Frederick Liposuction doctors

	Marwan R. Khalifeh, MD Chevy Chase Plastic Surgeon 5454 Wisconsin Ave Suite 1710, Chevy Chase		4 answers
	Donald Kress, MD Frederick Plastic Surgeon 1560 Opossumtown Pike Suite A26, Frederick		1 answer
	James S. Albertoli, MD Baltimore Plastic Surgeon 56 Thomas Johnson Drive, Frederick

Recent Answers

Skinny Women Who Get Liposuction I saw this story about botched surgery for a thin woman (http://www.realself.com/review/smart-lipo-thin-surgery-sacramento) who says never to do lipo when your're only needing small contouring improvements. Do you agree that exercise and diet is a better path? Was her outcome the fault of the procedure or the doctor, I suppose is the question.

A: Liposuction is for "problems" skinny or heavy

The procedure of liposuction was developed to deal with "problem areas" or "privileged areas". By this I mean areas which do not respond well to diet and exercise. Overall body liposuction for over weight is dangerous and inappropriate. When liposuction is focused in a few specific problem areas it can provide dramatic and very safe results. When doing very small areas the surgeon needs to switch to very tiny cannulas and be very cautious.

Donald Kress, MD

Frederick Plastic Surgeon

Can Abdominal Liposuction/liposculpture Cause Ventral Hernia or Diastasis Recti? Are there any type of abdominal liposuction/liposculpture methods that can cause ventral hernia or diastasis recti? Thanks

A: It would be unusual to create a fascial defect

In trained hands, it would be unusual for the surgeon to create a defect in the fascial defect that would lead to a hernia. The fascia is a tough layer and it would be difficult to puncture. If someone has a lot of rectus mucle diastases, they would be probably better served with a tummy tuck rather than liposuction.

Marwan R. Khalifeh, MD

Chevy Chase Plastic Surgeon

Laser Lipo on Flanks - How Do I Determine if More Fat Can Be Removed? I had laser lipo on my flanks and lower abs. A few months later I had my upper abs done. My physician agreed that there was more fat to remove in my flanks so she re-did that area as well. However, I am months out and I still feel that there is a lot more to remove in my flanks. She claims it's skin. She said the same thing after the first procedure and she was incorrect. How do I determine if there still remains substantial fat to be removed? Thanks very much for your help and advise.

A: there's a limit of how much can be removed, but you may want a second opinion

Hi,

If the area has been done twice already, and no more fat is able to be removed (I am assuming of course, that you have a competent board certified plastic surgeon), then your surgeon may be correct in saying the rest is skin. There will be a limit to how much fat can be removed from one particular area, and going in a third time to the same area is probably not a good idea. You may want a second opinion to confirm your surgeon's opinion.

Marwan R. Khalifeh, MD

Chevy Chase Plastic Surgeon