Will I lose weight if I have liposuction?

The short answer to this question is: most likely not. As I’ve said in previous posts, liposuction is not a method of weight loss. I do around 5-6 liposuction cases per week. The average amount of fat I remove is one to two liters, which weighs around two to four pounds. This doesn’t sound like much, but when fat is removed from a single area such as the stomach, two pounds of fat is enough to make a huge difference in the way you look and the way your clothes fit. But in terms of numbers on the scale, your weight varies by a couple of pounds depending on how much water you are retaining. So you won’t see a difference in your actual weight after liposuction.

courtesy of shutterstock.com

courtesy of shutterstock.com

There are some cases where patients do see a change in their weight. These are usually instances where someone has gotten several areas treated, e.g. stomach, waist, hips, inner thighs, arms, and back. This much liposuction is actually separated into two operations because there is a limit to how much fat we can remove safely in one day. And even in these large, two-stage, operations, I’ve never seen a patient lose more than 10lbs.

Do you have any questions about liposuction? I would be happy to answer them in the comments section.

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Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.

What is the difference between a neck lift and a face lift?

Face lift and neck lift are two procedures that are nearly always done in a single operation. Today I’m going to talk about the difference in the two operations, and when you might only need one vs. both.

  • Face lift: addresses only the mid-face, which is the area from your jawbone to your cheek bone (outlined in blue on the photo below). I’ve spent time in another post discussing exactly what happens during a face lift, but to summarize, the skin anterior to the ear is elevated using an incision that starts just in front of the ear and continues around to the back of the earlobe. The underlying layer of muscle and connective tissue is then tightened using suture. This is the actual “lift” that occurs. Then the skin is re-draped and any excess removed before closing the incision. face lift and neck lift locations
  • Neck lift: addresses only the anterior neck, from the just behind the ears to the midline (outlined in purple in the diagram to the left. A neck lift is done through nearly the same same incision as a face lift. The only difference is that the incision continues further behind the ear to remove the excess skin over the neck. There is also an additional incision under the chin. This incision is used to tighten the muscles along the front of the neck, and to remove any excess fat. The excess skin is then removed and the incision is closed.

From the description, I think you can see why face lifts and neck lifts are usually done together. If you have laxity (loose skin) along the jawline, then you very likely have laxity under the chin as well. I do see the rare patient, often younger, who only has laxity along the jawline. And in this patient, it may be appropriate to only do a face lift. The other time I will do only one of the two procedures is in a patient who has had prior surgery. In this case, it is common for only the neck or only the face to need a touch up.

 

Do you have a question about face lifts or neck lifts? I would love to answer your questions in the comments section.

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Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.

What gives away your age?

We all know that wrinkles and sagging skin on the face are dead giveaways of our true age. But there are two other body parts that indicate your age that you may not even aware of.

1) Your neck and décolletage. Most women focus on the face when applying skin care products, sunscreen, and makeup. But the neck and décolletage receive as much sun, if not more. Fine lines and brown spots in this area are a dead giveaway of age. There are several treatment options for this area:

  • Skin care products: The same skin lightening creams (e.g. Lytera) that work on the face work on the chest and neck as well.
  • Resurfacing: Although a traditional laser peel is too harsh for the delicate skin in this area, more mild chemical peels and Profractional laser treatments can both be done on the neck and chest. These options will improve both texture and pigmentation.
  • Fotofacial or BBL: The primary goal of a fotofacial treatment is to even out the pigmentation, and it is very effective over the décolletage.

    BBL treatment of the chest

    BBL treatment of the chest

  • Skin tightening treatments: Marketed under many different brands (Venus, Skintyte, Ulthera, Thermage), these treatments heat the skin, which stimulates collagen remodeling and tightens skin gradually over a 4-6 month period. This is a great option when skin on the neck develops a crepey texture.

2) Your hands. Hands are subject to the same pigmentation issues as the rest of the body. And although skin on the hands does not develop wrinkles in the same way, the soft tissue does thin out (atrophy) over time, making the hands appear bony or gaunt.

  • Skin lightening creams and fotofacials are both great options for achieving more even pigmentation out on the hands.
  • There are two options to treat volume loss in the hands. Radiesse® has been used to add volume to the face for many years, and was recently approved by the FDA to add volume in the hands. Radiesse® is composed of hydroxylapatite, a mineral found in bone. It is injected under the skin to add volume, and lasts about 9-12 months. The other option for adding volume to the hands is fat grafting. This procedure takes fat from the abdomen or thighs, and injects it under the skin. Unlike Radiesse®, fat-grafting is permanent.

What body area shows your age the most? I’d love to hear from you!

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Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.