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Q. What is the best way to remove tummy fat?

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If you’d like to slim and tighten your midsection, there are two options to consider:

Liposuction is the only procedure that will actually remove fat from the abdominal area. Today’s liposuction techniques can even be used to tighten slack, damaged muscles and improve the overall elasticity of the skin that lies over top of the fat deposits. During a liposuction procedure, the patient is given a local anesthetic and epinephrine, a drug that helps minimize bleeding. The fat is infused with a saline solution to help it and make it easier to remove with a wand measuring just a few millimeters in diameter. The wand is used by the surgeon to sculpt the treated area, creating a slimmer, shapelier silhouette.

New technologies have improved liposuction results even further. The laser or "Vaser" (ultrasound) liposuction techniques both work to destroy the fat while stimulating the skin to contract, resulting in a tighter, smoother appearance and a quicker recovery process.

An abdominoplasty (or tummy tuck) doesn’t actually remove fat, but it created a slimmer, sleeker look by tightening flabby muscles in the midsection and removing loose skin. The result is a tauter, flatter abdomen and pubic area. A tummy tuck is ideal for women who have stretched the skin and muscle of their bellies through a rapid or excessive weight gain and loss or pregnancy.

Abdominoplasty is a more invasive process than liposuction, and must be performed under general anesthesia in a hospital setting. It also takes longer for the patient to recovery from an abdominoplasty than from a liposuction treatment.


 
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Q. How long do I need to take off work for rhinoplasty?

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Rhinoplasty can involve many different procedures. Depending on the natural shape of your nose and the look you and your surgeon plan to achieve through surgery, the surgery may include breaking and rebuilding your nasal bones, reshaping or removing cartilage, or reshaping the septum.

Because rhinoplasty techniques can differ so much, it’s important to talk to your surgeon about what kind of recovery timeline you can expect for your specific procedure.

For the first few days after surgery, you’ll look worse than you feel! The swelling will be at its worst, and the bruising will already have started to appear. Just relax, take care of yourself, and look forward to the moment when you can remove the bandages and catch the first glimpse of your new profile.

You can expect to return to work within seven to 10 days as a general rule. By that time, the worst of the bruising and swelling around your eyes and nose should have subsided to the point where coworkers will not notice them. Your nose may still be very slightly swollen, but since the rhinoplasty will usually have slimmed the nose and softened the profile overall, the slight swelling will not be perceptible to people who are accustomed to your original nose.

You may continue to feel some stuffiness for several weeks after the surgery, and you can expect any residual swelling to gradually subside in the coming months.

It can take up to a year for the swelling to vanish completely and for the full cosmetic benefits of your rhinoplasty to appear.

 

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Q. How long do I need to take off work for breast augmentation?

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Although a breast augmentation is performed in an outpatient setting and generally takes less than two hours, it’s a surgical procedure, and full recovery takes time and patience.

When you return home from surgery, your focus should be on taking care of yourself, getting lots of rest, drinking enough fluids, and managing any pain or discomfort with medication. For the first couple of days, you’ll be drowsy and sore and should remain in bed, but within 48 hours you can safely get up and move around. Take it easy during this time: no heavy lifting—not even to pick up your kids.

Most women are ready to return to work about a week after their surgery. At this point, you will have had your stitches removed (unless yours are designed to dissolve over time), which means you’ll be able to have regular baths and showers. Although you’ll be well on your way to recovery, you should still be taking it easy physically and avoiding certain activities. Heavy lifting and even lifting your arms above your head is not advisable. Your breasts will still be sensitive and show signs of swelling and bruising for two or three more weeks.

If you have a job that requires physical exertion, lifting, or reaching, you may wish to delay your return to work for another week to give yourself a bit more time to heal. Listen to your body—and your surgeon!

If you have any doubts about your path to recovery, contact your surgeon to discuss the situation.

 

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Q. Can I undergo multiple procedures at once?

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Yes, it’s possible to have more than one procedure performed at one time. In fact, in many cases it’s more common to organize a treatment this way: for instance, a tummy tuck usually involves concurrent liposuction treatment.

Patients may choose to undergo two or more procedures at once for a number of reasons:

The look you wish to achieve requires more than one procedure. Cosmetic surgery offers many subtle ways to smooth, lift, and reshape your face and body to achieve better symmetry, proportion, and rejuvenation. Many patients find that combining two or more procedures allows them to optimize their results.

You want to reduce the amount of time spent in surgery, in recovery, and off work. When you undergo multiple procedures at one time, you will spend less time in surgery and less time recovering than you would if you had each procedure done separately. You also only need to book time off work the one time.

You want to reduce your costs. Cosmetic surgery involves a number of costs, including anesthesia fees, facility fees, and the surgeon’s fees. Combining two or more procedures can result in cost savings because it minimizes the time and resources needed. Your surgeon may even offer a discounted rate for multiple procedures.

If you’re thinking of having more than one procedure done, especially if the procedures are related to the same area, you should definitely discuss your options with your surgeon. He or she will be able to advise you on your best and safest options, based on the types of procedures you plan to have, your overall health, the total length of surgical time required for the procedures, and other critical factors.

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Q. When do I need to replace my implants?

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The implants used in breast augmentation surgery are safe, durable, and offer a softer, more natural look and feel than ever before. However, whether you choose saline or silicone implants, your implants will not last forever.

The typical life expectancy of an implant is about 10 years, although they can last quite a few years longer in some cases. For every year that your implants remain in place, you can expect an increase of 1 percent in the likelihood that they will develop a leak. Eventually, every breast implant will wear out and need to be removed or replaced, so it’s important to be aware that breast augmentation will always involve more than one surgery.

