Do you think lipo 360 will give me good results? (Photos)

you really need skin removal, lipo360 will make you a little smaller but still with double fold and loose skin.

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.

Thank you for your question and pictures. I would recomend you to get a Tummy Tuck with liposuction for better results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

At a BMI of 31 I think everyone will agree that you could benefit from weight loss.

The bottle-fed that can be removed is more related to your weight than it is just BMI. I’m going to guess that you’re 5 foot four and that makes you 180 pounds with a BMI of 31.

Typically I would not partially treat your abdomen even with abdomen 360. You need to include your entire torso with the exception of your breast otherwise any area on your body left untreated or bulged out and look pretty different. In my practice I refer to this as a “full torso”. Technically a full torso includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area. to do that to get the best results would probably require removing it between 4 1/2 to 7 L of fat.

In California we use 5 L is the most amount of fat we remove during a single outpatient procedure. That is typically sufficient to treat the torso on someone up to about 160 pounds. Anyone over 180 pounds almost always needs two rounds of liposuction to get a deal results. After 220 pounds even two rounds of liposuction become insufficient and that is the maximum weight where are you will consider doing liposuction all other things being that of an excellent candidate for the procedure.

With effective weight loss you can simply skip the need for a liposuction, save thousands of dollars, look better and be far healthier.

Best,

Mats Hagstrom MD

Dear LSES, you have a body type that should respond very nicely to 360 Lipo. Although many surgeons prefer that you be at your optimal weight to have liposuction, many of us understand that waiting for weight loss can bring on additional stress when weight loss is challenging and you are already very unhappy with your contour. Feeling good about yourself is important to your self esteem and your emotional well being. Regarding your question about how much fat to remove, that is determined by safety regulations that limit the amount of fat that can be taken in one liposuction session. The current safety standard is to take no more than 4 liters ( around 8 pounds) of fat. There are also limits to the dosage of local anesthesia (the lidocaine numbing agent) that can be safely infused at the time of your procedure. This is based on mg/kg of body weight (an experienced surgeon knows this). I also believe that using MATFAS ( Modern Anesthesia Technique for Aesthetic Surgery) is safer because it avoids the use of gas inhalation anesthesia commonly associated with feeling unwell and groggy for days after surgery. MATFAS uses a combination of medications that leave your system quickly so your body can focus on healing and not clearing heavy medications. Another consideration is that you may need to have your procedure staged to obtain an optimal result (you need more fat removed than is safe to take at one session). Find a board certified plastic surgeon who has experience in patients with a BMI over 30. I hope this helped- Good Luck!