These Bulges Will Never Go Away!

By R. Samuel Bryant, MD, Cosmetic Surgeon
July 26, 2010

“I diet. I exercise. I don’t eat junk food. Why can’t I regain my figure?” Does that sound familiar? It is possible to have a nice shape with diet and exercise alone, but most careers don’t allow the extra time needed to accomplish good results. Most jobs have significant time of inactivity. As we get older, we need more activity to maintain the same level of metabolism. The result is weight gain. Gravity then redistributes that weight to areas disproportionately. Typically, hips, thighs, and waist end up with too many fat cells. Weight gain results in larger fat cells. When weight is lost, the cells get smaller, but not fewer. That is why you continue to have bulges in unpopular areas even with weight loss. Your weight is less, but your contour is still not what you want. In order to improve your contour, you need to remove fat cells.

Liposuction is a procedure that selectively removes fat cells from areas of excess. The result is elimination of the bulges, and improved contour. Afterwards, that contour will remain, even with moderate weight gain or loss. And since liposuction is a sculpting technique it can be accurately controlled. You can generally avoid the problems of over-doing or under-treating an area, as might happen with other techniques.

The procedure for liposuction utilizes narrow cannulas, or hollow tubes, with a blunt end and small opening along the side. The instrument is inserted through a very small skin incision in a concealed location near the area to be liposuctioned. Using a sculpting motion, the fat is sucked into the cannula and removed. Careful technique allows for precise removal of an area of fat, giving the desired result immediately. Whether liposuction is performed in the office with local anesthesia, or as an outpatient procedure with general anesthesia, is determined by the area of fat to be removed.

Recovery from liposuction is easy and readily allows for an early return to work. Frequently, a person can return the following day. Sometimes there is a little swelling or bruising, but often the area is not visible beneath clothing anyway. Pain is moderate and easily controlled without narcotics.

The result from liposuction is very predictable. The bothersome bulges are gone. In some circumstances, there may be excess skin associated with the fat bulge. This is particularly possible in the abdominal area. If this is the case, then a tummy tuck may be indicated. This procedure is much more involved, but does remove the skin, as well as the fat excess. Determining which procedure is right for you can be done at an office consultation with your plastic surgeon. Because of the variety of procedures available for fat reduction, it is best to meet with a board certified Plastic Surgeon who can discuss a selection of procedures to best suit your need.

If you would like more information about liposuction, tummy tuck, or other body contouring procedures, contact Bryant Cosmetic Surgery at 402.484.7001.


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