AboutAlan M. Engler, MD, FACS Expertise Dr. Engler has answered over 2300 plastic surgery questions for Allexperts. His expertise is in cosmetic plastic surgery including breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts etc.
Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction."
Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), and the Dr. Keith Ablow Show. Videos of his appearances are available on YouTube (SEARCH FOR "DR. ENGLER"). His website is www.bodysculpture.com.
Experience Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, etc.
Organizations belong to ASAPS (American Society for Aesthetic Plastic Surgery); ASPS (American Society of Plastic Surgeons); ACS (American College of Surgeons); Clinical Assistant Professor of Plastic Surgery at the Albert Einstein College of Medicine in New York
Question Hi Dr. Engler,
I appreciate so much your time. My question is this. I have a lump of fat on my upper back, just below my neckline. I believe it is because I have spent so much time reading in bed (I am a graduate student) that I developed this malformation. My posture is good but I cannot wear revealing necklines because I feel this contour is so ugly. Can this area be liposuctioned or what is the procedure for addressing this type of problem. If liposuction can be achieved, what about extra skin in this area or will it reduce down?
Answer Hi Emily,
There's more about lipo at www.bodysculpture.com.
In general, the success of lipo depends on both the amount of fat in the region in question, and the ability of the skin that's left behind to contract (shrink) down to an acceptable position. Fortunately, this is usually the case, and since it works particularly well when the skin is thicker, such as on the back, it should work well in this case. The excess tissue may be both fat and fibrous tissue, which comes out less well than does fat.
A plastic surgeon should be able to give you an idea of how much improvement you'd get with a lipo, but I would think that the procedure would be helpful for you.
