Plastic Surgery/Lipo Laser?

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Question
Dr
One of these clinics-here is the link:http://www.elegancemedispa.ca/faq-lipo-laser
has opened in my area and I was giving it some thought as there is a very good 'Groupon' deal.
I am 55. I have always been chubby, in spite of lots of exercise and a healthy diet. My worst areas are central obesity-most of the fat is on the inside-I can barely pinch an inch outside-and I have gynocomastia. These are all genetic as my Dad and uncles looked the same.
For the last couple years I have been running, doing chest presses, and eating low glycemic, and fat is slowly coming off, except in the two areas mentioned above. I would like to see a bigger reduction in my 'man boobs' especially so I can hit the beach this summer without embarrassment. Most of the fat there seems to be on my sides closer to my armpits.
I have not been able to find many reviews for this procedure online.
I have two femal friends that have had it done-one said there was litle difference, but she was already a healthy weight, and the other, heavier, friend said she noticed a difference.
My weight loss has plataued on my front-my ribs and abs are actually visible-so do you think this might get the rest of the fat, possibly genetic, moving?

Answer
Bud

First of all, you should understand that the "lipo-laser" to which  you are referring is not a true liposuction procedure but is a medical treatment that uses external low level energy to theoretically break up fat beneath the surface.  I am unaware of any scientific studies that confirm the benefit of this non surgical treatment, although anecdotally, there are reports that continued treatment can be of some benefit.

As to true liposuction, it is not of use for the deep intra-abdominal fat that you describe, but is very effective in the treatment of male gynecomastia (what you describe as "man boobs") when properly done.  Often it is also necessary to make a small incision around the nipple to remove glandular tissue that is resistant to liposuction.

In summary, I would not expect to see any significant improvement from "lipo-laser" but true liposuction, possibly combined with excision, does sound like a very good option for your chest problem.

Sincerely
Howard Tobin MD FACS

Plastic Surgery

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Howard Tobin MD FACS

Expertise

I can answer questions related to Cosmetic Surgery. I cannot answer questions related to reconstruction, burn treatment, cleft palate surgery or traumatic surgery. My practice is, and has been for 36 years, limited to Cosmetic Surgery. For further information, go to www.newlook.org

Experience

As mentioned above, I have exclusively practiced cosmetic surgery for over 36 years. My practice encompases all aspects of cosmetic surgery

Organizations
American Academy of Cosmetic Surgery (past president) American Society of Liposuction Surgery (past president) Cosmetic Surgical Society of Texas (past president) Fellow American College of Surgeons Texas Medical Association see cv on website www.newlook.org for further details

Publications
Seventy three published articles. see cv on website www.newlook.org for further details

Education/Credentials
Graduate of Princeton University and Baylor College of Medicine Internship - University of Virginia Residency - Baylor Medical College Affiliated Residencies Fellowship - University of Cincinnati see cv on website www.newlook.org for further details

Awards and Honors
American Medical Association - Physician's Recognition Award; 1969- present American Academy of Otolaryngology - Head and Neck Surgery Honor Award, October, 1983 American Board of Cosmetic Surgery - Certificate of Appreciation - 1987 American Academy of Cosmetic Surgery - Best presentation at 1987 annual meeting: "Revision Mammaplasty with Replicon Prosthesis" Accreditation Association for Ambulatory Healthcare Certificate of Appreciation 1989-90 American Academy of Facial Plastic & Reconstructive Surgery Honor Award for distinguished service, 1989 American Academy of Facial Plastic & Reconstructive Surgery Appreciation Award for authorship of monograph on outpatient surgery , 1993 Certificate of Excellence in Continuing Medical Education in Cosmetic Surgery, 1993 - American Academy of Cosmetic Surgery. International Academy of Aesthetic Surgery & Aesthetic Medicine - Honor Award, 1994 American Academy of Cosmetic Surgery - Recognition plaque following term of Presidency - 1995 Accreditation Association for Ambulatory Healthcare Special Citation of Appreciation for Service; November 1996 International Academy of Aesthetic Surgery & Aesthetic Medicine - Appointed honorary North American President, 1995 1997 American Academy of Cosmetic Surgery: Award for excellence in cosmetic surgery; Jan 2003 Cosmetic Surgical Society of Texas Appreciation Award for Leadership; 2004 Honorary Member Mexican Academy of Cosmetic Surgery 2007

Past/Present Clients
A past sponsor of the Miss Texas USA pageant, he has also served as a judge for this and other pageants. His patients include many pageant contestants and winners up to the Miss Universe title

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