Posts Tagged ‘liposuction’
Tuesday, May 21st, 2013
Q: Dr. Eppley, I am curious about having liposuction on my abdomen and thighs what is the average cost, I want to remove about 15lbs.
A: Thank you for your inquiry. While it would be helpful to see some pictures of your abdomen and thighs, let me ask you a few questions in regards both areas:
1) Is this your full abdomen?
2) Do you need the flanks or muffin tops t.reated as well as your abdomen?
3) Do the thighs include both sides, inner and outer? Knees?
When considering cost, knowing exactly what areas needs to be treated as this allows the time to do the procedure to be properly determined. Fundamentally, liposuction like all cosmetic surgery and its cost revolves around the timer to do it.
While 15 lbs of aspirate (1 liter of liposuction aspirate roughly equals 8 lbs) may be removed in surgery, this does not necessarily mean that will translate into 15 lbs of actual body weight lost.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: dr barry eppley, indianapolis, liposuction
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Monday, April 29th, 2013
Q: Dr. Eppley, How is fat accurately determined and measured before suctioning it out by liposuction. I haven’t read anything about how body fat is measured to accurately determine how much might be safely suctioned out from each target area. How do doctors concretely know how much of fat to remove so the patient gets the best result and is even on both sides?
A: The reason you can’t find anything on this aspect of liposuction is because it does not exist. There is no way to know beforehand how much fat to remove from any area. That is and will likely always remain the ‘artistic’ side of liposuction. It is based on the surgeon’s experience and artistry to do the fat removal. The amount of liposuction aspirate is measured as it is removed and that does help in establishing some symmetry by taking equal amounts from any body area that is bilaterally treated…but this assumes that there is good symmetry beforehand which often is not the case. Thus liposuction remains an inexact surgical procedure and also explains the highly variable results seen in liposuction patients in general.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: dr barry eppley, indianapolis, liposuction
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Sunday, April 14th, 2013
Q: Dr. Eppley, I am considering liposuction again after having it 15 years ago on my abdomen. I am now 61 years old, 5’5″, 138 pounds and in good health. I’ve developed a spare tire around my middle since menopause. Do women my age have a good outcome with liposuction? I had some dimpling with my prior experience although I was delighted with the results. Also, should my doctor use a particular size cannula? I have also considered a tummy tuck but don’t want that much down time.
A:
The contour results of liposuction at any age are based on a variety of factors including the quality (elasticity) of the skin and how the fat is removed which definitely includes cannula size and type. In today’s numerous liposuction methods, however, there is so much more involved than just cannula size that determines the amount of fat removed and the resultant smoothness of the overlying skin. A variety of liposuction technologies now exist based on different energies (ultrasonic, laser, high pressure water, power-assisted etc) as well as techniques to use them. How your liposuction is going to be performed and why should be discussed with your plastic surgeon. All of this aside, the risks of skin irregularities always exists with any liposuction method and given your prior liposuction experience it is always important to remember….past history predicts future behavior. If you have had skin dimpling before you will likely end up with it again.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: dr barry eppley, indianapolis, liposuction
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Tuesday, March 12th, 2013
Q: Dr. Eppley, I am interested in Bodyjet lipo. It seems to offer the best result with the quickest recovery. What are your thoughts on it?
A:Bodyjet lipo is just another method to perform liposuction. It is no better or worse than any other available method. Instead of an energy like laser, it uses water under pressure to evacuate the fat. The key to a successful liposuction outcome is not so much the technology, contrary to the manufacturer’s marketing, but the skill and experience of who is holding and driving the technology. Using the best liposuction technology available in unskilled and inexperienced hands will still lead to a poor outcome. Old-style liposuction techniques in skilled and experienced hands can still lead to a great outcome. One thing touted by all new technologies, and I have used most of them, is that the recovery will be quicker and easier. This is simply not true since no matter how liposuction is done it involves the same trauma to the tissues over a broad surface area.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: body jet lipo, dr barry eppley, indianapolis, liposuction, smartlipo
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Saturday, March 9th, 2013
Q: Dr. Eppley, I am a 20 year old female. I used to weight 105 lbs and gained a lot of weight after going on the Depo shot. I currently weight 145 lbs. My height is 5’0 so I believe it is cheap viagra pills a lot of fat for my size. I have fat on my arms and back and a lot on my belly area, also my legs are very thick. I would like to know an estimate on having the fat removed from those areas and having it place on my butt and breast. I am a B cup and would like a little more in that area but don’t want to go for implants at all. Maybe around a 36C. I have a little fat on my butt but I would like it to be round and firm with a little more extra fat. I wear a size 7 going on 8 pants, I can also fit a size 9 already. A lot of my fat is on my thighs. I’ve been interested in having this procedure done for a while but I’m not sure on the price and would like to know how much you would charge for the procedure. I have looked at your reviews online and I was very impressed. So if I do decide to get the procedure I would definitely like to go to you. Can you give me an estimate on the procedure for both breast and butt together and an estimate for butt only? Thank you very much for your time. I’m looking forward to hearing back from you.
