What do you think about lipo now, surgery later?

Judith K.
on 2/6/11 11:50 pm
VSG on 05/15/10 with
I had a consult today (my 4th) and the dr suggested lipo now even though I have 25# left to lose.  She likes to do the lipo (inner/outer thighs, arms) now and then the swelling is completely gone in 8 or 9 months when I have surgery.  She said she can see that even at my ideal weight I'll still have jodphur thighs and batwings (she's absolutely right 'cause I had those issues even when I was 21 years old and weighed 125#).

What do you all think of that?  I think it's exciting 'cause I will get practically instant results in the two areas of my biggest problem.  I know I'll have loose skin, but I have that anyway and isn't that' what shapewear was invented for?

Opinions, please!
HW -- 255.8#;  WW/pre-op lost 22.6#; CW -- 152.2#; GW 140#; 103.6# GONE FOREVER!

          


smilin_eyes_58
on 2/7/11 1:40 am - IL
I would go for it.  If your thighs are like mine you will probably lose half your remaining weight just with the lipo.  
Cheryl
5' 5 1/2"
HW 319/DOS 288.8/NOW 213.6/ 105.4 lostSurgery 1/21/09
    
Judith K.
on 2/7/11 1:47 am
VSG on 05/15/10 with
She said about 8#!  Isn't that crazy?  I think it's interesting that w/ all the weight I've lost I just keep holding onto that fat in my thighs.  Guess it thinks it's a part of me since it's been there since birth -- ha, ha!!
HW -- 255.8#;  WW/pre-op lost 22.6#; CW -- 152.2#; GW 140#; 103.6# GONE FOREVER!

          


Amy Smith
on 2/7/11 2:14 am
My surgeon recommended something similar as my outer thighs will need lipo and I am doing 2 rounds of surgery.  She said it was a great idea to go ahead and do 1 round of lipo on my outer thighs so that she could do a little of contouring during the outer thigh lift so I wil get even tighter results.  It sounds good to me.
valjuan16
on 2/7/11 6:40 am - PASADENA, CA

I also had a consult with the doctor that did my tummy tuck and he told me I had to lose 10lbs, and he would lipo the inner/outer thighs) then after a few months, he would do the thigh lift.  He said that I carry the remaining weight in my thighs (I am 145lbs, should be 130lbs).  At first I was kinda bothered thinking he was tring to get more money outa me BUT after lots of research, I have discovered that he was correct and I would have better results with the lift later. I am also excited that those fat cells won't ever come back, so I guess I will just have to pay for two more rounds of plastics.

Hope that helped.

God is good all the time!!

Gastric Bypass Dr. Troy La Mar  03/12/08
Anchor Cut,  Extended Tummy Tuck  Dr. Pearlman D. Hicks 12/17/10
Starting weight 265, Goal Weight 130, Current Weight 145.
Judith K.
on 2/7/11 7:41 am
VSG on 05/15/10 with
Ya know, when I walked into this doctor's office today I thought, "I hope this lady's prices are reasonable 'cause I really like the 'aura' of this office."  I'm not usually big on that kind of thing, but everything about it just pleased me.  Then when she suggested the lipo first I was really excited.  One 'cause it's NOW; and second is the reason that the thigh lift will yield better results later.  It just seems to make so much sense, doesn't it?  Glad you have the same info.
HW -- 255.8#;  WW/pre-op lost 22.6#; CW -- 152.2#; GW 140#; 103.6# GONE FOREVER!

          


luv2sleep
on 2/7/11 10:36 am
Hi Judith!  This is Teresa.  You just sent me infor re: Dr. Sauceda.  Are you not considering him for your lipo and other plastic surgery?  I don't remember how I found his page that I was on.  I have no clue.  Can you tell me please how I got there?
Crazeru
on 2/7/11 2:51 pm
Here's the info for Dr Sauceda:

Dr Sauceda

Dr S Website


Chris
HW/225 - 5'1" ~ SW/205/after surgery 215 ~ CW/145~ BMI-25.8~Normal BMI 132 ~DS Dr Rabkin 4/17/08
Plastics in Monterrey - See Group on OH Dr Sauceda Jan 13, 2011
LBL, BL, small thigh lift, arms & a full facelift on 1/17/11
UBL 1/21/13
Love my Body by Sauceda

DrL
on 2/7/11 11:38 am - Houston, TX
Well....if you are at a plateau and can't lose any more weight, or could have health issues (vitamin deficiences, anemia) with futher weight loss, or feel you are happy with your current weight and do not desire to lose any more, then lipo as an inital and separate surgery may be an option.

It is hard (for me anyway) to predict where and how fast a patient is going to lose from any given body area 6 mos down the line. I dont like that unpredictability.

I also am not so interested in the scale, but want to see you at a healthly balance with diet, excercise, and job/lifestyle/home.  When those things are in harmony, I see that weight stabilizes and patients are ready for surgery. Do you feel you're there ?

Operating on a person who is planning on losing, gaining, or who may be bouncing around more than 5 or 8lbs a month just adds too much uncertainty IMO.

Why undergo a separate surgery, exposure to anesthesia, and downtime/recovery when a little more time would allow you to have a single and combined surgery ?  Lipo also creates scarring that can make the lift later on in that same area more challenging and unpredictable.  Ultrasonic lipo was designed specifically to deal with the tough scar tissue found in previosuly lipo'd areas...this is a real issue.

I'm going to share with you an unpleasant and true conversation I overheard once between two surgeons  regarding patients seeking liposuction:

"That's a dangerous kind of patient"
"Why?"
"Because somebody else might operate on them first"

Point is, I see too many patients less than a year out from WL surgery who are still learning to use their weight loss tool and may have a bit further to go, being advised to undergo surgery too soon.

I approach this from a simple patient safety standpoint so please don't infer any criticism towards you or any of your doctors.







John LoMonaco, M.D., F.A.C.S.
Plastic Surgery
Houston, Texas

www.DrLoMonaco.com
www.BodyLiftHouston.com
ShirleyG
on 2/7/11 6:48 pm - HALFWAY BETWEEN ATLANTA AND BHAM , AL
DRL 
GOOD ADVICE ...i learned the hard way and many $$$$ later ...I was told though that lipo would probably fix my problem 90 % certian..  What a joke...   I now need the butt lift ...
So now since we have only 2 PS in the area , ( not pleased 100 with either)  I am trapped unless I travel which creates even more $$$ ...I sure have traveled in the first place ..
Thanks for all your input on this board too ....very helpful ..
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