Your surgeon may be very honest

Brent Moelleken, MD answers: Skin not suitable for Liposuction?

I just got back from seeing my cosmetic surgeon. I live in the UK, I am 27, 5ft 7, weigh 12 st 4 pounds. I cycle 14 miles a day and eat healthily. I am on HRT for removed ovaries in 2004. My thighs have always been big and bothered me. I paid £100 to see a surgeon today. He looked at my legs for 5 seconds and said no, I am not suitable for Liposuction because my skin is not elastic enough and wil result in baggy skin post op and looking worse. He said my big legs are hereditary and would not agree to perform Lipo on me. Does this sound reasonable?

Brent Moelleken, MD
8 months ago

It is a confident, honest surgeon who declines a patient because he anticipates a patient will have a poor result. It is of course never a bad idea to consult several surgeons and view before-after pictures of patients with similar features as yourself before "throwing in the towel".

In patients with loose skin or extensive sun damage, the results of aggressive liposuction can be disastrous.

Often there is a compromise; if conservative liposuction can be performed, or liposuction combined with clever lifts, the patient can achieve very nice results.

Your level of physical fitness seems excellent; congratulations on that.

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A: Maybe--but you can get another opinion.

Toby G. Mayer, MD
8 months ago

 Liposuction will leave sagging skin if there is poor elasticity and too much fat is removed. Having said that, be very careful as some surgeons operate on anyone!

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