Lipo as weight loss? Part 3

Earlier in my career, I had the unique opportunity to be interviewed on television by Roseanne Barr and Tom Arnold about liposuction, which I discussed earlier this week.  This series continues.

Lipo as weight loss? Part 3

Why isn’t Lipo a quick fix?  I have found that cosmetic surgery results are far better when the fat layer located beneath the skin is as thin as possible before surgery.   In the case of skin tightening procedures, the skin can be stretched more easily to give a better result.   I also believe that wound healing is more efficient, there are fewer complications and patients see the best results  when  they are at a healthy weight.

Patients presenting for cosmetic surgery consultation who are carrying extra pounds frequently change their minds regarding which procedures they are pursuing after reaching their ideal weight.   This is most evident with breast surgery.   A woman considering breast reduction before weight loss will frequently choose breast enlargement after significant weight loss.   Patients considering liposuction after weight loss usually only need a slight reduction of stubborn remaining localized fat pockets, such as the outer thighs.   Skin appearance often responds better when weight loss is gradual and exercise is part of the program.

I know the idea of having surgery first, followed by weight loss and conditioning has been popularized on reality TV.   It has never made sense to me.   Why take this shortcut if there are increased risks, potential medical problems and compromised cosmetic results?   Please consider being within 20 pounds of your ideal weight before considering cosmetic surgery.  It is the best advice that I can offer my patients.

Remember: A moment on the lips, perhaps a lifetime on the hips!

3 Responses to “Lipo as weight loss? Part 3”

  1. Amber Murray Says:

    I never thought about lipo before other cosmetic procedures, but more as an “add-on”. Thanks for some food for thought.

  2. nipntuck Says:

    Thanks for your comment! Liposuction is an independent surgical procedure. It represents a real fluid balance challenge to the patient. Adding liposuction to sites other than the primary surgical area (tummy tuck, face lift), I believe increases the risks and morbidity. That being said, multiple areas of treatment can be completed when liposuction is the only procedure without increased risks provided total volume removed is not excessive and the total body surface area treated is not great.

  3. Saundra Rivas Says:

    Realy good forum. I’m going to bookmark this site and check it out often.



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