Would I be able to do Lipo 360 and arm liposuction together?

Question

Would I be able to do a lipo 360 and arm liposuction together? If I am not mistaken there is a limit to how much fat can be removed in one procedure. Please let me know if these two procedures can be done together.

Jason Emer, MD · Answer

we always do tshirt area like torso, arms and inner thighs at the same time depending on the persons size.

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 Lipo2021indeed,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth Hughes, MD · Answer

Both procedures can be performed at the same time if you are in good health with a BMI close to 30. From previous photos, I recommended that you consider an arm lift rather than lipo because the laxity extended to the elbow. Be sure you consult with a board certified plastic surgeon via email, Skype, or in office.

Johnson C. Lee, MD · Answer

Liposuction 360 can be combined with arms. My limit to liposuction is around 5 liters per surgery for maximum patient safety. You can combine any areas together as long as your total is 5 liters or less. Some people may request for higher volumes of fat removal, in which case I require patients to stay in a recovery center where they can be monitored and receive IV fluids and medications as they heal. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Mats Hagstrom, MD (license on probation) · Answer

The amount of liposuction that can be done in one session depends on multiple variables. Primarily it’s determined by someone’s size. Most plastic surgeons will not remove more than 5 L of fat in a single session. This can typically allow for ideal treatments of the torso for patients up to about 180 pounds, Generally speaking.

Patients under that weight should be able to have their entire torso treated with arms and patients above that should consider having a split procedure.

I typically prefer  to treating the torso as a “full torso”. This technically includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area. I don’t like leaving any part of the tour so untreated except the breast and women. Treating the torso as a single anatomic unit leaves a natural even fat distribution. Leaving any area and treated like the back or the under arms which is often the case when the procedure is defined as abdomen 360 leads patients to have an abnormal fat distribution with the untreated areas as being the new problem areas.

When the procedure is done using local anesthesia there may be some restriction in how many areas can be treated in order to still stay within safe lidocaine doses.

Typically the limit is the amount of fat that can be removed in a single procedure.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

360 lipo and the arms can be done together in the appropriate patient. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results and look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin

Dr Corbin

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