So, you have tried the new gym membership and the latest Paleo/Atkins/Flexitarian diet for weight loss, and your resolution to feel and look better is coming up a little short. You’re definitely not alone! Many people really struggle to improve their physical shape with diet and exercise before trying body contouring surgery like liposuction. And, it’s not because you haven’t worked hard for it. Hats off to you for trying!
Understanding where and why you’re body’s storing stubborn fat is the first step. In this post, we’ll cover that information, discuss weighing the benefits of liposuction vs tummy tuck surgery to address surplus fat, and explain what to expect at your body contouring surgery consultation. Let’s get started!
Where is fat stored in the body?
We have a poor understanding of exactly how and where the body decides to store fat. And, once the fat is stored, where does the body decide to use and burn the fat as fuel in the future? We really haven’t been able to predict or manipulate metabolism with good reproducible accuracy.
One common misconception that I frequently hear from my patients is that you can make a bulge of fat on your body disappear by simply exercising the muscle group below it to “burn it off.” This is simply not true. The abdominal muscles will certainly strengthen and become more defined by doing 1,000 situps a day, but the fat overlying the muscle may not change much. And although I am a strong advocate for a good healthy diet and exercise in our patients, the phenomenon of fat deposition and metabolism around the body is variable.
Can fat be athletic?
As a board-certified general surgeon with a cosmetic surgery practice specializing in Smartlipo™ and CoolSculpting®, I see body sculpting patients on a daily basis who have struggled with problem areas that are resistant to diet and exercise in spite of hard work and discipline. We see marathon runners, triathlon competitors, and Iron Man athletes requesting Smartlipo and/or tummy tucks who exercise for 15 to 20 hours per week and who are in excellent condition but still struggle with unwanted bulges and problem areas.
Is it better to get liposuction or a tummy tuck?
So what do you do about the “Dunlap” “spare tire” “love handles” and “muffin tops” that continue to hang around (sorry) in spite of our best efforts? A tummy tuck is certainly an option, but Smartlipo may be equally good or an even better option.
Statistics
According to most research on cosmetic trends, both procedures are among the most commonly performed, everywhere. In 2022, liposuction was the top procedure, with more than 325,000 performed. Tummy tuck surgery ranked No. 3, according to the American Society of Plastic Surgeons, with nearly 162,000 procedures performed.
Differing Opinions
A patient can go to one cosmetic surgeon and a tummy tuck is felt to be the best option for a person’s particular situation and then see a different cosmetic surgeon the same day who may feel that liposuction is a better option for the patient. A third surgeon may feel that the patient is not a good surgical candidate at all and that they need to lose 30 pounds before they are a candidate.
Why the different opinions? Which one is correct? The answer is possibly all three. When done well, cosmetic surgery is art, science, technology, and patient individuality combined together. The ability to safely and effectively accomplish a patient’s goals is the most important endpoint when considering which procedure or technique a surgeon should employ. Having multiple tools in the surgical or nonsurgical toolbox allows us to accomplish each patient’s unique and individual goals.
Choosing What’s Right for You
The decision a patient has to make when deciding what procedure and which surgeon should perform the surgery is both important and difficult. This article is not designed to debate the ability or credentials of which specialties should perform cosmetic surgery, but simply that cosmetic surgery in the U.S. is performed safely, effectively, and expertly by multiple different medical and surgical specialties with widely varying backgrounds that all contribute to patient safety and good cosmetic results.
What can I expect at a body contouring plastic surgery consultation?
Communication is the first key to successful cosmetic surgery. The complimentary consultation should help each patient make a decision about both the surgeon and the procedure. The discussion during the consultation should be open, and the communication from both the patient and physician should be clear and not one-sided. We approach each patient as a clean slate, and they need to help us learn about them. It is important to realize that each individual patient has different:
- Expectations for the procedure and how they want to look
- Concerns about scarring
- Questions about anesthesia
- Tolerance for length of recovery and downtime
- Concerns about skin laxity and stretch marks
- Concerns about the risks of the procedure
- Questions about pain
- Whether or not they want surgery
- Questions about the cost of the procedure, anesthesia, and facility fees
- Questions about when they can resume exercise and how it will affect their ability to exercise
- Questions about how others with their same body type look after the procedure(s)
- Questions about what procedure would be best to address their particular condition and concerns
At the conclusion of the consultation and examination, these questions and more should have been addressed, and an agreement and understanding between the surgeon and patient should be developed. Only after understanding the goals and needs of each individual patient can a cosmetic surgeon make a recommendation unique to that patient to achieve as many of their goals as possible. In general, most of the patients we see prefer a great-looking result with minimal scarring, downtime, and pain and would prefer not to have the risk of a long surgical incision and general anesthesia.
Getting Started
All things being equal, many of our patients evaluating their options, choose the minimally invasive Smartlipo procedure and are glad they did. In some cases, a tummy tuck is recommended, while in others, neither is recommended. We’re happy to talk with you about your options. Contact us online for a complimentary consultation or call us at (208) 676-8346.
Originally published January 2014; Updated April 2024
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