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Liposuction (Suction Lipectomy)

Forum for Patient's Questions, Answers, and Experiences - Explore what others have to say about Liposuction, Lipoplasty, with answers by Dr. Michael Bermant, MD.

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.

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

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Subj: Re: Liposuction

Dr. Bermant,

The purpose of this e-mail is just a general inquiry into the expected cost associated with liposuction to reduce excess bodyfat in the vicinity of my waistline. Being a Navy member (16 years active) approaching my 20yr retirement date, my family and I are looking forward to beginning our new career. The only difficulty (obstacle) that may prevent myself from reaching this goal is the continuous struggle to maintain my bodyfat below 22%. With my age coupled with growing administrative requirements at work and family needs at home, I find it increasingly more difficult to make enough time to exercise enough to compensate for my seemingly static metabolism. I have often pondered how hard it would be and how much it would cost to have a liposuction reduction around my stomach area to include those dreaded "Love-Handles". If my current measurements are required to make an accurate guestimation, I am as follows: 37yrs old, 72 inches tall, +/- 16.5 inch neck, +/- 43 inch midrif (measured around love-handles and belly button). This is really not that big in relation to civilian standards, but it is just enough to keep me from reaching my retirement, which I am willing to do anything to preserve not just for me, but for my family as well. Can you give me an idea of what I could expect in regards to cost, procedure, recovery, and lasting results? Your attention to this E-Mail is sincerely appreciated! Additionally, do you have any colleages or associates in the Virginia Beach, Virginia area that perform this procedure?

Thanks in advance for your response to this inquiry!

T

Dr. Bermant responds:

Liposuction is useful for localized fat collections not weight loss. Unfortunately if the calories you take in exceeds what you use each day, the weight will go back on. That is how the body stores unused energy for times when hunting was scarce. The remaining fat cells put the extra energy away as fat and you regain the weight. Some patients can still benefit from the removal of localized fat if done in conjunction with a change in habits. Some patients come in thinking liposuction is the way to go when the problem is not localized fat, but flesh. If there is too much skin involved, surgery like abdominoplasty (tummy tuck) is a more appropriate method of treatment. The best way to learn about risks, benefits, and alternate methods of care is to continue your education with an in office examination and evaluation. Our office in Richmond is close to you.

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.

Liposuction costs vary on the amount of surgery needed, type of anesthesia, location of surgery and other factors. My surgeon's fee for liposuction can be better specified after the examination and evaluation..

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 really do enjoy your web page!! Very imformative for the person considering surgery or has been there. I enjoy reading the letters, but need to know if the new ones are posted first, so I dont have to go back and scan thru the others and how often do you update them.

Also, would like to hear from people who have had liposuction a year or so ago and see how they feel now. have they kept the weight off and what about that loose skin?

Thankyou....

Dr. Bermant responds:

Thank you for your kind comments.

Newer posts usually will be at the bottoms of pages and higher numbered pages for that particular topic. I try to put the information to the boards as often as time permits, but this site has be built by myself and there are only so many hours in each day.

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: Good day

Good Day,

I am an extremely obese....300 pounds 41 year old female with chronic rheumatoid arthritis. I need to get the weight off of my body. I am seriously considering lypo and am just beginning to research it. The risks far out weigh my deterring health. If I dont get the weight off Ill be ion a wheelchair in the near future.

I live in Arizona can you give me some advice as well as refer me to someone either in the Las Vegas are or northern Arizona area?

Thank you

D>

Dr. Bermant responds:

Liposuction is not for weight reduction. Serious obesity can be a major medical problem. Check for help with your medical doctor to investigate your options.

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

Subj: Re: Quick Lyposuction Question!

I am a 23 year old female, who has always thought of doing lyposuction on my thighs. I was just wondering, can any person do lyposuction or do they have to be a certain size in order to perform the operation? Also, when the operation is performed will it remove cellulite? Thanks for your time and hope to hear from you soon. You could E-mail me back with your comments.

Sincerely,

G

Dr. Bermant responds:

Liposuction is for localized fat collections, not for general obesity. It is best for those with skin that will shrink into place. Too much redundant skin usually needs other types of intervention. Cellulite is the dimpling of skin to the underlying structures and is usually not handled by liposuction. The best way to learn about liposuction and what it has to offer - is an in office evaluation and examination.

