I have been asked so many times by patients and friends whether the fat you remove from liposuction goes somewhere else on your body.  What they mean is, if your thighs get thinner, does your tummy get bigger.  So why the confusion. 

When you remove fat during liposuction, that fat is thrown away or sent to pathology, but it is GONE.  That means that your thighs now have fewer fat cells then they had before.  So when you gain weight, there is fewer cells in your thighs to get bigger but you still have all the fat cells in your tummy.  So if you gain weight after liposuction, the areas you did not suction will get fatter then the areas you did.  So if you always gained weight in your lower half, and then you do liposuction, now if you gain weight your upper half will get bigger in proportion.

Hope this clears things up.

transparency

It is amazing that in order to pay for the unchecked distribution of money for pork and cronies the administration will tax those who would like electrive surgery.  The problem is that elective plastic surgery is 50% of time not elective.  People come in with various pectus deformities of breasts, pectoralis muscle abscense, post weight loss skin laxity, large breast problems with back aches, or just psychologically problematic conditions like inverted nipples, large labia, ears that are very prominent, very stretched out abdominal skin due to multiple pregnancies etc.  On the surface these are frivolous surgeries, however, psychologically these are very necessary.  Will the government be now in charge of what is frivolous and what is necessary? Will the government beurocrats know about you medical problems and keep the information out there to be hacked into? Up till now only insurance cases were documented in cyberspace, but elective plastic surgery was private. Now even your private plastic surgery procedures will be public knowledge as you will have to “tell someone” in government so they can tax you. Women who have inverted nipples or large labia or other private problems which they want to keep private will be quite distraught at having to tell the government officials what they are having done and have that recorded in public records which as we know are not that secure and accessible to many. Soooo****be careful how you vote for all new legislation.  It does not seem that the administration has any sensitivity to your problems or have any concern for your privacy. They believe in transparency on all levels especially yours.

Recently gastric banding has become the procedure of choice for managing extreme weight loss. Bypass surgery is still done but less frequently. The weight loss that results also leads to extreme redundancy of skin which just hangs in folds. Many must now address this condition. Skin folds besides being unattractive also lead to rashes and discomfort. One cannot fit into clothes properly and wearing a bathing suit may be embarrasing. So one needs to look for a qualified plastic surgeon to do total body skin reduction. This, if involves lots of areas,  should be done in a hospital as the procedure is long and people after extreme weight loss may be more susceptible to certain complications.  They must be monitored properly postop. If one does it region by region, it could be managed in an office setting. For example, breast reduction and or lift. facelift and eyelidplasty, panniculectomy etc. After the skin envelope is reduced the results are great and the patient can then pursue a very normal life. Clothes will fit well and exercise becomes easier. Dermatologic conditions improve as does self confidence.  So if one is interested in that procedure would love to see him/her in our office and explain the procedures and alternatives.