedure being performed, you will see constant motion of the probe to avoid skin burns, similar skin burns that have been seen with radiofrequency treatments of the skin on the face. Cheap is not always a good idea. I would certainly wait. JG 11.7.09
Answer: the pigmentation can be from the liposuction, and more so in Smart Lipo as the laser can injure the skin more than in regular lipo. it might get better with the fat injections, but it can also be permanent. I think the fat injections are the best option at this time. Best of luck. JG 11.1.09
Answer: yo no pongo tubos de drenaje y la inflamacion esta 50% resuelta en 6 semanas, el resto son dos o tres meses mas. JG 10.26.09
Answer: I think off he shelf fillers would not last too long and would be quite expensive, Sculptra would be the one that would last the longest.I think you would need to call around to see who would be willing to take the problem on, sorry. JG 10.23.09
Answer: I think fat is a good option but we at present are not accepting revisions form other surgeons, sorry. JG 10.23.09
Answer: the simple answer is NO to the no lipo lipo, if it sounds too good to be true, it is. More people trying to change the name on old things that never worked in an attempt to fool new people. JG 10.20.09
Answer: I think a this point it is best to lose the weight in a manner that you can keep it off without those types of things, otherwise, your fat will return after the liposuction. JG 10.10.09
Answer: I would save your money. JG 10.8.09
Answer: the fat can be used as a filler, will last about as long as other off the shelf fillers, but at your age, that inner thigh skin can be left looking a little loose, and in some cases needs to have skin cut out later and those scars can be significant, so something to consider. Thanks for the kind words too. JG 10.5.09
Answer: only for as long as you have it done, nothing long term. We stopped doing it years ago. JG 9.23.09
Answer: well, I have to say that I cannot say whether it is normal because that was a totally ridiculous thing to do, I have never seen it attempted and thereofree cannot say if it is normal because there is no reason to do it to begin with. I think my first advise it not to go back there, and find a different doctor before they do something that can be permanent and not be able to be corrected, sorry. JG 9.21.09
Answer: any masseuse can do it for you, at a spa for instance. Best of luck. JG 8.25.09
Answer: hard to say without seeing you. In some cases a small amount of dissection and release of the skin from the underlying tissue with a minimal amount of fat removed from the higher areas can leave a smoother result. In those cases there can be a little loose skin left though. In other more severe cases, the dents are so severe that small improvements are possible but not a complete removal. Wish I could tell you more. JG 8.13.09
Answer: I cannot recommend it. JG 8.12.09
Answer: Well, I think liposcution alone will not do it and I think a platysmaplasty alone will not do it eithr, it will require tissue tightening and skin excision as there is an excess of tissue that tightening alone will likely not take care of, so in essence, it is a facelift. JG 8.10.09
Answer: It can be like that with any liposuction, yes. Every surgeon has a different post-operative protocol but we have all our patients have massages done after to help the swelling abate and the skin to shrink. I think arnica at this point will not do much. All the best. JG 8.8.09
Answer: neck lift more likely than not. JG 7.28.09
Answer: well, I believe it helps get the swelling down faster and helps with patient comfort, but there are some surgeons out there that do not use them for very long. Try wearing a cotton t-shirt undernwath to help with the itching.I do not think it will hurt the final result, it just speeds thinsg up is all. All here is good and thanks for the kind words. JG 7.23.09
Answer: you can try Bacitracin maybe. JG 7.13.09
Answer: no, I feel that internal medicine doctors are not surgoens, are not trained as surgeons and I would not have it do it on me or my family. Would you have your plastic surgeon treat your diabetes after taking a weekend course? JG 6.30.09
Answer: not, sorry, they do not. I do ultrasonic assisted and traditional liposuction but there are no mimimally invasive techniques that tighten thigh skin, if anything, it is major surgery. JG 6.25.09
Answer: you can look for complaints only on the Nevada Board of Medical Examiners, but the public has no access to results of malpractice suits, sorry. JG 6.24.09
Answer: why wodul you have a palstic surgery procedure done by an internal medicine doctor who was trained to treat high blood presure and diabetes who is not a surgoen, doe snt oahve privleges to perfrom liposuction at any hospital or surgery center in town and failed his license exam 19 times? Any credentials he has to perform surery of that type were purchased.JG 6.24.09
Answer: I think SmartLipo is a bad idea, yes. I think regular or ultrasonic assisted would be my choice. JG 6.24.09
Answer: because the skin can in some cases get looser. JG 6.23.09
Answer: it will not cause it to develop but can make cellulite that exists already worse. JG 6.23.09
Answer: hard to say, you might not have been a good candidate for the liposuction to begin with, you need to go back and see the surgeon and ask them what is going on. JG 6.23.09
Answer: I believe ultrasonic assisted liposuction would be my choice. JG 6.23.09
Answer: not by that name, sorry. JG 6.23.09
Answer: the scars will take up to one year to fade to their maximum amount, just keep them out of the sun. As to the waviness, some of it can be normal at this point, but by 6 months it should be totally gone. The waviness can be due to uneven fat removal or poor elasticity of the skin allowing the skin not to shrink tight after the fat is removed. More surgery is a possibility, sorry. JG 5.19.09
Answer: I think it is a lot of hype with very little to back up the claims. JG 5.13.09
Answer: well, removing fat can at your age lead to loose skin because the ability of the skin to shrink is less now than when you were much younger. I do not think the fillers would work as you would need so much placed that it woud likely make your face look unnatural. Certainly the more fat that is removed the more the likely the skin will sag but there is no way to 100% predict that. Best of luck. JG 5.10.09
Answer: you can take more fat out with traditional liposuction than with external ultrasound, the external machine is made for smaller amounts of fat. JG 5.9.09
Answer: in the US there is still no available external ultrasound that dissolves fat, there are two companies getting ready for potential FDA approval, of the two that claim to dissolve fat without suctioning the fat out I prefer UltraSahpe.JG 5.9.09
Answer: please tell me which of the ultrasonic liposuction machines you are referring to as there are a number of them, some good, some not as good. JG 5.9.09
Answer: we have our patients wear it 24/7 for the first two weks and then 8 hours per day weeks 3-4. JG 4.28.09
Answer: normal for this time out from the procedure, should see more smoothing over the next three weeks, we also strongly encourage massage to smooth and soften the areas after the liposuction. Daily changes in activity can cause swelling to come and go also, got to hang in there. JG 4.28.09
Answer: should go away on its own, can use some topical steroid like Cortaid 10 and use a T-Shirt underenath the garment too. Best of luck. JG 4.27.09
Answer: keeping it elevated and you can also wrap an ace wrap, starting at the hand and moving up to push the fluid up towards your armpit. Could last a couple of weeks. JG 4.24.09
Answer: the strap you have will do since you do not have the other one and all you need for the massage is Aveeno or Vaseline Intensive Care lotion. JG 4.21.09
Answer: light stuff after two weeks, no restrictions at one month, but that all has to be cleared by your doctor, that is just how we do it if all is going well. JG 4.21.09
Answer: we wear it for two weeks almost all of the time and then two more weeks at night. What you have is normal and wil get better with massage. JG 4.21.09
Answer: I think it best to let it heal for at least 6 montsh as when there is swelling, even if not perceptible, it can make it difficult for the new surgeon to knwo how much to remove from certain areas. Best of luck. JG 4.16.09
Answer: well, if there is swelling, which there likely is, it can be difficult to determine how much to remove, that is important to avoid depressions or divots. As to not seeing any difference after two months, that is unusual, but think about it for a second, why would you do the same thing with the same surgeon if it did not work the first time. Maybe you were not a good candidate for the lipsouction to begin with or they used an ineffective method and are now you are going to repeat the same mistakes. I suggest getting your preop photos from the doctor and getting a second opinion from someone else before you do anything. JG 4.15.09
Answer: still too early, go to give it 4-6 weeks. JG 4.12.09
Answer: no, it should not be that much different. There are incisions but they usually heal pretty well in time. JG 4.10.09
Answer: I feel it is a safe procedure. JG 4.10.09
Answer: sorry, not a believer of Lipo-Ex or Accent tightening skin.
Answer: no, that was likely going to happen without the massage, massage will not cause the skin to tighten any less. JG 4.5.09
Answer: garments do not help skin retraction and are only used to help resolve the swelling and for support. I find that after one month, they are not very helpful for those issues. There is no harm in wearing it longer if you feel it helps. JG 3.31.09
Answer: it is effective, but final resulss can take months as the swelling persists for months in that area. JG 3.16.09
Answer: eating properly and exercising will likely get you to lose some weight and might make the intra-abdominal fat decrease so your abdomen might look better, but none of that will help tighten skin or reduce cellulite. It is very common after large volume liposuction to have loose skin and for areas of cellulite to look worse and is predictable. There is no long term solution to cellulite, endermologie and VelaSmooth help only while doing it and the loose skin will likely need to be cut out to tighten it. Not sure Accent will do much in your case. Best of luck. JG 3.14.09
Answer: healing and recovery will be the same as compared to all other techniques, I prefer to use general anesthesia for that procedure and the area is marked with you standing so there is no need to stand you up during the procedure. The supplements you suggest are fine and as to gaining the fat back, the fat cells are permanertly removed but you can gain weight in other areas. JG 3.13.09
Answer: the amount of fat that can be removed is essentially no different from traditional liposuction, some might claim that it is a little easier to remove but the amount removed is all up to how hard the surgeon works. I think from what you are describing I suggest ultrasonic assisted liposuction followed 6 months later with a tummy tuck. I do perform those procedures, but not the SmartLipo. JG 3.12.09
Answer: I am sorry but I am not a proponent for SmartLipo, I use traditional or ultrasonic assisted liposuction in my practice. I think in cases where there is that much weight still to be lost it is usually best to do the liposuction first and then follow it 6 months later with the tummy tuck. Best of luck. JG 3.12.09
Answer: we usually have our patients use it 24 hours a day for two weeks, and then 8 hours per day for an additional two weeks. It helps the selling go down faster but does not alter eventual shape. JG 3.12.09
Answer: in some cases the breasts can be reduced in that fashion but typically the skin does not tighten up and you are left saggy, but the scars are very small. JG 3.12.09
Answer: I am not a fan or a believer. JG 3.11.09
Answer: well, I am afraid there is nothing really good. VelaSmooth is a small increment over Endermologie but also temporary and mild in most patient results. Liposuction has never and will likely never in the future help with cellulite as it does not treat the offending issue which is the skin and not the fat. Sorry. JG 3.10.09
Answer: well, that can happen from elevating the muscles off the bone to place the implant in and also from the liposuction bruising the nerves that affect the muscles of the lower lip, so when you get both done it can be even more evident. In the vast majority of the cases it does go away. It can take up to 6 weeks to get it back, sometimes longer, but in most cases by 6 weeks it is back, just got to hang in there. JG 2.26.09
Answer: I think if you want to post things on his website, that would be appropriate. I am glad that you are doing well. I hope all continues to do so. JG 2.26.09
Answer: yes, same. JG 2.23.09
Answer: I think traditional liposuction or ultrasonic liposuction is what I would do, the thing about SmartLipo is the claims of skin shrinkage that are not backed up with any evidence. If you remove only small amounts of fat the skin will likely shrink well but the improvement will be small. If you remove large amounts of fat, the skin can sag, no matter what technique is used. I think your arms can likely be made somewhat slimmer but never slim. JG 2.15.09
Answer: I think you should skip it, the promises are lots of hype. JG 2.15.09
Answer: hard to say without seeing you, a neck lift removes skin and at times tightens the muscles where neck lipo only removes fat and the degree of skin shrinking is variable. If there is a little loose skin and a little fat and you remove the fat, then the skin can look saggy. If you have little fat and have loose skin and you have liposuction, then you will have loose skin. I think you need to see a surgeon in person to say what you would benefit most from. JG 2.14.09
Answer: should be very little swelling at this point. JG 2.13.09
Answer: well I think those things will likely help the lumps but will do nothing to help the skin shrink. We usually do massage but not ultrasound for the first month. JG 2.9.09
Answer: hard to say withour seeing you in person, if it is fat, it might just need a little liposcution to improve, but if it is skin, the liposuction will not help. JG 2.9.08
Answer: likley safe in terms of blood loss, I guess. I think some iron supplements might help with the blood count. JG 2.2.09
Answer: the answers are posted directly next to the quesion in the section you posted it. JG 1.24.09
Answer: well, the risks are the same as with all other liposuction procedures, I am sure your surgeon explained them to you, but I think the claims of skin tightening with SmartLipo are very exagerated. The risks of contour deformities are no different than with other methods in experienced hands. JG 1.20.09
Answer: either one will do. JG 1.20.09
Answer: no, there are not, the anesthesiologist though needs to have your thyroid balanced with medicine. JG 1.16.09
Answer: unimpressed, lots of hype and I see no difference from all of the other tried and true methods. JG 1.14.09
Answer: I guess you don`t want to look beter then. If you stay lazy you will stay looking the way you do. Sorry. JG 1.11.09
Answer: better off doing abdominal exercises on your own. JG 1.11.09
Answer: yes, I have heard of it, I am afraid though that is the same overly-hyped procedure as the others, overstating the advantages and understressing the limitations, I will not perform it. JG 1.9.09
Answer: thanks for the kind words. JG 12.4.08
Answer: That will not be able to be done at the same time as your scheduled small liposuction and as I have said previously, the swelling on the edge of the incision can last up to one year. You might just want to wait the full year and see how things go and do it all at the same sitting if still needed. I think your results, even with these small issues, are dramatic at this point. Any stressful event, and surgery can be stressful, can cause temporary hormone fluctuations but they are not permanent, it might just be that your ovaries are begining to slow down frm a natural aging process. JG 12.4.08