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: LARGE AMOUNT LIPOSUCTION

I am 25 , male and 6,4" and I have back problems related to weight. I am 420lbs and I have fought with weight all my life. I know the proper way to lose is diet ( I am bad for yo-yo dieting ) several times I have lost 100+ lbs., and put in back on, but lets say I want to skip all that. I have the means to, but would lyposuction on that scale be safe for me? Money-wise, It would be worth it to get a head start on heathy living again, and even if I did put it back on, It would be worth it to me even if it only lasted for a year or two. I heard something about danger for unusually heavy people in regards to this, what are my odds? what can or can"t I do to loose about 200lbs?

Dr. Bermant responds:

Liposuction is not for weight reduction but for localized collections of fat. See you medical doctor for weight reduction programs and options.

I hope this information proves of value.

Michael Bermant, MD

Subj: Re: liposuction

I have gotten two different opinions from two different doctors. One suggests a tummy tuck, to remove fat from abdomen. The other suggests having lipo first and than 3 to 6 months later a tummy tuck. What process would give me better results? I am 60 yrs old, in good health,but my stomach is quite large, and I am unhappy with the way I look. I would like to be as flat as possible. Thank you for the opportunity to ask these questions.

Dr. Bermant responds:

The question is how much extra skin is there and what is the quality of that skin. If the abdominal wall muscles need to be tightened, I generally go directly to the abdominoplasty. Some surgeons prefer the suction technique and wait to see how much extra skin is left. The tummy tuck done after this can sometimes be limited in extent and less complicated. Some 3 dimensional problems are best managed by a combined technique in one operation, suction on the sides, and tummy tuck in the center. On other patients who need more extensive liposuction it is too safer to separate the operations. Body sculpture must be individualized to the specific patient and I have not examined you.

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: Can I have liposuction one after another?

Hello, Doctor. Thank you for this very informative pages.

I heard that if we get the liposuction done only one spot, our body fat cells will move to that spot to keep the even distribution. So if I get my tummy liposuctioned, will that part of my body get more fat cells from my thighs and back? Is this true? Because of my financial situation, I can't afford whole body liposuction and I was thinking about having it done my stomach first and save some more money to have another procedure for my thighs. I am already scared enough of this surgery and there are people around me keep telling me the result won't last long even though I eat sensibly and work out regularly. I don't know what to think of all this.

Lastly, I have 30Lbs. to lose and I'm wondering if I am a good candidate or I should lose some more.

Thank you very much and please help me to understand what liposuction is all about.

Dr. Bermant responds:

Fat cells do not migrate after liposuction. The body will store its fat in the remaining fat cells in the body. There will still be fat cells in the regions liposuctioned. These as well as the other cells will store excess calories as fat. That is why liposuction is not a tool for weight loss. There is exercise and weight control, but if you are still putting on weight, liposuction is not the answer.

Liposuction surgery can be broken up into separate surgeries. The cost of each operation is less, but the total cost is more.

The only way to tell if someone is a good candidate is with an in office consultation and evaluation.

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: Ultrasonic Liposuction

I am having a combination of this technique and the tumescent method done on my stomach and legs on April 20th. I am very worried about the ultrasonic method because of my fear of being burned and having the skin rot and fall off. At my consultation, my doctor reassured me that this would not happen and he is very experienced etc..etc... At that time, my fears were relieved. As time has gone on and it is getting closer to my surgery time, my fears have returned! Realisticly, do you think that this method has a high incidence of burns no matter how good the doctor or is it because of the inexperience of the doctor?? Would you know you or the doctore know that he was burning you so that he could stop doing it right away?? Should I "push" for the tumescent lipo method to be used on all parts instead of the combination of the two??

I am going back to see my doctor again on April the 7th to also ask him these questions, but I would like to opinoin of another doctor who would be more objective.

Dr. Bermant responds:

These are excellent questions for your doctor. If you were my patient, I would want you to feel comfortable with my education package presented in my office. Why do you have to wait for your next appointment? My patients are encourage to bring their concerns and questions to me and my office staff. Don't you have faith in your doctor? Have you made the right choice in physicians when you have to ask someone else these questions? I have not examined nor evaluated you. What I feel comfortable with and what you doctor feels comfortable with are two different things and have no value in comparison.

