Cosmetic Surgery and Dermatology of Issaquah - Issaquah

Chin Liposuction may be done before the weight loss however it is generally best to wait until your weight is stable after any loss before proceeding with the operation.  Under those circumstances less fat may need to be removed and that will give an overall more predictable final positive result.  In the event that the weight loss is less than desired or if there are other reasons to proceed before the weight loss it is important that the quality of the neck skin be accurately assessed to determine if it is reasonable to proceed before weight loss.  If the skin elasticity is normal and good the procedure may be performed before or after the weight loss.  If there is poor skintone of the neck then it would be absolutely best to wait until the final weight loss and stable weight has occurred.  Performing liposuction on a neck with loose skin or poor skin quality will usually exaggerate this laxity after the final healing has occurred.  If a person has moderate laxity of the neck skin then it can often be satisfactorily tightened with a noninvasive procedure, Ultherapy which in some circumstances would be best performed immediately prior to the liposculpture procedure and again afterwards.

Following Mohs surgery and in fact after any surgical operation on the skin and underlying soft tissue there is a normal biological healing process which typically involves a time delay of 4 weeks before the wound is structurally intact, that is at minimal risk for opening up or "dehiscing" with stretch or pressure to the site and a full 3 months minimally before the resulting scar is stable.  During the first few weeks of wound healing it is not unusual for the scar to have a small degree of redness and if the borders of the closed wound were elevated from the outset it may take 2-3 months for this to flatten normally.  If there is increasing redness or increasing elevation of any recent surgical scar then this may represent an abnormal healing process referred to as hypertrophic scar or keloid formation and early intervention to help reverse this abnormal healing is recommended. 

There are methods to help control  the way a new surgical wound is healing and minimize  the final scar  appearance.   Mohs surgeons who are skilled in cosmetic surgery  can offer these additional steps  and  improve he final appearance of the scar  with special procedures  they are trained in.

There are a few variables which determine if a person is a candidate for treatment of Forehead wrinkles with Botulinum toxin and what dose is appropriate.

Men and Women generally require different doses for a good effect since the forehead muscles are more developed and thicker in men.

In either sex, the degree of animation or frequency of contraction of these forehead muscles and depth of the lines also will determine what dose is optimal,

For some individuals very small doses, 10 units or less of Botox or Xeomin or no treatment would be recommended to avoid dropping the height of the brows which can create a very unpleasant appearance.  This is where the expertise and the experience of the Medical professional providing the treatment is of paramount importance.

Depending on how much liposuction will be done on the flank and hip (so called "muffin top" areas) there will not be much change to the stretch marks usually.  Some narrowing and deepening of the stretch marks may occur if there is a substantial amount of fat removal in these areas, but may not be avoidable in order to have the best reshaping result.

Stretch marks are actually a form of scarring and some of our Tumescent Liposculpture patients do wish to have the stretch marks look less noticeable as well.

We have several laser based treatment options to improve stretch marks whether they are new or have been present for years.

In general, it's always a good idea to be at one's ideal body weight or at least have a stable weight before liposuction.  For weight loss "resistant" areas like the inner/outer thighs and knees a small amount of weight loss before or after liposuction will not usually affect the final liposuction results.