Answer: I do not think VelaSmooth is an option I would recommend for fat reduction, I think it works well for cellulite on a temporary basis only. I think the fat reduction form VelaShape will also be quite small to none. I think the fat reduction capability has been way overhyped and is in genera unpredictable as to the effectiveness of it. Al the best and enjoy the turkey! JG 11.26.08
Answer: I am afraid the only thing that can be done is a neck lift, which by what you describe, in terms of little fat to begin with, is what you should have done to begin with. With minimal fat to start off, liposuction will not tighten skin and will only leave it looser and allow the muscle bands to show. Sorry. JG 11.25.08
Answer: I think it would be worth it, yes. JG 11.24.08
Answer: lumps are not uncommon after all types of liposuction, especially for the first 4-6 weeks. I do not think the hot stones are needed but we have all of our patients have professional massages, two per week starting one week after surgery for three weeks. Lymphatic massage will not help as much as regular massage if you have hard lumps. JG 11.24.08
Answer: well, in the US, Ultrashape is not available, I think for the most part Lipodissolve is an unproven unreliable method, SmartLipo is also unproven and over hyped I think traditional liposuction with small cannulas is the most reliable reproducable way to go. JG 11.22.08
Answer: at the present time no, she has put out a new product but the patient reviews are saying it is nowhere near as good. I believe there are two companies working on selling a product that had the original material she used without permission but no news on when it will be released. JG 11.22.08
Answer: well, there is no single cut off amuount as it depends on the patient` skin, being conserative helps but the older one is the less can be removed. I think SmartLipo is a sham, there is no science behind the claims. JG 11.22.08
Answer: well, liposuction is likely the best option, might just need to be conservative with the removal, might be able to remove some fat and still get the skin to shrink well, the greater the amount of fat removed the greater the risk of loose skin. Best of luck. JG 11.22.08
Answer: liposuction is about it. JG 11.21.08
Answer: I am afraid, the opposite, you are where you are due to fat loss of the cheeks allowing the skin to droop, removing tha fat there will make the skin sag sooenr and faster, there is nothing smart about SmartLipo. JG 11.20.08
Answer: yes, all due to swelling at this point. The hard areas are just tissue that is swollen or indurated and should get better in time. JG 11.17.08
Answer: well, it is the latest, but I think thinking it is the least invasive is false advertising by the company and the doctor. Tumescent anesthesia is the delivery of an anesthetic in large amounts of fluid, the epinephrine is placed to minimize the blood loss. It could be performed without the epinephrine if the doctor knows how to do it but there would be more bleeding is the only problem. Sounds like he took a weekend course on the topic and is now the local expert, I think you should seek out a different doctor. JG 11.16.08
Answer: no, anytype of liposuction is OK to perform. The Accutane affects the skin but nothing below it. JG 11.6.08
Answer: SmartLipo is an attempt to use laser technology to dissolve fat and then remove it with liposuction, it was tried over 13 years ago and the claims of better fat removal and better skin shrinkage, which are the same claims being made now, never materialized, the technology faded, and now, mostly for marketing reasons I feel, it has come back to the market. It is certainly more expensive than traditional liposuction when done using the same type of anesthesia. JG 11.6.08
Answer: I would personally never so SmartLipo. JG 11.6.08
Answer: can you do it while on Accutane, yes should not be a problem, but my personal impression of SmartLipo is that it is way overhyped and underperforms. Best of luck. JG 11.6.08
Answer: thre are no skin creams that melt fat, as to whether a patient is a good candidate for liposuction is best answered with an in-person visit, it is not for everyone. Loose skin will not be helped by liposuction. All the best. JG 11.4.08
Answer: at this spoint it is common for the swelling to make you feel larger than befoe the liposuction, yes. It should take another couple of weeks for a substantial amount of the swelling to go down. Hang in there. JG 11.3.08
Answer: No studies that I am aware of. JG 11.3.08
Answer: well, if fat is removed it might well make the bands more visible, so I do not think that is a good plan. They might need to be cut and then sewn together to make them less visible instead, all the best to you. JG 10.20.08
Answer: should go away, likely just some irritation and swelling from the liposuction being done in that area. JG 10.20.08
Answer: abdominal binder will not slow down the helaing and will not fix the hernia either. JG 10.16.08
Answer: I would need to see you in person to give you a fee quote and discuss all the options JG 10.14.08
Answer: yes I do but the plastic surgery services coverd are for cancer cases and reconstructions, it does not cover cosmetic procedures, skin issues are treated by HPN dermatologists. JG 10.11.08
Answer: well, you can have it done but when large amounts are removed there can likely be loose skin, also, regaining the weight like you did could be a future problem as if you have the liposuction and some areas are improved but you gain the weight back, it will go somewhere else and not all areas can be treated with liposuction. JG 10.11.08
Answer: more a function of operator skill, I will also say that at least on the abdomen, the smaller cannula is actually more dangerous because it can pierce the abdominal wall and injure an internal organ easier than the larger one. JG 10.6.08
Answer: 50% in 4-6 weeks and the rest over 6 months. JG 10.6.08
Answer: yes, it can be done but will leave you quite saggy if any significant amount is removed. JG 10.6.08
Answer: I think antibiotic creams for the burn and give it time for the swelling to go down and hopefully it will look better. Hang in there for a bit. JG 9.24.08
Answer: about as long as the first, yes, due to some small amount of scar tissue that will slow the fluid absoprtion time. At one week it is likely still swollen, yes. JG 9.23.08
Answer: well, some of it should get better, it might take 6 months or more, but a small percentage might be permanent, the massage might help though. Best of luck. 9.20.08
Answer: the results as seen on a mamogram should be similar. I think it is an option but it will leave you saggier than a regular breast reduction. JG 9.11.08
Answer: I think the fat could be removed but the skin will likely not shrink well and if there is already loose skin on the arms, the liposuction alone will make it look worse. Might want to leave it alone. JG 8.31.08
Answer: see a local plastic surgeon, might be able to be pressed out through a small stab incision. Best of luck. JG 8.30.08
Answer: it might be abel to be pressed out through a small nick in the skin, need to see a plastic surgeon near you I think, best of luck. JG 8.30.08
Answer: your surgeon will need to examine you to make that determination I am afraid. JG 8.26.08
Answer: no, those can be used with the other garment also. All the best. JG 8.26.08
Answer: well, we use garments that are all one piece that cover from the knees to the ribcage, not sure whay they did not use htat, I agree that the binder will exacerbate the lower body swelling too, but it should all go away in time. JG 8.26.08
Answer: I wish I could tell you but not everyone responds to the treatments I am afraid, even when they look the same, it has many variables that are out of our control and that never show up in pictures so we cannot always expect the same results between patients. JG 8.25.08
Answer: I am afraid the only way to correct it most likey is a buttock lift with scars at the waistline, I think some would try fat injections but the amount required will likely not survive. Performing more liposuction on a banana roll will usually not correct that problem and will just deflate the tissue more and create what you have now. JG 8.22.08
Answer: little is relative, if there is a small amount and your skin tone is good, it should do fine, if the skin tone is poor and the amount taken off is larger, it might be loose. JG 8.21.08
Answer: I think it is not very effective due to potential lack of skin contraction or shrinking. Irregularities are not the issue it is loose skin. JG 8.21.08
Answer: if the fat in question is above the muscle the liposuction will help the area be reduced, if it is intra-abdominal, below the muscles, it will not be affected by the liposuction. JG 8.21.08
Answer: it might help, worth a try. JG 8.19.08
Answer: well, I have a friend that might be working in a new clinic but I am not moving out of my present office or working elsewhere. I am sorry to say that I am still not a fan of laser lipsuction. The procedure was apparently done in the clininc by a family practice physician that worked there but I am not sure of the new physician will be doing the procedure. I will not be doing laser liposuction at any new or old clinic, sorry for the confusion. JG 8.18.08
Answer: no, it is not. JG 8.14.08
Answer: maybe, but only temporarily. It cannot move fat around. JG 8.13.08
Answer: yes, it is how the treatment is transitioned from one area to another so there is a gradual blending rather than a sharp cut off point. JG 8.13.08
Answer: no, we do it all the time, I am sure they are well versed on doing it. JG 8.13.08
Answer: yes, it is assumed. JG 8.13.08
Answer: I have never seen permanent damage. As to active stretching, that is stretching you do with your own muscle power, passive stretching is stretching someone does by pushing or pulling things for you, like a physical therapist or massage person. JG 8.13.08
Answer: not uncommon on the inner thoiughs, that area has only layer of fat versus the two in most treated areas, also the muscle are right there and can get swollen and stiff, warm packs, massage and the active/passive stretching will make it better. JG 8.12.08
Answer: muscle can be scraped from the surgery but in time, with slow passive and active stretching, things will get better, but slowly. JG 8.12.08
Answer: likely swelling at this point a little too early for scar tissue, continue with the massages and give it some time. JG 8.10.08
Answer: I am not a believer in laser liposuction. JG 8.10.08
Answer: I think VelaSmooth is better. JG 8.10.08
Answer: the liposuction removes fat only where the tummy tuck removes fat and skin and can allow the muscles to be tightened if needed. JG 8.10.08
Answer: yes, weight loss first is always best. Since the connections between the skin and underlyng tissues are not damaged through diet but are with any liposuction technique, if you can lose the weight on your own it will lead to a better result with better skin tightening than any machine could give you. JG 8.6.08.
Answer: liposculpture is an attempt by a doctor to suggest that what they do with small cannula liposuction is diffeent and better than what others doctors do, it is a false statement and is merely a marketing term. As to SmartLip, I personally think it is a lot of hype with no evidence in any medical literature that it acheives the promises made. The invasiveness depends on how much is removed, not how you remove it, that area is notorious for loose skin so be carefull what you do JG 8.6.08
Answer: not dangerous, it is alot of surgery but if you are healthy it is likely OK, but the ankles will stay swollen for a long time. JG 8.5.08
Answer: I think the garment will slow the swelling and speed the recovery but will not make a surgery less effective than it would have been without it. Not the garment`s fault. JG 8.5.08
Answer: I think if it truly is circumferential I would space them out, at least 3-6 months. JG 8.4.08
Answer: save your money. JG 8.4.08
Answer: I think it is likely OK to remove them now, I actually do not use them if the garment fits well. JG 8.3.08
Answer: some doctors will do that, I will do it only for small touch up areas. JG 8.2.08
Answer: ultrasonic assisted liposuction is my preferance. The fat can be injected but then has to be removed without the ultrasonic dissolution to attempt to maintain its viability, but it is still not a reliable result in terms of the survivability of the fat. JG 8.1.08
Answer: well, if the blood that accumalates under the skin after the procedure is allowed to be exposed to the sun, it can stain the skin on a long term and sometimes permanent basis due to the iron that has oxidized staining the skin. Not common but can happen. Avoiding the sun is important to help it see if it will all go away. JG 7.25.08
Answer: will possibly help the irregularities but not the pain, that is due to scar tissue wrapped arond the small nerves and will not be helped by injecting fat. JG 7.18.08
Answer: I feel that I can remove more fat with less blood loss with ultrasonic but besdes that, the differences are small.In most cases, you cannot do much liposuction under the skin at the same time as a tummy tuck as it can injure the blood vessels so in people with a large amount of abdominal fat, I suggest a two staged procdure with liposuction first. I think a liposuction first followed by a tummy tuck later does encounter scar tissue but it will give a better result than a tummy tuck alone as the liposuction first will thin the skin and give a better contour. JG 7.17.08
Answer: it is an amount more than a size. It also will depend on the quality of the ksin as to how the skin will shrink. JG 7.17.08
Answer: well, it will be up to the skin itself to tighten it, the more fat that is removed and the older one is the less it shrinks, exercise will not tighten it, the only thing if it remains loose is to have it cut out. JG 7.17.08
Answer: I think ultrasonic liposuction is your best bet, either Lysonix or Vaser. JG 7.17.08
Answer: not a big difference, a HUGE difference. Ultrasonic is much more efficient. Neither one tightens the skin by its technology, lots of hype with that though. JG 7.15.08
Answer: well by two weeks you should see something, having said that, I am not a fan of SmartLipo. I think it is alot of hype for little result, and if you do push it to get a result, the promises of skin shrinkage and minimal downtime go away. The bruising at this point is not uncommon and can take up to one month to get better. JG 7.15.08
Answer: he might be suggesting some steroid or kenalog injections to soften it up, firmness in the belly button areait is not an uncommon thing to happen after lipsuction as there are more blood vessels there than in other areas. I think warm packs and massage would help and the kenalog injections are OK to od as long as it is not too frequently or too high a dose. JG 7.11.08
Answer: I think direct excsions of a banana roll leave unsightly scar that are very difficult to hide, actually there is a large amount iof tension on that area everytime you sit or take a step forward. It will also flatten the crease and I do not recommend it. Liposuction of the banana roll also will make it look worse. The best way to correct it is through a buttocks lift which you have already had and might just need a more aggressive lift on that side. JG 7.9.08
Answer: the silicone implants will not be affected in any way as they are solid and much deeper. Best of luck. JG 7.8.08
Answer: Circumferential liposuction of the thighs is a bigger deal but can still be done with good results if the skin is in good shape. Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best. JG 7.7.08 www.surgery.org/public/findasurgeon.