Second opinions require a patient 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: Second opinion on Liposuction

Dear Dr Bermant,

My name is A,, I am 26 years old, 5' 8" tall and weigh 130 lb.. I had liposuction done 4 weeks ago, and I am concerned about the results. The surgeon I chose was board certified, and has been doing liposuction for about 8 years. He was wonderful in answering all of my questions, but I wanted another surgeons opinion. My measurements preop; staring under the breast was 8 mm, abdomen is 13 mm, hips were 42 mm and the buttock and thigh area was 80 mm. He reduced my hips, buttock and thighs to 20 mm. I had great results (from what I remember) the day after surgery, but now I am beginning to wonder. My measurements 2 and 1/2 weeks after surgery were; hips 24 mm and buttock and thigh area was 35 mm. Would you have went to maybe 15 mm or less when I am so little on top? I am afraid I will still look a little "bottom heavy". I saved money for the surgery for a long time, and will be devastated if I need touch up work. Even with the reduction I have now, I have barely lost 1 inch around the buttock area. I know results may take up to 3 months, but I am really worried. I know any information you have will just be an opinion, but I would greatly appreciate anything you have to say. I have read your web site many times, and feel you could give me a great opinion.

Thank you so much,

A

Dr. Bermant responds:

4 weeks is very early to judge a liposuction. Have you brought your concerns to your doctor? If you were my patient, I would want you to let me know what was bothering you. A second opinion needs an in office evaluation and examination. E-mail is just not good enough to render an opinion on what you are asking.

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: lypo-suction

I am a 30 yr old 5' 8" tall female that is a size 18 pants 235 lbs I was 127 10 yrs ago but something happen to me when I was pregant and I got huge and I have exercise and diet and nothing works Im still huge I got very large thighs and legs and butt can I get lyposuction to help me for this and if so do you know of a place In the northwest that will do it and maybe even help work out a payment plan. I have started severe back troubles because of this . Please let me know if you find out anything, thanks T

Dr. Bermant responds:

Liposuction is not the way to remove excess fat, only to recontour localized collection. General weight loss can be very difficult. Some require the assistance of their medical doctors. Others need gastric stapling surgery which has its own risks and problems.

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

Subj: Re: Liposuction

Dear Doctor Bermant,

My name is J. I am a 26 year old male, 5' 10" and 270 lbs. I have been over weight all my life. My weight gain has always come in bursts of around 20 lbs. In high-school I weighed 230 lbs. in college 250 lbs. and now 270 lbs. I'm not particularly active now, but even when I was physically active in high-school and college the weight stayed on. There is high-blood pressure in my family history and mine has been known to jump to what I consider a high level. I would like to have this fat removed in order to help "jump-start" to a more rigorous activity level.

My question to you is this. I would like to remove a significant portion of fat from my stomach, chest, sides, and back. I'm not sure if liposuction is the answer because of the sheer amount of fat I'm looking to get rid of. I do know that the only way this fat is likely to come off is if it is physically removed. I've tried everything else. What would you suggest and whom should I contact, preferably in Ohio?

Thank you for considering my question,

J.

Dr. Bermant responds:

Liposuction is not the way to remove excess fat, only to recontour localized collection. General weight loss can be very difficult. Some require the assistance of their medical doctors. Others need gastric stapling surgery which has its own risks and problems.

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

Subj: Re: anorexia and liposculpture

Hi,

I have a question. My friend is anorexic and she wants to have liposuction done. She isn't as skinny as she was when she hit rockbottom. The way she sees it, liposculpture on her upper thighs and butt would make her happy. I don't believe it. My question is: are there any added risks for her? Do you think an anestheatic would endanger her?

Thank you

Dr. Bermant responds:

Anorexia can mean different problems for different patients. When the person has extremely low body mass and fat reserves are depleted, both surgery and anesthesia can have greater risks. More of an issue is the body image concerns. Your friend's therapist would be in a better position to assess that aspect. I would be very worried about such 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

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