Sutton L. Graham, II, M.D., FACS
My abdomen is huge, it covers my pubis, it difficult for me to walk and do normal daily routines. I'm on a diet, but I want to know if I should wait or is it possible for me to have liposuction now so it will be easier for me to do more activities which will help me lose weight. Thank you in advance for your opinion.
The brief answer is yes. Liposuction is best for people with good health, with mild to moderate amounts of fat excess, in whom there are localized areas of excess.
Diffuse excess fat makes it less likely patients will obtain good results, and obesity increases risks associated with surgery in general and liposuction itself.
In the situation you describe, it is likely that a plastic surgeon could help in major ways after the difficult and challenging process of losing weight. Body contouring after major weight loss is a significant area of practice for many plastic surgeons. I suggest patients like you describe seek medical help loosing weight, then consult an experienced plastic surgeon about any remaining problem areas. Best of luck.
I'm 19 years old, 154lbs, and 5'2" tall. My bra size is 34D. I'm an athletic person and my breasts just get in the way. When exercising, and simple work, I have back and neck problems from my breasts. I've always wanted an A cup. It's my dream size. Is it possible to have an A cup from this? I am also in the process of losing weight. I'm trying to get to 120. Do you recommend losing the weight first? If I lost weight after, will it effect the new breast size?
Does a woman have to loose weight before a breast reduction? No. (And surgery can make exercise much more comfortable, and successful.)
On the other hand; Does a woman get a better reduction procedure after reaching their goal weight? Probably yes. Your surgeon can then match your surgery to your current body proportions. Major weight loss after a reduction may cause increased settling or drooping of the breasts -- less beautiful results.
As far as your goal of an A cup size, I suggest you have an in-person consultation with your board certified plastic surgeon.
I have received conflicting information on the value of facial exercises on platysma ..banding ie: turkey necks. Some claim it can help but others claim it does not in fact, can even make it worse as you want to relax the muscle, as Botox does. Do facial exercises work on platysma?
Probably not. Currently thinking holds that facial aging comes mainly from loss of volume of various levels of fat and bone and relaxation of overlying support layers.
Platysma muscle bands are probably caused by relaxation of the fibrous supporting layers around the muscle. It does not attach firmly to the bottom of the jaw and chin. Technology is trying to induce tightening from the outside, and surgery is directed at increasing internal support for the lax tissue layers. It is doubtful that a stronger platysma muscle will stay up unless its support layers are tightened.
I have severe back and shoulder pain along with dents in my shoulders from my bra. Is 48 to old to get a breast reduction?
Not at all, and such a patient is very likely to remark, like many of my patients, "I wish I had done this years ago."
Breast reduction procedures are done on adults of almost all ages. The most important limiting factors would be the patient's general health (heart, lungs, metabolism, circulation, medications). If a woman is in good health, she could be a candidate for various procedures. This is part of the reason for a personal consultation with your board certified plastic surgeon.
You would probably obtain major relief from back, neck, and shoulder pain, plus improved posture, easier participation in activities or exercise, and better clothing fit and choices.
If I get breast implants and then have more children, will my breasts look as they did after the breast augmentation surgery or will their appearance change?
Yes, additional children will change the appearance of your breasts, but the amount of change is unpredictable. If you have already had several pregnancies and breast fed several times, the changes may be less than if your have only had one child.
If you are planning additional children soon, I recommend delaying breast augmentation until you finish. However it is safe to do otherwise.
Many happy patients have implants before they have children.
By the way, it makes no difference here if you chose saline-filled or silicone gel-filled implants.