Answer: I think the greater the amount of fat removed, the greater the risk of loose skin, and to make that look better would necessitate ann incision from the armpit to the elbow which would be visible in most shorter sleeved outfits. I do not think that any of the smart lipo or laser liposuction techniques will do much for you I am afraid. I also think that Velashape will yield small improvements and there is no way to tell how long they would last. I think if you can live with the arm scars, that would be the most reliable and predictable improvement, sorry. JG 7.7.08
Answer: it should be pretty much gone by now, I think you should see the surgeon to determene what has occurred, best of luck. JG 7.7.08
Answer: fat injections might improve it some and might help fill in the area so the skin is not as loose, but I will be honest, it will be improved but likely not totally corrected. JG 7.7.08
Answer: it make take a few weeks to get better, and for it to to all go away it might take a few months. JG 7.6.08
Answer: no, it should not. JG 7.5.08
Answer: I am sorry but I cannot in good conscience recommend either one. If either one of those techniques did work, and if it removed the same amount of fat that could be removed with traditional liposuction, you would have the same risks. JG 7.2.08
Answer: well, it might be it might also dissolve the normal fat around the area I am afraid. I do not have any referrals in Florida for that, sorry. JG 6.29.08
Answer: it might prolong the swelling and bruising is the most common issue. JG 6.25.08
Answer: I think for one month is good if you can tolerate the girdle. I think your exercise program can begin one month after the surgery, slowly. JG 6.10.08
Answer: time will tell. JG 6.4.08
Answer: sorry to tell you, but it is not new, also, the only way it works is by thinning the layer of fat below the skin over the area where the insertions of the abdominals are, and then you hope the skin sticks down where you want it to, you cannot etch fat, and you do not need a different cannula than has existed for many years. You need to have a thin layer of fat and also continue to work and exercise your abdominals from then on, merely doing the liposuction and not working your abs will never yield the desired result, sorry, no to easy way out. JG 6.2.08
Answer: it is not any better than any other method of liposuction, the claims are inflated, sorry to say. JG 6.2.08
Answer: please understand, it is not a bother, I am just concerned because so much of what we have talked about is something that your doctor or his nurse should have told you and been able to answer for you. I get patients of my own who have all of their information in a booklet along with being told and they still call me in the middle of the night or weekends.I just get concerned when patients are not getting the proper information frm their doctor or more worrisome when doctors perform surgery and then are not available afterwards by phone after hours to take care of those concerns. Best of luck. JG 6.2.08
Answer: we allow our patients to shower the next day. I do not mind answering your questions but I have to say, almost all of the questions you have asked me are questions and things that your doctor or one of his nurses should have discussed with you or given you an instruction manual before all of your multiple surgeries. I am a little concerned that they have not done that for you. Or that they are not available for you to call them and ask a question. JG 6.1.08
Answer: need to be cut out with surgery. JG 6.1.08
Answer: it is a matter of geetting the skin to rest in a natural direction. Pulling too tight will usually make that happen. Thank you for the kind words too. JG 5.29.08
Answer: dissolve it under your tongue 4 times per day. JG 5.29.08
Answer: it should be snug but not so tight it cuts off your circulation. JG 5.29.08
Answer: they are small and in most cases fade and look quite good. If they are noticeable they can be revised with a scar revision. JG 5.29.08
Answer: that is the right one. JG 5.29.08
Answer: I would not recommend that being done together. JG 5.27.08
Answer: I am sorry but at the present timne, due to my schedule, I am not accepting revisionary patients. JG 5.26.08
Answer: hard for me to say what can be done without seeing you in person. I will say that after liposuction is done, weight gain afterwards usually accumulates in new areas and some cannot be treated with liposuction. If there is residual fat, that might be able to be removed, but scar tissue will not be removed. Improvements, maybe, full correction, doubtful. Sorry. JG 5.26.08
Answer: well, we usually make liposuction garments that are much easier and realiable to apply for that, I think you should at least do what your doctor has told you though. I think the ace wrap is more important than the sock. Best of luck. JG 5.26.08
Answer: Tumescent lipo is just a method of fluid injection to either help remove the fat cells and in some cases also provide anesthesia. I do not know of many cases where tumescent fluid is not injected at the time of liposuction. It certainly is done with SmartLIpo. If you have small areas you can just have them do it with a smaller cannula if you wish and your choice of anesthesia. JG 5.23.08
Answer: I do think the medical garments are better. We use Design Veronique. JG 5.22.08
Answer: yes, let the wounds heal first and then get back into it, the swelling will persist for a little while longer this way but you need to do that to let the skin heal. JG 5.22.08
Answer: no, actually my feeelings have solidified, and frm hearing presentations at national plastic surgery meetings, they are stronger than ever. As to the skin tightening, it depends greatly on the amount removed and quality of the skin. JG 5.22.08
Answer: just basically a light Swedish massage. JG 5.22.08
Answer: available at any good health food store, dosage is the standard dose on the bottle, I suggest starting it 1-2 days before the procedure if possible. JG 5.21.08
Answer: it is used to reduce swelling and bruising. JG 5.21.08
Answer: the private parts being swollen and discolored is all normal and expected,yes. It might take a week or more to get better. I suggest wearing the garment for the legs if there was more liposuction done there. I like the garmet on as much as possible and I think the swelling on the abdomen does go away faster than on the legs. I think Bromelain and Arnica do help, yes. As to the other areas, just massage them once you can tolerate it and best of luck. JG 5.20.08
Answer: I think liposuction under local anesthesia not uncommonly ends up in an inablity to remove all of the desired fat due to feeling pain. I only do it for very small areas. The risk of pulmonaruy embolism is due to the inactivity after the liposuction, not essentially during the procedure, so both have that risk if you do not get up and move around afterwards. Typically I allow the patients to fly after 7-10 days, but they need to get up and walk down the aisle every hour or so to avoid getting a blood clot. JG 5.19.08
Answer: well, you are likley still a candidate but the result will be less than optimal as the skin will likely not shrink well. I think it best to see if you can lose some of the weight first and then be re-evaluated to see what is your best option. JG 5.19.08
Answer: there are no special exercises in the world that tighten loose skin so the doctor who told you that should be put on your do not ever see again list . I think the fact he told you that to me sounds like he is desperate to do your surgery and will say anything to get you to do the surgery with him. Run, do not walk away from that guy. We suggest 2-4 weeks after liposuction before engaging in sexual relations. Best of luck. JG 5.19.08
Answer: there is nothing besides cutting it out, losing weight will likely leave you with loose skin too if you can already pinch it. JG 5.19.08
Answer: if you have a little loose skin befoe the liposuction on the abdomen, then you will have more loose skin after the liposuction. Multiple areas of liposcution can be done at the same time, yes, and you could have the liposuction done first and the tummy tuck later, sometimes that gives an even flatter result as it is not possible to agressively liposuction the upper abdomen when doing a tummy tuck. JG 5.18.08
Answer: it will likely prematurely age you over time. JG 5.16.08
Answer: well, the less removed the less chance of skin being loose but also the lesser the degree of improvement. It might look fine for awhile, but ultimately, you will age faster if the fat is removed. JG 5.16.08
Answer: it can last a long time but should not be permanent. The most common thing from upper lid surgery is either not enough skin being removed leaving a fold of skin, or too much skin being removed and then you are unable to close your eyelid when you sleep. Best of luck. JG 5.15.08
Answer: I doubt it will be permanent but it can last a long time as that skin is quite thin. The most common issues with upper eyelid surgery is either too little skin being removed and not seeing much of a change, or too much skin being removed and not being able to close your eyes when you sleep, not common problems though. JG 5.16.08
Answer: that can happen if you gain too much weight during the pregnancy, but if you only gain the recommended 25 pounds, that should not occur. JG 5.15.08
Answer: should be OK to do if you are healthy to begin with. JG 5.14.08
Answer: well, it can be difficult to revise as it comes from an over aggressive fat removal in most cases, but it is hard to ell without seeing you in person. I do not think the medial thigth lift will correct much of the problem though. The medial thigh lift effect wil depend greatly on the type of thigh lift done and if there is a vertical scar. If there is no vertical thigh scar I would say it will imprpove only the top third of the medial thigh. Best of luck. JG 5.11.08
Answer: It should be snug but not so tight it is difficult to breathe. I think those areas are small enough that the garment will likely not matter to much. Best to you too. JG 5.11.08
Answer: the skin sagging is more one of appearance than feeling, you can see it but it will take time for that to be seen due to the swelling, and the skin will not sag to its maximum until the swelling goes down. What you are feeling is just due to the swelling making your legs feel heavy. We get our garments from Design Veronique and we provide them for our patients. They should be snug but not so thght they cut off circulation. It is common for cellulite to look worse as the skin gets looser and I think you can skip the Accent, I am not impressed with its results. We occasionally suggest endermologie for the cellulite and if the skin sags, the only thing that can be done is to cut it off, yes. JG 5.10.08
Answer: well, the only laser dissolving of fat is done with a SmartLipo and there is Cool Lipo also, but the claims they make are, I feel, exagerated. The ultrasound technology generates a good amount of heat so it is hard to do it under local anesthesia but there are machines awaiting approval in the US that are external ultrasound that show great promise, likely at least one year away. JG 5.8.08
Answer: I would remove them in 24-48 hours and shower only, no baths or swimming pool until the holes have closed totally. JG 5.8.08
Answer: no special brands, but they can be used, yes, use a broad head for the massager though. JG 5.9.08
Answer: you massage with the girdle off, small circular strokes in all directions over the areas treated. We usualy start as soon as you can tolerate the massages. Done twice per day for the first month. The bruising can move to areas adjacent to the areas treated so it does not mean the areas were missed. Sitting wil not put pressure on the boney areas that were injected and I am not a big believer in fat injections lasting too long. Best of luck. JG 5.9.08
Answer: I would not repeat the blod work so soon, it wil take at least three weeks to see a difference. JG 5.8.08
Answer: it is certainly due to the blood loss from the last surgery, no surprise there. It could have been improved by waitng a little more time and also starting you on iron to help with the blood cell production immediately after the first surgery. I think what you are doing is enough, it is basically too aggressive to think the next surgery could have been done so soon. JG 5.8.08
Answer: I am not aware of anyone in Las Vegas that offers that procedure, and I will say that I do not endorse nor recommend it either. JG 5.8.08
Answer: ultrasound will speed it up but it should get better for 6 months after the surgery. JG 5.6.08
Answer: I have heard of it and am not impressed with it. JG 5.6.08
Answer: more likely it is blood collected under the skin, 11 days is not enough time to develop scar tissue, but massage will help soften the blood too. In time it should get better, even without the massage.JG 5.4.08
Answer: well, some of the fat was injected into the muscle and will not be able to be liposuctioned out, but I can tell you that likely not all went into the muscles and some fat lies above it. I think the amount of fat you are looking to remove is not all of that which was injected, so even if you can only remove some, it should look better. The infiltration of the fat into the muscle occurs at the time of surgery, the fat cells do not migrate over time into the muscle. I would wait at least 6 months to see if the swelling going down is enough of a change before undertaking more surgery. JG 4.30.08
Answer: it can be bruising in the sense that at times some blood can temporarily stain the skin, need to avoid sun exposure and wait for it to fade. JG 4.30.08
Answer: it is a doctor preference, some doctors leave the incision open to drain but that can be messy and increases infection and the scars do not heal as well as those that are sutured closed. There is absolutely no advatage to traditional liposuction, you can leave those incisions open too if you want. JG 4.28.08
Answer: I think SmartLipo is a poorly proven system that is a lot of hype, not any better than other traditional methods but it makes lots of claims that there is little science to support. JG 4.28.08
Answer: that fat is called visceral fat, it is below the muslces and is wrapped around the organs and only diet and exercise will remove it. JG 4.27.08
Answer: sorry, but I think it is a lot of hype for little to no improvement for cellulite. JG 4.26.08
Answer: at your age, as long as the amont of fat is not too large, it should be OK. Best of luck. JG 4.26.08
Answer: rules are the same, but healing does occur a little faster, by a few days. I think you will be fine for your vacation most likley. JG 4.25.08
Answer: the numbness can at times be there for 6 months and in some areas even up to one year. I think the lymphatic massage past 4 weeks is not worth it and the ultrasound maybe for 6 weeks. In most cases the lumps will go away in time with your own light massaging and stretching. JG 4.23.08
Answer: that is a very indivualized thing, no way for me to tell without examining you in person. JG 4.23.08
Answer: I think I would go with a liposuction at your age if the fat is not too large. JG 4.21.08
Answer: at your age any type of liposuction will likely leave loose skin that will require surgery to tighten and remove it. I think those types of surgeons, if they practice that type of surgery, can be capable of performing plastic surgery eventhough they did not complete a full plastic surgery training period. JG 4.20.08
Answer: the narrow wasit is controlled by the amount of fat inside of the abdomen and that fat cannot be treated with surgery, so I am afraid the only solution is to lose some weight, sorry. JG 4.18.08
Answer: sorry, no offense taken, it is just I should not be giving information that does not relate directly to plastic surgery and since I do not see who is posting the questions by name, and since we have had problems with peopel continuing to do it, we need to attempt to control the non-related questions.Best of luck. JG 4.18.08
Answer: I think you need to ask your question elsewhere, this is a plastic surgery site. JG 4.18.08
Answer: we use regular massage, it is maybe once every 3-4 years that we use external ultrasound for a liposuction case.JG 4.17.08
Answer: in most cases they go away as the skin shrinks and redrapes. If the skin does not tighten it might leave ripples, that depends on the skin and the amount of fat removed. If there are ripples then the skin can, at times, be tightened later. Thanks for visiting. JG 4.16.08
Answer: we normally use it for 4 weeks, but in cases like yours we sometimes use it for 6 weeks or more. The only other thing I can suggest for the bruising and swelling is to keep your legs elevated as much as possible. I think the new surgery pain level will be pretty close to this one`s. I use Reston foam on the abdomen only. I always stitch the incision closed, I do not leave them open to drain. JG 4.15.08
Answer: Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best. JG 4.15.08 http://www.surgery.org/public/findasurgeon.php.
