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Liposuction (Suction Lipectomy)

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Michael Bermant, MD Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
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  • Did it have any effect on your life
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  • How did others react to your surgery?
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  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Subj: Re: Liposuction

Dr. Bermant:

Thank you for the very informative website on cosmetic surgery. I am considering having liposuction on my inner thighs and hips where I have been totally unsuccessful at losing the fat. In the last 8 months I have lost 25 lbs. and look great except for these areas. My mother and sister also have these problem areas.

My question is, would it be realistic to return to work only three days after such surgery? I have recently started a new job and don't have any leave. I am wondering if I could have the surgery done on a Friday to a three day holiday weekend and return to work the following Tuesday? I sit all day at a computer and could drive to work during recuperation instead of taking the subway.

Since I am trying to achieve the ideal bathing suit body, could I have this surgery in May and be able to wear a bathing suit within a month?

Your feedback is greatly appreciated.

C

Northern Virginia

Dr. Bermant responds:

Liposuction surgery is the name for surgery on localized fat collections. It can be minimal with next to no loss of time from work, to very extensive with several weeks necessary for recovery. Inner thigh localized adiposity can be one of the smaller operations in most cases. (In others it is much more major surgery due to the amount of tissue involved.) A return to work on a computer in a post surgical elastic garment may be possible even before the 3 days you discuss. It depends on the type of anesthesia. Local anesthesia without sedation has a much faster recovery time than either general or sedation. The later two options need at least one day of rest after surgery.

Depending on the degree of surgery, your own body's reaction with swelling and bruising, bathing suit appearance can take some time. Some are bruised from 2 - 6 weeks others shorter or longer. Most swelling resolves in 3-4 weeks but can take longer. Tissue healing evolves over 6 months.

We often accommodate our patient's requests such as yours to operate on Friday so that the weekend can be used for recovery.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

I'm 37 & weight 190,I lost 35lbs. last year but can't seem to loose any more for some reason,I tried but get nowhere,would lyposuction help? I'm exercise regularly,so in pretty good physical shape, just can not get the weight to go anywhere .

J

Dr. Bermant responds:

Liposuction is for localized fat collections, not for general weight loss. E-mail does not provide enough information to evaluate a patient and answer the questions you ask. You need a consultation & evaluation to better understand what your options are.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

Dr. Bermant,

I am a 21 year old 6'2 220lb male. I have have been slightly over-weight for the majority of my life. I have been working out for a couple of years both muscular and cardiovascularly. Although my muscle tone has improved I still can't seem to lose the fat around my stomach and buttox. I'm am an avid vegatertian and cousume a well balanced extremly low-fat diet and still the fat won't come off !! I understand that general lyposuction only removes LOCALIZED fat deposits, so I was wondering if you could recomend any other treatments that would removed the unwanted pounds.

Thank you,

D

Dr. Bermant responds:

I am only a plastic surgeon. I can help with surgical sculpting. I am not an internist or generalist. Your medical doctor is a good starting point to talk about weight problems you mention.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

I feel a bit silly writing, most of my family and friends would think I'm crazy to think about liposuction, but..... I feel that my thighs are out of proportion to the rest of my body. My measurements are 33, 22, 34; 5'6" and 115 lbs., but my thighs are 19-191/2 inches in diameter. Am I crazy to think that they need to be any smaller? I know that I shouldn't complain, but I have a hard time finding clothes to fit, like jeans. My thighs have always been larger than normal, even when I've weighed more. I've tried walking, running, weight training; it seems to make them shapely, but larger. There is a fair amount of cellulite on the upper third of the back of the thigh on on the bottom third of the buttocks. It is slightly visible, but more visible if I clutch the buttocks tightly. Please answer, so I know whether to forget about this idea. I live only 2 hours north-west from you, so a consultation would not be a problem. Thank you for hearing me out.

Dr. Bermant responds:

Leg and thigh contour is a function of bone, muscle, fat, and skin. Liposuction can help resculpt problems that have localized fat collections. It is difficult for the average patient to tell if the problem is fat, muscle, or bone. This and other issues ARE better demonstrated in an IN OFFICE consultation.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

Dear Doctor-

My name is K... I have recently lost 50 pounds and am down to 155 pounds and am 5,6". I am looking to have liposuction done in 5 areas. They are stomach, inner and outer thighs, hips and butt. I am wanting to know what it would cost to have this done. Also, I had a baby 13 months ago and my skin stretched a lot leaving me with horrible stretch marks. I am wanting to know if this would cause a problem with the liposuction in my stomach leaving hanging skin? Can you also get rid of stretch marks and how much would it cost? I would appreciate your answering my letter via e-mail. The address is ....

