Q: I need to know whether I need liposuction, a mini-tummy tuck or a full tummy tuck? I am 28-years-old and have had two children. I had breast augmentation three years ago and got pregnant right afterward. I have a big hard stomach and can’t seem to lose it even though I work out and try to eat right. I am 5-foot-8-inches tall and weigh 190 pounds. I think surgery is the only thing I can think of to help, but I am not sure what I need.
A: With a relatively high BMI (body mass index) and a ‘hard and big’ stomach, I have concerns that any form of plastic surgery is appropriate for you at this time. You need to lose some weight by some method before considering any tummy reducing plastic surgery procedure. A hard stomach indicates that the skin is tight and a tummy tuck, while it can be done, would not produce a result that may be worth the effort. A better yield on a tummy tuck would occur if you dropped 20 to 30 pounds, creating greater looseness of skin. Similarly, liposuction would produce less of a result than expected as some of your fat is intraperitoneal (located behind the abdominal muscles) where it is inaccessible to a liposuction cannula. This is what having a hard stomach, like a watermelon, indicates.
Q: I have a few questions regarding facial implants. I did not see this addressed on your blog so thought I would ask. My question is regarding the known/ suspected long term effects of having facial implants if any. While I understand that for instance solid silicone implants such as the jaw/ chin implants will last a lifetime, what does the aging process hold for those that have such implants? Does placing an implant under the largest muscle (of the jaw) have drawbacks as I age. Will jowls/ sagging skin etc show up faster since the muscle is now stretched over this new jaw? Or will aging and its various processes just march on as if I never had anything done and just as if I was born with this new wider jaw and more pronounced chin?
A: Facial implants of any location have no negative impact on facial aging and may actually have the reverse effect. As implants add volume to the outside of the bone, they may prevent some tissue sag, or delay it, that will inevitably occur with aging. Cheek implants, for example, are used to treat sagging cheeks in older patients so it is reasonable to assume that they might have a preventative effect as well.