Fat Redistribution Following Suction Lipectomy: Defense of Body Fat and Patterns of Restoration
Teri L. Hernandez, John M. Kittelson, Christopher K. Law, Lawrence L. Ketch, Nicole R. Stob, Rachel C. Lindstrom, Ann Scherzinger, Elizabeth R. Stamm and Robert H. Eckel
No randomized studies in humans have examined whether fat returns after removal or where it returns. We undertook a prospective, randomized-controlled trial of suction lipectomy in nonobese women to determine if adipose tissue (AT) is defended and if so, the anatomic pattern of redistribution. Healthy women with disproportionate AT depots (lower abdomen, hips, or thighs) were enrolled. Baseline body composition measurements included dual-energy X-ray absorptiometry (DXA) (a priori primary outcome), abdominal/limb circumferences, subcutaneous skinfold thickness, and magnetic resonance imaging (MRI) (torso/thighs). Participants (n = 32; 36 ± 1 year) were randomized to small-volume liposuction (n = 14, mean BMI: 24 ± 2 kg/m2) or control (n=18, mean BMI: 25 ± 2) following baseline. Surgery group participants underwent liposuction within 2–4 weeks. Identical measurements were repeated at 6 weeks, 6 months, and 1 year later. Participants agreed not to make lifestyle changes while enrolled. Between-group differences were adjusted for baseline level of the outcome variable. After 6 weeks, percent body fat (%BF) by DXA was decreased by 2.1% in the lipectomy group and by 0.28% in the control group (adjusted difference (AD): −1.82%; 95% confidence interval (CI): −2.79% to −0.85%; P = 0.0002). This difference was smaller at 6 months, and by 1 year was no longer significant (0.59% (control) vs. −0.41% (lipectomy); AD: −1.00%; CI: −2.65 to 0.64; P = 0.23). AT reaccumulated differently across various sites. After 1 year the thigh region remained reduced (0.77% (control) vs. −1.83% (lipectomy); AD: −2.59%; CI: −3.91 to −1.28; P = 0.0001), but AT reaccumulated in the abdominal region (0.64% (control) vs. 0.42% (lipectomy); AD: −0.22; CI: −2.35 to 1.91; P = 0.84). Following suction lipectomy, BF was restored and redistributed from the thigh to the abdomen.
I was scheduled for rhinoseptoplasty and liposuction on my love handles on May 8th. The rhinoseptoplasty is a must as I had my nose broken about 5 years ago and cannot breath, I was gonna do the lipo just for fun ( ha oxymoron) because I don't really need it and it was super cheap because I'd already be paying the anesthesia for my main surgery.
Anyways, after reading this post I AM NOOOOOTTTTT HAVING IT DONE!!! I want to thank you ladies so much for bring this issue forward! I am a biology major and it's really sad how many people do not understand that concept you are trying to get across. I get it, it's not eating habits! It's the biological mechanisms in place within our bodies that we do not fully understand. People will still have this surgery done because they refuse to believe the truth. Thank You Edward Bernays for this century of the self. lol
While mine's broken in three places from an accident four years ago, plus I want it narrowed and smaller nostrils( I have pictures in another thread/review you can see if you click my name). I was going to go to Dr. Portuese in Seattle but became to expensive(travel/2 week stay). Met with three doctor's here. Think I'm going with Dr. Gervais he seems trustworthy, plus I can get an implant revision for the same price since I can cut out all the traveling expenses!
I agree with you, I had some doctors I met with try to make me insecure about features in my nose my mentioning things I never even thought of, also one suggested a chin implant yuck!. I think they do this as a scare tactic to make you want to 'fix' it right away. Best if luck to you and your surgery tomorrow keep us updated!
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Posted to Did you gain weight after liposuction? on 6 May 2012
Fat Redistribution Following Suction Lipectomy: Defense of Body Fat and Patterns of Restoration
Teri L. Hernandez, John M. Kittelson, Christopher K. Law, Lawrence L. Ketch, Nicole R. Stob, Rachel C. Lindstrom, Ann Scherzinger, Elizabeth R. Stamm and Robert H. Eckel
No randomized studies in humans have examined whether fat returns after removal or where it returns. We undertook a prospective, randomized-controlled trial of suction lipectomy in nonobese women to determine if adipose tissue (AT) is defended and if so, the anatomic pattern of redistribution. Healthy women with disproportionate AT depots (lower abdomen, hips, or thighs) were enrolled. Baseline body composition measurements included dual-energy X-ray absorptiometry (DXA) (a priori primary outcome), abdominal/limb circumferences, subcutaneous skinfold thickness, and magnetic resonance imaging (MRI) (torso/thighs). Participants (n = 32; 36 ± 1 year) were randomized to small-volume liposuction (n = 14, mean BMI: 24 ± 2 kg/m2) or control (n=18, mean BMI: 25 ± 2) following baseline. Surgery group participants underwent liposuction within 2–4 weeks. Identical measurements were repeated at 6 weeks, 6 months, and 1 year later. Participants agreed not to make lifestyle changes while enrolled. Between-group differences were adjusted for baseline level of the outcome variable. After 6 weeks, percent body fat (%BF) by DXA was decreased by 2.1% in the lipectomy group and by 0.28% in the control group (adjusted difference (AD): −1.82%; 95% confidence interval (CI): −2.79% to −0.85%; P = 0.0002). This difference was smaller at 6 months, and by 1 year was no longer significant (0.59% (control) vs. −0.41% (lipectomy); AD: −1.00%; CI: −2.65 to 0.64; P = 0.23). AT reaccumulated differently across various sites. After 1 year the thigh region remained reduced (0.77% (control) vs. −1.83% (lipectomy); AD: −2.59%; CI: −3.91 to −1.28; P = 0.0001), but AT reaccumulated in the abdominal region (0.64% (control) vs. 0.42% (lipectomy); AD: −0.22; CI: −2.35 to 1.91; P = 0.84). Following suction lipectomy, BF was restored and redistributed from the thigh to the abdomen.
Posted to Did you gain weight after liposuction? on 6 May 2012
Anyways, after reading this post I AM NOOOOOTTTTT HAVING IT DONE!!! I want to thank you ladies so much for bring this issue forward! I am a biology major and it's really sad how many people do not understand that concept you are trying to get across. I get it, it's not eating habits! It's the biological mechanisms in place within our bodies that we do not fully understand. People will still have this surgery done because they refuse to believe the truth. Thank You Edward Bernays for this century of the self. lol
Posted to Scheduled for November 16th - Minnesota, MN on 15 Nov 2011
I agree with you, I had some doctors I met with try to make me insecure about features in my nose my mentioning things I never even thought of, also one suggested a chin implant yuck!. I think they do this as a scare tactic to make you want to 'fix' it right away. Best if luck to you and your surgery tomorrow keep us updated!
Posted to Scheduled for November 16th - Minnesota, MN on 13 Nov 2011
Posted to Getting My Nose fixed December 8th! on 27 Sep 2011