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Recent Answers

Body Lift or Staggered Liposuction and Skin Removal For Saddle Bags?

HI,I had WLS and lost 120 lbs, feel great! I'm 5'10 tall and weigh 198 lbs with 25 more to be ideal wt. I workout daily, cardio & weight training but cannot seem to get rid of my outer thigh area which is disproportionately bigger than rest of my body. I wear a medium on top and XL pant 18! As I continue on my weight loss if I lose more weight on face will lose buccal fat now!:( Thinking of liposuction of saddlebags at this point in a series.. with lower body lift after?So discouraged your op?

A: Saddle bags after weight loss surgery

I have seen disproportionately large hips and thighs after weight loss. This is a complex area with focused options, depending on your presentation. Liposuction might be an option, but more often, a surgery skin removal is necessary. Two stages may be necessary, with liposuction to deflate the tissues, then followed by skin removal. I recommend you schedule a visit with a Board-certified plastic surgeon to get a better sense of what you need after history and physical to provide more full information.

Michele A. Shermak, MD
Baltimore Plastic Surgeon

Does Less Fat Removed Means Faster Recovery? When Will I See The Final Result?

I had about 650cc removed about a 5 days ago from my flanks - aka love handels, and i was woundering how long will it take for me to see the full results? im in my early 30's, good health.

A: Final result after liposuction

Typically it takes up to 4-6 months to see the true final result. You should see some improvement immediately, and within about 6 weeks you will have a very good idea of where you are. People heal at different rates, resolving swelling and thickness. Talk to your plastic surgeon to check on what he/she expects. Ask when you can start exercising - fitness goes very well with liposuction to get optimal results.

Michele A. Shermak, MD
Baltimore Plastic Surgeon

Im Getting a Breast Lift with Implant in a Week and I Dont Know What Size Implant to Get. Opinions? (photo)

I am a 34b and I want to be a small C. I am getting silicone moderate profile implants. I am 5'10 and 135 pounds. What size implant should I get? I want the most natural looking breasts possible, but still nice and full. Also I have very broad shoulders and a small waist. my stats are 34b 25 27. i want them to look so natural that no one will know. I was thinking somewhere between 225-300cc. what do you think? thank you!

A: Try some implants on for size

The best guess you have for outcome is sizing with breast implants in a plastic surgeon's office. You are tall and can probably carry even a 350cc implant nicely, but it's best to see for yourself.

Michele A. Shermak, MD
Baltimore Plastic Surgeon
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