{"id":18360,"date":"2021-02-15T13:31:05","date_gmt":"2021-02-15T21:31:05","guid":{"rendered":"https://www.realself.com\/news\/?p=18360"},"modified":"2022-03-01T13:32:41","modified_gmt":"2022-03-01T21:32:41","slug":"secrets-to-natural-liposuction-results","status":"publish","type":"post","link":"https://www.realself.com\/news\/secrets-to-natural-liposuction-results","title":{"rendered":"Secrets to Natural-Looking High-Def Liposuction Results, According to Plastic Surgeons"},"content":{"rendered":"

Whether talking face or body, surgical or noninvasive, there are two adjectives that plastic surgeons routinely use to describe ideal outcomes: natural<\/em> and customized<\/em>. So when the field starts producing fake, conveyor-belt six-packs in the name of high-definition liposuction<\/a>, those actions cause a ripple effect. As so often happens in aesthetics, bad work threatens to overshadow good, risking the reputation of a safe and effective procedure (and giving rise to stigmatizing descriptors, as we’ve previously seen with windswept<\/em> facelifts<\/a> and frozen<\/em> Botox<\/a>). <\/p>

High-definition lipo, for those who don’t know, aims to accentuate the musculature of a region by removing extra fat from select areas, to create contours rather than debulking all over in uniform fashion, as is standard with traditional lipo<\/a>. While high-def is a relatively new technique, leaders in the realm of body sculpting are already raising concerns about the less-than-desirable outcomes they’re seeing and the consequences these breed. “I don’t think a lot of folks even understand what high-def lipo is,” says Dr. David Sieber<\/a>, a board-certified plastic surgeon in San Francisco. “But if you were to find people familiar with the term, what would probably come to mind most frequently would be these abnormally shaped, overly defined Ninja Turtle–like men who had a surgeon unanatomically draw abs on their stomach and etch them in.” <\/p>

Interested in liposculpture?<\/small><\/div>Find Doctors Near You<\/a><\/div>

Philadelphia board-certified plastic surgeon Dr. Christian Subbio<\/a> also believes high-def lipo is getting a bad name, partly because certain doctors—those who are eager to capitalize on the high-def buzz yet lack the specific, hands-on training required to perform the procedure properly—“are being way too aggressive with the definition and creating these weird-looking physiques that don’t fit the patient and are really hard to correct,” he says.<\/p>

On the upside, ripples in the otherwise placid pond of plastic surgery commonly serve as an impetus for change. “I think we’re in the midst of a paradigm shift,” Dr. Sieber tells us. “What I see happening now is a lot of plastic surgeons comparing their results to those of other plastic surgeons and sort of scratching their heads and saying, ‘Their work looks better than the results I typically get. What are these guys doing differently?’” <\/p>

This phenomenon has led a number of U.S.-based surgeons to South America, the birthplace of high-def lipo, to learn from the Bogota, Colombia, plastic surgeon who pioneered and popularized the technique, Dr. Alfredo Hoyos<\/a>. “Most surgeons in the States who are offering true high-definition lipo, myself included, have traveled to Colombia, where it originated,” notes Dr. Subbio. While the South American experience isn’t an absolute must, he insists that anyone promising high-def results should “be able to demonstrate that [they have] put in the time and effort to actually learn the technique—to have at least spent time in the OR with surgeons who do it well [in order to] be capable of replicating those kinds of outcomes.”<\/p>

Beyond possessing sufficient training and the right tools for the job, the best purveyors of high-def lipo are discerning and conservative, with a strong sense of anatomy and an artistic eye. Ahead, experts share secrets to getting results that are worthy of only the best adjectives.<\/p>

1. Fit patients see the best results from high-def lipo<\/h2>

So often, Dr. Sieber says, “home-run results come down to patients who are perfect candidates for the procedure.” Reputable surgeons tend to be quite discriminating during high-def consultations. Disqualifying factors usually include a BMI over 28*, a history of yo-yo dieting and weight fluctuations, poor skin elasticity (stretch marks are a red flag), and an obvious lack of sustained drive in the fitness department. (*Some doctors are stricter than others about this number, but most agree that even those with a BMI of 30 are ill-suited for high-def lipo.)<\/p>

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A post shared by Plastic Surgery – NYC (@realdrschulman)<\/a><\/p><\/div><\/blockquote>