Fast facts

Liposuction


What it is: Liposuction or lipoplasty is a surgical procedure to address excess fat deposits in specific areas of the body.  Liposuction is not intended to be a weight loss solution.


What it addresses:  Fat deposits in body areas including:

- Stomach
- Buttocks, Hips & Thighs
- Love Handles
- Saddle Bags
- Calves & Ankles
- Breasts
- Back


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Question

Should I wait for the usual weight gain before I have Liposuction done?

I usually gain 5 lbs in the winter and naturally lose it in the spring. If I want to get Liposuction done on my thighs, belly, and hips, should I get it after I gain the winter weight so the doctor can take out what he can see? I'm worried that if I go through the procedure before I put on the winter weight, the doctor won't see much fat, and therefore he won't take out enough.


Asked by: mimi-jelly
chicago, IL

Answers (8)

Sort by: Most recent | Most helpful
1
November 18, 2008

Liposuction contours your body, so I would proceed now.

David A. Dreyfuss, MD
David A. Dreyfuss, MD
Board Certified
Plastic Surgeon

Your best results are achieved when you are at your "fighting weight".  However, 5 lbs either way will not change the contour that the doctor can achieve.  If you have liposuction now, with exercise starting about 4 weeks after surgery, you should have the shape you wanted by spring.  You will be able to shed those extra pounds and tighten the skin.

Don't use the liposuction as an excuse to eat more and gain extra weight.  This would destroy your results and feel as if you wasted your money.

2
November 17, 2008

Yes, I'd wait.

It is best to remove fat at a time of stable weight or a small amount of weight gain (the fat cells are easier to remove when they are full, compared to after someone's lost weight, and the fat cells are "shrunken".) Although 5 pounds isn't much, if you know you're going to be gaining, better to wait and do the liposuction after the weight gain (and, then, lose it after the procedure for an even better contour!)

I hope that helps!

3
November 17, 2008

Stable weight and stable contour

Robin T.W. Yuan, MD
Robin T.W. Yuan, MD
Board Certified
Plastic Surgeon

Ideally you should have a stable lifestyle with relatively stable weight. If your area in question does not appreciably change with your five pound weight fluctuations, you shouldn't worry too much. But do not gain or lose the weight just for the surgery because if the area in question does change enough for you to notice, then when your weight changes, so will your result.

4
November 17, 2008

Gain the wieght

Charles Perry, MD
Charles Perry, MD
Board Certified
Plastic Surgeon

It is always easier to remove fat in an area that has fat.

5
November 17, 2008

Liposuction is about contour improvement not a volume reduction

Robert M. Freund, MD
Robert M. Freund, MD
Board Certified
Plastic Surgeon

Liposuction is about changing contour. I like to describe it to my patients as beach ball removal.

Think of your fat as a bunch of small beach balls distributed throughout your body. With every pound of fat gained, every beach ball gets a little bigger. The areas on your body that show more of the weight gain are areas with more beach balls. The number of beach balls does not change during most of your life. The times when the number of fat cells increase is:

  1. 0-3 years old
  2. Puberty
  3. Pregnancy
  4. Morbid obesity

Liposuction removes beach balls so contour is changed, but does little to control weight gains or weight losses. The limiting step with regard to your weight and volume reduction, has to do with safety. Plastic surgeons will typically limit liposuction to 5 liters maximum removal. If your contour correction requires more than that amount then weight loss is advisable. In your case 5 pounds is very little and will not affect the outcome. Go for it!

6
November 17, 2008

In most cases, 5 lbs does not make a big difference

Shahram Salemy, MD
Shahram Salemy, MD
Board Certified
Plastic Surgeon

Unless you are nautrally very thin, 5 lbs really won't make much of a difference in your final result, and you're probably ok to proceed with the procedure at your convenience.  Talk it over with your doc and see if he agrees, but it should not be a major issue.

7
November 17, 2008

If it is only 5 pounds, then go ahead with the liposuction

Mimi,

Before you have any surgery it is very important that the surgeon examines you.  Most people have weight fluctuations, so do not worry about 5 pounds.  When doing liposuction, I concentrate on how much (actually how little) I leave behind.  How much I take off is just a product of what was necessary to achieve the desired results (shape, contour).

Enjoy your liposuction.

 

 

8
November 17, 2008

5 pounds could make a difference - Ask your surgeon

Sutton Graham II, MD
Sutton Graham II, MD
Board Certified
Plastic Surgeon

The most straightforward answer I can give is to discuss those issues with your surgeon.  Once the two of you inderstand your goals, you can formulate a plan.

Most surgeons would want to talk with you and examine the areas of concern.  Then you would discuss the amount of change desired in each area.  Five pounds of fat concentrated in your hips, thighs and tummy could certainly affect how your surgeon performs your liposuction procedure.  However, if those same areas are a problem even without the 5 pounds, the outcome of treatment may be similar. 

Also consider that patients often prefer to heve plenty of time to recover before Spring season starts.

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