Answer: I would go see a different doctor. JG 4.15.08
Answer: I do not think the Arnica will help much and I am not sure why the stomach feels hard, the local anesthesia should not cause that, I think there may be a diagnosis problem there. Unless the fat was hard to begin with, it should not be like that after injecting the local anesthesia unless tey included something in the mixture that is not the standard. JG 4.15.08
Answer: well I think it is fluid, although unusual, there might have been a small vein torn or a lymphatic vessels torn that has contributed to the problem, I do not think anyone except a plastic surgeon will be able to determine what is going on as the others are not familiar with the procedure. If the arms stay wrinkled she will need to have the skin cut off, that will leave a scar of variable length on her arm. I do not have any specific questiosn for your surgeon and I do think there is a possibilty that the reason your stomach pooches is the visceral fat that he migth not have diagnosed properly. Best of luck. JG 4.15.08
Answer: well, it does remove relatively small amounts of fat and if that is all you need, then it is OK, but I feel it is a technique where they have inflated the claims and have little science to back up the claims they make. I think you are the documentation you need. I am not a believer in the technology, the science is little to none. You can likely find some of the science at the website for the company, it shows that in one study the differnce after the SmartLipo was only a 17% decrease in fat. Doesn`t sound like it is worth $13,000 for 17%. JG 4.14.08
Answer: I think it is not as effective as more traditional methods, they use a small cannula and claim the fat is disolved with the laser, it in essence is a smaller incision tecnique but that can lead to lesser results. I think it can remove fat, but it cannot remove large areas and is more tedious and slower to remove the same amount of fat compared to otheer liposuction techniques. If the patiens was not a good candiate to begin with for liposuction, they can have wrinkled skin. It sounds like your sister was likely not a good candidate for liposuction and any method would have given her the same problem, it is just thast with the lure of good skin retraction with SmartLipo, the doctor tried it and now finds out that she was not a candidate for it, from what you are describing. Fluid accumulations can occur with any type of liposuction but I must say that it is not common in the arms. JG 4.14.08
Answer: by 4 weeks there should be a good amount of decrease is size, yes. with any liposuction technique. JG 4.14.08
Answer: it could be because the diagnosis of subcutaneous fat, which could be treated with any type of liposuction, was incorrect and she had intra-abdominal fat which is treated by no liposcution technique. Yes, she might still have fat from a very mild small fat rmoval too and if that is the case, then more liposuction would be indicated. I am sorry but I do not use SmartLipo as I feel the claims the company and their docotrs make are inflated and meant to lead patients to believe that the machine is better than other older tried and true methods and it is not, it is a lot of hype for little to no improvement over older well-established techniques. JG 4.14.08
Answer: I do not think hard areas will appreciabley improve with lypmhatic massage over more traditional, more aggressive methods, the hard spots are likely scar tissue or areas of blood collection that need to soften up with time. As to your sister, the skin might still smooth out with time and massage but as you are finding out, SmartLipo and all of their claims are not what as wonderful as they lead people to believe. She likely would have had loose or wrinkled skin no matter what technique was employed, but the promise of SmartLipo and skin shrinking is tempting to believe. JG 4.14.08
Answer: I think it is a good idea, it will not cause blood clots. We do suggest it for our patients after surgery. JG 4.14.08
Answer: I start with general anesthesia, we then inject tumescent fluid to disrupt the fat cells, we then use ultrasound, and then evacuate with traditional liposuction. I have been using ultrasound technology for liposuction for over 10 years. JG 4.13.08
Answer: liposuction can be done there, the swelling persists in the legs much longer and the final result will likely take a full year, especially low on the ankle area Prices vary and you need to decide on your surgeon as that will determine the fees. Broken blood vessels can occur after liposuction in some cases, yes. It is not due to anything being done wrong though. Further liposuction on the areas around the depression might bring the surrounding areas down and make the difference less noticable. JG 4.11.08
Answer: being out of the garment like that should not be a problem. I have never used the liquid drops you have bought but althouh I think Arnica will help with the swelling and bruising, the belladona will make you sleepy. If you want to take it I would do so only at night. I would stop it 2 weeks before the next surgery, yes. Best of luck. JG 4.11.08
Answer: if your energy level is fine, it is OK. Upper on the body heals faster than legs, yes. Soem leaking is not unusual, the color is ornage because there is a little blood and serum in it. JG 4.10.08
Answer: the swelling and bruising can be substanial, as can the discomfort too. We start the massages after one week and try to keep the legs elevated as much as possible to help with all of that for the first month. I think what they removed is likely safe and your issues are common. Best of luck. JG 4.10.08
Answer: it would be right over that area, without seeing you I cannot say where the incison would be or if it could be hidden. JG 4.10.08
Answer: I think there will likely be a considerable improvement, yes. I think the time for Mederma has likely passed though. JG 4.8.08
Answer: migth try liposuction if small and the skin is in good shape, or it would need to be cut out and leave a scar. JG 4.6.08
Answer: might take a repeat lipo with no fat removal in order to release the skin from the underlying scar tissue so it is smoother. I think speaking with your previous surgeon is a good choice. JG 4.6.08
Answer: well, liposuction should not be done for weight loss, but if the fat is above the muscles and below the skin, it might be an option for you. Our consultation fees are $50.JG 4.5.08
Answer: I am not confused about SmartLipo, it is essentially no different than other forms of liposuction and there is no evidence it can remove fat any better nor cause skin to shrink any better than other more studied techniques. JG 4.3.08
Answer: I think it is a waste for all body parts. Sorry. JG 4.3.08
Answer: I do not think it offers any advantage over other methods of liposuction. JG 4.3.08
Answer: it is merely an attempt to make liposuction sound new, they use slightly smaller cannulas or tubes to remove the fat and they claim to be doing smaller amounts to acheive shape, it is what we have been doing for 20 years in different forms. JG 4.1.08
Answer: well, it all depends on how much they took off, that is a large amount of weight loss to be achieved by SmartLipo and I think they likely exaggerated their claim. The fluid that does not leak out will be absorbed by your body over a few weeks. JG 3.29.08
Answer: in most cases it will go away in time. JG 3.28.08
Answer: all normal and will get better in time. JG 3.25.08
Answer: I prefer ultrasound, and am not a fan of the cold lipo. JG 3.24.08
Answer: the academy of cosmetic srgey is not an organization that grants a license to perform surgeyr, that is granted by each individual state and that stil does not guarnatee the doctor is properly trained. JG 3.24.08
Answer: many thanks for the report, I am sure all readers appreciate your openess and follow up. Continued best of luck. JG 3.23.08
Answer: I think the VelaShape is a good option and I think the amount of fat loss is very small and would not worry about it. JG 3.22.08
Answer: the uneveness should get better in time and it does take about three months to get close to the final results. We have the patients wear the garment for one month only. I personally do not use the gel sheeting as I find that it does not make much difference. It can take 3 months for the tissue on the abdomen to reattach, all depends how long there is swelling below the skin. I think Mederma is good for scars but not for dry skin, for that I would use Curel moisturizing lotion. JG 3.22.08
Answer: the purple line is just bruising and will go away in time, as to the other, it sounds like you have a fluid acculmulation and it needs to be drained by your surgeon. I think using the gel sheeting while still draining is difficult so I would wait on that. JG 3.22.08
Answer: well, I think neither one is a good option, actually the option to improve it is probabaly re-injecting fat above the banana roll to make it less visible. I think with those methods you will be left with possibly some fat removal but then looser skin which will look worse than what you have now. JG 3.19.08
Answer: I think at this point it is not swelling and is likley small scar tissue below the surface. Might need mroe surgery to correct it at this point. Endermologie does help, worth a try. JG 3.10.08
Answer: nothing reliable or predictable. VelaSmooth treatments help but only as long as you continue the treatments.The irregularities might be helped with more small lipo but it can also be made worse. I do not think SmartLipo offers any benefit over other methods. JG 3.6.08
Answer: it is usually swelling at this point. It will take 2-6 weeks for it to go down an appreciable amount. JG 3.4.08
Answer: I would not waste my money on using radiofrequency to tighten skin. JG 3.3.08
Answer: when I do the circumferential I do it all together on one day, best of luck. JG 2.29.08
Answer: yes, but there is no way to know what the right amount is, if too little is removed, you will not be happy and if too much is removed, you might not be happy, unless you are prepared and willing to have a thigh lift.Technically, liposuction is meant for spot reduction of fat, its use has expanded to treat larger areas, but that is not what it is meant or best at, so what is being suggested, although possible and done frequently, is a compromise to what it really is meant to be used for. JG 2.29.08
Answer: well, even toned skin can sag if enough subcutaneous fat is removed. Becasue although many connections from the skin to the muscle are maintianed, some are lost with liposuction and can therefore sag. Working out does not help skin to shrink though. I always tell my circumferential thigh liposuction patients that loose skin might arise and might need to have skin removed which can leave visible scars from the medial thigh lift. JG 2.29.08
Answer: in 20 years I have never done liposuction on anyone while standing up, that is all a marketing ploy and as to Cool Lipo and SmartLipo, the only smart one is the doctor which is selling you something alledgedly new, it is not, and making it sound better than other techniques, which it is not, and making you promises of better skin tightening, which it can`t. I will also say that circumferential liposuction of the thighs is done but it is not uncommon for the skin of the thighs to sag if any appreciable amount is removed, I cannot say how much could be removed safely and avoid sagging without seeing you in person though. All the best. JG 2.29.08
Answer: not true, OK to tan, but they might get a little red. JG 2.24.08
Answer: good option to avoid scars but will leave most women pretty saggy if enough fat is removed. JG 2.21.08
Answer: 2 weeks 24/7, then 2 weeks 8 hours per day. JG 2.19.08
Answer: massage it as tolerated, that will help the swelling even out. JG 2.16.08
Answer: well, it is a tough call, I must say that there are always risks but if it is happening over and over again, there might be a problem. I think if you are interested you can certainly speak with an attorney and he might be able to find out more infor for you as to the merits of the case. JG 2.15.08
Answer: I always do the whole abdomen so the skin can redrape better. JG 2.10.08
Answer: it think it is OK to do so if you cannot lose the localized fat through dieting. JG 2.10.08
Answer: we usually start the massages 7 days after surgery. We suggest each are for 20 minutes. I think the execises will tighten the muscles but may not change the appearance of the abdomen I am afraid as so much of what is going on is above the muscles.Best of luck. JG 2.10.08
Answer: I think wearing the garment might help some, I think the soreness should be significantly better after 4-6 weeks. Exercise will not help tighten the skin tough. I use a professional masseuse as some areas are hard to reach for th epatient, just a light Swedish massage. The ears can take 6 months or more to regain their sensation in some people. Best of luck. JG 2.9.08
Answer: sorry, please retype it. JG 2.9.08
Answer: the questions are stored on a distant server and I do not have access to them, please repost it, sorry. JG 2.9.08
Answer: could be loose skin or fat, hard to tell without examining you. Maybe discuss with him your concerns and see what he will do to help you out with any further surgery if needed. JG 2.6.08
Answer: it could be loose skin and not fat and I do not think Thermage will do much in most cases. JG 2.7.08
Answer: keep out of the sun or use snblock for another 3 months and that should all go away. JG 2.4.08
Answer: no effect I feel, best of luck. JG 2.4.08
Answer: well, it depends on the area being treated, Vaser is very good at making removal of fat from fibrous areas, like the flanks, much easier so more can be removed, but from the areas like the outer thighs and abdomen the difference is small, just easier for the surgeon to perform. I never charge more when I do Vaser compared to SAL, it is all the same price. We always do lymphatic massage after, twice per week for three weeks. We start that after 7 days. I think VelaSmooth helps with cellulite but it is temporary and has to be kept up. JG 1.31.08
Answer: if the scar is in an area where the cannula can be passed in the correct direction it can be done. JG 1.31.08
Answer: no, actually if you are taking it you should not stop it before the surgery. JG 1.31.08
Answer: weight loss does not have spot reduction so the liposuction might be a more accurate way to remove the fat cells permanently. JG 1.30.08
Answer: I do it frequently and feel iti s a good option. JG 1.26.08
Answer: At the present time there is no technology to fix those valves, sorry. Best of luck. JG 1.25.08
Answer: what happens is the veins are leaky for lack of a better word and the serum or fliid in the veins seeps out into the tissue. It is the tissues that swell actually, not the fat cells but it is boggy so it feels at times like fat. You might have some type of venous insufficieny where the valves in the veins are broken and will not help the blood get out, medical grade elastic hose are good, and of course you should have a medical check up to make sure there is nothing more serious going on. If the swelling goes up and down I would not suggest the fat removal as it will not make things better. All the best. JG 1.25.08
Answer: the reaserch published has shown that the cold laser does not rupture the fat cells, the only people that have published anything like that are the people that work for the company. The vast majority of surgeons close the incisons to keep it more sterile, draining wounds are not easy to take care of and can get infected and messy. I think the pubic aarea is OK to do at the same time, yes. JG 1.23.08
Answer: everything that is a potential complication with traditional liposuction is a risk with SmartLipo. JG 1.22.08
Answer: 50% gone in 6 weeks, the other 50% will take 3-6 months or more. JG 1.22.08
Answer: your are very welcome. JG 1.21.08
Answer: it is not that the fat falls down, it is that the fat underneath the skin near the incision cannot be aggressively removed for fear of injuring the blood vessels in it and after the surgery there can be swelling or edema that makes it look and feel larger, a little liposuction there is not uncommon a number of months after the procedure. JG 1.21.08
Answer: it is possible as the fullness around the mouth would look worse. I think liposuction can make it look better short term but long term the skin might sag. I think the mini facleift is likely a better choice. JG 1.21.08
Answer: I think the Vaser is a good ultrasonic method for liposuction. JG 1.16.08
Answer: I think that is alot to remove from an anterior thigh and could end up leaving you with loose skin. I think trying to do SmartLipo for that large of an area will take a very long time to perform. I also think it should be done in a normal certified operating room on the rare case something happens, it is much safer. JG 1.16.08
Answer: no, the fat once removed is always gone. JG 1.16.08
Answer: just the small puncture site for the cannula. JG 1.16.08
Answer: it is similar to regular liposuction, possibly smaller cannulas, and the transplanted fat, if it survives, will get bigger with weight gain, yes. JG 1.15.08
Answer: about 50% of the swelling is gone in 4-6 weeks, the rest can take months. It is a matter of time, but massage and a compression garment do help. JG 1.15.08
Answer: infiltration is the amount of fluid injected into the fat before it is suctioned out, it is essentially the same as the tumescent fluid. The aspirate is what is removed, but that will contain some of the infiltrate, some blood, and the fat. JG 1.14.08
Answer: it is a good ultra-sonic liposuction machine. JG 1.14.08
Answer: it could be scar tissue or some residual fat, hard for me to tell without examining you. Might just need a small touch up. JG 1.12.08
