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Board for Patient's Questions and Answers
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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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More on Liposuction
Tummy tuck
Facelift / Neck lift (rhytidectomy)
Patient photographs before and after surgery
Gynecomastia - Breast Reduction in Men
After Pregnancy What Plastic Surgery has to offer
Patient photographs before and after surgery of the abdominal wall
Breast ptosis mastopexy
Facelift surgery (rhytidectomy)
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Visit the Liposuction Book Store from Barnes and Noble Check our the Frequently Asked Question Section - Liposuction Subj: Re: Lyposuction on Tummy Dear Dr. Bermant, I have been seriously thinking of having lyposuction done on my lower abdomen. I've had four children, three which were delivered natural, the fourth was a c section. I've also had 2 abdomonal surgeries since then and I can not for the life of me get rid of that extra fat that hangs there. I also do have problems with my lower back and feel this will help me. I don't know of any insurance company who will pay for such a service. Can you recommend a good surgeon in the Massachusetts area, preferable in Northampton or Springfield who is pretty reasonable in price, I am desperate to get rid of this fat. Also is there any dangerous side effects to this procedure? Thank you very much. J Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Extra tissue about the abdomen may consist of fat and skin. If there is only extra localized fat, liposuction may be an option. If the problem is skin and fat, that abdominoplasty (tummy tuck) may be a better choice. The best way to learn about these and other options is during an in office examination and evaluation. During such consultations we help our patients explore the risks, benefits, and alternative methods of care. When such surgery is mainly for appearance, it is considered cosmetic in nature. When involving major tissue problems such as hanging down below the knees it may be covered by the insurance. It depends on the individual patient's problems and their insurance coverage. 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 Dr. Bermant, I am considering having lyposuction on my hips, however I have a few questions which I hope that you can answer. How long will I need to be out of work? I am a special education teacher. Also, I work out at the gym 4 to 5 times a week. How soon after the operation will I be able to return to the gym? Will there be bruising or scaring? Thank you very much for your help. Sincerely, M Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Liposuction on some one's hips can mean minimal surgery or major surgery. Restrictions of activities and return to work are a function of extent of surgery. Entrance site scars are usually placed into sites to optimize clothing camouflage. Bruising is a function of the individual and the extent and type of liposuction surgery. Tumescent anesthesia tends to have less bruising. Your questions are valid and reasonable, but should be answered during an in office consultation and evaluation. Our consultations emphasize an educational experience to help our patients understand the risks and benefits of their surgery. The discussions are individualized for the patient and the particular 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: lipo Hi, I am a 26 year old female, 5'8", 145 lbs. No one tells me that I am fat, but I can stand to be seen in a swimsuit from behind. I have lost weight before just to improve this hated area of my body with no success.... I would be thinner everywhere else, except there. To be more specific, it is really my upper/rear and upper/side of my thigh...I believe some call the latter...saddlebags. I would be willing to travel to Richmond for a consultation. I would also like to have a ballpark figure for such a procedure...of course realizing that nothing is conclusive without a consultation in person. I have just heard everything from $2-10K. Also, what type of recovery period is involved? Thanks for the feedback. Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. "Saddle bags" are localized collections of fat around the upper thighs. Some patients have unusual shaped bodies where the muscles are the underlying shape and not fat. Most have this region as a normal place to store fat that just never seems to go away. Recovery depends on the extent of the surgery, there are "saddle bags" and then there are "SADDLE BAGS". It is not uncommon to be back to work in one to two weeks depending on the job. Our approximate office costs for liposuction can be found here. Jane is my office manager and can better help with prices and fees. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.These prices depend on what needs to be done. Our office's educational experience is a good way to start learning what liposuction has to offer. 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: Re: lipo Thank you so much for the QUICK response. I am very interested in traveling to Richmond in the near future for atleast a personal consultation with your office. What type of fee would be associated for such a visit? I live in Fairfax, VA; and I have tons of family in Richmond (Chesterfield Co.)...so this would be little inconvenience to me. Thank you. Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. With our commitment to patient education we ask that you allow 1 1/2 hours for your consultations. Please call our office for details. We look forward to hearing from 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: liposuction & hernia My wife had liposuction of the abdomen, thighs, knees and back about 2 months ago. The results, so far, appear to be fantastic. Recently however, she developed a bulge, about 1 inch wide by 3 inches long, below her waistline, above the pelvic bone on her right hip. It is tender to the touch. Could this be a hernia??? If yes, could this be related to weakening of the abdominal muscles due to the liposuction? Is the possiblity of an abdominal hernia considered a risk after liposuction? She was advised that excercise with weights (dumbells) was ok start again about 3 weeks ago and she goes to the gym 2-3 times per week. Do you think this is ok so soon after this surgury? Thanks in advance. Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Hernias are a weakness of the abdominal wall. Liposuction is usually done between this wall a the skin. Hernias can exist before the liposuction and get larger on their own. I examine my patients for hernias before liposuction surgery to minimize injury to any tissue that may already be outside of the abdominal wall (herniated). Most surgeons board certified by the American Board of Plastic Surgery have extensive General Surgery background and are comfortable with this evaluation. This is a good question for her doctor or someone who can examine her. 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, Your site is more informative than any other. I have been overweight all of my life. I lost 75 pounds though dieting and excercising, kept it off for 10+ years, but still was bothered by saddlebags and a puffy lower abdomen(I don't have children and don't plan to) I had the liposuction(saddlebags, abdomen, inner thighs and knees) done exactly one year ago today. I am now 50 pounds heavier. Six months ago I came down with mysterious joint pains that are gone now (they tested me for Lupus and Reumatoid Arthritis-but the tests are inconclusive)The pain caused me to curtail my normal excercise (Walking 20+ miles per week and weight lifting), which probably contributed to my weigh gain, and I have also been on the antidepressant Zoloft for almost 2 years. I did not realize that taking zoloft would result in weight gain, or I would have looked into another alternate depression treatment. Bottom line is that the excess weight that I gained has all gone to my upper arms, stomach, breasts, and not so much where I had the surgery done, although those areas are larger too. My body is shaped very differently than when I was overweight before. I am TOP-heavy as opposed to being BOTTOM heavy. Since I spent $8,000 on my surgery, I am so hoping that once I'm weaned off of the zoloft, I will enjoy the results of my surgery. I am so hoping that the liposuctioned areas will still be smaller, as I did not even get a chance to enjoy the results of my surgery before I gained this weight. I do feel better, now that I know that the Zoloft is mostly responsible. IS there such a thing as "compensatory weight gain" where the extry weight goes to other places?. I heard different opinions. Your opinion is very much appreciated. d Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Liposuction removes localized fat. The region operated can lose fat cells. The body preferentially deposits extra unused calories in different regions of the body. Depending on how much residual fat is left in that region, weight gained can come back here or other areas of the body. If a significant number of the fat cells in a region that normally would gain mass with weight gain are gone, then most fat will be deposited elsewhere. The remaining fat cells in the operated area still get larger and store fat but different distributions of weight gain are possible. 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: Cheek Liposuction Hi Dr. Bermant: I am a 29 year old male in good health and considering some cosmetic surgery procedures. Even though exercise regularly, my face has quite a bit of fat in the cheek area and neck. THis makes me look old, unfit and makes my facial cuts less well defined. For example there is a very weak distinction between my face and neck because my jawline is not well defined. I do have an normal sized jaw. Is there liposuction procedure which can safely and effectively take out fat from the cheek (Especially from the cheek area) and neck area? If yes what are the risks for this part of the body? Please advice Thanks, A Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. There are many aspects that go into defining facial features. Extra fat is just one of them. Liposuction can be used for localized adiposity. If it is fat that give the face the lack of definition, liposuction may be part of the solution. There are risks to such surgery, these are best learned as part of our education package during our office consultations. 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 Re Ultrasonic Liposuction: I think your site is wonderful,through, and realistic. I have had ultrasonic liposuction 2 weeks ago.(abdoman, back, and inner thigh) Each week after the surgery I have gone in and had fluid suctioned out from my abdominal area. First week it looked like blood was being aspirated, then the next week, a clearer fluid. I found your website after looking extensively for answers as to if this is normal procedure. My doctor told me a lot was removed from that area. I have to go in every week to be "drained" I think most sites on the internet downplay recovery time and minor complications. You seem like an amazingly caring doctor and your site is extremely informative, My email adress is ... and anything you would have to add to above mentioned would be apprectiated. My surgeon is highly qualified, board certified, in the the U.S and canada. sincerely, c Dr. Bermant responds: This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Thank you for your kind words about my site. Drainage problems can occur with certain liposuction techniques. Ultrasonic liposuction has a higher chance of fluid draining complications after surgery. That is one of the reasons I prefer not to use ultrasonic liposuction. Despite my performing many liposuction sculptures over many years, I have never had such difficulties with the techniques I prefer. Our patient's education only starts on the website, it continues in the office during their consultations. I wish you well on your continued 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
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