Doctors on RealSelf stress that post-lipo weight gain can be an issue, if you don’t keep eating a healthy diet and exercising. As Beverly Hills, California, plastic surgeon Dr. Brent Moelleken notes in a RealSelf Q&A, “By nature, surgery causes soreness, and patients are usually restricted from full workouts for a period of time after surgery. This explains the weight gains often noticed immediately afterward.” But it’s important to get back into the exercise habit as soon as you’re able. “Some patients gain a false sense of confidence after liposuction,” he says. “If anything, patients should plan on being more active and healthier about their eating habits after surgery than they were before.”
It's not unusual to see lumpy areas after the swelling starts to go down. This should improve after a few weeks, but wearing a compression garment can help prevent lumps. Less commonly, patients can have a hematoma (a temporary pooling of blood under the skin) or seroma (a pocket of fluid under the skin that requires draining by your doctor); changes in skin color or sensation; or scarring from thermal burning, either above or below the skin (usually an issue only with laser- and ultrasound-assisted lipo, if skin ports aren’t used). If you’re concerned about anything you experience as you recover, don’t hesitate to call your doctor.
Thankfully, there’s a slew of solutions that have been proven to help with scarring, even completely removing the visual effect. One of the first solutions that may be offered is a steroid injection into the area, which helps with the discomfort and redness of scarring. Cortisone creams are another option that may help to reduce the size of the blemish. Targeted cryotherapy, similar to the type of therapy used to remove warts, may also reduce scarring by freezing the tissue away.
Ultrasonic Liposuction : This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove. By utilizing ultrasound technology, the doctor can remove larger and denser fat deposits, and he or she can tighten the surrounding skin. However, there is a greater risk of burns and scarring due to the heat from the ultrasound waves.
Swelling will continue to go down for several months after liposuction, and as it subsides, patients will be able to see the final results of their treatment. Recovery will take longer if the treatment area is larger than usual. In addition to swelling, the skin surrounding the treated area may seem loose, but it will tighten with time. Depending on the skin's elasticity, which is determined by age and genetics, skin should return to normal in about six months.
Ultrasonic Liposuction : This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove. By utilizing ultrasound technology, the doctor can remove larger and denser fat deposits, and he or she can tighten the surrounding skin. However, there is a greater risk of burns and scarring due to the heat from the ultrasound waves.
Facial liposuction is most often performed with a micro-cannula using a tumescent technique. In some cases, liposuction of the chin, neck, and jowls, as well as other facial liposuction procedures, can have better results in these problem areas than other surgical techniques. Liposuction can also be more desirable because it minimizes scarring when compared to other type of facial enhancement. This treatment is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.
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It is normal to have a specific set of wants and desires when considering plastic surgery. Not being able to find a surgeon to meet those goals can be frustrating. It’s your body; you want it to look perfect. Dr. Kao had one such patient named Alexandra who was fed up with surgeons telling her that it was impossible to achieve the breast lift she wanted without extensive scarring. Instead of doing a traditional anchor breast lift and approaching her breast lift from the typical angle, she pushed Dr. Kao to think outside of the box and develop a unique breast lift technique that he named after her—the Alexandra Breast Lift—(mentioned in a previous blog) to provide this patient and others like her with the beautiful breast appearance they want.

However, minimizing the appearance of scars on the breast will be of vital importance to your surgeon. The whole point of a breast lift procedure is to make the breast more attractive, and conspicuous or heavy scarring defeats that point. Most scars will typically heal and fade within two years, but will always be present. Your surgeon will consider it a part of their job to keep these scars discrete, not a bonus. They may also prescribe cortisone cream and use silicone sheeting to help reduce the appearance of scars after surgery.


Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior. 

Problem areas that are resistant to diet and exercise can often be dramatically improved through liposuction. The body smoothing and contouring possible with liposuction can make an individual look and feel better simply because their clothes fit better. More importantly, their entire figure could be rejuvenated and enhanced after this procedure. Plastic surgery patients who undergo liposuction may even find unexpected benefits of the procedure as they begin to partake in activities that they had previously shied away from because they were unhappy with their appearance.
Choosing the right surgeon is the most important thing you can do when you are preparing for liposuction. Although this procedure is extremely safe, as with all surgical treatments, there are some risks, so it is important to find a doctor with an exceptional record of safety and success. Additionally, the results of your liposuction could last for decades, so you should choose a doctor who will give you the look you desire. With so many doctors offering liposuction, selecting the right one can seem like a daunting task. However, there are certain things that can make your decision easier.
Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump. After inserting the cannula through a small incision, the plastic surgeon helps break up the fat by manipulating the cannula and injecting fluid into the area. Although it does carry some risks, traditional liposuction is very effective in taking out fat, and it is still one of the most popular forms of the procedure.
The liposuction procedure can be performed using local or general anesthesia. The term anesthesia simply means "without pain," and the difference between local and general anesthesia is how much of the process you will be aware of. In most liposuction techniques, the process itself involves the injection of a numbing solution. With local anesthesia, your doctor will only numb the area of your body being targeted, and you will be conscious during the entire liposuction surgery. General anesthesia can be administered either as a gas or through a needle injection, and will put you to sleep for the duration of the operation. Once you awaken, you will still be numb in the area of the body that has been treated, and will feel little or no pain. At your initial consultation, you doctor will help you choose the right type
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Facial liposuction is most often performed with a micro-cannula using a tumescent technique. In some cases, liposuction of the chin, neck, and jowls, as well as other facial liposuction procedures, can have better results in these problem areas than other surgical techniques. Liposuction can also be more desirable because it minimizes scarring when compared to other type of facial enhancement. This treatment is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.
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