Body Lift vs Smart Lipo

I share your concerns. Liposuction is a wonderful treatment when skin quality and elasticity are good. It can make saggy inelastic skin look worse if significant volume is removed exceeding the ability of the remaining skin to tighten. If the skin is already lax, removing more volume from it will only make the problem worse.

I do not believe the laser lipo systems cause significant skin tightening.

Seek out a board certified plastic surgeon to evaluate you and help make this decision.

good luck

Thank you for your question regarding whether you should undergo a 360 circumferential lower body lift or smart lipo, given that you are 63 years old and in medium condition. Without a thorough physical examination, pictures, and a more thorough history, this is a difficult question to answer. However, at 63 years old, your skin has lost a lot of elasticity. Therefore it is unreliable in retraction after intelligent lipo. Therefore, without pictures, more history, and a physical examination, I would suggest a 360 circumferential lower body lift. However, a thorough past medical history and preoperative evaluation, including blood, EKG chest X-rays, stress test, and curated duplex test, need to be done to know if there are any preoperative conditions before surgery. However, due to your advanced age, I suggest 360 circumferential lower body lifts yield better results than intelligent lipo. Good Luck.
Sincerely,
Dr. Katzen

Really, this needs to be addressed on a patient by patient basis. Yes, generally, above 40 years old, the skin doesn't bounce back as well as when we are younger so liposuction may lead to saggy skin... Which surgery will give you the goals you want to achieve depends on your specific goals.  I had an older patient come in for liposuction surgery. I informed her that her skin wouldn't "bounce back" because of her skin elasticity and she said that her "goal" was to look good "in clothes" not out of clothes so she was OK with that - we performed the liposuction surgery and she is very pleased with her results.  Realistic expectations of the patient is very important.