Pleasanton Liposuction doctors

Thank you for your question.

Five days after your operation is much to early to determine the final results of liposuction. Results from liposuction generally take anywhere from two to six months. If you do not notice much difference immediately after your procedure the best advice is to be patient and allow time for the swelling that is there to decrease naturally.

Also, the amount of fat removed varies from individual to individual and 600mL can certainly make a difference on those with only a small amount of fat to begin with.

As always questions and concerns regarding your procedures should be discussed with your surgeon. For the best results always visit the office of a board certified plastic surgeon.

I hope this helps.

This is best treated by prevention.  Although one could argue that loose skin before surgery will result in the same or greater degree of looseness after surgery, specific techniques and attention to this area will give the best chance of avoiding this outcome.

Liposuction of the area under the buttock crease can result in lack of support of the buttock, leading to a deflated and overhanging lower buttock with folds of loose skin just below the buttock crease.

To prevent this, as much as possible, liposuction can be limited to only the superficial layer of fat, just under the skin, in the area at and below the buttock crease.  Care is taken to leave a supporting column of fat in the deep layers to support the buttock and prevent it from overhanging the crease. The key is not removing too much fat in this area.

For an established problem, since the problem is excess fat removal, the solution is replacing fat by fat grafting under the buttock crease and upper posterior thigh.  This can be done 4-6 months after an initial procedure.

If the buttock and buttock fold are too loose to be restored by fat grafting, then it would be reasonable to pinch up the excess skin below the buttock, at the crease, and remove it surgically, placing the scar in the lower buttock crease.

Some patients have a lot of loose skin under the buttock, and their buttocks are a bit droopy over the buttock fold.  These patients are best served by fat grafting as in initial procedure, or if this is not feasible due to lack of fat, then the option of skin removal at the crease can be chosen.

Thank you for your question.

To achieve an hourglass figure there are three areas that need to be addressed- the upper fullness (breasts), middle slandering (waistline), and lower fullness (hips/buttocks). In our San Francisco Bay Area practice we tailor all treatment plans to each patient’s existing shape.

Creating the upper fullness in the breasts is generally accomplished by augmentation with saline or silicone implants, lifting the breasts, or a combination of both.  Sculpting the waistline can be done with liposuction to the abdomen, flanks, and/or back to remove excess fat, a tummy tuck (abdominoplasty) to removed excess skin and pull the abdominal muscles (rectus abdominis) tighter, or again, a combination of both. Forming the lower fullness entails transferring an individual’s own fat into their hips and buttocks to augment their curvature (Brazilian butt lift) and is generally accompanied with liposuction to sculpt the waistline.

Multiple procedures may be performed during the same operation or during different operations depending on the objectives of the individual. For best results visit the office of a Board-Certified Plastic Surgeon.

I hope this helps.