Would I benefit from J-Plasma and fat transfer to hip dips? (Photos)

Question

I'm having several procedures done and am having second thoughts on J-Plasma and fat transfer to hip dips. My concern with the J-Plasma is if I really need it and what the benefits are. My doctor was not 100% clear with me about it. As for fat transfer to hip dips, do I have enough fat to make a visible difference, and is it worth the potential risks. Here's the list of procedures: - tummy tuck - lipo with j plasma to the waist, back bra roll, front bra roll - fat transfer to hip dips.

George Marosan, MD · Answer

Thank you for your question and photos. You do not need J-Plasma or Renuvion skin tightening based on these photos. If you were my patient, I would do VASER Hi Def Lipo 360 degrees (full abdomen, anterior and lateral chest wall, full back, lower back fat pad , excess fat over the hips), fat grafts to the hip dips and lateral buttocks and an abdominoplasty via a low pubic bone level incision. This will give you an hourglass, athletic and feminine shape.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck. See the attached web reference.

Jason Emer, MD · Answer

you are not an cadidate for j plasma alone on the front, you can do it for the sides, back, arms, and thighs. your stomach needs lipo, tummy tuck and plasma. fat grafting to hips/buttock would be great.

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.

Connie Hiers, MD, FACS · Answer

Just based on your photos, I think liposuction alone would well for you in the flank-hip areas and once the excess fat is removed, you may find you really don't have much in the way of "dips." I would suggest holding off on the J plasma and fat transfer for now.

Navjot Singh, MD, FACG · Answer

Sounds like you have a wonderful physician who has outlined a plan for you. The amount of fat that can be transferred will depend upon the amount of fat that is removed during the liposuction process. This is only known once the liposuction procedure is completed. If your surgeon seems confident then you should trust his opinion, if not there is no harm in a second or third opinion for consistency. Fat transfer/grafting (in upto 40%) of patients may not survive so results vary from patient to patient. You can always ask your surgeon about sculptra.Good Luck on you Journey

Mats Hagstrom, MD (license on probation) · Answer

It looks like all the procedures you have listed are appropriate but from my perspective Jay plasma does not deliver.

I bought a device and used it for six months and saw only increased postoperative pain with no improvements.

That was just my experience but it was enough for me to get rid of the device and never recommend it again.

Everything else on your list seems appropriate.

Discuss with your plastic surgeon.

Best,

Mats Hagstrom MD

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