Body Contouring Now

“The Fountain of Youth” – Dr Chris Porter’s inside view of cosmetic surgery where he aims to help you to make the best possible informed choice and achieve your cosmetic surgery goals.

New Zealanders, like Australians, Americans and other Western Society people are getting bigger. This change is not just decade by decade, but now year by year according to the statistics. There are a number of reasons for this individual and population weight gain. As numerous as the undesired weight gain are gym memberships, personal trainers, miracle diets and now weight loss (also known as bariatric) surgery. New Zealanders are catching onto weight loss surgery in ever increasing numbers; in the US in 1993 17,000 had weight loss surgery while in 2009 this increased up to 229,000. Weight loss following bariatric surgery can be extraordinary, but so can the body shape changes. Small weight loss in a youthful person may leave no undesirable features but massive weight loss may lead to unattractive body contours, often due to excess skin as sagging skin folds. Sagging skin can lead to mental anguish after all the commitment to lose the initial weight, it can also lead to physical problems such as discomfort or rashes. Getting clothes to fit once the ideal weight has been gained can be difficult due to the skin folds. These folds can be located in the arms, trunk, abdomen, legs, buttocks and breasts. There are a number of potential procedures to correct folds in different body areas. Which areas to treat are decided according to need and health, you will be guided by your Plastic Surgeon as to what is realistic and when these procedures should be performed. Often these procedures are staged over a number of months to allow recovery and fit in with the patients lifestyle, work and family. It is important that the patient has a stable weight and has the full support of the Bariatric Surgeon before committing to body contouring surgery. This process from initial weight loss surgery through to completion of the body contouring surgery is a journey, you must be comfortable with both your Bariatric and Plastic Surgeons as you will be spending a good deal of time with them.

If you have any specific requests regarding cosmetic surgery topics that you would like discussed on this blog, please feel free to email me: chris@breast-body.co.nz

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Liposuction – Facts & Myths

“The Fountain of Youth” – Dr Chris Porter’s inside view of cosmetic surgery where he aims to help you to make the best possible informed choice and achieve your cosmetic surgery goals.

Liposuction is a surgical procedure used to eliminate fat that cannot be eliminated despite exercising and a healthy diet. This cosmetic procedure can be performed through tiny incisions that leaves inconspicuous scars, highly desirable but patients often “consent” to liposuction based on unrealistic expectations and a lack of understanding about the procedure, risks and outcomes.

As a procedure, liposuction involves removing diet-resistant fat from various parts of the body, such as the abdomen, buttocks, hips, flanks, thighs, arms, neck and breasts, through a hollow metal tube inserted into a small incision. Using negative pressure fat is removed and the area treated is thinned. To allow this to happen anaesthesia is required. This can be under a full general anaesthetic or under local anaesthetic with or without sedation. Regardless of the type of anaesthesia or whether the pocedure is performed in an accredited hospital, day surgery hospital, or an office based surgical facility, liposuction needs to be viewed as surgery and not something to be seen as insignificant or risk-free. Surgery, generally speaking, is a physical procedure used to create benefit to the patient, but this benefit must be balanced against potential risk. Liposuction must be used only for specific indications. It is not a weight loss tool, a common public belief, but does remove excess fat and improve body contours. The best liposuction patients are those that have done everything through exercise and diet to optimise their weight but are still left with a pocket (or two or three!) of resistant fat. This resistant pocket can then be liposuctioned and removed to give the desired and final body contour. Cellulite is not a good indication, but sometimes by removing fat the cellulite appearance can be improved but this cannot be guaranteed. Another common belief is that if you have liposuction the change is permanent, however if a patient gains weight after liposuction then the previously treated area can again become full and undesirable.

While complications from liposuction surgery are rare, it is essential for those considering the procedure to ensure their doctor is a FRACS trained Plastic Surgeon. Those undergoing it should also discuss their recovery with their doctor to ensure a safe and favorable outcome.

If you have any specific requests regarding cosmetic surgery topics that you would like discussed on this blog, please feel free to email me: chris@breast-body.co.nz