Any suggestions for lumbosacral back fat pad area?

Question

Right above my butt i have a fat pouch, i believe its called a lumbosacral fat pad?I have tried working out, but nothing has changed. i've had the "pouch" since I was a kid. Do I have to be completely put under for this procedure? also, cost wise what is the general range I am looking at. After procedure I heard that the fat that was removed can "move to different placed on the body," is this true? what is recovery time for this specific procedure. and will it make a huge difference to my lower back area?

Shlomo Widder, MD · Answer

Dear Athena,   A picture would have been helpful. The amount and size of the fat deposit area can determined the type of anesthesia. Small amount can be done under local anesthesia. If you do not lose the amount of fat removed weight, the fat will be spread to other places, however, in your situation, the amount of fat is relatively small and will not have any impact on the rest of the body. The recovery time , as far as exercise and physical work is 2-3 weeks. Without picture or examining you, I can not tell you how big will be the change. Concerning the cost, it varies according to the size of the area and the anesthesia type. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive.                              Best of luck,                                                         Dr Widder

Ellen A. Janetzke, MD · Answer

This area is very treatable with liposuction. Since it is a small area it can be done under local anesthesia in almost every patient. It is hard to say what the cost would be but not having to pay for OR &/or anesthesia fees will certainly bring down the cost. As far as the fat moving elsewhere, it is simply not true. Because some of the fat is removed from this area, weight gain will cause less of a change as there are less cells to increase in size. Recovery should be fairly quick with this small area. You will probably feel that the difference is "huge". Best wishes for your decision!

Rodney A. Green, MD · Answer

This is quite a common situation in patients seeking buttock augmentation. We always combine the buttock augmentation with liposuction to the areas around the buttocks that are excessively full. You could certainly remove fat from the lower back selectively, leaving the buttock fat below in place and you could prepare that removed fat and use it to graft to the buttock to add volume. Usually you will need more fat than just that area to make a significant difference to the buttock and often this would be combined with liposuction of the flanks and abdomen as needed.

Mark P. Solomon, MD · Answer

Hi, this is a common area to treat with liposuction.  Costs vary with the type of procedure and other factors including anesthesia and facility.  Results in this area are predictable and most patients in my experience are happy.  You should see a board certified plastic surgeon to learn about your options.

Ravinder Jarial, DO · Answer

Greetings. Liposuction could be considered at the area of concern. In order to determine what is the proper treatment plan, you should see a plastic surgeon for a consultation and who can examine you. Good luck!

Steven Wallach, MD · Answer

Yes, one can have liposuction under local without being put under.  If you desire you can have it done under anesthesia as well.

Brian Coan, MD, FACS · Answer

Hi athenamk, thank you for your question. Liposuction is a
great option for body contouring, and our practice uses gold standard of
liposuction, tumescent liposuction. Tumescent liposuction is scientifically
proven to remove fat deposits from targeted areas of the body. It is important
to discuss with your board-certified plastic surgeon what result you’re looking
for and how they will be able to achieve that through liposuction.

Carlos Burnett, MD, FACS · Answer

Hello. Your fat pad can be reduced with Smartlipo or any liposuction modality under local anesthesia with oral sedation. Recovery time should be about 7-10 days with moderate or minimal discomfort and you'll need to wear a compression garment. Fat that is removed with liposuction does NOT travel to another area of your body. If you generally gain weight, say 10-20 lbs, the fat will preferentially deposit itself in areas that were not treated with liposuction. So you need to continua healthy lifestyle choices after surgery. Good luck to youDr. Burnett

Mats Hagstrom, MD (license on probation) · Answer

The majority of people do not have a substantial lumbosacral fat pad. Fat distribution is determined by genetics. For those who do, the area typically responds very well to liposuction. The procedure is easily performed and tolerated and can be done avoiding the use of general anesthesia. Immediate improvements are typically seen, though results continue to improve over the next three to four months. Once removed, fat does not come back, move to other areas or shift position. It's not possible to change your fat distribution by diet or exercise. Liposuction is successful in permanently changing fat distribution and often with dramatic aesthetic improvements. The cost of liposuction varies quite a bit. Many plastic surgeons prefer to use general anesthesia, and this adds significantly to the cost of the procedure. Additionally, many patients benefit from more extensive liposuction to create a balanced, even contour. This typically involves additional liposuction of the waist, hips and, at times, abdomen. Liposuction is typically priced by each area. When multiple areas are treated at the same time, the price per area is typically discounted. Expect to pay anywhere between $1,500-$4,000 per area depending on who you see and how many areas are treated.Additional facility fees and anesthesia fees may be added. It is unlikely you will be able to have liposuction even in a single area for less than $2,500. To get an accurate assessment, I suggest you have an in-person consultation with an experienced, board-certified plastic surgeon. Best of luck,Mats Hagstrom, M.D.

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