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I am a very fit 40ish mom. I work out, run regularly, eat well, and overall, look pretty good. My body fat is in the lean range. But I have been unable to really get rid of the flab around my middle. I don't need advice about working out or eating. I'm wondering about plastic surgery.
There is a lot of information on the BPN about about tummy tucks but nothing about liposuction. Has anyone had liposuction for their tummy and if so, are you happy with it? How long ago did you have it? Is it true that liposuction doesn't last? How much can I expect to pay?
I would rather not have surgery but know I would be happier if my stomach looked like the rest of my body. If you have had a tummy tuck, how long were you recovering? How long until you could work out again?
Finally, can I trust a plastic surgeon to guide me towards the right procedure? I am sure the surgery is more expensive than the lipo and wouldn't want to go under the knife just so someone can make their payroll.
Thanks! tired of my constant companion
Has anyone out there had liposuction and, if so, how was it? How does one find a good, reputable Dr to do this type of procedure? Please, no lectures from those who are against plastic surgery... loose tummy
I am considering getting liposuction and a tummy tuck at a well known teaching hospital in the midwest with a resident's plastic surgery program (Northwestern in Chicago). The cost is much cheaper than paying a private surgeon, which is why I'm going there, and this clinic has an excellent reputation. They do most procedures, including tumescent liposuction, with conscious sedation. They also tell me they do tummy tucks with conscious sedation. If you want to pay for an anesthesiologist, you can pay quite a bit extra for this service and have a general.
Has anyone on this list had such procedures done with conscious sedation? What was your experience like? Was it painful? Could you feel tissue manipulation? Did you remember anything that happened? I'm very skeptical about the tummy tuck part without a general, as this includes deep fascia tissue manipulation and cutting out of skin! If I can do this without a general, I'll do it, as I am sick for days after having general anesthetic, and I would like to save a couple thousand dollars. turning 50 and fighting it
I do surgeries on awake patients, but I have the anesthesiologist administering the medications. Patients do feel pulling and pushing as the anesthetics block pain but not pressure fibers. The advantage of sedation is that many of the sedative agents used also cause amnesia, so while you may be aware of the surgical procedure while in the operating room, you will likely not have memory of it.
I have done tummy tucks on awake patients but with epidural anesthesia, not local anesthesia. This is done in patients who have immediate tummy tucks after elective c-sections. It is safer to have the patient awake with all the physiologic changes that occur immediatly after delivery. These patients are awake and comfortable, but epidural anesthesia is much more dense of an anesthetic than just local anesthesia and requires the presence of an anesthesiologist.
General anesthesia has improved. The current agents used are short acting and often are anti nausea agents also. You wake up more quickly and have a much lower chance of nausea and vomiting.
I would also have concerns about traveling to have surgery, particularly where a plane flight is required to get back and forth to the doctor. I have inquiries all the time from patients outside of the San Francisco area. My requirement is that patients plan to stay here for 2 weeks after tummy tuck before going home. Two weeks is the period of time during which most surgical complications will occur and I want to be able to take care of those patients, not have them trying to obtain care in an emergency room somewhere else. I don't know what arrangements you have made to stay in Chicago postoperatively, but in my professional opinion, that should be a consideration too.
In general, plastic surgery is strictly elective. I feel strongly that all the risks of surgery should be minimized and no safety shortcuts taken in order to decrease cost. A surgical complication is never worth the money saved. Local Plastic surgeon
there is risk with both kinds of sedation. general anesthesia requires an anesthiologist, conscious sedation not necessarily - depends of the hospital, state, and medications involved. but often a nurse can manage the patient after the doc knocks you out.
about ten years ago i was given an electrophysiology study of my heart - they stuck like four 'wires' into veins and wiggled them into my heart and then did an electric mapping of my heart. i was so out i don't remember most of it, but i did 'wake up' at one point and it took everything for me to mutter ''chest pain.'' i remember the nurse pushing more drugs into the IV, and i was out again. they told me afterwards i was pretty combative and was trying to take the catheters (wires) out, so they strapped me down. so i was conscious enough to breath on my own, and when the pain meds were wearing off, respond to pain.
hope that helps good luck
1. Both Liposuction and abdominoplasty (tummy tuck) procedures are major surgery. The risks for complications are high in both procedures and the benefits are purely cosmetic, neither will make you healthier or prolong life. Exercise, a healthy diet, and activities promoting mental health such as meditation, therapy, tai chi, whatever, will promote self esteem, make you healthier, will prolong life and are very low in risk compared to major surgery.
