What can be done to reduce the width/largeness of my shoulders? (Photos)

Question

I absolutely hate my broad manly shoulders. Its like I have so much fat around my shoulders, collarbones & upper back. Is there lipo that I can undergo to give me a more feminine contoured shoulder area? I have read about clavicle reduction & was ridiculously quoted $38,000 by the only surgeon I found.

Jason Emer, MD · Answer

clavicle reduction leaves big scars and isnt feminine looking. you can get liposuction, breast lift, tuck and get more slim contours.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear Imaginative312430,
it is hard to tell for sure without an examination. Based on your photos, it looks like you might benefit from liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Please do not remove your clavicles or you will have permanent difficulties, especially with breathing. You could have some liposuction of your upper back to help remove excess fat.  The other option, of course, is weight loss.

Ali Gurlek, MD · Answer

Greetings thanks for your question,
yes a shoulder reduction can be made plus a Vaser Liposuction aswell.

Mats Hagstrom, MD (license on probation) · Answer

Bone structure is contributing but so is body fat. Reducing your weight can help to some degree. Liposuction of your arms making sure that the Liposuction is well done over the deltoids can reduce your shoulder with to some degree. You can also have liposuction of your torso making sure the treatment includes all of the under arm area and goes all the way up on your back to the top of your shoulders.

Liposuction results vary immensely as does the approach. I would definitely look around for providers who seem to get the concept you’re looking for and have lots and lots of impressive before and after pictures to show that they can walk the walk and not just talk the talk.

After having cosmetic surgery you may still feel your shoulders are wide and whether this is all justified is another question. I suggest starting with trying to reduce your own weight to the lowest fat level you can get on your own.

Best,

Mats Hagstrom MD

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