Can I do laser lipo on my arms with a nexplanon implant in?

Question

Found a Groupon for laser lipo and I'm thinking about getting rid of my bat wings. Can I do laser lipo on my arms with nexplanon?

Jason Emer, MD · Answer

arms can be improved with liposuction, laser isnt the best option.

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 likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert. IF you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Best, Dr. Emer

You likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert.  If you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Sometimes noninvasive options like vanquish and coolsculpting can be done to also help contour, and reduce fat, and tighten skin.  Best, Dr. Emer.

Sometimes the full scar needs to be revised and this just entails surgically removing and restitching the scar.  Sometimes the scar plus skin . needs to be removed and that is a revision tummy tuck.  I suggest posting photos and seeing an expert in revision procedures that combine liposuction/fat removal, skin tightening, body shaping/definition, fat grafting and cellulite improvement.   Best, Dr. Emer.

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.

Barry Ginsburg, MD · Answer

I do not think that having a Nexplanon implant would be a contraindication to having liposuction.
I would tell my doctor that I have an implant but he should say its OK.

Mats Hagstrom, MD (license on probation) · Answer

Buying cosmetic surgery and Groupon since shivers up my spine and is triggering maximum red flags in my opinion.

American society of plastic surgeons does not allow board-certified plastic surgeons to sell surgical procedures without a good faith examination first.

I would be extremely reluctant to sign up for a surgical procedure without having an in person consultation first.

More likely you’re going to get exactly what you paid for when looking for bargain basement Groupon cosmetic surgical procedures.

When done by inexperienced, providers would like training Or those lacking skill can and often do lead to permanent and irreversible disfigurement.

No plastic surgeon And no OB/GYN is going to vouch for your implant functioning properly after Liposuction with her without a laser.

Most likely the implant device will still work but I would highly recommend not relying on this form of contraception After the procedure.

Liposuction without laser treatment is probably relatively low risk for damaging the implant the hormone absorption could be temporarily changed. With the laser treatment if the device gets burned There is a higher chance of malfunction.

I’m not sure which is a bigger concern for you, buying Liposuction of Groupon or your birth control method failing.

If you want to arm liposuction then do it properly.

Find local board-certified plastic surgeons who have a strong reputation for Liposuction. Schedule in person consultations at which time ask each provider to show all of their before and after pictures for a Arm Liposuction.

Avoid providers with any significant number of justified negative reviews on any of the standard physician review websites.

Be willing to pay the appropriate cost for high-quality Liposuction.

I’ve seen enough botched cases in my career to justify my concerns.

Best,

Mats Hagstrom MD

Kristine Brecht, MD (license suspended) · Answer

Dear Pindora of NY,
Yes. A skilled liposuction surgeon who does a lot of arm surgeries can work around the Norplant arm region area without bothering its placement and function.
Sculpting of the arms is very important and additional skin tightening Technology may be needed If the skin is very loose. Renuvion jplasma may be of use for you.
Best. Dr Brecht 
Seattle, Wa

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