Can I possibly a good candidate for lipo (I'm 5'7, 250 llbs)? (Photo)

Question

My weight is constantly fluctuating, this is my biggest size. I struggle always in my stomach area even when i was smaller. I've diet and exercise but my abdomen is always bigger at the bottom. Even if i can just contour the sides of my stomach I'd be okay.

Kenneth Hughes, MD · Answer

Ideal candidates for liposuction are at or near their ideal weight and will have good skin elasticity. The procedure is intended to remove stubborn pockets of fat that don’t respond to diet and regular exercise, so the skin does need to be able to smooth back into place after the procedure is complete. Your BMI of over 39 places you in the obese category which would increase risks of complications during and after surgery and decrease the results. Consult with your PCP for dietary modifications and joining an exercise program.

Jason Emer, MD · Answer

you ned weight loss. id suggest hormonal treatment and weight loss then liposuction and tummy tuck/skin removal.

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.

Mats Hagstrom, MD (license on probation) · Answer

You’re number one goal should be getting control of your eating habits.

Healthy consistent diet of lean unprocessed foods and healthy proportions every day for the rest of your life should be the goal.

Doritos are not considered healthy food.

Liposuction will not treat poor eating habits.

At 250 pounds you’re not a candidate for Liposuction.

Best,

Mats Hagstrom MD

Can I possibly a good candidate for lipo (I'm 5'7, 250 llbs)? (Photo)

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