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Due to years of being overweight when I was young, I now have more than the usual...

Q:

Due to years of being overweight when I was young, I now have more than the usual amount of loose skin. I am considering liposuction to remove the fat deposits on my thighs but reports I have read suggest that with older people it can result in a 'baggy' effect. I am wondering if, after liposuction, the 'bagginess' can be helped by another type of surgery?

A:

Lipoplasty (liposuction) will reduce the amount of fat that you have between the skin and the underlying muscle layer. It will, however, have no effect on the amount of skin that you have. There can be some contraction of the skin following fat removal but, depending on your skin elasticity, the amount of contraction may be limited. If you have a lot of excess skin now, then it would be reasonable to assume that the problem could become worse following lipoplasty. A skin tightening procedure, such as a thigh lift, may be necessary to correct the “baggy” look. This procedure will leave more extensive scars than lipoplasty alone, but it will improve the contour of the treated areas. An ASAPS-member plastic surgeon can explain this procedure to you and give you a better idea of what the final result will be.

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