Michelle Copeland, D.M.D, M.D., F.A.C.S., P.C.
Can liposuction be done on the upper arm area or does this require a surgical procedure?
Lifts on this famously wobbly part of the human anatomy—known familiarly as “Hi Janes” or “Bingo” arms—are particularly popular. Heavy and even moderately droopy arms can be recountoured very effectively with liposuction. Liposuction modifies volume by sucking out fat and because liposuction stimulates the skin to tighten, good elasticity provides a smooth contour after fat is removed. The procedure takes about an hour, the recovery takes just a couple of days, and there's virtually no scarring. I use several innovative forms of liposuction, including SmartLipo, in order to contour and resculpture the area while providing the most beautiful results with minimal scarring. SmartLipo, used in combination with other forms of liposuction or alone, is a procedure that uses laser light to liquefy fat and tighten the surrounding skin. Liposuction as an outpatient procedure under I.V. sedation can easily reduce the excess fat people have in their arms.
I have always been a thin woman but I have thick ankles and no calf definition. It's not fat, just bone. My sisters have the same problem. Is this common with some women and is it correctable?
Stubborn fat in the calves and ankles or “cankles” can be difficult to improve with just diet and exercise and patients who experiences this can benefit from liposuction. Calf and ankle liposuction can be performed as an outpatient procedure in a fully accredited ambulatory surgery facility with "twilight" anesthesia administered by a board certified anesthesiologist. I use several innovative forms of liposuction, including SmartLipo, in order to contour and resculpture the calves and ankles while providing the most beautiful results with minimal scarring. SmartLipo, used in combination with other forms of liposuction or alone, is a procedure that uses laser light to liquefy fat and tighten the surrounding skin. It involves less downtime and side-effects than traditional liposuction and is particularly good for small areas of fat deposits like the ankles. Liposuction works best on patients who are of relatively average weight, but who need help with a problem area. No, reshaping your body isn’t as easy as going to the beauty parlor. Surgery is never 100% risk free and the healing process requires patience and determination.
My breasts were asymmetrical and I decided to have a reduction. My surgeon said he would have to do a reduction on the larger side then do a lift on the smaller side. Now I am exactly the opposite. I'm still asymmetrical and I want to fix it. On the side that was reduced, can I have my own body fat injected into it to fix the problem?
It is now possible with the newest technique for you to enlarge your breasts without resorting to implants! Specially prepared fat taken from another part of the body, such as the stomach or hips, is placed under the breast tissue to provide increased breast size without the need for artificial implants. The technique is called autologous fat transfers and autologous simply means "your own." And who doesn't have a little fat to spare?
I am a 40 year old female weighing 168 pounds with a breast size of 40DDD. I am seriously considering breast reduction. I have Cigna health insurance and would like to know what are the odds of me getting the insurance company to pay for this procedure for medical reasons and not cosmetic. Because of my large breasts, I get neck pain and have bra indentations on my shoulders. At times I feel uncomfortable when sleeping so I will wear a bra at bed time. Because of the weight of my breasts I am now developing a hunch on my back. My biggest issue is finding the right clothes. I am very top heavy but small on the bottom. I would like my breasts to be proportionate to my bottom frame. Besides wondering if I can get the insurance to pay for the surgery, how small can I make my breasts - can I go down to a size B? What is the difference between a breast reduction and a breast lift? Are there some similarities between the two and what am I looking at in terms of cost if the insurance does not cover the procedure? Thank you for your time.
Breast reduction is usually covered by insurance when the surgery is performed as part of a medically mandated procedure to treat neck, back, or shoulder pain or other problems related to the spine. Recently, managed care has adopted stricter standards for coverage, so these problems have to be thoroughly documented in writing by your primary care physician and plastic surgeon. They may also have to submit photographs. Even then, you may be required to seek a second opinion from a chiropractor, physical therapist, or orthopedic surgeon.
Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patient’s body. This Le Jour technique can now be used on a wide range of sizes and results in a perky, conical breast that many women find desirable. The resulting incision from this procedure looks like a lollipop with the incision around the areola and down to the fold in the breast.
To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift - or, if you also want more volume, a lift and implants.
A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure without the need for general anesthesia.
When women with saggy breasts want to go bigger, I usually advise doing a breast lift along with the implants. Otherwise, the implants create what we call a “double bubble,” where the breast droops off the end of the implant like a sock. Some of my patients, however, don’t want a lift because they want to avoid additional scarring, so sometimes implants alone can fill out the skin and eliminate the saggy appearance.
I want to have breast augmentation surgery. How long before the procedure do I have to stop smoking?
I can’t stress it enough: A cigarette habit greatly compromises healing. Smoking damages skin, keeps incisions from repairing and worsens scarring. Moreover, nicotine, which gets into the bloodstream, can cause blood clots. Smoking triggers the release of skin-damaging free radicals, increases swelling, worsens scarring, and impedes healing by limiting blood flow to the skin.
If you smoke, you should refrain for at least two weeks before your procedure and two weeks after. I’d far prefer it, of course, if you started cutting back well before that two-week mark. It’s a bad idea to be smoking regularly before you have surgery, and an even worse idea after.