2. Should you decide to go ahead with the surgery, I would advise you to pay the extra money and have somebody with experience, and a good reputation, board certified, do the procedure. This is your life were dealing with here, not something you want to skimp on. Complications from these procedures run from death on the far end of the spectrum to unfavorable cosmetic outcomes such as ugly scarring, lumps where they shouldn't be etc. Good, experienced surgeons perform the procedure faster, minimizing your risks for infection, and lessens the time you are under sedation or anesthesia. Experienced surgeons know how to recognize and resolve problems that may arise because they are likely to have seen the problems before.
3. Pay for an anesthesiologist. Both procedures are long and painful, better to be asleep, with somebody experienced controlling your airway. Again, this is your life we are talking about here! - nurse's wife
I know this sounds vain and disgusting but I really think liposuction may be the answer to my fat problem. I eat pretty healthy, lots of salads, vegies, chicken, not no carb though, (most of the time but I do drink wine daily) and work out 5 times a week. I have always had a fat mid section. I am only 5'2' and wear a size 11 in jeans because my middle is so big. I have short legs so all pants need to be altered. My weight is OK, am working to lose 8-10 lbs but I know from experience that even with the weight loss I will have a spare tire. My daughter is 2'' shorter than me, weighs 15 lbs less and is a size 2. I am at a loss as to what to do. Has anyone had lipo and if so w/ who and are you happy? Any other suggestions for losing the mid section would be appreciated as well. I am 50 something by the way potato.pancake
Liposuction removes some of the fat between the skin and the muscle. It is a great procedure for areas that are just out of proportion with the rest of the body. I think of liposuction in this setting as body sculpting. However, when the fat is removed, the skin is initially loose. The best result is achieved when that loose skin can tighten up naturally over several months after the procedure so that everything is smoother and smaller and tighter.
If the fullness in the middle is caused by an overstretched abdominal muscle layer and not by fat just under the skin, liposuction may not be your best choice. Also, if your skin is not elastic, liposuction will make you smaller in clothes, but hanging skin might not be satisfying for you.
An evaluation with a plastic surgeon should help you decide what the pros and cons are of each option so you can make an educated decision about how to proceed. Please also make sure that you are seeing someone certified by the American Board of Plastic Surgery and that they have privileges to do the surgery in a hospital, even if they have an office operating room. This will protect you from those not trained in plastic surgery who perform cosmetic operations.
Most of us have something we would rather not have to look at every day in the mirror. Some of us want to have something done about it, some of us don't. It is a personal decision. Any emotional energy spent on a daily basis pushing the discomfort about your belly to the back of your mind, is emotional energy wasted. If you can fix the problem, it can be liberating. Local Plastic Surgeon
Do seek another opinion if a doctor suggests that you should have a hysterectomy as there are other options that would allow you to preserve your uterus and not go through hormone replacement therapy. Options include surgery (myomectomy or hysterectomy), uterine artery embolization (UAE/UFE), and thermal ablation. Some women try dietary changes or supplements, but it's doubtful that they work.
If you do have uterine fibroids - 1st take those tests to see - you may want to join the uterine fibroids group on Yahoo! Groups (email@example.com), where you'll be able to get recommendations from others with the same condition Marinela marinela
I am considering having liposuction of my abdomen, hips and back areas. After reviewing the previous recommendations for plastic surgeons, none address aesthetic plastic surgery. Does anyone know (personally or through family/friends) of an excellent,well known, well regarded, board certified surgeon that specializes in liposuction? I am willing to travel anywhere in the greater Bay Area for the best doctor. Please feel free to post anonymously.
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