Thomas C. Wiener, M.D.
I am an African-American female considering liposuction. I have fat deposits in back so I'm considering liposuctioning of the back/abdomen and thighs (inner/outer). Can I have all of these procedures performed at the same time? What about scarring e.g. keloids; would this type of procedure leave large unsightly scars? If not, which ones should I do first?
Lipoplasty (liposuction) of these areas can be done as a single procedure as long as the amount of fat is not excessive. If there is massive fat excess, then multiple procedures may be needed. Although some plastic surgeons perform large-volume liposuction, in which massive amounts of fat are removed in one operative session, other surgeons (including myself) do not take this approach. The incisions required for lipoplasty are quite small; however if you have a tendency to form keloids, this can certainly happen following any surgical procedure. You should also be aware that if you have excess skin in areas such as the abdomen, lipoplasty alone will not correct this. In such case, a tummy tuck, which requires a larger incision, may also be necessary at a later date.
I’m 40 years old with a thin build. I recently received Botox to my brow area and undereye area. It exceeded my expectations. However, when I would smile, I had folds of skin under my eyes. At my doctor’s suggestion, I had Restylane to fill these out. The Restylane did the job, but I still have a slight fold. Should I go another round with the Restylane to fully correct this, or just wait for the Botox to relax?
Since you are happy with the Botox, I would suggest that for future injections, under the advice of your plastic surgeon, possibly minimizing the use of the Botox near the lower eyelid area to see if this can minimize accentuation of skin folds in this area. Although additional Restylane could be used, it may be better to try to prevent the concern in the first place. Once again, this advice needs to come from your plastic surgeon that is caring for you, as he or she can discuss specifics that pertain to your anatomy.