Should I stop working out for the month before breast fat transfer?

Question

Hi I am having my second fat transfer to breast procedure in a month. I am also having lipo revision secondary to aggressive lipo/dents. I have a very fat metabolism with barely enough fat to do the second transfer. I have gained 10lbs in 10 months with overeating. I workout to keep my head sane. Does this increase my metabolism? Should I stop for the month before the transfer? Just stop cardio? Thanks

Alan Gonzalez, MD, FACS · Answer

Hello @Powerful4295, thank you for your question. It is important to take into account the indications of the physician with whom the surgery will be performed. In my case, I never ask my patients to stop exercising prior to the surgery, since exercise helps to maintain an adequate metabolism to perform the surgery. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Ronald J. Edelson, MD · Answer

I hope you didn’t gain weight on purpose to get more fat for transfer. Your first fat transfer didn’t work so well from the sound of it. Do you think the next one will be better. I wouldn’t waste the time or money. Get a nice lean figure and either get saline implants or do nothing

Daniel Barrett, MD · Answer

Dear Powerful4295,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Gaining weight just to do a transfer is not a wise choice since you will probably then loose the weight and loose your fat. Exercise is fine prior to surgery.

Mats Hagstrom, MD (license on probation) · Answer

Personally I see no point in gaining weight for the purpose of fat transfer procedures. It’s far better to have patients stay lean because if you lose weight after the procedure the weight gain becomes pointless.
Individuals who’ve had a previous Liposuction should consider untreated areas to harvest fat from as the first source before treating previously treated areas.
Revising badly done Liposuction is extremely difficult and should only be done by those who are highly experienced and have a proven track record of delivering consistent flawless results with both Liposuction and fat transfer.
In the end finding the most talented provider by having multiple in person consultations at which time you can properly vent each provider by reviewing their entire collection of before and after pictures is probably the single most important variable.
Defined the best provider there are no shortcuts and patient simply need to interview a lot of plastic surgeons. 
Unfortunately there are too many board-certified plastic surgeons with overall good reputation who are not very talented and either Liposuction or fat transfer.
Delivering consistent quality liposuction and fat transfer results on a consistent basis is more difficult than most people believe and finding someone who can take some doing.
Perhaps at this point you’ve already had your second procedure and you can’t go back and reverse your first one.
Hope things turn out well for your second go around.
If you’ve not had your second procedure yet then my best recommendation is to scour your local community for the single one provider who has the best collection of before and after pictures after being willing to open up and show all of their work.
Being shown a handful of preselected pictures which most likely represent the best results of the providers career is totally insufficient to get a clear understanding of what the average results look like in the hands of each provider.
This is why patients need to be advocates for themselves by properly vetting providers asking them to open up their portfolios and show their entire collection or at least as many as they are willing to
As a reference and experienced provider should have no difficulty showing you at least 50 sets of before and after pictures for a commonly performed procedures.
Highly experienced surgeons will have 100s or even thousands of before and after pictures of procedures they perform on a regular basis.
Finally I recommend reading all reviews on various physician review websites avoiding providers with any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling than having an abundance of positive reviews.
For Liposuction results look carefully at all areas treated to make sure there are no skin contour irregularities. Ask the surgeon to define what areas were treated and what areas were not treated and look carefully at the transition zone between treated and untreated area
Personally I view the torso as a single anatomic unit and try to treat the entire torso or not treat the torso at all. There are of course exceptions once by treating is appropriate.
A full torso includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area all the way to the side of the breast.
Good luck,
Mats Hagstrom MD

Should I stop working out for the month before breast fat transfer?

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