What type of lipo for obliques, flanks or back fat on slim person to create a small waistline? (Photo)

Question

A size 4/6 5'9" I am not a fat girl. But I cannot wear a crop top, body suit, and look terrible in a bikini. I am ready to research a doctor to fix the problem. I have tried Sculpsure. Didn't work, prefer complete removal now. Looking at photos, what is recommended to fix my problem or type of lipo for such a small amount of fat removal? Tickle lipo etc?

Richard G. Schwartz, MD · Answer

For modest fat removal in flanks and abdomen, I usually recommend standard tumescent liposuction with smaller cannula using iv sedation anesthesia.  Occasionally I will just use local anesthesia.  For back fat and upper abdomen fat near the lower ribs, I recommend ultrasonic-assisted liposuction, as the ultrasound waves break down the very dense fat in these areas, allowing a more thorough fat removal.

Dana Goldberg, MD · Answer

Liposuction around your waist and upper hips will help make your shape more hourglass. If you can handle staying off your butt for a month, then transferring the fat to the buttocks will take shaping it a step further. Don't confuse this with a full Brazilian butt lift, which is meant to increase buttock size. You can get a lifted, round butt and a narrow waist without changing your size if you use less than 500ml per buttock. The aesthetic vision and skill of your surgeon outweighs technology, so who you pick is more important than what type of liposuction you pick. That said, I use the vaser and power assisted lipo system for liposuction. Ultrasound energy breaks down the fat while sparing connective tissue and nerves. The power assisted aspect limits time spent during the procedure. Liposuction alone can be performed under local anesthesia with medications by mouth to control anxiety and pain. Liposuction with fat transfer is more easily tolerated with IV sedation so you are breathing on your own but much more "out of it" during the procedure.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a
great candidate for waistline contouring liposuction of your abdomen, flanks,
and lower back.  This can greatly improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ellen A. Mahony, MD · Answer

That "thickening" of the mid section is surely every woman's worst nightmare!  I've found that it is usually a combination of loose skin and localized fat.  Although there is no (not yet) a nonsurgical device that will produce the level of skin tightening that we all seek, strategic and aggressive liposuction in the hands of a skilled surgeon can be very effective.You are right that the only way to sculpt this area is "complete removal now."  Your pictures are pretty good but don't show a full frontal view.  My approach would be to treat the back area and flanks while you lay face down.  Then turn you to face up and treat the "front flank" area.  In addition, a consultation would determine if any treatment of your abdominal area would also accent your waist.It looks like you may be a little short waisted with a high riding belly button.  It's common for that figure to be more straight waisted than a long waisted woman.  Aggressively treating this area will improve your chest-waist-hip proportion.  Your skin will snug up more than it is now as it will adhere to the slimmer tissue below it.You're on the right track, good luck!In good heatlh,Ellen Mahony

Kenneth Hughes, MD · Answer

An exam would be required to confirm whether the waist can be made smaller with lipo and the hips fat grafted to give a rather significant change in waist to hip ratio.  Liposuction results are highly surgeon dependent.  I think that you will have a great result with the right surgeon.  Find a board certified plastic surgeon with ELITE credentials (education, training, experience, favorable patient reviews, certification) who performs hundreds of liposuction procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Steven Schuster, MD, FACS · Answer

Let's be honest, liposuction takes away fat much better and more reliably than any non invasive technique!  I doubt anyone can argue with that.  Having used all forms of liposuction tumescent, ultrasonic and laser, I rarely used anything but standard small cannula liposuction using a modified tumescent technique with either IV sedation or general anesthesia, both performed by my board certified MD anesthesiologist, not by my nurse or me, for patient safety.  With the amount of fat you have any technique should give you a great result and most of my patients can be back in the gym in 4-5 days.  Good luck with your research, Dr. Schuster in Boca Raton

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
Looking at your photos I might say that you´ll be a great candidate to get an entire abdomen, back and waist liposuction with BBL, these procedures could help you get the shape that you are asking for.
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first.
Have a great day! 
Dr. JPG

Manuel Ventura Gonzalez, MD · Answer

Traditional Liposuction: Consists of suctioning the subcutaneous fat by introducing under the skin a cannula connected to a vacuum pump.VaserLipo: is an advanced body sculpting procedure that eliminates fat to gently reshape your body, making you look and feel your best:
*Single Procedure                                                           
  
*Speedy Recovery Times                                             
  
 *Clinically proven to produce even results 
  
How does it work?
  
During a VASERlipo procedure, the area to be treated is filled with a medicated solution. the fat cells are then treated with state-of-the-art ultrasound energy and are removed from the body through a gentle suction process. the surrounding tissues are left intact, giving you the smooth contours you want with less pain or recovery time than traditional liposuction.
  
I recommend this new method to patients who want to have a more defined belly, since when performing Vaser does not atrophy the patient so much, but more effective results are achieved than with traditional liposuction.
  
Always To Serve you, Dr. Manuel Ventura 
  
Certified, Medical Research Institute of Plastic Surgery in Sao Bernardo do Campo, Sao Paulo, Brazil.

Joshua A. Halpern, MD, PA · Answer

There are many different types of liposuction. I have  pioneered and lectured on many different techniques over the years. I am very excited on a new machine that was FDA approved earlier this year. It's called the Vibrastat. I utilize it with the SAFE technique. In my opinion it removes fat better and smoother versus other techniques currently available. I hope you find this information useful. For more information please watch the enclosed video.

Kris M. Reddy, MD, FACS · Answer

Liposuction would provide the surgeon the ability to control and sculpt you in your desired manner. Coolsculpting is a more reliable option than sculpsure for nonsurgical fat reduction. Consult in person with an experienced and expert board certified plastic surgeon to understand your options.

What type of lipo for obliques, flanks or back fat on slim person to create a small waistline? (Photo)

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