Alternatives to traditional lipo for BMI 21? (Photo)

Question

I am in my early 40's, live a healthy lifestyle and have muscle definition. I'm looking for a procedure that can address abdominal fat efficiently due to busy schedule. 5'7'', 132lbs, BMI 21. No health conditions.

David Hill, MD · Answer

While liposuction is your best treatment option for definitive results, there are a few other treatments that might work, although they are far less precise or efficient. Cryolipolysis (Coolsculpting) can target fat in the distribution of a paddle that is sized for the area. However, it doesn't treat anywhere outside the paddle applicator, often requires 3-4 treatments, and has the possibility of paradoxical adipose hyperplasia (PAH) where the fat actually grows rather than shrinks. The other potential treatment is chemical lipolysis (Kybella) although it is critical to know that this is off-label, as it is currently only indicated for submental (neck) fat. For both of these treatments, the downtime and the recovery are substantial, and often moreso than they are for liposuction in a thinner, fit patient. For these reasons, I would encourage you to look into liposuction more, as the results and downtime seem to lean in its favor for what you are looking to achieve.

Anna Petropoulos, MD, FRCS · Answer

Hello emilyrose235 and thank you for your question! Given your healthy lifestyle, muscle definition, and low BMI, you might be an excellent candidate for CoolSculpting as a non-surgical alternative to liposuction. CoolSculpting uses controlled cooling to target and eliminate stubborn fat cells without downtime, making it a great option for those with a busy schedule.

Since you’re already lean, CoolSculpting can help refine and contour your abdomen by reducing small pockets of fat resistant to diet and exercise. Results develop gradually over a few months as your body naturally processes and eliminates the treated fat cells.

That said, choosing a highly skilled provider is essential to achieving the best outcome. Look for a reputable clinic with experienced practitioners who can assess whether CoolSculpting is the right fit for your goals and ensure proper treatment application for optimal sculpting.

Best of luck! 
Genie Alexander, RN BSN for Anna Peropoulos, MD FRCS 
Center for Classic Beauty
Boston, MA

Arif Eroglu, MD · Answer

Hello; It's not about getting fat; essentially, after fat removal; it is significant whether skin laxity will occur or not. If skin laxity will not happen, PAL (power assisted Liposuction) or Vaserlipo is sufficient. However, if skin laxity will become, methods; in order to eliminate the skin laxity such as Bodytite or Renuvion J plasma should also be implemented.

Thomas Wright, MD · Answer

Emily Rose, Thank you for sharing your photos. Noninvasive options such as Coolsculpting or Cutaneous Laser are just not that effective and would be a waste of your money.  Laser Liposuction or Liposuction with Renuvion [Plasma Liposuction] will give you the most definition. If this procedure is done with Local Tumescent Liposuction you can go to work the next day.

Leonard Grossman, MD · Answer

You must definitely can have liposuction of the abdominal and flank area. Make sure you go to Plastic surgeon who gets good results not just promises you them. Do some background research. A well performed liposuction should produce improve for portions and leave your skin as tight as it is at this point in time. I hope this helps and good luck from New York City Plastic Surgery.

Mats Hagstrom, MD (license on probation) · Answer

The gold standard for removing subcutaneous fat is Liposuction.
All other options tend to fail. In comparison to Liposuction.
I do not recommend cool sculpting which tends to have dismal patient satisfaction rates.
Delivering consistent quality Liposuction results tends to be more challenging than many people realize.
Provider selection is the most important variable.
To find the right provider, I suggest patient’s schedule multiple in person consultations with providers in their community who seem to do a lot of liposuction.
Being boards certified in plastic surgery with years of experience does not mean somebody is mastered anyone single procedure especially not Liposuction.
Poorly done Liposuction can potentially leave people disfigured and it’s very difficult to correct the results with revision surgery. 
During need consultation to ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own.
And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Highly experienced providers will, in fact, have access to hundreds or preferably thousands of before, and after pictures.
Being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
 Along with provider selection, patient candidacy also has major impact on potential outcomes.
Most people do not understand their own candidacy for Liposuction.
Some people simply are not good candidates for the procedure, and they don’t have the potential of having high-quality outcomes regardless of who does the procedure.
 Other patients may be excellent candidates, and these patients have the potential for having stunning results, but can also have poor outcomes if provider selection is not done correctly.
Typically the best candidates for Liposuction tend to be young individuals with tight skin, who have no pregnancy related changes and excess undesirable subcutaneous fat in undesirable areas.
Skin laxity is probably the number one reason patients become lesser candidates for quality Liposuction results.
Best,
Mats Hagstrom, MD

Alternatives to traditional lipo for BMI 21? (Photo)

Answers (6)

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