Thursday, November 12, 2009

Liposuction - Learn About Each Area - Chest

The gynecomastia area is gravitationally prone. The male chest is a common area for liposuction. With age, the male chest tends to become fuller and drop with loss of elasticity in muscle and skin tone. The male chest is one area where I choose to be very aggressive in with fat removal. Like most areas, I approach each side from two directions to be through with the tunnels. I am careful to make sure that I get the area under each nipple completely, which is many times a combination of fat and glandular tissue.

Sunday, November 8, 2009

Liposuction - Learn About Each Area - Neck

This is another gravitationally prone area. Try to catch this area earlier as opposed to later if there is any fullness. If it drops too much over time and there is loss of elasticity, a lower face and neck lift may be the only option. The majority of improvement from well done liposuction of the neck comes from the surgeon knowing how to get the maximum, even skin retraction. Although only minimal fat is generally removed, even the fattest necks, can see great improvement. I liposuction the neck in one of two ways:
  1. Submental Liposuction- For those that have fullness only in there middle part of the neck, under the chin (mentum). In these patients, it is not necessary to liposuction the whole neck and access can be from one small incision under the chin.

  2. Entire neck - For those that have fullness of the lateral neck, it is important to liposuction the entire neck up over the jaw line, and sometimes the jowls, to achieve an optimal result. If this patient has only submental liposuction from one midline incision, the central part of the neck will retract without the lateral neck retracting. The results will either look unnatural or incomplete. For these patients, I use three incision points: one under the chin and one under each earlobe. The worst and unavoidable result of neck liposuction is having to wear a chin strap for five to seven days full time and another seven to ten days part time. For this reason, unlike other areas where my patients can camouflage having had the procedure done under clothing, most patients have to take some off work to recover and heal in private.

Monday, November 2, 2009

Liposuction - Learn About Each Area - Anterior Thighs

This is another area that is rarely done by surgeons. One must be careful not to flatten the anterior thigh as a wider looking less feminine shape will result. But once again, if there is quite a bit of bulk (fat not loose muscle) the anterior thigh successfully can be de-bulked, if one stays in the deeper fat and knows how to approach this area from four directions. It is important to follow the shape of the leg so it looks natural from any when viewed from any angle. Additionally, if there is a lot of bulk to the anterior thigh and the outer or inner thighs are done, it may be necessary to blend those areas with the anterior thigh to achieve the proper contour.