San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

About Dr Romano

Before & After Images

Breast Surgery

Body Surgery

Arm Rejuvenation

Belly Button Surgery

Body Lift

Buffalo Hump Correction

Calf Enlargement

Fat Grafting Body

Fat Grafting Buttocks

Hand Rejuvenation

Inner Thigh Lift

Labioplasty

Liposuction of the Body

Massive Weight Loss

Tummy Tuck

Facial Surgery

Male Plastic Surgery

Anti Aging

Office Information

Out of Town Patients

Articles

Plastic Surgery Videos

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Liposuction of the Body

There is no area across the broad expanse of all of plastic surgery that is more popular, more appealing, more sought after, and more satisfying than liposuction. Patients that see me in consultation are in varying degrees profoundly discouraged by their contours, shape, silhouette and size. They commonly have tried all sorts of diet and exercise programs with limited success. I understand how these features can be so undermining to one’s confidence, self esteem and activity level and I love to be able to treat this for you once and for all.

 

The presenting fundamental features and complaints for liposuction are mostly similar but vary in great degree. I see patients wanting removal of fat and smaller contour or better shape in virtually any area where there is present superficial fat (that is fat just beneath the skin). They all desire to fit better in clothing, wear smaller clothes, tuck in shirts, and look better in swimsuits. What is different is how much fat; some patients have quite a lot and others not too much and there are all stages of in between. So, my standard success in liposuction is critically dependant on careful patient selection, managing expectations, thorough evaluation, systematic preparation, and very precise surgery. The way liposuction works is totally related to the ability of the skin to shrink and contract down around the reduced fatty [liposuctioned] framework. Once the fat is removed, it does not grow back and you can expect the result for the rest of your life. I do things before and after the surgery to enhance this contraction process. Since this fatty area and all the contents is essentially on the surface of the body, it is not closely related to muscle, tendon, bones, or other vital structures that hurt, and so, the recovery is quite comfortable. Surgery involves infusion of a dilute anesthetic into the tissues (tumescent anesthesia) combined with a light general anesthetic, performed where I do surgery, which is in a hospital setting with an MD anesthesiologist. The surgery is safe and predictable. There is a very mild swelling and almost no bruising after surgery. There are only a few stitches, with return to work in as little as 1-2 days, and to some physical exercise in the first week. The areas I treat with liposuction are:

  • Face and Neck. Please see the Liposuction of Face and Neck section on this.
  • Chest and Breast. Liposuction works well here in both breast reduction in women and chest reduction in men (See Gynecomastia). See the separate sections on each of these.
  • Arms. This can be done in all areas from the wrist up
  • Folds in Front/Rear Armpits (Axillae). These are the annoying pockets of fat that may be just above the breast and bra in women, or in the back of the axilla. Men get these too.
  • Abdomen. This is the entire area from the chest to the pubis.
  • Hips. This is the area all around the waist from the abdomen edges to spine
  • Back. These are the rolls under the bra straps in women. Men get these too.
  • Pubis. This can be reduced.
  • Thighs. I divide this into front, back, inner, outer. All these areas can be done.
  • Knees. This includes the inner knees, but also some fat that can be present like a horseshoe shape over the kneecap or below the kneecap.
  • Legs. This is usually for thick ankles but I can treat all the way from the knees down.
  • Feet. Yes, I have seen some weird fatty accumulations on the dorsum of feet that I have treated.

Liposuction of the above areas is very common in my practice. I have performed thousands of these procedures with consistently beautiful and natural results. I have special expertise in this procedure and spend a great deal of time discussing your anatomy, listening to your expectations, and interpreting for you what your anatomy and body will allow me to do in a safe and predictable way. In addition, I build a system into every surgery that, initially, allows you to recover much quicker and, secondly, serves to preserve your surgical results. This system includes a special diet, vitamins, supplements, skin products, physical training and knowing what to avoid. Together, all of this allows me to create results that are consistently very beautiful, quick to heal, exceptionally natural, and with minimal incisions. I am delighted to surgically provide you with such a profound body image change, and one that has consistently so pleased my patients and changed their lives.

 

PLEASE TAKE A FEW MINUTES to read a very technical and informative article I wrote on Liposuction in my Articles Section of the website and my Ultrasonic Liposuction videos in the Video Section of the website.

 

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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