Your website was very informative. I appreciate you doing this for yourself and the public.

K

Dr. Bermant responds:

Liposuction is good for localized fat collections. It does not help with stretch marks nor loose skin. In fact, if the problem is one of loose skin of the abdomen (tummy region) then liposuction is not as good a choice of intervention as a tummy - tuck (abdominoplasty). An abdominoplasty removes extra fat AND skin from the lower belly. Any stretch marks in the removed skin are also removed. Any stretch marks above the skin removed obviously remain behind. Cost is a function of the extent of surgery.. Liposuction depends on how much is done My surgeon's fee for liposuction can be found here. Tummy Tuck Abdominoplasty costs can be found here. When procedures are combined in the same operation, the cost is reduced. Other costs depend on type of anesthesia and location of surgery.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

I would appreciate more information on liposuction procedures for the thighs. Especially average costs and if any kind of insurance would cover the procedure.

Dr. Bermant responds:

Liposuction of the thighs can be a limited or very extensive operation. In some cases there is too much redundant skin for liposuction to be appropriate. The type of anesthesia and location of surgery can change the cost. Price depends on what needs to be done. My surgeon's fee per liposuction zone can be found here, operating room and anesthesia charges combined. An in office consultation takes more than an hour. Liposuction is not usually covered by insurance plans when used for cosmetic surgical sculpture.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

I am a 26 year old male. 6'1" 200 lbs. I am a law student and keep active outside the classroom. I run. Play basketball. Lift weights. Ride bicycle. Eat very healthy-- no fat, high carb and protein, vegetables, fruits, low cal. The works. I don't eat anything before I workout. I I can't lose the fat on my lower back or around my stomach. It is so damn frustrating I am about ready to just say forget it and go out and slam 3 zas and 4 Big Mac's with fries...Supersized!! I feel stupid going to a doctor about it. I don't know if they could tell me anything anyway. I've never had a weight problem, and I can't say this really qualifies as one except that I don't like the way I look. I can't seem to lose the fat and haven't been able to tone-up anymore. It's like I've reached my peak. I'm very disapointed and extremely frustrated. I don't have a lot of money, so plastic surgery probably isn't an option. $2000 is just too much right now. What else can I do?

I thank you in advance for your patients and help.

B

Dr. Bermant responds:

Perhaps a consultation with a plastic surgeon will be able to help you understand IF liposuction is an option. Most doctors make their consultations reasonably priced. The learning experience may not solve the problem of not being able to afford surgery, but you may find out that your condition is not one that liposuction will help. Sometimes learning that surgery is an option in the future will help let you plan your priorities so that you can save for the surgery. It is very hard to make a recommendation without examining and evaluating a patient.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: liposuction upper arms only

I am very interested in having lyposuction on my upper arms only. Even though I do need it all over, I would like to have my upper arms done because I have such a hard time finding clothes to fit. I find something that fits - the sleeves are too tight. I would like to know if this unusual and approximately how much would it cost for just the upper arms.

Please advise. Thank you,

R

Dr. Bermant responds:

Extra tissue about the arm region can be fat only or more commonly both fat and skin. Liposuction can be a very effective tool in addressing the extra fat but does a poor job with extra skin. Many patients cannot tell what they need. An in office consultation is the best way to start the education process for any particular patient problem.

My surgeon's fee for liposuction arms can depend on the particular problem. Arm reduction surgery can also vary depending on what needs to be done. My surgeon's fee for liposuction per zone can be found here. There can be other fees involved like where the surgery is done and what type of anesthesia. I wish I could be more specific, but without being able to see the problem, I have to give a range of prices.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: after lipo...now what?

I am a 47 year old female.

I had liposuction preformed on my abdomen area, 8 months ago. I dropped 3 jean sizes. Great!!!

But now I feel like I am gaining weight in my back area. Is this normal? Will my weight return to the abdomen area or elsewhere in my body? This has just started feeling this way. Am I going to wake up one morning and have the weight all back on? Is there anything I can do to stop this.