Answer: I personally think fat injection to hollow lower eyes does not work to well and is unreliable in its results. As to liposuction of the upper cheek and then buccal fat removal I think is somewhat contradictory. If you reduce the upper cheek and also the lower or mid cheek, I think proportions will be the same. In general, upper cheek liposuction is very rarely done, thre are not many people that can have fat removed there and have the skin drape smoothly or tightly, as to the buccal fat pad, removing it might make the cheeks look bigger. I must say though it is hard to tell without seeing you in person. JG 1.10.08
Answer: I woudl wear the larger one and the foam. JG 1.9.08
Answer: I doubt it is still fluid after this amoutn of time and I think you should see your surgeon, might need a touch up. JG 1.8.08
Answer: massage and you can also put a piece of foam between your skin and a gridle to distribute the pressure more evenly. JG 1.8.08
Answer: Implants are longer lasting.I have actually heard lots of negative things about both I am afraid. I would never, and I repeat, never let a patient have hydrogel injections anywhere on the body. JG 1.5.08
Answer: that varies, depends on the amount of area to be treated as well as the patinet`s ability to tolerate discomfort from local anesthesia. JG 1.4.08
Answer: well, in this case, what I can say is that I think when a surgeon only does one procedure, and one procedure only, I likley would not go see that surgeon because that procedure may not be the best option for you. As to tumescent liposuction, it is an option, it is not any safer than general anesthesia and in many cases is what the surgeon chooses to do because they do not have the credentials to do it in a a surgicenter under the watchful eye of others. JG 1.3.08
Answer: I would not waste your nor my money on it. Their Cool technology does not tighten skin from the outside so it will not do it from the inside, and neither does the Smart technology, the only thing smart is the marketing, not the results. JG 1.2.08
Answer: Liposuction will certainly not help and the mini facelift might help some but if it is loose enough a full facelift will be needed. JG 1.1.08
Answer: most likely a small hematoma that formed. I do not think clenching caused it though. JG 12.31.07
Answer: I have never seen it dissolve fat myself in all the patients that I have seen treated, and if it did, I cannot imagine how he could say it is permanent either. JG 12.30.07
Answer: what you can pinch is subcutaneous, what you cannot is under the muscle and visceral. JG 12.30.07
Answer: well, if the fat is subcutaneous and not visceral, then liposuction will help, as to whether the skin will tighten adequately, hard for me to tell without seeing you but if there are any strecth marks the skin will likely not tighten. JG 12.29.07
Answer: I always close the incision because I feel the fluid is easily absorbed, there is less chance for infection,the suturing does not prolong healing in any way and sutured wounds always heal better than wounds left to close without sutures. If properly done the flanks should yield smooth results, yes. Best of the Season! JG 12.21.07
Answer: yes, it should, might need a little touch up under local anesthesia. JG 12.20.07
Answer: I think any fat removal will likely leave your skin hanging to a greater degree so I do not think it is a wise choice. As to someone who does one thing only, in general, that is not a good sign, all people do not fit into one procedure so it sounds like someone took a weekend course to offer something new and cannot offer what the person might really need. JG 12.13.07
Answer: the doctor can tell if it is fat or skin, you might also but since you have not pinched as much neck skin as he has it is easier for them to determine that. Small differences can happen but can be touched up if it is only a little fat. Dog ears are where skin is bunched up or pleated at the end of incision when there is an attempt to keep the incision short. Thanks for the kind words too. JG 12.13.07
Answer: well you need skin to redrape and make the jawline look more defined, by cutting the skin out under the chin it pulls the skin forward rather than back so the jawline will not look as tight as if it had been pulled from behind the ear. Give it time and let the skin heal and see how it looks. JG 12.11.07
Answer: well the shots might help but I think removing skin from the under the chin location is a less than optimal way to remove and tighten the area as it will blunt the defnition in the neck, it can take 3 months for those sutures to dissolve too. JG 12.11.07
Answer: just swelling, it will go down in time, just massage it and apply warm packs. JG 12.9.07
Answer: well, I have to say that I have never seen true cellulite on the abdomen, so maybe what you had there was not cellulite and I do not think that if you have cellulite on your thighs and you have liposuction that you should expect the cellulite to get better. JG 12.5.07
Answer: well, I think the new smartlipo is really not new and gives no advantage when apples are compared to apples. If one removes the same amount of fat on the same patients the result is the same. In terms of loose skin, it is a matter of how much fat is removed, the claim that the laser helps to tighen the skin better than traditional liposuction has not been shown to a medical degree of certainty to be true. I think there is no advantage to the new choice. JG 12.2.07
Answer: I think at this time the massage will not do much and it is more of a matter of time I am afraid. JG 11.29.07
Answer: not a believer, I think it is a large scale unconsented experiment that is likely a direct FDA violation by those performing it. JG 11.27.07
Answer: it should be able to be improved at least some in most cases but it is really hard for me to say without examining you to determine what exactly is going on. JG 11.26.07
Answer: I do not think it will make the dry eyes any worse. JG 11.24.07
Answer: the only things I suggest for cellulite, and they are both temporary are endermologie and VelaSmooth treeatments. Liposuction will never improve cellulite, it appears to while you are swollen but once the swelling goes away the cellulite appearance returns. JG 11.22.07
Answer: I have heard of it and I feel it is unprofessional. A waste of time and money. JG 11.21.07
Answer: I usually do either traditional or ultrasonic assisted liposuction, at times I use power assisted liposutionc. Laser liposuction was promoted in the mid 90`s, never lived up to its promises and I think it is failing once again to show any significant advantage to the other methods, just a lot of hype I feel. JG 11.20.07
Answer: usualy between $100-$200 per session from what I have seen. American Lasers is a big national chain, nothing wrong with that. JG 11.18.07
Answer: it can happen, not common and if they are there at this point it might be permanent. IPL or a YAG laser might help some. JG 11.16.07
Answer: it can be in experienced hands, but it might be tough to get it really numb. JG 11.14.07
Answer: yes, it can absorb the swelling in the area where there was no suctioning. It might take a few weeks to look better. JG 11.13.07
Answer: seems you are smarter than yor dermatologist, you are correct. It is a lump from the dropping of the tissues and needs to be lifted with surgery to lift the deep tissues and then redrape the skin. All the best. JG 11.7.07
Answer: possibly but in some people that can leave some loose skin, I think you need to choose a surgeon as fees will vary and the recovery time before out in public is about 2 weeks with liposuction alone. JG 11.6.07
Answer: no, it is not your fat that caused the problem, it is the instruments that were infected. I think repeat fat injections might help but most likely they will not give you a long lasting result I am afraid. Sorry to hear about the problems. JG 11.5.07
Answer: I do not believe that injecting material to dissolve fat so I would go with liposuction/liposculture. JG 11.3.07
Answer: I do not think the results from SmartLipo are as dramatic as with other liposuction techniques. It is hard for me to give you a quote for the surgery without seeing you as it depends on time required. We do perform all of our liposuction under genral anesthesia though. JG 11.2.07
Answer: less swelling and leaking, yes. I think the trravel should be OK too. Touch ups on liposuction cases occur about 2-5% of the time so not because anything went wrong. Best of luck. JG 10.30.07
Answer: we suggest the garment for 4 weeks, and massage the area at least twice per week for one month, and limit your activity afterwards to avoid bleeding along with avoiding all OTC products and medicines that can thin your blood like ibuprofen and aspirin. JG 10.30.07
Answer: no official word on the relase date for Ultrashape and it will not help cellulite, just for fat. JG 10.29.07
Answer: no official word yet. I do not think it works on cellulite though, just fat. JG 10.29.07
Answer: I do not do SmartLipo myself so I cannot recommend it. JG 10.29.07
Answer: liposuction does not help cellulite, can try Endermologie or VelaSmooth but they are temporary fixes. JG 10.29.07
Answer: SmartLipo is really only for patients with very small amounts to be removed, if regular liposuction is done to a small amount the differences between the methods are small but it is hard to do Smart Lipo on big areas. The lumps are due to amounts taken so if it is not much it should be a low risk of that. JG 10.29.07
Answer: yes, continue the massages, stretch and try to lift the crease off of the underlying muscles. JG 10.23.07
Answer: we have used Arnica for over ten years. JG 10.23.07
Answer: I have had many patients that are happy with liposuction there but I will say that the swelling takes a very long time to go away. JG 10.21.07
Answer: hardness can happen from scarring due to bleeding at the time of surgery, I think using traditional liposuction again might not help much, I think power-assisted or ultrasonic liposution might yield a better result for you. All the best. JG 10.21.07
Answer: I think 4-6 weeks is reasonable. JG 10.18.07
Answer: I cannot recommend liposelect or any other type of liposuction for weight loss, it is meant for the spot reduction of fat so I do not think it is a wise choice, sorry. JG 10.17.7
Answer: I have not seen the skin sag and if it did the scars would not be pretty from a skin excision. JG 10.15.07
Answer: I do perform and have done it, the area where the Peyronie`s plaque is removed will lose some sensation, that is correct, it many times is done with a skin flap or in some cases skin grafts. I would be happy to meet with you in person and discuss what the best option might be. There shoudl nto be any sensation loss in the tip though. Urologists perform that surgery too, although not all of them. Let me know if there is anything else.
Answer: very unusual, I think you need to see your doctor and see if they can drain the fluid off for you. JG 10.11.07
Answer: Ultrashape is not available in the US yet, it is focused external ultrasound and will help dissolve fat, if you have trouble fat areas and have access to it I feel it is a good option for small areas. JG 10.9.07
Answer: it takes time because the swelling as it goes down meets a little resistance at that point due to your clothing, sort of like a dam, and will get better but final resutls will take 6 months or more. JG 10.8.07
Answer: the ability of the skin to shrink all depends on genetics, age, the quality of the skin, and amount of fat removed, not much else. The darkness can be helped with hydroquinone and at times a YAG laser in severe cases. JG 10.7.07
Answer: please call the office and speak with one of the nurses, it is likely able to be done in the office under local anesthesia. See you soon and thnak you for the kind words. JG 9.30.07
Answer: it greatly depends on the amount of fat and quality of the skin, if it is a large amount of fat to be removed it can leave loose skin, I routinely do liposuction there. I never, at least on a first time liposuction, only treat the lower abdomen alone. All of the areas you mention I perform liposuction on but not all patients are candidates for all those areas due to potetnial loose skin. JG 9.27.07
Answer: most of it is small blood collections that cause an inflammatory response and feel firm and need to be broken down slowly by the body. Heat massage and stretching will help but the resolution usually takes a couple of months in many cases. JG 9.27.07
Answer: As long as the COPD is under control I think liposuction can be done,please feel free to clal the office and hope to see you soon. JG 9.24.07
Answer: lo siento pero no se puede reparar. JG 9.23.07
Answer: SmartLipo uses laser energy to dissolve the fat before removing it, where liposculture is a made-up name by surgeons doing liposuction to make it sound less invasive, less painful, and more artisitic to what others do with normal liposuction but in reality there is absolutely no difference except for the marketing. JG 9.22.07
Answer: I think you can do it again now. I think if the machine broke he should certianly do it for you, it was not your fault. JG 9.19.07
Answer: In general lumps are not common, it is just you hear about them here because people without problems usually do not post and if you have liposuction or not will not affect the stretch mark chances positively or negatively. Thanks fo rvisiting. JG 9.17.07
Answer: might benefit from small fat injections to the depressions. JG 9.16.07
Answer: it is normal and can take up to 6 months to go away. After that if the skin is stil loose then speak with your surgeon about some skin tightening options. JG 9.16.07
Answer: the flanks is what women typically call their hips or men their love handles whereas the bra strap is called the dorsal roll usually for both sexes and they are considered seperate areas in terms of treatment. JG 9.6.07
Answer: save your money and skip the Thermage. JG 9.5.07
Answer: I think the Thermage will not do anything so if you would like, it is OK to proceed. JG 9.5.07
Answer: I have never found Vaser to add any additional downtime to a liposuction procedure. As to Lipodissolve, I have seen a number of large infections with the material and also the materials they are injecting are not FDA for injections. JG 9.4.07
Answer: the difference is that Vaser ultrasound melts the fat before it is aspirated to make the fat removal more efficient. I do not think Lipodissolve is safe and do not recommned it. JG 9.4.07
Answer: I do not think the crease of the buttock will be helped with liposuction and yes it can be made worse if too much is removed. JG 9.1.07
Answer: from your history it most likely is a pseudobursa and in time it looks like it will continue to collapse and will soften and get more mobile, it will take time though. JG 8.30.07
Answer: we use it for 4 weeks and I think some massage and stretching of the area should help. JG 8.29.07
Answer: hard for me to say without seeing it I am afraid. The indentation might need some fat injections. JG 8.29.07
Answer: I think it is difficult to advise you what would be in your best interst without seeing you in person, or at lesat see photos, the options are too varied. JG 8.26.07
Answer: the fluid reaccumulation should slow down soon and as to the hiking, I would say 6 weeks after surgery. Sutures should be OK after that. Best of luck and thanks for visiting. JG 8.26.07
Answer: well, I am not really opposed but I think the claims are over-blown.I personally have decided not to invest in a new machine that in my view offers no advantage over other older techniques such as ultrasonic assisted liposuction (Vaser or Lysonix). In reality, if you use small canulas and remove very small amounts then recovery is quick and all of the other issues that SmartLipo contends are the same. If one needs large areas of fat removed, it can be removed using SmrtLipo but it will have no advantages over more traditional techniques and will take a longer time to remove. Because it is new, it can also be pricey. For anterior axillary folds I commonly do it using tumescent anesthesia like SmartLipo and just a traditional cannula, without SmartLip. One of the claims of SmartLipo is better skin contraction or shrinking and I have to say that the photos shown at national meetings do not support those claims making it better at skin contraction over other techniques. I am just opposed to the what I feel are exaggerated claims made by some new technologies. I think it works but it is slow and the advantages I feel are small to non-existent. JG 8.24.07
Answer: look at this image link for an idea of what it could look like http://msnbcmedia1.msn.com/j/msnbc/Components/Photos/040303/040303_niptuck_armlift_bcol_9a.standard.jpg Usually the surgoen who performs the surgery will provide the garments. The garment is normally worn for one month but wearing it longer will not improve the end result. As to the scar we use Mederma or ScarGurad. JG 8.22.07
Answer: well if the elbow area is a problem I do not think a limited armpit incision will do much in the long term, as to how the scar heals, it might be a pale white line but there is tension on arm incisions and at times they heal in a thick red fashion, no way to totally predict it. JG 8.22.07
Answer: well, the skin that is undermined during the tummy tuck should not be aggressively liposuctioned and I use Vaser in most of my cases of liposution, from what you are describing I think the tummy tuck with drains, etc is the better way to go. Skip the Smart Lipo. I will say that if the fat or shape of your abdomen is due to fat inside of the abdominal cavity neither option would be good to ocrrect the contour or shape as that fat will not be able to be removed. JG 8.21.07
Answer: I do not feel it is safe nor effective. JG 8.21.07
Answer: try www.doktordavid.nl tell him I said hello. JG 8.20.07
Answer: some swelling is normal for 2-3 months. We stop the girdle at 4 weeks. I am not a believer in the long term survival of fat injections to the buttocks. JG 8.20.07