A: Thank you for sharing your body description and your goals. With these in mind let me provide with some clarifications.
1) While liposuction can effectively remove fat, it cannot do it equally well everywhere on the body. The thigh is a particularly challenging area because circumferential thigh liposuction can not be done. It can not effectively reduce large thighs. The outer thighs (saddle bags) and the knees can be treated but only some areas of the contours of the thigh can be changed.
2) Transferring fat from liposuction to the buttocks is commonly done and is known as the Brazilian Butt Lift. Provided one has enough fat to harvest, the shape and and firmness of the buttocks can be improved.
3) Fat grafting to the breasts, however, is not so simple for an augmentation effect. While fat can be injected directly into the buttocks without stimulation, it can not be done so in the breasts. The breasts must be pre-treated by an external suction device (Brava) for weeks before the procedure, have the injections, and then have the suction device used for several weeks after. Fat injections into the breasts are a lot like planting seeds to grow. The ‘garden’ must first be prepared and fertilized to receive them. Also it is highly that you would have enough (after processing and concentrating it) to inject both the buttocks and the breasts at the same time. You would have to pick either the breasts or the buttocks for fat injections, you can not do both.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: brazilian butt lift, dr barry eppley, fat injection breast augmentation, indianapolis, liposuction
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Wednesday, March 6th, 2013
Q: Dr. Eppley, I am interested in a non-invasive procedure for fat reduction basically at thigh and abdomen. I would like to know what you recommend and what do you think about CoolSculpting. I have had 3 c-sections, no other medical conditions. Thanks.
A: Let me make some general comments about the differences between non-invasive vs. surgical treatments for body contouring. (fat reduction and skin tightening) First, when it comes to considering non-invasives (e.g., CoolSculpting, Exilis etc) the patient never has anything to lose…other than money. There are no medical risks or downtime. The only risk is in how well it will work. Thus if someone is dead set against surgery then go ahead and do the non-invasive approach. It will either produce a satisfying result or it will not. Second, understand that no non-invasive therapy will ever produce a surgical looking result. I don’t care what is said about it or how good some before and after pictures look. The role of noninvasive treatments for many patients is a bridging therapy…I don’t want surgery but I want some improvement. ..and I will accept that it will likely do less than I ideally want. Lastly, no patient wants to waste their money and effort on a treatment that never had a good chance to work for them. Thus it is important to get a qualified answer beforehand as to what your chances are for success with any non-invasive treatment.
While I have no idea what you look like, the fact that you have had three pregnancies/c-sections give me cause for concern about the success of any non-invasive treatment approach for your abdomen. Your abdominal skin is stretched out and probably has poor elasticity…that would be inevitable after three pregnancies. If you have any stretch marks at all, there is next to no elasticity. That skin has a very limited ability to shrink back down on its own no matter what energy treatment is applied to it. So even if you can shrink some fat what will happen to the skin? Without skin shrinkage with fat reduction the change in the abdominal contour will likely not be an aesthetically significant improvement. On your abdomen after three c-sections the real question is whether anything will really work short of a tummy tuck.
The thigh area is always different because the skin always has better quality. The issue here is the debate of something like CoolSculpting vs liposuction. I think that answer lies in how much reduction is needed and what does your abdomen really need. If a tummy tuck is the only answer to your abdominal concerns, then you might as well have liposuction done on the thighs at the same time.
I would be happy to review of any pictures of your abdomen and thighs to give you a more definitive answer.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: cool sculpting, dr barry eppley, indianapolis, liposuction, tummy tuck
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Tuesday, February 26th, 2013
Q: Dr. Eppley, I currently weigh 255. I would like to get down to 215. I’ve improved my eating and exercise, but I’m not seeing results. I would like 6 inches of fat removed from my waistline to help improve the fit of my clothes and my appearance.
A: I think it is important to put liposuction into proper perspective of what it can and cannot do. It is not a weight loss method nor can it remove a specific amount of fat in inches from anyone’s waistline. In some patients it may be possible to remove that much fat but in most cases that is not a realistic goal for what liposuction can do. While I have no idea as to what you look like, your height or your body frame, I do know you are a male who likely has a rounder more rotund belly. Much of men’s abdominal fat is not extraperitoneal (between the skin and the abdominal muscles) where it can be safely accessed and treated by liposuction. Most male abdominal fat is intraperitoneal, around the internal organs, behind the abdominal muscles and inaccessible to liposuction. There are two simple tests to tell where your abdominal fat is located. Is your belly hard or soft? (feel like a watermelon or like a firm pillow) How much skin can you pinch between your fingers? (an inch or two or a whole handful) A soft belly in which one can grab a whole handful of tissue means that liposuction can make for a productive result.
