Question about new research on fat cell turnover, how weight gain could cause increase in fat number?

Question

I read that new studies indicate that fat cell number does not stay constant throughout one's life and that not only do fat cells die and get replaced with new fat cells every year, but that the actual number of fat cells can increase with weight gain and never decrease again. But how much weight gain could cause this increase in fat cell number? And if fat cells that die are replaced by new fat cells during fat cell turnover will they replace the cells where they were lipo'd from?

Alan Gonzalez, MD, FACS · Answer

Hello @ofield, thank you for your question. Generally speaking, when it comes to gaining weight via either diet or lifestyle changes, the number of existing fat cells does not typically increase when the person had reach adulthood; instead those same exact cells tend to grow bigger as a result of more lipids/fats being deposited inside them. Therefore if a person goes from having 10% bodyfat at 150lbs (which means 15lbs of fatty tissue) up to 20% bodyfat at 200lbs (30lbs of fatty tissue) then it’s likely that their exact same amount of current adipose tissue has simply grown larger due to more lipid content getting stored within those existing adipose tissues. 
When liposuction is performed, however, the fat cells removed during lipo are not replaced by new ones during natural fat cell turnover. This means that if you take proper care of your body and build lean muscle mass and follow a healthy diet the results will extend over time. I lin a video to shed more light on the matter. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Mats Hagstrom, MD (license on probation) · Answer

An average human adult has 30 billion fat cells with a weight of 30 lbs or 13.5 kg. If a child or adolescent gains sufficient excess weight, fat cells may increase in absolute number until age twenty-four.If an adult (who never was obese as a child or adolescent) gains excess weight, fat cells generally increase in size, not number, though there is some inconclusive evidence suggesting that the number of fat cells might also increase if the existing fat cells become large enough (as in particularly severe levels of obesity). The number of fat cells is difficult to decrease through dietary intervention, though some evidence suggests that the number of fat cells can decrease if weight loss is maintained for a sufficiently long period of time (>1 year; though it is extremely difficult for people with larger and more numerous fat cells to maintain weight loss for that long a time).
Liposuction permanently, remove skin cells from any one part of the body. The remaining fat cells will behave like they did prior to Liposuction. Liposuction changes someone’s fat distribution and it does so permanently. how deep is lake division except for childhood only happens in extreme obesity, and this does not necessarily mean more fat but simply more fat cells. The total amount of stored fat is still based on the total amount of food consumed. is it the sides? Divide when they’re no longer capable of holding the amount of fat that’s loaded onto them. This happens in extreme obesity. While occasional cells may replace themselves this is a Clinical unimportance to Liposuction concepts, treatments or outcomes.
We still treat people the same way whether they’re fat cells are going to replace them selves divide or not divide.
There are only two variables related to quality Liposuction results. The first is patient candidacy, and the second if the skill of the provider.
I suggest anybody interested in Liposuction focus their efforts on those two variables, since they are the variables that determine whether Liposuction is a success or not.
Many people seeking Liposuction are in fact not very good candidates for the procedure and candidacy for Liposuction is a complex topic and making accurate predictabl assessment is something that requires skill and experience. A patient who is not a good candidate, for Liposuction does not have the potential of having quality liposuction results regardless of who does the procedure. A patient who is a good candidate for Liposuction has the potential to have a great outcome if the procedure is done by a sufficiently talented and experienced provider, preferably a board-certified plastic surgeon. That same. Patient also has the potential to be left disfigured if the procedure is done poorly by someone lacking skill and experience.
In the end, these are the fundamental variables, that matter when it comes to Liposuction. Theoretical discussion of cell division has little relationship to aesthetic outcomes, which is what this forum is primarily focused on.
For anybody, considering Liposuction, I recommend having five in person, consultations with local board-certified plastic surgeons to get an accurate assessment, and to begin the vetting process to find the best provider.
Delivery consistent quality Liposuction results is more difficult than most people believe.
Best,
Mats Hagstrom, MD

Question about new research on fat cell turnover, how weight gain could cause increase in fat number?

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Question about new research on fat cell turnover, how weight gain could cause increase in fat number?

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