Answer: it can be due to heat or friction at the incison site, not common but can happen, especially on the legs. If incisions open and close on their own it has a higher chance of that happening to. Might just need to have them cut out and re-stitched, can be done in the office. JG 8.17.07
Answer: It is about 1 2/3 ounce. It might take a month before you see a difference though. JG 8.15.07
Answer: no, not totally unreasoanble, it is something that is not uncommon with tumescent anesthesia as the anesthesia will distort the tissues and make it hard to see what has been removed and what remains. JG 8.13.07
Answer: all normal, the pain is variable between patients and also depends on how much was removed, the more taken off the greater the discomfort. Warm moist theat and light massage will help it. JG 8.13.07
Answer: well, the more fat removed the greater the difference but the greater the chance of loose skin, I personally see no advantage to SmartLipo, it is just a conservative method and no better and probably not even as good as Vaser. JG 8.11.07
Answer: yes but it is not commercially available yet. JG 8.11.07
Answer: no real danger, I suggest waiting at least 6 months in-between. I am not sure why you are needing it done over and over again though. It should be done once and in some small fraction of cases a small touch up in large areas. JG 8.11.07
Answer: it more than likely depends on the amount taken off and weight changes after, the garment would not have that effect. JG 8.10.07
Answer: sounds like a urinary tract nfection,as to exercise and dieting we let our patients do that at one month. JG 8.7.07
Answer: should be OK to do since it affects only the local tissues and there is no spreading. JG 8.3.07
Answer: it hopefuly will ,all depends on whether the liposuction was feathered, give it some more time. JG 8.3.07
Answer: I think in two years almost all will be gone in terms of the fat injections. That is what I have been told in person from the guys who do it and are honest. As to the wrinkles below the lower eyes you could try a Rhytec Portrait. JG 8.4.07
Answer: all normal and will get better, just move around and massage it and it will get better. JG 8.4.07
Answer: basically down time is related to how much is removed, if you only remove a small amount there is no difference betweeen techniques. I feel Vaser is hugely more effective in liquifying fat for removal over SmartLipo, and there is no clinical evidence that SmartLipo helps skin shrink any better than normal liposuction. JG 8.4.07
Answer: I think you should be on your weight control diet by now. JG 8.2.07
Answer: as to the amount removed, we remove what is in excess and that varies from patient to patient, as to the indigestion and bloating I am not really sure what could be causing that this far out from surgery. JG 8.2.07
Answer: it is an additional cost usually. Fees vary depending on time but we typically charge about $2000 more than you have been quoted. JG 8.2.07
Answer: 6 months. We use the compression garment for 4 weeks. JG 8.2.07
Answer: not usual, there should be some swelling but not a large amount after 8 weeks. As to the amount removed, it depends on how much was there to begin with, that might have been all that was there to remove. JG 7.31.07
Answer: for small area but effective. JG 7.30.07
Answer: well heat does increase blood flow to the area and that makes the bruising and soreness go away and I guess in a rare case may cause more swelling but nothing appreciable in the vast majority. The losing of the fat will start to be seen after 6 weeks or so. JG 7.30.07
Answer: I think the lesser recovery from SmartLipo is only because they remove much less, there is absolutely no published evidence that the SmartLipo causes skin to shrink any better than any other liposuction technique when all variables are controlled for. That technology was performed over 15 years ago and faded away due to the exagerated claims and it has risen again to feed on people`s fear once again Unfortuantely you are going to be faced with a difficult decision, a small amount of lipo that will not leave you with any loose skin but not much of a change versus more definitive pooch reduction but with resultant loose skin. I would tell you that if you are desiring a substantial reduction in the pooch to not do anything unless you are willing to live with a tummy tuck scar. Surgeon`s skilled hands do count but ultimately it is more dependent on the amount of fat removed and your skin`s ability to shrink. JG 7.16.07
Answer: might need a little skin undermining with the liposuction cannula and in areas where the lumps are more fat removed and no fat removed in the lower areas, otherwise a tummy tuck might help. JG 7.16.07
Answer: the swelling at this point is normal and will get better, but it takes a few weeks. Warm packs and massage will all help. JG 7.15.07
Answer: I think the best bet for the loose skin and surface irregularities will be a buttock lift and that will leave a scar on your posterior waistline. JG 7.11.07
Answer: I think your best bet to correct the loose skin and surface issue will be to have a buttocks lift which would leave you a scar at the posterior wasitline, Sorry to hear about the difficulties. JG 7.11.07
Answer: the waves are the skin attempting to reattach to the underlying muscles and it is doing it in an uneven fashion, not uncommon at this point and with massage and time in most cases it does go away. It will take a good 6-8 weeks for more swelling to go down, in the meantime continue the massages and stretching and it should improve. JG 7.11.07
Answer: in younger patietns it does well, the older you are the less good the results due to loose skin. JG 7.10.07
Answer: it could as the pressure can injure the fat cells. JG 7.10.07
Answer: I will await the photos. JG 7.10.07
Answer: photo might help, please send to drgarcia@lvcosmeticsurgery.com I agree that the indentations at this point should be markedly better. What does the surgeon say about them? As to the scars and the redness, I suggest Mederma or ScarGuard, in absence of those, squalene oil or Emu oil. Best of luck. JG 7.9.07
Answer: waste of time. JG 7.9.07
Answer: ys, it should help. JG 7.9.07
Answer: all normal and in time and with massage that roll will stretch and flatten out. Just stretch the upper abdomen by bending backwards and massage it up and down and side to side. JG 7.8.07
Answer: just likely swelling or a little blood that has to dissolve. All normal and it should all go away in time with a little massage and warm moist heat. JG 7.5.07
Answer: could try some fat injections or Sculptra to lift the depressed area up. JG 7.5.07
Answer: puede usar o hydroquinone o usar un laser Nd:YAg para mejorarlos. El rayo laser se tiene que hace varias veces para ver como mejora. JG 7.5.07
Answer: all normal and there might still be some swelling that will take another 2 months to totally go away. JG 7.5.07
Answer: I usually wait one week as they are still very sensitive at 2-3 days, it can be done but it will be so light I am unsure how much good it will do. JG 7.4.07
Answer: I am sorry, what is a lightbulb suction surgery? JG 7.4.07
Answer: all normal and all temporary. Massage and warm packs will help. JG 7.3.07
Answer: it is traditiona,l in the sense that nothing special is used, liposuction with a syringe is an easy technique done with a syringe instead of a large suction machine, but it is the same, just used for small areas and very quiet. JG 6.30.07
Answer: lots of hype and not much to show it is any better than regualr liposuction it was tried 12 years agao and went away due to over-exaggerated claims and it is trying again, I would skip it. JG 6.29.07
Answer: syringe liposuction of the area is what I think would be a good option, skip the laser. All the best. JG 6.29.07
Answer: I think the claims that laser lipo is better for small areas is only accurate in that it is less good for large areas, but that does not make it better for small areas. Just a lot of hype. I think syringe liposuction of the small areas is all you need. JG 6.29.07
Answer: my pleasure and I am glad thing are getting better. JG 6.28.07
Answer: yes, good diet is needed. JG 6.28.07
Answer: no, you are doing it all correect, it is that patients are told that tumescent anesthesia is easier and you are finding out that it is not, all will get better in time though. At this point I suggest warm packs. JG 6.27.07
Answer: I think aggressive massage and stretching, maybe some ultrasound and maybe some DMSO liquid to soften the adhesion before more surgery I think. JG 6.25.07
Answer: fess vary from surgeon to surgeon and involve time so it is hard to say but I would figure about $5-6000 or so would be an average extimate. Negative effects are that it sounds like there might be some areas of fat that are not treated so getting a litle closer to ideal body weight might be better. JG 6.25.07
Answer: well, I agree that most of the fat will dissolve and I think the pain and recovery is normally much more but that depends on how much is injected, the less injected, the less the pain, best of luck. JG 6.25.07
Answer: I am not a fan or believer in mesotherapy, sorry. JG 6.25.07
Answer: well if you use the VASER to liquify the fat it cannot be injected because it has been damaged, sorry, and I had a great vaacation, thanks. JG 6.25.07
Answer: cold only helps the first few days. JG 6.15.07
Answer: I feel SmartLipo is an advertising ploy and is no better than traditional liposuction. Cheap is cheap for a reason. JG 6.15.07
Answer: they can be normal, due to swelling and blood, massage and mild heat, along with ultrasound massage would help speed the dissolution. JG 6.14.07
Answer: unless he has a liquid nitrogen feeezer and a preservative for the fat it is an absolute waste of time and fat. I could not tell you if they charge to store it but I think you should skip it. JG 6.12.07
Answer: we use the garment for 4 weks. Ultrasound and massage will help the swelling that comes and goes but in time it should stay away. JG 6.12.07
Answer: I have done it, it can leave them saggy, and most mammograms are still able to be performed, the amount of calcification is no different from a regular breast reduction. JG 6.12.07
Answer:
Answer: well, there is only a certain amount in there and it is difficult to predict that amount before you start the surgery. I think it is nearly impossible to remove all of the fat as it is intertwined with nerves and tissue. JG 2.26.07
Answer: in term of how the skin hangs and where the residual fat deposits are, if you had not noticed it before I would not be concernd about it. JG 2.26.07
Answer: many experienced surgeons can tell by the way the skin drapes and they can see scars others cannot. JG 2.26.07
Answer: I wish it could, along with many women. If you gain weight after liposuction the fat will go somewhere besides where it used to go but you cannot direct it to your breasts I am afraid. JG 2.24.07
Answer: minimal to none. JG 2.21.07
Answer: no negative effects if you wear it longer for comfort. JG 2.19.07
Answer: there is not much that can be done for stretch marks I am afraid, a short scar arm lift will leave a scar and might not remove all of the stretch marks I fear. JG 2.11.07
Answer: nothing on the horizon I believe in, sorry. JG 2.10.07
Answer: I have not tried it, I have no plans to do so, I do not believe it works safely at this time. JG 2.9.07
Answer: that is a large amount but by now you should be seeing some changes if that much was removed. JG 2.8.07
Answer: there are no sites that I am aware of, may need to look around, I know Dr Syd Coleman in New York and Dr Tom Roberts in North Carolina. JG 11.23.06
Answer: well, liposuction does not always work if the fat is below the muscles. It can only remove the fat below the skin. I am afrid there is nothing I can suggest that will work besides diet. JG 11.21.06
Answer: Velasmooth, endermologie, forget the rest. JG 11.19.06
Answer: all that is very unusual this far uot, I think you need to go see the surgeon and see what is going on. JG 11.19.06
Answer: definition can be gained with liposuction but whether the skin will tighten enough depends on your skin quality, so it might not be the best option, some sculpting can be done during a facelift also. JG 11.17.06
Answer: my pleasure, hope that I have helped and thanks for visiting. JG 11.16.06
Answer: I am afraid liposuction will not help you and jaw bones can be reduced by cutting and splitting the bone, yes, oral surgoens can do that for you. JG 11.16.06
Answer: there is but it can prematurely age you down the road. JG 11.16.06
Answer: I doubt that at this point the rhinoplasty would cause cheek swelling but if you gain weight after liposuction, it will find new places to go rather than the old ones. JG 11.16.06
Answer: not uncommon at three weeks. What typically happens is that as time goes on the swelling goes down and the lumps that were there all along are more easily seen. Might take 6 weeks to see a good change and final results are 3-6 months later. JG 11.15.06
Answer: it might be some tethering from the previous liposuction and that tissue may need to be elevated and allowed to stick back down, so more surgery. JG 11.15.06
Answer: unfortunately there is not much I can suggest for cellulite, it is a problem within the skin, is visible and thin and heavy people and all of the treatments out there are temporary. VelaSmooth treatments help but you need to continue with them. JG 11.14.06
Answer: yes, but the scars are long and at times unsightly. JG 11.13.06
Answer: all common and should get better slowly. Final results at times can take 3-6 months, hang in there. JG 11.12.06
Answer: I think it has some benefits for skin too. Liposuction will do nothing, good or bad for the cellulite in most cases. JG 11.12.06
Answer: it most likely is what we call induration and that is just exhuberant swelling in the tissues due to trauma and will all settle down with massage and time. It can take a couple of months for it to soften so don`t get too worried. I think at this point the garment is not as crucial but massaging twice per day for 5 minutes or so is a good idea. JG 11.9.06
Answer: no, we do smokers for neck lipo frequenlty, should be OK to proceed. Thanks for visiting. JG 11.7.06
Answer: ten minutes 2-3 times per day should be good enough and it will take some time but it will soften. JG 11.5.06
Answer: it is very difficult to give fee quote since it is based on time required and I would need to see you to do that. As to the peel, it can be done at the same time, yes. The lipsouction alone could range from $6000-$8500, and then the blue peel on top of that. JG 11.3.06
Answer: I feel you are able to extract more fat easily with the ultrasonic technique. I use it personally. Ulrasound liposuction does not go deep enough to cause any efffect on any internal organs. JG 11.3.06
Answer: once it has healed you should be able to do all of those things again. I am not able to guess on the inches without seeing you I am afaid. JG 11.2.06
Answer: if you asked the question from the ageless forever site it has been forwarded to the lvcosmeticsurgery site if it is related to plastic surgery. JG 11.2.06
Answer: It is possible but it might leave you with loose skin there once done. JG 11.16.06
Answer: topical ultrasound massage will not go anywhere deep enough to do anything to your ovaries. JG 10.29.06
Answer: possible, not commonly done as it increases complication rates and potential infection. Would need to find a plastic surgeon and a gynecologist willing to do it. I would not. JG 10.28.06
Answer: I think it is more time and a little massage, I do not think the garment will add much. Warm yes, cold no. JG 10.26.06
Answer: I would say in general about the same. JG 10.25.06
Answer: most likely some old blood or a fluid collection like a seroma and may need to be aspirated with a needle. Massage will help along with moist heat. JG 10.25.06
Answer: self-massage is good bt I liek a preofessionl amsseuse as they cna press more evenly. I usually start at one week and do two massages per week. Just a basic Swedish massage, ultrasound can help in cases where there is a lot of swelling and firmness, if it is available. JG 10.25.07
Answer: maybe $5500 to $6500. JG 10.25.06
Answer: it varies from person to person, we do not call the area the back, we break it down into sections and the incisions and their location will depend on the body shape, but they are usually near the bones of the spine. JG 10.25.06
Answer: it could be from removing fat too superficially or from bleeding after the surgery causing some adherence of the skin to the underlying tissues and leaving an irregular surface. It happens rarely and it migth be made better if the tissue are released so they are not as attached, essentially another liposuction with no suction. Side efects are that you might do it and it wil heal the same way. JG 10.24.06
Answer: well ultrasonic liposuction might be an option, along with the removal of the fat pad of Bichat through an incision inside your mouth. But I will say that genetics are hard to combat at times. JG 10.23.06
Answer: only thing would be surgery I am afraid. The scars also are not tiny and thin, but more on the wide side. JG 10.20.06
Answer: I am afriad none of those things will tighten skin, only thing might be surgery that will leave scars in that area. JG 10.18.06
Answer: more liposuction there in the banana roll area can leave loose skin that will look worse. JG 10.23.06
Answer: I do not think that techniques does anything to the skin that the pother liposuction techniques do not do, I think it is a lot of prommise and hype with little difference, I am afraid if you have loose skin on your arms and you remove fat the tendency for the skin to sag will be greater. JG 10.15.06
Answer: I do nto think it wilkl make much different, it will all be the same in a few months with or without the creams. JG 10.14.06
Answer: Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best. JG 10.14.06 www.surgery.org/public/findasurgeon.