Thanks.

Dr. Bermant responds:

Liposuction does not stop you from gaining weight. If you eat more calories than you use, your body will store the unused energy "for a rainy day" as fat. The remaining fat cells put the extra fat away.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: transmission of help in lyposuction !

hi, my name is j and i'm a 17 year old livin in kuala lumpur, malaysia. I just stumbled upon your website and found it to be a very informative one. Well, to be honestly... i am really overweight and starting an exercise would be really hopeless because i have too much fat. I was wondering if i could go for a lyposuction that could get me down to a better weight so that i can start a healthier lifestyle ? Could you please help me out with my life here doctor, I would really like to know more about this procedure, the dangers and the results and etc. For your information, I am 6 foot and the last time i weighed mysellf i think I could be around 130kg's ++ *sigh* please help me !!

Dr. Bermant responds:

Liposuction is good for localized fat, not for major weight reduction. When excessive fat is removed by liposuction, an otherwise fairly safe operation becomes something very dangerous. Folds of flesh can sometimes be managed by other body sculpture methods such as tummy tuck (abdominoplasty).

Sometimes your medical doctor can help with general weight loss. A plastic surgeon is then sometimes valuable in dealing with the loose folds of skin that do not redrape after weight loss.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: AFTERCARE for Lipo Patients

I am considering liposuction, but am unsure of the recovery time and aftercare required. Can you advise?

Dr. Bermant responds:

Yes I can advise once a patient has been seen in my office and an evaluation is done. It depends on many factors, what needs to be done, the type of work a patient does among other things. Liposuction can be a minimal affair for a tiny scar defatting where the patient goes right back to work. Large volume liposuction is a hospital based experience with weeks before a patient is able to resume light duty work. An average regional liposuction has a patient up and about minimally about the next day with light activities in several days and heavy activities in several weeks. Care is dependent on what needs to be done. You really need an in office consultation to continue your education about lipoplasty.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Chin liposuction

Dear Dr. Bermant,

Five weeks ago I underwent liposuction surgery on my chin. I had minimal pain and moderate swelling and am generally pleased with the results. I am, however concerned about a persistant sore throart that has bothered me 5 weeks postoperatively.

Upon awakeing from surgery, I was gasping for air as my throart was apparently clogged. For the next weeek, I had trouble sleeping as I awoke choking several times each night. As the swelling diminished, so did the breathing problems, however I am wondering why the sore throart lingers on.

When I questioned my surgeon, he dismissed my concerns as "anxiety" symptoms.

I later discovered that a tube had been placed down my throat during surgery to aid breathing. Is it possible that the tube could have irritated or scratched my throat during surgery? If so, should I be concerned about other complications of my throat?

Regards

E

Dr. Bermant responds:

Yes in most general anesthesia, a tube goes down the back of the throat into the airway. This tube can cause some irritation but usually resolves after several days. Liposuction in the neck can make the neck muscles sore or injure them. If muscles do not move well the saliva that is usually swallowed ends up in your airway. This is usually much more of a problem in cancer surgery patients than liposuction operations. However swallowing problems usually occur both at night and during the day. Since you have already been back to your doctor and have been examined the chance for neck muscle injury is probably slim to none.

Good questions for your surgeon. If you were my patient, I would want to know that you still had questions.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Liposuction

I am an African American women considering liposuction of the abdomen. I have concerns about the effects on my body because African Americans heal and scar differently than Caucasians. Our skin sometimes my keloid. Do you have any information or know of any Plastic Surgeons in the Washington, DC metropolitan area who specialize in treating African Americans?

Your assistance is appreciated.

Dr. Bermant responds:

I have treated many African American patients for scar revision and revision of keloids sustained from trauma and other means. Chinese and other individuals of darker skin can also have such scarring problems. Having treated many other patients with special methods to minimize (unfortunately not prevent) keloid formation, I am well familiar with the potential healing problems. We also offer liposuction. Not all people are suitable candidates for this surgery. I would need to see the problem and the individual's nature for scars. Our office in Richmond is about 1 1/2 drive from Washington D.C.. I do not claim to specialize in the African American patient.

I am sorry the plasticsurgery4u website is an example of my commitment to patient education. We see patients from all over. My office staff and I must use our time to help our own patients and cannot provide a general referral service.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

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