Lipo Long Term Effect? (photo)

Question

Hello, Has anyone out there followed up on patients that are one year of better into post op. Is it true that the fat comes back in places where it was never a problem before like neck, face, etc. I am sold on the TT but the Lipo is scaring me a bit. I would love to lose the fat around my waist/flank (never really had a little waist even at my smallest at 105 lbs). But I would sure not like it to appear on my face or neck or some wierd area.

Justin Yovino, MD, FACS · Answer

Usually, if you are eating healthy and exercising regularly then your results after liposuction remain stable.  It does not stop the aging process and our bodies change over the years.  Do not let this stop you from getting liposuction of the flanks and love handles at the same time as your tummy tuck.  It will give you a better result.

Jed H. Horowitz, MD, FACS · Answer

Hi! For your guidance obesity, cellulite, stretch marks, a history of “yo-yo” weight gain/loss, or loose, sagging, inelastic skin, are problems which would tend toward poor results in liposuction. In fact, these problems may be worsened by liposuction and may be best addressed by other body contouring procedures in conjunction with liposuction.
Also, patients should be aware that liposuction is NOT a method of weight loss and muscle toning, or an alternative to diet and exercise. It does not affect one's metabolism. Regular exercise and diet is still recommended in maintaining good and lasting liposuction results. When a patient gain massive weight after liposuction, rippling may occur. Find a board-certified plastic surgeon and discuss realistic goals and expectations. Best of luck! #RealSelf100

Robert F. Centeno, MD, FACS · Answer

This is a very common misconception. After any type of lipo, you can still gain wait if you do not watch your diet and exercise. The best long term results from lipo are achieved by patients who keep their weight stable. Remember, liposuction is not a weight loss procedure it is a body contouring procedure.

Stefan Mark Szczerba, MD · Answer

Liposuction in conjunction with a tummy tuck is a good option for most patients. If the sides of your torso need slimming, this is rarely achievable with a tummy tuck alone. The proportional increase in other areas should be minimal. I find most patients are very motivated after a tummy tuck to keep their form and combining liposuction with the tummy tuck really allows more significant waist area contour changes.

Mitchell Chasin, MD · Answer

Laser liposuction has proven to be have incredibly long lasting results.  During laser liposuction we are removing the fat in a certain area, this does not prevent the fat cells from growing back. The only thing that prevents this is with how you take care of yourself with diet and exercise. A lot of my patients use laser liposuction as a catalyst to live a healthy lifestyle. 
  
If you gain weight after your laser lipo treatment it is unlikely that the weight will be distributed in areas that it has never been before.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.

	Laser Liposuction has been done for over 5 years and when performed properly by an experienced Board Certified Plastic Surgeon, long term results have, in my personal experience been excellent.

	Combining Laser Liposuction with a Tummy Tuck in your situation should give you the best result as the Laser Lipo alone will not adequately tighten the loose skin on your lower abdomen and flanks.

Vincent D. Lepore, MD (retired) · Answer

The long term effects of liposuction have been studied and liposuction has been shown to be effective and long lasting - well beyond one year. That said, no surgical procedure can prevent an individual from gaining weight. If one's caloric intake is greater than what they burn in exercise they will gain weight. However, this potential weight gain would be evenly distributed over the entire body and doesn't result in isolated pockets of fat on the face or neck.

Lipo Long Term Effect? (photo)

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