Answer: in certain cases calves are good areas to do. We commonly will do thighs and calves together. In terms of recovery, should be walking on a treadmill in two weeks and back 100% in 4-6 weeks. JG 10.12.06
Answer: well, the company thinks you recover faster, time will tell, I think it is not any better than what exists out there at present, and I am conncerned about the smal chance for burns of the tissue. JG 10.12.06
Answer: may benefit from fat injectiosn to the indentations. JG 10.11.06
Answer: cutting scar tissue in many cases will cause new scar tissue to form. It can be released so it is not as tethered, but it will not be removed. JG 10.11.06
Answer: I do not think it is unreasonable to do touch ups. As to the amount taken out and the number of areas you had doen, I must say that even if you did not have a large amount of fat, that is a small amount of aspirate for the number of areas treated. I think if you have not gained any appreciable amount of weight since the surgery there is no way then that post op weight gain can be the culprit. I personally like to wait 6-12 months after a liposuction to do a touch up to see how well the skin shrinks. Best of luck. JG 10.8.06
Answer: usually the pregnancy will stretch that tissue out well and with minimal discomfort. JG 10.5.06
Answer: most likely due to some scar tissue that developed there. Not much to do to make it better though besides stretching it out. JG 10.5.06
Answer: well, if someone gains weight after liposuction, growth hormone deficiency or meatabolic syndrome aside, they will place fat in new areas as the fat that was removed cannot grow back. I think first you need to balance the hormones and then consider if you need the surgery. I will say that metabolic syndromic and GH deficient patients due tend to gain intrabdominal fat which cannot be removed with liposuction.JG 10.4.06
Answer: could consider injecting low dose 5FU or Kenalog to soften the tissue. More liposuction may not help at this point. JG 10.4.06
Answer: all depends on where the fat is and how much is there to begin with, impossible for me to tell without examining you. JG 9.29.06
Answer: Vitmain, Mederma, or ScarGuard, all good to use. JG 9.28.06
Answer: It is quite a bit and the medications should not pose a problem, I am not a big believer in tumescent anesthesia as I think it is difficult to get the whole area numb and I also think you end up giving large doses of the local anesthetic, but many people do it and do it safely. JG 9.26.06
Answer: well, there is a body wieght at which your body stays at but is is variable and is controlled more by diet and exercise more than some unknown set point in our body. As to weight gain, correct, any weight gain after liposuction wil make the fat accumulate in other fat areas and some of thsoe are not as easy to lose weight from. JG 9.23.06
Answer: not too different to other ultrasonic techniques for liposuction, the machine is not yet approved for use in the US. JG 9.22.06
Answer: there will still be a little swelling at this point, yes, but not much. We massage for the first month and at this point it is not to beneficial. The lump could be either fat or scar tisse, the doctor might need to do a little touch up under local in a month or two. All the best. JG 9.21.06
Answer: swelling does occur after that surgery when one exercises but it goes down, I think by 6 months you should be where you are going to be. JG 9.20.06
Answer: Courtney, it is so nice to hear from you,I am doing well, yes, I trust all is well with you too. I do remember you and yes, genetics can sometiems be troublesome. I would be happy to take care of you but I think Craig Bass in Boise would do a fine job. I could send you a list of the blood work you would need if you chose to come here and then have you here the day prior to surgery and then let you go home after 2-3 days, but you might be more comfortable with your support mechanism there. Let em know if you have any quetions and please say hi to your Mom for me. JG 9.19.06
Answer: well, I think all people that go to Lipodissolve are put on a diet and exercise regimen so on one knows if that is the reason why it changed, secondly, in over thirty yeras of mesotherpay being done, no one has bene able to say how it works, no one knows if it permament, no one knows how to stop if from working if it goes too far. The study done in Brazil showed subtle results around the eyes but subsequently the Braziain government removed the product from the market due to danger concers. So, in short,I think it is a wide experiment being performed at a cost to patients when the patients are not being told they are being experimented on, are told it is safe and natural when there is no evidence it is. I have personally seen infections and cellulitis from there types of injections, and I question the ethics of a plastic surgoen that performs such procedures without enrolling the pateint in an investigational protocol when our national societies have recommended it not be used, endorsed or promoted. Caveat emptor. JG 9.17.06
Answer: yes but it will leave a scar across the bottom of your chest. JG 5.7.06
Answer: most likely a little blood clot under the skin. JG 5.7.06
Answer: it is most likely small amounts of blood or residual fat, give it some time and see what happens in a few more weeks. JG 5.7.06
Answer: it is defintely an option. JG 5.6.06
Answer: you can try the micro lipo but it will remove normal tissue too, cutting the small lumps out may be more direct and may not remove as much normal tissue. JG 5.6.06
Answer: coudl be a little scar tissue and they may soften and shrink for 6 months. JG 5.5.06
Answer: potentially better than the abdomen, but if there are already folds of skin, then you can expect loose skin, even in the flanks and shoulder area on the back. JG 5.4.06
Answer: I think the differenc in terms of skin shrinking may ultimately not be too different. JG 5.4.06
Answer: it is not really more elastic, just has more attachments from the deeper tissues to the skin so it shrinks better. JG 5.4.06
Answer: well with regards to the pot belly, if the fat is inside of the abdomen and under the muscle, it may persist and actually not be able to be removed with liposuction. If you have it below the skin and have liposuction and the gain weight after the surgery you may gain it in areas that you do not want, so you need to be careful with the weight gain. JG 5.4.06
Answer: you actually may gain the weight in new areas as the fat cells have been decreased in the areas where you will have the liposuction. JG 5.4.06
Answer: direct excison is cutting it out with scissors through a slightly larger incison then liposuction entails. Good luck. JG 5.4.06
Answer: not usual but not unheard of either, can be small blood collections or liquified oil, can usually be aspirated with a small needle but heat and massage will help also. Best of luck. JG 5.4.06
Answer: gentle small circles and then back towards the ear lobe, twice per day using a face lotion. JG 5.3.06
Answer: cervial lipo is liposuction of the neck below the jawline. It is performed under local or general anesthesia where the submentoplasty at times includes dividing the muscle in the neck to remove fat from below the muscle that cannot be removed with liposuction and then the muscle is repaired, bigger operation with more healing but if needed a more dramatic result, usually done under general anesthesia. JG 5.2.06
Answer: all normal and should smooth out over the next few weeks with a little massage. JG 5.2.06
Answer: soreness and swelling are all normal. As to what caused the heart issue, I am at a loss. Most of the soreness is gone in 4-6 weeks but it might take longer in your case with everything that has gone on. JG 5.1.06
Answer: I could quote you fees but that varies greatly form doctor to doctor. I suggest you get a fee quote from the doctor you are considering perform the procedure. I can only quote fees for people that are going to have me do their surgery. If you desire that fee quote, contact us via email at drgarcia@lvcosmeticsurgery.com rather than the message board. Thank you. JG 5.1.06
Answer: It just will take a little more time I am afraid. JG 4.30.06
Answer: well, it should be showing by now, maybe go back and see your surgeon. You may need a little more taken out, but I would wait 6 months before any more surgery. JG 4.30.06
Answer: It is probably due to scarring of the platysma and releasing it or transecting it might loosen the neck and it also might let the things below the platysma be more visible, like your salivary gland, but I am afriad you may not have many other choices. Best of luck. JG 4.28.06
Answer: It usualy takes about 6 weeks so it should stat getting better, if it stays red for much longer, I suggest seeing the doctor but you may have to decrease the dose. JG 4.23.06
Answer: I think strong activity can cause some swelling but not that much, as to the skin, it is going to shrink on its own, not much you can do to speed it up. JG 4.23.06
Answer: It takes 6 months for the final result but usually by 6 weeks you should be seeing some changes, of course, if only small amounts were removed, the changes will not be as dramatic. Exercising at this point will not negatively affect the result. JG 4.23.06
Answer: At three months most of the swelling has goen down, the skin is still shrinking but not large amounts, it sounds like you may need a little more surgery, mostly on your cheeks to tighten the skin in that area. I would discuss it with your surgeon and express your concerns. Hang in there. JG 4.22.06
Answer: a thigh lift if it is bad enough. JG 4.21.06
Answer: most likely just a small amount of fat that remains that needs to be removed. After 6 months I think the swelling is down and you could proceed. JG 4.21.06
Answer: the closer you are to your ideal body weight, if your skin is tighter, then the liposuction will have less of a risk of being loose. Best of luck. JG 4.19.06
Answer: Could be lymph node, fat, scar around a suture. I would wait it out and then see what they say in May, hang in there. JG 4.19.06
Answer: The word doctor is from the Greek word teacher' not healer, that is all I am trying to do. JG 4.18.06
Answer: I would want you here for a couple of days but mini-liposuction is really an amount and the pain from a larger amount being removed is not necessarilly less. The discomfort comes from the irritation of the muscle and that will lay you up for a couple of weeks at least. Also a larger area than just where the fat is has to be undermined for the skin to redrape properly. Cost will vary depending on time involved. JG 4.18.06
Answer: I have not seen that happen. JG 4.18.06
Answer: not uncommon and should get better in the next few days, especially around your face. I think you are doing the right things so far. JG 4.16.06
Answer: I think the plastic surgeons at UT Soutwestern Medical Center are very good. It might take a litle more liposuction and a little fat injection to smooth it out. Using the same scars again should be OK to do. Best of luck. JG 4.15.06
Answer: if the skin is already loose now, liposuction will remove fat well but will leave you with looser skin so be prepared for the eventual need the loose skin to be removed leaving long scars. JG 4.15.06
Answer: at least 6 months. JG 4.12.06
Answer: no sun and may need some bleaching creams for now. I think the liposhifting does not alwyas work either, but I would give it 6 months before doing anything. JG 4.12.06
Answer: if there is bruising or brownish discoloration, that is correct. JG 4.12.06
Answer: if it is stained form the iron in the blood staining the skin it might take a laser to get the color out. I think the Retin-A might help some, but not much and traditional bleaching creams will not work I feel. JG 4.11.06
Answer: should be back to most things in 3-4 weeks but final result in terms of skin tightening and smoothness may take a couple of months or so. JG 4.11.06
Answer: the lumps may be due to the swelling from the liposuction, as to the cords in the front they are most likely from the tightening of the muscles and should get better in time. I think it is to early to tell if anything else will be needed , give it some time before making any decisons. Hang in there and all the best. JG 4.10.06
Answer: yes, heating pad and massage will help slowly. I would use that for now. JG 4.10.06
Answer: no, liposuction will still remove the fat, but stretch marks mean loss of skin elasticity so the chances of loose skin are greater than if there were no stretch marks. JG 4.10.06
Answer: well, it is nothing new, first of all, and it doesn't work, so save your money. Just doctors capitalizing on peoples desire to avoid surgery. JG 4.10.06
Answer: the breast will round out in time but it might take a few months to see the final result. As to the skin under yor neck, it might take another few weesk for it to start to tighten, the more fat was taken out, the longer it will take. JG 4.8.06
Answer: numbness may take a few more months to go away,. The sensation you have is because there is still a little fluid in there and also because the skin has not shrunken down totally yet. As you feel more comfortable you can progress but it will not hurt anything at this point in time. JG 4.8.06
Answer: all depends on the number of areas and time involved, it is not done for weight loss though. JG 4.8.06
Answer: How much fat can be removed depedns on how much you have and your skin quality. Usually after surgery I have the patients stay here for 4-5 days to make sure all is OK. As to the pound, usually we can remove more if there exists a large amount. JG 4.8.06
Answer: I have been using Vaser for quite some time now and can tell you that although the company boasts about skin shrinking and I have to say the amount of skin tightening compared to regular liposuction is mild at best and will never come close to replacing a tummy tuck, sorry. JG 4.8.06
Answer: hard for me to say because the price depends on time involved and I would need to see you, so hang in there until we can chat in person, sorry. JG 4.6.06
Answer: sounds like some of the normal swelling has caused some pressure on your nerves, I suggest seeing your doctor but otherwise walking and stretching and not lying in bed for too long should help along with some heating pad treatments. Best of luck. JG 4.6.06
Answer: could benefit from some small amount of liposuction where there is still fat left and a fat injection into the depressed area. JG 4.6.06
Answer: no, the depressions are because the swelling is never even, in time that should all even out with massage and time. JG 4.6.06
Answer: I don't think the pearls work any better, the fat loss may be related to the fact that liposuction was done to an area close to the fat injetions. The increased inflammation may have slowed the ability for the fat cells to develop new blood supply and survive. JG 4.5.06
Answer: fat supports the skin of the face so if you remove the fat, then the skin loses support and therfore will sag prematurley. JG 4.5.06
Answer: what has casued it it is uneven fat removal, it might soften and even up in time but if not you may need some more surgery to balance it all out. JG 4.5.06
Answer: the inner thigh typicaly goes about half way down on the thighs, as to the arms, it usually involves the sides and back as there is usually little fat over the front. JG 4.5.06
Answer: yes, you will be on your tummy for part of the operation. They then reposition you for tthe other areas, correct. JG 4.5.06
Answer: we allow walking after two weeks and then full activity in 4 weeks. Best of luck. JG 4.2.06
Answer: you do not want to do it too strongly, just gentle. It might take weeks for it to all soften up. JG 4.2.06
Answer: the fee will vary from surgeon t surgeon so pick who will do it and then ask. I think what you desire is more then I would be willing to do all at once. Recovery time will all depend on what is done, but it will be a few weeks. JG 4.2.06
