Board Certified Plastic Surgeon
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Thank you for your question. There have not been any studies regarding the efficacy of 'postoperative compression garments'. Nonetheless, they are widely used - and I do not know a single body contouring physician who does not use them. The value is controlling postoperative swelling. The garments are placed to provide external compression and allow the skin to compress against the underlying tissue, and this process helps minimize the presence of excess seroma fluid. Over time, there has been a 'development' of stage 1, stage 2, stage 3, etc. I see my coordinators using these terms. I think the benefit is that there is attention to how a particular patient is responding to the swelling, and taking care to monitor their progress. I do not believe that a particular garment will make or break your result, however, it may make the process a little smoother getting there. Best of luck! Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery
Hello. Thank you for your question. Your photos and BMI indicate that you are in very good shape with very good proportions. I believe that this is a question of 'expectation' rather than 'actual numbers.' You would be able to liposuction the abdomen, flanks, peri-buttocks, arms, etc. There will be a lot of shaping that occurs with liposuction that will help shape your torso even without fat transfer. There is no issue with suctioning the inner thighs and anterior legs except that the surgeon will have to be very limited in the volume removed so as to avoid contour deformities. Some amount of fat will be harvested and will contribute to the total harvest amount. It may only be a couple hundred cc. The total volume would be prepared for fat transfer. It may be that you only have 500, 600, or 700 cc/side. But that might make a very nice contour enhancement to an already very nice shape. I am not a fan of gaining weight for the sake of transfer. Best of luck! Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery.
Hello. Thank you for your question. Your photos indicate that you have a very good starting point for a mommy makeover - Liposuction/BBL and Breast Augmentation/Mastopexy. You have a natural shape to your torso and buttock regions. Liposuction of the abdomen, flanks, and peributtock regions will result in a nice contour and harvest of fat. Liposuction of the inner thighs and knee regions will definitely help increase the volume. I believe that you will have enough harvested fat to transfer to the buttock regions nicely. Your photo shows that you have sloping breasts and are missing volume especially upper pole volume. The breasts have laxity. It is possible that a breast lift could be performed without adding an implant but you would have smaller breasts. It is also possible that fat grafting from the abdomen to the breasts could be performed. But if you wish for fuller, perkier breasts, realistically an implant is required for adding volume. I believe that you would get the best result with the following: at surgery, an implant is placed first. The size of the implant would be based upon your chest and body measurements, and then modified by your preferences- such as breasts that are slightly larger or slightly more moderate. Then the breast lift is performed. The excess skin would need to be reduced and tailored so the nipple-areola is centered over the implant. The areolae would be made smaller. Lastly, I recommend an in-person consultation. Depending on the discussion, chaperoned examination, and the final recommendations, you will receive a written estimate. Best of luck! Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery. Stafford, VA and Chevy Chase, MD
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