The human body has a layer of fat between the skin surface and the underlying tissues. Men and women tend to develop thicker deposits of fat in different problem areas, such as love handles, abdomen and chest in men, and hips, thighs and abdomen in women. Despite diet and exercise, different areas of fat may persist. If you are bothered by an unwanted bulge, desire a better-proportioned body, or simply wish to fit into clothing better, then liposuction may be the answer. Although liposuction is not a means of weight reduction and cannot cure cellulite, it can permanently improve your body contour. The procedure involves first injecting tumescent fluid into the fatty deposit and then inserting a narrow, hollow tube though a small incision. As this cannula is moved through the fat, a suction machine vacuums the fat away. The ultrasonic technique, which utilizes sound waves to liquefy particularly dense fat, enhances the result in certain areas. Following surgery, patients must wear a compression garment to help the skin conform to a new shape. Often, you can return to exercise in just a few weeks.
If you have developed a prominent belly due to excess, wrinkled skin and fatty tissue, related to loss of skin elasticity and poor muscle tone – whether caused by pregnancy changes, weight gain and loss or metabolism, then an abdominoplasty (tummy tuck) may be indicated to create a trimmer, firmer abdominal contour. This surgery is usually performed through a horizontal incision across the lower abdomen, just above the pubic area, so the final hairline scar can be hidden within a bikini line. Liposuction removes the fat, excess skin is trimmed away and sutures tighten the abdominal muscles. The extent of surgery will depend upon the pre-existing condition of your abdominal wall and your stated goal. The use of a pain pump, infusing a long-acting local anesthetic, allows Dr. Schwartz to provide significant postoperative pain relief and increased comfort and mobility in the first few days after surgery.
With the increasing popularity of bariatric surgery, more and more patients have successfully lost massive amounts of weight, only to be left with the problem of loose, saggy skin. For someone who has committed so much time and effort to achieve their weight loss, this excess, stretched skin represents an obstacle to feeling totally comfortable with and enjoying their new self. Fortunately, recent innovations in body contouring surgery enable Dr. Schwartz to safely remove those reminders of your previous self and to reshape all areas of the body. Arm lift, thigh lift, breast lift, abdominoplasty (tummy tuck), and total circumferential lower body lift procedures have been designed to tailor your skin to your new, trimmer body. Massive weight loss patients present their own special set of factors to consider with planning surgery, including poor skin elasticity, nutritional status, and possible wound healing problems. Certain procedures may be extensive and require hospitalization. Nevertheless, this type of body contouring surgery can truly transform one’s appearance and improve the quality of your life.
In warmer climates such as south Florida, people commonly wear short sleeves or sleeveless attire. Patients often complain of being self-conscious of their loose, flabby arms. This looseness and sagging can be extreme after extensive weight loss, such as after bariatric surgery. An arm lift (brachioplasty) involves removing the excess skin and fat along the length of the upper arm, creating a firmer, smoother, more youthful looking arm. Although liposuction may be utilized to reduce fullness, it is rarely sufficient to correct this problem. The key element is the tailoring of the skin. Unfortunately, this leaves a scar running down the length of the upper arm. However, recent advances allow us to place the scar on the inside back surface where it is much less noticeable, and the newer T-shaped scar technique, which may be appropriate for less extensive deformities, leaves a much shorter scar along the upper half of the arm. So if the appearance of your arms limits your clothing style or activities, consider the possibility of an arm lift.
Many people are bothered by the looseness and fullness of their thighs. This condition can affect your appearance, the way clothing fits, and even cause discomfort or annoyance due to friction from the legs rubbing together. Although liposuction can successfully reduce bulk and trim down the contour of your thighs, the problem of loose and saggy thighs; whether due to weight loss or aging, requires a surgical thigh lift. Liposuction removes fat, but does not tighten loose skin. A thigh lift will correct sagging and firm up the thigh. Your particular condition, such as the extent and direction of the looseness, will determine which technique is most appropriate for you. Dr. Schwartz will thoroughly discuss all your options during your consultation.