I would like to address a philosophy and technique that I have adapted to my practice which is circumferential liposuction. In my previous audio on liposuction, I discussed the generalized technique and history of this procedure. Frequently, patients present to my office for various body contouring techniques. The most common one is tummy tuck or abdominoplasty surgery. When examining these patients, not only do I look at the deformities of the abdominal wall such as excess skin and fat of the abdomen with poor muscle tone, but I also assess the generalized appearance of the trunk. Frequently these patients will have fatty deposits not only of the abdomen but of the anterior and posterior hip areas as well as fatty deposits of the upper back beneath the bra line.
Over the course of my career, I have found that I can obtain the best results and the most dramatic improvements by treating my patients circumferentially. In this approach, not only is an abdominoplasty or tummy tuck performed, but aggressive liposuction is performed circumferentially around the trunk removing fat from the back, hip rolls, and beneath the bra line. By doing this, it produces a more drastic reduction of the fatty deposits of the trunk and I am able to further define the waist region to obtain a better cosmetic result. Circumferential treatment can also be applied to generalized enlargement of the thigh and may also be used in treatment of redundant skin of the arms by also performing liposuction as well as removing excess skin.
Body contouring surgery includes multiple techniques where not only fat is removed by liposuction but large areas of skin may also be excised. Common indications for these techniques include a patient to have undergone bariatric surgery with severe amount of weight loss producing large areas of redundant skin. In cases such as this, the large areas of redundant skin may be excised and some residual areas treated with liposuction. In performing a standard tummy tuck, liposuction is frequently employed in the upper abdomen, in the waist region, and anterior hip rolls in order to further define the silhouette and figure of a patient. By thinning the skin and fat layer with liposuction, the skin can be advanced easier and a better result can be obtained. Circumferential techniques may be performed as an outpatient, but frequently they are larger procedures requiring lengthier surgery times up to 6 hours. In cases such as these, overnight hospitalization may be advisable.
Risks and complications include infection, bleeding, wound healing problems, and fluid collections.
To find out if you are a candidate for several of these body contouring procedures such as abdominoplasty, thighplasty, or reduction of excess skin of the lower extremities, or treatment of the arms, please contact my office or visit my website at www.awholenewme.com.By Dr. Richard Linderman