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.
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
Liposuction is very effective for shaping the abdominal area in men and women. The lower abdomen in particular tends to be resistant to diet and exercise, making even the most fit and active individuals insecure about their appearance. Pregnancy and cesarean births can have a disfiguring effect on the lower abdomen, which diet and exercise cannot correct. Most abdominal fat is located directly beneath the skin and can easily be removed through liposuction procedures. However, fat that is located deep in the abdomen (between the intestines) cannot be removed with liposuction because of the increased risk of severe complications. Abdominal liposuction may be performed in conjunction with a tummy tuck.
Liposuction is a surgical procedure that removes fat via suction. It’s typically done with a thin tube, called a cannula, attached to a vacuum. No matter how healthy your diet or how often you work out, you can still have pockets of unwanted fat that resist your best efforts. With liposuction, an experienced surgeon can remove fat, contouring your hips, thighs, stomach, abs, waist, chin, or other areas. 

Before exercising after liposuction, patients should consult their surgeons for specific, individual guidelines for liposuction recovery. Most plastic surgeons encourage patients to begin a gentle walking routine within three to four days of their liposuction. Mild exercise protects against the formation of blood clots in the legs and other post-surgical complications.

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.

Some people choose to have liposuction revision, a second procedure, due to irregularities in the results of the original procedure. These might include asymmetry between one side and another, dimpling, or bumps, to name a few common reasons for revision lipo. According to Dr. Mesa, liposuction revision is often needed when the provider was inexperienced—but it can also just be the result of the way a person heals. 
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.
Liposuction of the hips is generally successful in creating a more contoured figure. This type of liposuction is usually performed on women, as men are not as susceptible to retaining fat deposits in this area. Patients who undergo liposuction to improve the appearance of the hips may require additional procedures to attain the desired contour. The procedure is usually performed under general anesthesia. Liposuction of the hips may be performed with an extended tummy tuck. 

Most doctors have pictures of past procedures available to view online or in the office. Take a good look at these pictures and decide if the results are satisfactory. Be wary of doctors who provide few pictures and those whose images are so poor that it is difficult to determine the quality of the work. You should also be concerned if a doctor's photos are all taken from the same angle, as this can obscure ill effects, such as ripples or poor contouring.

Because each patient has individual nutritional and lifestyle needs, there is no set diet that a person should follow after liposuction. Many patients use liposuction as a way to jump-start a healthier lifestyle, using their physical and financial investment in the procedure as motivation to take better care of their bodies. In general, patients should eat plenty of lean protein, calcium-rich dairy products, fresh produce, and whole grains. They should also increase their water consumption and cut back on processed foods. For more personalized diet advice, patients may want to consider visiting with a nutritionist.


Good skin tone is essential to a good outcome, since the skin needs to snap back into the body’s new contours once the fat is removed. “If a patient has good skin elasticity, they’re going to have a really good result,” says New York plastic surgeon Dr. John Mesa. “But if the patient has bad elasticity, like a woman who’s had multiple pregnancies and the skin on her belly is too stretched, the skin isn’t going to shrink—and you’ll be left with sagging” (unless lipo is paired with a tummy tuck).
  Liposuction Cost and Liposuction Price Guide Cost of Liposuction is an important factor when considering liposuction surgery. However, the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the […]
Liposuction, or the surgical removal of fat deposits, is one of the most common plastic surgery treatments performed today. In fact, the American Society of Plastic Surgeons reports that nearly a quarter million Americans underwent liposuction in 2014. There are several different methods of performing liposuction, and it can be administered as a standalone treatment, or in conjunction with procedures such as abdominoplasty (tummy tuck), breast lift, face lift, and most body contouring treatments.
A Bra Lift with Laser (Laser Bra Lift): Some doctors will want to use a laser bra lift as an insurance policy that your breasts won’t sag. It’s actually not really an alternative to breast lift surgery as it is an extra procedure. In the laser bra surgery, the laser is used to create a bra-like effect that protects the surgical results of the breast lift. Laser energy will always stimulate the production of new collagen fibers, which give you more support of any tissues. Always look at the before and after pictures to see whether or not you think there is enough improvement.

Other variables affecting price of liposuction include the 1) experience of the surgeon and 2) geographic location of the surgeon. An expert liposuction surgeon who has done thousands of liposuction procedures, who consistently achieves outstanding results, and who is in great demand, will often charge more than a less experienced surgeon. Surgeons who are not busy may offer discounts, or entice prospective patients by offering free consultation. Surgeon’s who have had unhappy patients and who do not have a good reputation might also lower liposuction prices in order to attract new patients. In geographic areas where rents and labor costs are high, one can expect higher prices for liposuction.
In addition, surgical scars typically heal much more cleanly than accidental trauma and often form a thin, almost imperceptible line. For many of my patients, when the scar is fully mature after one year, it is difficult to see that vertical scar, but scar healing does vary by individual. An important aspect of my surgical patient care is a comprehensive scar care regimen to help optimize your ultimate scar.
Some people choose to have liposuction revision, a second procedure, due to irregularities in the results of the original procedure. These might include asymmetry between one side and another, dimpling, or bumps, to name a few common reasons for revision lipo. According to Dr. Mesa, liposuction revision is often needed when the provider was inexperienced—but it can also just be the result of the way a person heals. 
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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