The real question is whether liposuction can and should be done now or wait until you have lost more weight. (I know this is why you are asking for liposuction because the weight is not budging but there are other non-surgical means to pursue if needed) That is going to require buy viagra an actual physical examination for me to see and discuss whether liposuction has a useful role in your abdominal contouring objectives.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: dr barry eppley, indianapolis, liposuction, waistline reduction
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Monday, February 4th, 2013
Q: Dr. Eppley, I am interested in getting liposuction to reduce the size of my waist and hips. Attached are some pictures of my waist and hips. I am after achieving very specific circumferential measurements in these areas. I have a measurement of 34 inches on my waist, and 46 inches on the widest part of my hips/ buttocks. I am 5 foot 8 inches in height. I need to be at least a 32 inches in my waist and 40 inches in the widest part of my hips/ buttocks. I am also interested in getting my thighs done. Is this possible.
A: Thank you for sending your pictures. On a realistic basis, I do think it is possible that your waist could go from a 34 inch down to a 32 inch waistline. However in the hip/buttock area a 6 inch reduction is simply not realistic. This is an area whose diameter is highly influenced by the hip and pelvic bones as well as the thickness of the attached muscles. Fat plays a role in its shape but not the level of a 6 inch reduction. A more realistic goal would be 1 to 2 inches, and maybe even 3, but I am not sure with your body shape how realistic a 3 inch reduction would be. My concern for any patient that comes in for any form of liposuction body contouring that is going to use a quantitative measurement as a determination of the success of a procedure is that they may end up disappointed.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: dr barry eppley, indianapolis, liposuction
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Monday, February 4th, 2013
Q: Dr. Eppley, At the age of 23, I am in the Navy, and I have always had a tough time with the tape measuring. I was doing some research for liposuction reduction on my butt, thighs, and waist, so I wouldn’t have to worry about the measuring around my hips and waist. And I came across your website. I live in Florida, but I can get time off to complete a liposuction surgery. I was just wondering how much the procedure would cost? Thank you for your time and please reply.
A: I am very familiar with the tape measuring that is done to pass a fitness test as that is the number one reason most people in the service have liposuction in my practice. So your request is not a rare one. How effective that would be in your case, how much fat could be removed and what that would cost would depend on what your areas look like. In other words, what do I have to work with and how big are they? If you can send me a few pictures of the areas in question that would be very helpful. In the interim, I will have my assistant send you an estimated cost based on what I would envision the areas to look like. That may or may not change based on a review of any pictures you would send.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: dr barry eppley, indianapolis, liposuction
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Monday, January 28th, 2013
Q: Dr. Eppley, What is the difference between liposculpture And liposuction? I am 55 years old and scared of the skin sagging or wrinkling At my age with liposuction, I would love my inner thighs, knees and saddlebags gone forever.
A: On the one hand, the difference between liposuction and liposculpture is largely one of marketing. The term liposculpture implies a greater degree of finesse and precision than the historic term of liposuction . As a result some doctors use this term for any form of liposuction because it simply sounds better. That does not necessarily mean, however, that it is or that the body is truly sculpted. Conversely, if applied to the right situation, the term liposculpture may have some real meaning. The right situation in my experience is when one is doing smaller areas of fat reduction using smaller cannulas where getting a more precise result and truly creating a visible contour change occurs. In short, liposuction implies large volume fat reductions where a simple size change occurs. (i.e., a full abdomen) Liposculpture implies smaller and more precise volumes of fat removed to create curved contour changes. (i.e., neck, knees)
Based on your age and areas of concern, however, these liposuction concepts are not what is important for you. You are appropriately concerned about what will happen to your skin at your age with any form of liposuction. The effects of liposuction on the overlying skin change based on the area being treated. I would not be concerned about the knees as skin never sags in this area no matter how much fat is removed at any age. Conversely, the inner thighs are a treacherous area for irregularities and skin sag at any age. I would approach the inner thighs with modest fat removal or none at all. If any significant skin sag exists now you would be better off with some form of an inner thigh lift if you want to go that far. As for the saddle bag area, this is a good area to treat but the key is to not remove too much fat as skin sag as some irregularities will occur with too much deflation. You may also have to accept some negative changes in the skin in the saddle bags no matter how much fat is removed.
Dr. Barry Eppley
Indianapolis,Indiana
Tags: dr barry eppley, indianapolis, liposculpture, liposuction
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