Is it hard to lose weight after liposuction?

Question

I had several areas liposuctioned , inner , outer thighs, flanks & arms ... I've been trying to lose weight last 6 wks eating clean but no luck so far

Steven L. Ringler, MD, FACS · Answer

Thank you for your question.  It should not be any more difficult to lose weight following liposuction than it was prior to the procedure.  I have actually found that having liposuction for some of our patients have helped them jump start the weight loss process.  Liposuction itself is not a weight loss procedure, but rather one for body contouring isolated areas of stubborn fat that are resistant to diet and exercise. Sometimes it takes a week or two to recover following extensive liposuction, so perhaps now may be the time to step up your exercise routine a bit and continue with a healthy, balanced diet. You may want to talk to your plastic surgeon about your specific concerns.  Best of luck to you.

Jason Emer, MD · Answer

It shouldn't be more difficult to lose weight after liposuction. The best way to maintain optimal liposuction results or lose weight is to maintain a diet and exercise program. Swelling may be persistent so get RF treatments like Vanquish/Exilis and try coolsculpting if you want more contouring.  Best, Dr. Emer

Mats Hagstrom, MD (license on probation) · Answer

It's not uncommon for patients to slowly drift back to their pre-surgical weight after liposuction.
Obviously much of this depends on how much that was removed.
Patients sometimes report gaining weight in the areas that were not treated.
This is obviously quite obvious since there are many less fat cells after liposuction in the areas treated.
The following is a write up I did for real self a while back in regards to weight loss.
Perhaps you'll find it useful.A few thoughts on the weight loss.
While liposuction is generally not prescribed as a treatment for obesity most patients will get liposuction are somewhat overweight.
From having met tkyhousands of people interested in liposuction I have had ample opportunity to talk to many people about their struggle with weight.
A few repeating patterns seemed to emerge.
Perhaps the most common one is people not eating frequently enough. Losing weight by not eating is a fallacy. In reality we tend to over eat when we eat after having gone hungry.
Another common misunderstanding is the relationship between weight and exercise. Most patients are not successful at losing weight by exercising without changes in diet. Weight is 90% diet. Exercise has to do with fitness. 
Think of diet and exercise as two separate entities with two separate purposes. 
That said I encourage everyone to exercise on a regular basis. 
The majority of people get hungry from working out and tend to over eat afterwords. Sometimes feeling justified to do so after a strenuous workout. 
The number of calories burned during a typical workout session is far less than people believe.
Any successful weight reduction program has to be based on permanent change. Any temporary diet plan will ultimately fail if not followed by permanent changes in behavior.
Understand the role that insulin plays in obesity and what causes insulin surges. If you read the late Dr. Atkins book you will learn that his obsession was with controlling insulin much more so than with eliminating carbohydrates.
Learn what glycemic index and glycemic load's are. Avoid eating meals that give a high glycemic load. This is somewhat similar to saying avoid eating large carbohydrate based meals though understanding what foods constitute as bad carbohydrate meals is critical. This will be learned after mastering the concepts of glycemic index and glycemic load.
Here are my rules to keep weight under control. 
1. Never go hungry
2. Never eat a large meal. 
3.  Never, never, never eat a large meal when your hungry.
4. Avoid large carbohydrate based meals.
5. Don't expect exercise to get your weight down and don't blame the lack of exercise for not being able to maintain your weight.
6. Step on the scale every day after you get out of the shower in the morning.
7. Accept weight fluctuations. None of us stay at the same weight or continue to go down in weight.   Don't beat yourself up if you gained a few pounds. It's the long term, rest of your life, progress that matters.
I hope that is of some help.
Good luck,
Mats Hagstrom

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