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CLAIM YOUR PROFILEThank you for posting photos of your upper arms. In your situation, you may have a few options to decrease the "bat wing" appearance of your upper arms. Although you do not have as much skin as some patients do after weight loss, I can understand why you would feel self conscious about this area.
Liposuction alone on this area can work well on young patients with good skin tone and elasticity. Being too aggressive with liposuction can leave the upper arms with a poor cosmetic result which results in the skin looker more crepey and loose. You do not appear to have alot of fat in your upper arms, and your skin tone may not respond well based on your weight loss history (also the appearance of stretch marks indicates that your skin may not retract as well as we would hope.) I would not recommend liposuction alone for your arms. Liposuction involves an instant reduction in fat, with a swelling period of 3-6 months and requires compression sleeve use for 1-2 months.
Coolsculpting is a non-invasive FDA approved treatment to reduce fat. It is very similar to liposuction in that it removes fat, but does not address sagging skin. Coolsculpting does not provide as dramatic of a result as Liposuction, which can sometimes be an advantage as far as reducing irregularities on thin skinned patients or difficult to treat areas. Coolsculpting takes 4 months to see results, which are permanent. Compression garments are not needed and there is zero downtime. It is a great procedure when chosen on the right patient, and right body area. Based on what I have said above about liposuction, I feel that Coolsculpting would not be an appropriate procedure for your arms, due to skin laxity issues.
Brachioplasty would be the most aggressive option, but also provide the most dramatic results. This procedure can be performed along with liposuction of the arm so that the skin can be reduced along with removal of volume for a better contour. The downside is that brachioplasty leaves a noticeable scar. Some techniques include an incision in the axilla only, others require a "seam" that goes from axilla to elbow. The technique is based on the amount of skin that needs to be removed and the desired result. Results are instant, however patients are instructed to wear compression sleeves and limit use of arms over the first 1-2 months. The upper arm can sometimes create hypertrophic scarring and occaisionally scar revision is needed. There is no way to know ahead of time which patients may have thicker scars.
In the middle of these options is a minimally invasive procedure called Body Tite (Radiofrequency assisted liposuction). Body Tite removes fat from the area to reduce the volume and improve contour as well as utilizing radiofrequency to tighten the skin. This procedure can be performed under local anesthetic and is a great alternative for patients that need more than liposuction alone, but arent quite sold on a full brachioplasty surgery. Radiofrequency assisted liposuction is very popular and can be used on many body areas for improvement. Results take 6-9 months to reach the desired outcome as the body continues to work on tightening the tissue that was treated. Compression sleeves are worn 24/7 for 2 weeks, and then as tolerated for the first 1-2 months.
You may consider microneedling, or Radiofrequency micro needling (Fractora) to address the texture of your arms after your procedure. Even after a surgical reduction of skin, the skin texture can sometimes be bothersome to certain clients.
Please consult with a Board Certified Plastic Surgeon to help you determine which procedure may fit your needs. Based on your individual goals, you should be able to get a very nice result with the correct procedure. Good luck!
John B. Fasano, MD
Board Certified Plastic Surgeon
Congratulations on your breast augmentation! It is completely normal for the breast to look somewhat "square" postoperatively.
Swelling, along with the pressure on your implant from the skin and muscle will cause the implant to take on a funny shape. This will resolve during the settling period which can take 3 months, sometimes longer.
It is also important to note that usually right around the third day after surgery is when patients experience the most swelling.
Continue to follow up with your surgeon and enjoy your your augmentation!
John B. Fasano, M.D.
Board Certified Plastic Surgeon
Coolsculpting does have guidelines on what the ideal candidate is for the procedure. The FDA approval comes with information that the candidate should have stable weight (unchanged over 6 months), have a BMI of 30% or less, and have "defined" bulges that are resistant to diet and exercise. Patients that have larger body types without smaller, defined bulges, can also be treated but tend to see less dramatic results and require 2-3x the amount of treatments that "ideal" candidates require.
I think you would benefit from additional weight management prior to considering a treatment like coolsculpting as it is not a weight loss treatment or a solution for patients that want an "overall" reduction in size. If you still would like to consider a treatment at this point, I would recommend a consultation with a board certified plastic surgeon for liposuction. In your case it may prove to be more cost effective and provide more dramatic results as far as the volume that can be removed in a single procedure.
Good luck and congratulations on such an amazing transformation.
John B. Fasano, M.D.
Board Certified Plastic Surgeon
I had a facelift, two years ago, not only did it go well but the healing time was quick, I had no discomfort during the procedure, I could hear the music they were playing and even talk to them, but I felt no pain. Its been two years and I am very happy with the results.
Dr Fasano and his staff are cutting edge ! Very personable , caring and thoughtful - they go the extra mile to make sure every procedure large or small is exceptional to your need . I would highly recommend this office and have to many of my friends Call for your free consultation and see for yourself !