In addition to ordinary wear-and-tear, breast implants are also susceptible to physical impact, such as a fall, a car accident, contact sports, or even the compression sustained during a mammogram.When saline or silicone breast implants rupture for any reason, they need to be replaced, but they do not pose a direct threat to breast health. Research has proven that there is no link between implants and an increased risk of any autoimmune or systemic diseases.

When a saline implant starts to leak, it often deflates visibly, but a leaking silicone implant can look and feel the same, which can delay detection. For this reason, it’s important to follow up with your surgeon on a regular basis, even if there are no signs of a leak or any other problems.

Because breast implants do require periodic check-ups with your surgeon, it’s essential that you feel you can trust them to give you the very best care. Ask the important questions:

  • How many years has the surgeon performed augmentation surgery?
  • How many augmentations does the surgeon perform each year?
  • What is the surgeon’s reoperation rate?
  • Which follow-up operations does he or she perform most frequently?

When a reputable, board-certified surgeon performs your augmentation, you can expect to minimize any complications and the need for subsequent surgeries.

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Q. Will the fat ever come back after liposuction?

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Liposuction—or lipoplasty, as it’s also known—is a cosmetic procedure that slims, tightens, and contours the body to more attractive proportions by removing excess fat deposits. It’s used most effectively in cases where the patient has an accumulation of fat in a particular area that is resistant to conventional approaches such as diet or exercise.

A successful liposuction treatment can have a transformative effect on the patient’s silhouette and self-esteem. Understandably, many patients want to ensure that they will enjoy their new look for many years to come—and the good news is, they can!

Because liposuction removes the fat cells completely from the targeted area, that area becomes resistant to developing fat deposits in future. This is because when you gain weight, your fat cells don’t multiply: they simply grow larger. When fat cells are removed, your body’s ability to gain fat in that part of your body is also removed. As a result, if you do gain weight at any point in the future, the fat will not collect in the areas where the procedure was performed.

However, in cases where patients gain excessive amounts of weight after their surgery, this may trigger the generation of new fat cells to store the excess fat. Because the most fat-susceptible, “problem” areas of your body have been made resistant by the liposuction, this weight gain will be distributed more evenly across your body than it would have been before the surgery. The result is a more proportioned look in which your overall shape is retained, but your overall dimensions are larger.

Keep in mind that the tightening and firming qualities of your liposuction treatment will continue to develop for up to six months after your procedure, so it will take some time before you’ll see maximum results. Once your new, slimmer shape has fully emerged, you can maintain and preserve it best by maintaining a healthy, active lifestyle after the surgery.

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Q. Can I breastfeed after a breast augmentation?

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Yes! Women who have had breast augmentation surgery can breastfeed as easily as women who do not have implants.

It’s not uncommon for women to be concerned about their ability to produce milk after saline or silicone implant surgery, but these fears are largely based on outdated information.

Although today’s surgical techniques leave the mammary glands and ducts intact, older techniques sometimes created problems. Some surgeons chose to make the surgical incision very close to the nipple, because the pigmentation tended to camouflage the scar better. Because the breast ducts gather densely at the nipple, it’s easy to accidentally sever the ducts.

Another common concern among women considering silicone breast implants is the risk of their breast milk being contaminated by a leak. However, it’s impossible for today’s improved silicone fillers to mix with breast milk and be inadvertently fed to a breastfeeding baby.

Women who look forward to being able to breastfeed their children can feel confident that modern breast implant surgery techniques will protect their ability to produce milk.

If your ability to breastfeed is important to you, be sure to discuss the issue with your surgeon. He or she will ensure that the best decisions are made regarding the placement of the implants and the location of the incisions. For instance, the implant may be placed in such a way that it puts less pressure on the mammary glands.

There are no guarantees for any woman—whether she has had breast augmentation surgery or not—that she won’t have problems breastfeeding. But women considering breast implants don’t need to worry that their decision will affect their chances of being able to breastfeed their children.

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Q. Which are better: saline or silicone implants?

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If you’re considering breast augmentation surgery, one of the decisions you’ll need to make is whether to choose a saline or silicone implant. Each option has its own set of advantages, so your decision will depend on your personal preferences and circumstances. Your surgeon can help you make the choice that’s right for you.

Saline breast implants are made up of a thick silicone shell, which is inserted into the chest and then filled with sterile salt water. Because the implant is inserted first and then filled, a smaller incision can be made, resulting in a smaller scar. By filling the silicone shell with different amounts of saline, the surgeon can control the shape, firmness and feel of the breast to a certain degree. Saline breast implants are approved for any woman over the age of 18.

If the shell begins to leak, the salt water will be absorbed and expelled by the body naturally and with no associated health risks. As the saline is absorbed, the shell will visibly collapse, so it’s immediately clear when the implant needs to be replaced.

Silicone breast implants also have a shell made of silicone, but they are filled with a resilient silicone gel that feels and moves like natural breast tissue. Because silicone implants must be filled before they’re inserted into the chest, the incision needs to be bigger and the resulting scar will be larger.

The U.S. Food and Drug Administration (FDA) have approved silicone breast implants since 2006. Now any woman over the age of 22 may choose silicone breast implants for cosmetic or breast reconstruction surgery.

Silicone implant leaks are harder to detect than saline implant leaks, because the silicone implant doesn’t always noticeably deflate. For this reason, women with silicone implants may be advised to visit the surgeon periodically to ensure the implants are in good condition.

Both silicone and saline implants can placed the implants behind or in front of the pectoral muscles. The placement decision depends on the degree of enlargement you choose, your body type, and your surgeon’s recommendations.

 
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POPULAR QUESTIONS

What is the best way to remove tummy fat?

How long do I need to take off work for rhinoplasty?

Can I undergo multiple procedures at once?

When do I need to replace my implants?

Will the fat ever come back after liposuction?

Can I breastfeed after a breast augmentation?

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