Liposuction for spot reduction..not weight loss

By Dr. James White

For years , liposuction has been considered to be the most commonly performed cosmetic procedure in the United States and although it is a highly effective tool for fat tissue spot reduction, actually one of the only proven methods for spot reduction , the general population mistakes this body-sculpting tool for a diet and exercise alternative .This is a very popular misconception associated with liposuction in which we must consistently clarify in liposuction consultations.

The Ideal Liposuction Candidate

The best candidate for this procedure is someone, in good health, with localized collections of fat which persist despite diet and exercise.

Those who are at or close to their ideal body weight derive the greatest benefit from this procedure. Typically, an individual with a body mass index (BMI) of 21 – 25 is ideal while an individual with a BMI of 26 – 30 is still a good candidate. Although, patients with a BMI above 30 (30 – 35) will benefit from liposuction, the result will not be as optimal as those individuals closer to their ideal body weight. For people in this BMI range (30 – 35 ), a diet and exercise program is recommended prior to consideration for liposuction. This procedure is not well suited for individuals with a BMI of greater than 35.

If you are not at your desired weight, we will recommend that you get down to your desired weight and stabilize your weight prior to undertaking this procedure as the best results are obtained this way. Moreover, your weight should be stable for three months prior to undertaking liposuction (a weight which is relatively constant over this period of time should be permanently sustainable).You should not be attempting active weight loss for at least one month prior to this or any other operative procedure.

Effective Spot Reduction with Liposuction

Liposuction is one of the only ways to target the areas where we tend to deposit stubborn fat . The most typical trouble spots include the abdomen, love handles, outer thighs (saddle bags) and the double chin . The arms, back (below the bra line) and inner thighs are also common culprits of stubborn fat . Even after vigorous exercise and diet, these trouble areas tend to persist. So, why does this happen?

When you gain weight you grow adipocytes (fat cells) that fill with lipid (fat) and when you lose weight, those fat cells empty out the lipid but stay in place. Therefore, they remain to simply fill again making you gain weight. This is one of the reasons why it is easy to gain weight and why repeated gaining and losing weight with dieting makes it harder to stay trim in the long run. You fill up with fat cells.

Unlike dieting,liposuction removes those fat cells permanently in addition to the lipid. It puts that area of your body back in sync with the rest of you so that even if you gain weight again, it will be more evenly distributed because the excess cells in your trouble area are gone for good. In fact, a number of patients have had liposuction and have subsequently gained weight. The areas originally treated by liposuction have maintained their new shape, and even though they are heavier they still have a more desirable silhouette.

Successful Liposuction Results

The cosmetic success of liposuction relies on removing inches rather than pounds. For example, removing an amount of fat equivalent to a half-pound of butter from a woman’s saddlebag area or from a man’s love handle areas would result in dramatic change in silhouette, but would not significantly change the person’s weight. If at least a 50 percent improvement would make you happy, then it is likely that you will be very happy with the result of this procedure as our patients typically report more than a 50 percent improvement. For the perfectionist, or for liposuction of a very large area, maximum improvement may require a second procedure for which there would be an additional fee.

To schedule a complimentary consultation with our Board Certified Surgeons or for more information, call 423-648-4011.

For a complimentary consultation call 423-648-4011.