I am 53 years old status post radical hysterectomy for cervical cancer. My body and sex life was adversely affected due to vaginal dryness, some bladder incontinence and depression. After just one treatment, i can physically and mentally feel a difference. I feel desire due to the physical aspects improved. I was fortunate not to have radiation done with my cancer but i can imagine this procedure would greatly help women who have been through radiation causing bladder issues.
Hi All, I am 66 and had avoided looking in the mirror for a couple years unless the lights were low, maybe you know someone who has had that experience..:) After though I had my photo taken for a passport which was what the before photo was for I realized that I really needed to do something. I had a lift done from the eyes down along with a neck lift and 1 vial of Juvederm for the lines between my nose to mouth. Didn't have anything done to my forehead yet, which you can see but intend to either do a lift for that area or possibly a treatment with Juvederm or one of the others. The surgery was done with local anesthesia, needles around the contour of my face which I hardly even felt and that was the only thing I felt, took about 5 hours which flew bye. The $7330 price included $500 for a blood treatment the day of the surgery to lessen any bruising and that must of worked because I had absolutely no bruising at all on my face and just some on my neck. People couldn't believe it who saw me. The $7330 price also included the 1 vial of Juvederm that was done approximately 2 months after the surgery. So I am really happy for how things came out and almost cannot believe the difference myself..!!
Mother of 3 kids, 3c sections, loose saggy skin, and a belly full of stretch marks. Was very thin but gained a lot of weight during pregnancies , my body was destroyed left me very insecure and ashamed to even be naked infront of my husband I was extremely nervous about the whole procedure in itself , life or death, My end results would it be worth it to to pay all that money but I'm very satisfied. Updated on 29 Nov 2013: Feeling pretty good, no pain pills taken! Updated on 29 Nov 2013: Right side abdomen pain disapperaed , Took my day very slow. .. Updated on 29 Nov 2013: No complaints, can't move fast but I'm getting around. .. Updated on 30 Nov 2013: I think I have a seroma but its very small , right above my public line were I've had All my c section scars I'm a little nervous about it because I don't want to be opened back up to have it drained , I see my Ps on tuesday And he is supposed to remove my stitches I'm not sure what will happen next...:-( Updated on 7 Dec 2013: Went back to work monday It was a little difficult I was 3 days shy of being 2 weeks post op.. by wednesday I felt a little better and by friday I was pretty much moving around better. I had my stitches removed tuesday And OMG It felt like someone took a lighter to the scar as he was removing it...... Oh And my little secret Dr said I couldn't have sex until after 6 weeks well I did it on thursaday night I did not do anything but lie there because I didn't want to pop an internal stitches I realized why they don't want you to have sex before because as your about to orgasms your stomach muscle tighten causing it to hurt and you Immediately ruin your orgasam because your afraid you hurt something. .. so listen to your Dr... Updated on 21 Jan 2014: Its been a great recovery .. Had Some GI issues not related to My TT Saw The GI Dr And I have sever gastritis By the end Of the day I look 7 months pregnant.. but now I'm on medication so its getting better. . But here is a picture when I'm not swollen. Updated on 21 Jan 2014: Up close!
absolutely NOTHING happened. i went back for my "pictures" but, although the dr. said he could see some improvement, there really was none and he suggested a tummy-tuck (after taking $2500 for this!!!). my husband also had his "love handles" done, and NOTHING happened -- again $2500 down the tube. Updated on 14 Aug 2013: After contacting Zeltiq and meeting with the Dr & staff, they asked that we have another session before discussing refunds. We had pics taken that day and made appts for a week later. I went in for my redo but they somehow "lost" my husband's appt. He just had his on the 1st of August. I am hopeful, but very skeptical because the Dr now says that the procedure only removes 20% -- nothing like the flat bellies shown in his advertising! My redo was July 17th so I will post again in October unless I see any results before then. Our next appt for photos is not until December. Updated on 15 Sep 2013: so far, nothing for either of us. I am not very hopeful. will update nearer to the 3 month mark. Updated on 15 Oct 2013: still not seeing anything on either of us. Updated on 18 Nov 2013: No change for either of us. I have contacted Zeltiq and am sending Dr Fasano an email in advance of our 4-month follow-up Dec. 3. My advice: 1) don't waste your money but if you must try, 2) get in writing what you can expect and what your recourse is if your expectations are not met. Updated on 27 Jan 2014: No results. Pics were sent to Zeltiq and the person who reviewed them said there "MIGHT be a SLIGHT difference"; however, there was not and I have asked for refund. Zeltiq says they are a "neutral" party and can only establish communication between the doctor and patient. With all the bad stories on this site, I am going to look for an attorney for a class action -- this is a big fraud. I will post the atty name as soon as I have someone. Updated on 31 Jan 2014: This does not work for everyone and is very expensive. The only protection you have is to pay by credit card and if you do not see results at the 11 week mark, start the dispute with your bank since you only have 90 days to dispute the charge.
He has been my doctor for fillers for years. I love his manner, and he is known to be the best plastic surgeon in this area. Many of my friends have used him for all kinds of cosmetic and restorative plastic surgery.
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