It has become increasingly better understood that fat provides an essential support to skin and tends to diminish from the face as part of the aging process. As fat disappears the skin creases and wrinkles excessively. If one compares a thin and chubby face it is the latter that appears more youthful and wrinkle-free. Surgeons have always been seeking the ideal material to insert into skin.Fat has been at the forefront of their interest as it is completely natural and there is usually plenty in supply for small volumes/areas.
Fat transfer, also known as fat grafting, is very successful in replacing lost fat and filling out deep folds and crevices. It can also be used to reshape certain areas of the face to improve facial balance.
Abdominoplasty, or "tummy tuck", is an operation to treat slack abdominal skin and weakness of associated muscles. Women who have had children are the usual candidates for this operation, however, both sexes who have lost a lot of weight or had previous abdominal surgery, especially with scars below the navel, often benefit. The presence of a thick layer of abdominal fat on its own, without skin excess, may be helped by liposuction alone. Very often skin laxity and fat excess co-exist, and in these cases abdominoplasty is combined with liposuction to obtain the best result.Abdominoplasty is major surgery and patients have to be fit and well. In particular they should not be anaemic and have no previous history of deep vein thrombosis or embolism.
Brachioplasty is a procedure to remove excess skin and fatty tissue from the upper arm. The drooping of skin is from a stretching of the anchoring fascial system and loss of supporting fat. The scar is on the inner aspect of the arm and extends from the armpit to the elbow.
Large weight gain and loss, aging and other factors contribute to unattractive sagging of thighs. The inner thighs are affected in most cases because the inner thigh skin is thin and loses elasticity quicker. The excess skin must be removed along an incision which is usually located within a bathing suit line at the level of a crease.
Those who have lost significant weight, either through surgery or diet, may have significant skin and tissue sagging . Belt lipectomy is designed to deal with excess abdominal, flank and back skin in one combined operation. Through 360 degree circumferential incision the excess skin is removed and the buttocks, outer thighs and pubic area are lifted. It is a major surgical procedure and requires a major commitment from both the patient and the surgeon.
Liposuction is not an operation to make a fat person slim. Slimming can only be achieved by serious attention to both diet and exercise, sticking to it and being honest about ones' achievements and failures. On the other hand, if you have pockets of fat that are resistant to diet and exercise, while your weight is within normal limits, you may be a candidate for liposuction.