Answer: may need some kenalog injections to the lumps, areas of over resection may benefit from some fat injections may last a long time but not all will be permanent. Skin discoloration may get betterover time too. All the best. JG 4.2.06
Answer: we start our massages after the first week. It will take a few more weeks probably to see the difference.JG 4.1.06
Answer: normal for the first few months, may benefit from sunblock and possibly lasers after 6 months.JG 4.1.06
Answer: could try either of the things you mention. JG 3.30.06
Answer: scar tissue cannot be removed with liposuction, just residual fat. Fat injections may help the depressed area though. JG 3.30.06
Answer: As long as you are on no medications the cab may be OK, as to swimming you need to ask your doctor but usually I wait about 2-3 weeks. For the scars we use ScarGuard. I think you can certianly ask for copies of your photos of the befores at any time. JG 3.29.06
Answer: the lumps are from small collections of blood that can happen normally and will with time and heat and light massage should get better, not unusual. JG 3.28.06
Answer: I think you are OK now. The running will make some of the swelling that is still in there to bounce and that will all go away in time. You can start endermologie now too. Best of luck. JG 3.28.06
Answer: most people may need 6-10 weeks to see a difference, the more that was taken out the quicker you see results. Most people only have it done once. JG 3.28.06
Answer: go back and see you doctor, most likely you will need a scar revision in the future. JG 3.28.06
Answer: no, 5 minutes is good. Endermologie can be done but may need to be decreased in intensity unitl it is less uncomforatable. JG 3.28.06
Answer: yes it can be done but the results take a long time due to gravity and their dependent state, risks are that of numbness and small littel dimples mostly. JG 3.27.06
Answer: probably fat injections would be better due to the amount needed. Sculptra ia an option but it will take a large amount and will last one year or so. The darkeness may be difficult to treat this far out I am afriad. JG 3.26.06
Answer: no, actually it might take longer, yes there was less taken out but now there is some scarring under the skin and that will slow the resolution of the swelling by about 50%. JG 3.36.06
Answer: all normal and should go away in time. JG 3.25.06
Answer: no, it does not. JG 3.25.06
Answer: I think you need to ask the surgeon you interview, not all plastic surgeons do liposuction there, so just ask them and look at some before and after shots. JG 3.25.06
Answer: the bumps are a little scarring from the bleeding that occurs during surgery. Some kenalog injection may help soften them up a little, most likley will not need any more surgery.JG 3.25.06
Answer: liposuction will only remove subcutaneous fat, so if the fat is below the abdominal muscles, where we call it visceral fat, it will do nothing. JG 3.22.06
Answer: it at times will slow the resolution of the swelling a little. Alcohol after a week or two has little effect. JG 3.22.06
Answer: everyone is different but I am sure the potatoes will leave soon. It just takes time and all that you describe is normal. Go on your trip and have fun in the sun. JG 3.22.06
Answer: normal at this point, swelling is usually uneven at this point and should all flatten out in time. JG 3.21.06
Answer: all normal, old blood that will all dissolve and absorb in time. JG 3.21.06
Answer: it might but that may leave some loose skin, must be careful. JG 3.21.06
Answer: the fluid area may have developed scar tissue which is what you may have, it would not create fat.Hard to say what are the options without seeing you but a little liposuction and possibly fat injections to the depressed areas. JG 3.21.06
Answer: sorry, but nothing really works very well. JG 3.21.06
Answer: 3-8 weeks,sometimes more, all depends. JG 3.20.06
Answer: may need a little liposuction in a month or two. Best of luck. JG 3.20.06
Answer: I would wait another 3-5 days then then go ahead. JG 3.20.06
Answer: it may take another 3-4 weeks for you to see some changes, just give it a little more time. JG 3.20.06
Answer: the hardness is swelling and it should all feel and look better by the end of the first month. JG 3.20.06
Answer: very hard to say without seeing you and determining whether the amount quoted was the total aspirate or the fat supernatant. JG 3.18.06
Answer: I think you can go ahead now.All the best.JG 3.18.06
Answer: lipo first and then the tummy tuck 6-12 months later. JG 3.17.06
Answer: I would need to see you in perosn to determine time needed and whether the lipo alone would give you the desired results, sorry. JG 3.17.06
Answer: it might help but not all of the fat injected will survive. JG 3.16.06
Answer: pleats and loose skin will not show if it will until all the swelling goes down. As to going back to work, I would say it depends on what you do but somewhere around one week or so. Thanks for visiting. JG 3.15.06
Answer: I would not do anything at the time of the C-section. I think once you get to the weight you are going to stay at, you need then to get evaluated to see if you need liposuction, a tummy tuck, both, lots of options. JG 3.15.06
Answer: maybe another 2-3 months in some folk. JG 3.17.06
Answer: prices vary from surgeon to surgeon, you will need to ask the surgeon you have chosen and most likely need to see him/her in person. JG 3.16.06
Answer: should be getting better by now but it might take 6 months to soften up. I think it is reasonable to go back to the surgeon and see what they say at this point. JG 3.16.06
Answer: I personally do it with tumescent fluid then ultrasonic and then regular liposuction. Lumps are common short term but long term lumps I would say are about a 5% chance. They occur from scarring as the skin is so thin there that there is not a large cushion to protect agaisnt it. JG 3.7.06
Answer: Yes and it might take a week or more for it to wear off. JG 3.6.06
Answer: Yes it can and recovery time will depend on how large of an area is done. Best of luck. JG 3.4.06
Answer: just give it a little more time. JG 3.2.06
Answer: si se puede pero a veces la piel le cuelga despues de la liposucion y se tiene que remover con cirujia. JG 3.2.06
Answer: The scars will not get more pigmented, but they will stay red longer. I would suggest sunblock for 6 months. JG 3.1.06
Answer: I think regular endermologie is enough and I think as the swelling continues to improve your new shape will come through. Give it some more time. JG 3.1.06
Answer: I think fat removal there could leave you with loose skin. JG 2.28.06
Answer: 3-4 weeks.Smoking after one month. JG 2.26.06
Answer: not uncommon, just the swelling resolving. JG 2.26.06
Answer: not totally unheard of, all depending on how extensive the removal was. JG 2.26.06
Answer: all depends on the area done and how much is removed. JG 2.26.06
Answer: It totally depends on the surgeon and how long it would take him/her to perform, but a national average for one area of lipo, all included would be $3500 to $5000. JG 2.25.06
Answer: not unusual, due to swelling and gravity pulling it downwards, keep your legs elevated when you can and it will get better soon. JG 2.24.06
Answer: I think it would be OK to do, as long as you take the precautions you mentioned. A trip to Spain should also be OK, just get up and walk on the plane every few hours to avoid a leg blood clot. All the best. JG 2.24.06
Answer: normal, yes, may need to be aspirated again. JG 2.234.06
Answer: Completely, 3-6 months, but the visible swelling should be down in 4-6 weeks. I think at this point the compression dressing will not do much. Just massage it. Best of luck and hi to your Mom. JG 2.24.06
Answer: I would not recommend it due to much higher risks of bleeding and infection and inability to take care of the new baby. JG 2.23.06
Answer: I guess it could be done but you will have more abdominal swelling than lipo alone. A small hernia could be repaired at the same time too. JG 2.23.06
Answer: it will get better and it will get better faster if you continue to stretch it. JG 2.23.06
Answer: well, honestly I do not believe it, at least the amount of fat removed. Now if he counted the amount injected and the amount of fat together it would increase the volume but it would still not I feel be safe to remove that amount in one sitting. I think someone who has 56 pounds of fat removed by liposuction would need to see an almost immediate loss of body weight, even taking into consideration the post operative swelling that occurs as about 50% of the swelling is done in the first month. I would also expect a pretty significant amount of loose skin if one looses 56 pounds of fat. As to the price for all of the surgeires, it is not uncommon to be much less in foreign countries due to the lack of medical malpractice, the lower wages paid employees and the value of the American dollar versus their currency, the problem is what happens if you have a complication, are you going to get on a plane and go back? I always remember what my father used to tell me, if it sounds too good to be true, it usually is. JG 2.22.06
Answer: I agree it was a typo, more like 5-6 liters or pounds which is a common amount. JG 2.22.06
Answer: yes, at times the needle has to be placed pretty deep and can cause some discomfort. May want to have him try again in a few days. Hang in there. JG 2.21.06
Answer: OK to do now as long as you do not get it on the incisions. As to them looking better, it wil be a few weeks at least. JG 2.20.06
Answer: it might take a few weeks, all depends on how much is there. He can also stick it with a needle and draw the fluid out. JG 2.20.06
Answer: yes, all normal and should all go away in time. JG 2.19.06
Answer: they can occur for no reason and if it bothers you it can be removed but there is no medical need to remove it. JG 2.18.06
Answer: twice and for about 5 minutes per area. Endermologie can be started at week 4. One gallon is about 4 liters, so imagine two large 2 liter bottles of Coke. Best of luck. JG 2.18.06
Answer: all depends on the number of areas done and the time involved. JG 2.18.06
Answer: I would say three to four weeks. JG 2.18.06
Answer: Most likely. Warm packs and massage and they should get better shortly. JG 2.17.06
Answer: it can be a localized small amount of blood, not unusaul at this point. JG 2.16.06
Answer: not safe, would not recommend them. Diet and exercise is the way to go. Liposuction should also not be used for weight loss purposes either. JG 2.16.06
Answer: absolutely not. JG 2.15.06
Answer: from what you are telling me, you might get away with the mini. Fingers crossed for you. JG 2.13.06
Answer: Might take a little more lipo but should be able to be improved. JG 2.13.06
Answer: I think it will require surgey, hard to say whether a mini for full tummy tuck without examining you, sorry. JG 2.13.06
Answer: about 4 liters or about 7-8 pounds. JG 2.13.06
Answer: most likely fluid of some sort, like serum or blood, should go away in time with some heat and massage. One side always gets more swollen or irritated than the other. JG 2.10.06
Answer: Thank you very much, hope I keep you entertained and better educated too. JG 2.10.06
Answer: well, becaue medicine, especially plastic surgery is not a science, it is an art. I think it makes a big difference and we recommend two weeks of the garmet 24 hours per day followed by another two weeks of 6-8 hours per day. JG 2.10.06
Answer: fat injectiosn ,may improve it. That is a difficult area to do as there is only a single layer of fat and surface irregularities are not uncommon. I think it can be improved in time. JG 2.8.06
Answer: I do not endorse Mesotherapy and do not recommend it. JG 2.8.06
Answer: it is probably normal swelling as keloids take usually 6 weeks before the start to form. Just massage it and go back for your normal follow up appointment to see your doctor. JG 2.6.06
Answer: not as good as stomach or hips or outer thighs. JG 2.5.06
Answer: It might take either a straight cutting surgery or maybe a staged procedure where fat is removed and then at a later time the skin cut out and tightened. Yes, we do perform those procedures. JG 2.4.06
Answer: liposuction will leave you with looser skin that you have at present. I do not have any options that do not involve surgery. Congratulations on the weight loss. JG 2.2.06
Answer: as to how much fat can be removed, that really depends and varies form surgeon to surgeon. We determine the overnight stay by length of opertation and also by amount of fat aspirated. Hospital fees vary but it is around $350 at the hospital I use. JG 2.1.06
Answer: I think it is an alternative, I personally do not use the technique as I prefer to use tumescent fluid to rupture the blood fat cells and also use ultrasonic energy to dissolve it further, but your desire is an option. I think results though vary from surgeon to surgeon and there are more incisions needed with the microcanulas. JG 1.30.06
Answer: Yes, I use the Vaser for large volume liposuctions and difficult fibrous areas also. JG 1.30.06
Answer: nope. JG 1.30.06
Answer: as long as they are healthy, no, but the older they are the less the skin will shrink afterwards. JG 1.27.06
Answer: Those lumps should all get better in time with a little massage. JG 1.25.06
Answer: It is not uncommon if there is not enough loose skin above the belly button to allow it to be removed. For the scars I recommend ScarGuard or Mederma. JG 1.25.06
Answer: it will help keep the swelling down and get the skin to shrink faster. I think you need to move the arms, but you do not need to keep them up. JG 1.25.06
Answer: all normal, all will get better in time, warm packs and massage will help too. JG 1.25.06
Answer: Erchonia is a waste of time and the ELOS may have some effects but not all people need it, it won't hurt though. JG 1.25.06
Answer: very unusual, maybe some type of thyroid/ testosterone imbalance? JG 1.24.06
Answer: It can happen from the fluid being injected too superficially I guess, or repetitive trauma by the cannula or a burn if ultrasonic energy is used, either internal or external, or from a pressure garment also if it is too tight, all rare but possible I guess. JG 1.23.06
Answer: may take 4-6 weeks or more, depending on how swollen you got after surgery and how much was removed. JG 1.24.06
Answer: yes they can but that skin does not shrink as well as skin elsewhere and can leave some loosness. JG 1.22.06
Answer: ultrasounds can help decrease swelling and bruising. The swelling goes down to a great extent within the first month. JG 1.22.06
Answer: The reason is the skin in those areas is exposed and since it does not shrink as well as the other areas it may leave you with a visible loose skin problem that will be hard to hide. JG 1.22.06
Answer: it is not a normal occurance, but it could be if the skin was injured from below. JG 1.22.06
Answer: I would wait a week or so. JG 1.20.06
Answer: Start the massage after one week and get two per week for a month. Garment all the time for two weeks and then 8 hours per day for the following two weeks. Best of luck. JG 1.20.06
Answer: infections are rare after liposuction but can happen and it sounds like that is what you have, or a clotted vein and thombophlebitis. The blister can happen if the cannula was placed too close to the skin and the skin was damaged. JG 1.20.06
Answer: no, not an unusual amount for some people. The weight increase is due to the swelling most likely. I do not think the docotr is lying. JG 1.20.06
Answer: That is two areas and would need to see you to give you a quote as the time involved contributes to the cost. JG 1.20.06
Answer: it might slow the resolution of the swelling. I have them use a compression dressing for 2 weeks all the time and then week 3-4 for 8 hours per day to optimize the healing and shrinking of the skin. JG 1.20.06
Answer: it does take skill so it might