Question 1

What is a brachioplasty (arm lift), and what are the typical scar expectations?

Accepted Answer

Brachioplasty, commonly referred to by patients as an arm lift to address 'bat wings,' is a procedure to remove excess skin hanging from the inside of the arms. This condition is often seen in individuals who have experienced massive weight loss and can cause functional problems like skin irritation, trauma, or impeded arm movement. The practice uses techniques to create a nicer arm and armpit contour. A long scar arm lift typically results in an incision extending from the elbow to the back of the armpit, and sometimes onto the side of the chest. While a longer incision is often necessary to achieve the desired contour, the practice prefers shorter incisions when possible, depending on whether the excess skin is along the entire arm or primarily closer to the armpit.

Question 2

What is Dr. Askari's approach to post-operative pain management?

Accepted Answer

Dr. Askari's practice aims for patients to be pain-free for the first 72 hours after surgery, utilizing products like Exparel for effective pain relief.

Question 3

What post-operative garments and aids are required after a tummy tuck or liposuction?

Accepted Answer

After a tummy tuck or liposuction, patients are required to wear specific items within their compression garment, including foams and boards. Foams are soft, while boards are hard. These are typically introduced on day three or four post-operation, to tolerance. Specific components include a side foam, a belly board, and a small tip placed in the butt area.

Question 4

What is Dr. Askari's approach to skin tightening with liposuction, and does he use technologies like SmartLipo or J-Plasma?

Accepted Answer

Dr. Askari's practice offers RF (radiofrequency) skin tightening to enhance liposuction benefits, believing it yields better and safer results than laser-based methods like SmartLipo. While SmartLipo uses laser for fat removal and skin tightening, Dr. Askari prefers radiofrequency energy, which he finds more selective in treating tissue and inducing skin tightening. He specifically uses and recommends combining J-Plasma (a brand of radiofrequency technology) with liposuction for enhanced results. This combination is considered safer because liposuction creates a clear plane for the RF energy, minimizing harm and preventing contour deformities. Although J-Plasma can be used in areas like the face or neck without liposuction, a cannula is often still used to create the necessary space for treatment.

Question 5

Is liposuction a permanent procedure, and what happens to fat cells after treatment?

Accepted Answer

Yes, liposuction is considered a permanent procedure because the fat cells removed are gone and do not divide or return. The fat cells you are born with are generally the same ones you have throughout life, only changing in size. If fat cells are transferred (e.g., in a BBL), they will reside in the new location. While liposuction permanently reduces the number of fat cells in treated areas, the remaining fat cells can still enlarge if an individual gains weight, potentially diminishing or losing the aesthetic effect of the liposuction. However, there is a reduced tendency to gain weight in the treated areas.

Question 6

What are Dr. Askari's preferences regarding breast implant types (saline vs. silicone gummy)?

Accepted Answer

Dr. Askari normally recommends gummy bear gel implants with a silicone fill. He notes that all breast implants, whether saline or silicone, have an outer silicone cover. Saline implants contain a fluid, water-like consistency, whereas newer generation gummy bear implants use a very viscous or cohesive gel designed to replicate natural breast tissue.

Question 7

How does Avéli work to treat cellulite?

Accepted Answer

Avéli is a handheld device used underneath the skin to cut the fibrous bands that tether the skin down, which are the underlying cause of dimple cellulite.

Question 8

What is the Revive XLift, and who is it for?

Accepted Answer

The Revive XLift is considered the gold standard procedure for patients with high BMI or those seeking to remove excess skin, which often results from massive weight loss.

Question 9

Which type of implant, silicone gummy or saline, feels more natural to the touch and has fewer long-term risks?

Accepted Answer

Dr. Askari normally recommends gummy bear gel implants with a silicone fill. He notes that all breast implants, whether saline or silicone, have an outer silicone cover. Saline implants contain a fluid, water-like consistency, whereas newer generation gummy bear implants use a very viscous or cohesive gel designed to replicate natural breast tissue.

Question 10

So if I gain weight after liposuction, will the fat go to other areas of my body that weren't treated?

Accepted Answer

Yes, liposuction is considered a permanent procedure because the fat cells removed are gone and do not divide or return. The fat cells you are born with are generally the same ones you have throughout life, only changing in size. If fat cells are transferred (e.g., in a BBL), they will reside in the new location. While liposuction permanently reduces the number of fat cells in treated areas, the remaining fat cells can still enlarge if an individual gains weight, potentially diminishing or losing the aesthetic effect of the liposuction. However, there is a reduced tendency to gain weight in the treated areas.

Question 11

What areas of the body does the Revive XLift typically address, and is it ever covered by insurance for medical reasons?

Accepted Answer

The Revive XLift is considered the gold standard procedure for patients with high BMI or those seeking to remove excess skin, which often results from massive weight loss.

Question 12

What is this pain management technique called? Is it Exparel, and is it safe for everyone?

Accepted Answer

Dr. Askari's practice aims for patients to be pain-free for the first 72 hours after surgery, utilizing products like Exparel for effective pain relief.

Question 13

What does the scar from a brachioplasty (arm lift) typically look like and where is it placed?

Accepted Answer

Brachioplasty, commonly referred to by patients as an arm lift to address 'bat wings,' is a procedure to remove excess skin hanging from the inside of the arms. This condition is often seen in individuals who have experienced massive weight loss and can cause functional problems like skin irritation, trauma, or impeded arm movement. The practice uses techniques to create a nicer arm and armpit contour. A long scar arm lift typically results in an incision extending from the elbow to the back of the armpit, and sometimes onto the side of the chest. While a longer incision is often necessary to achieve the desired contour, the practice prefers shorter incisions when possible, depending on whether the excess skin is along the entire arm or primarily closer to the armpit.

Question 14

What does Dr. Askari say about their approach?

Accepted Answer

Our more preferred procedure is something a little bit different which we think is safer. Brachioplasty incision length varies depending on the location of excess skin; some patients require a longer incision, while others may have a shorter one, especially if the excess skin is primarily closer to the armpit. The practice prefers shorter incisions when possible. Dr. Askari's practice prefers and typically recommends combining J-Plasma with liposuction for enhanced results.

Question 15

What does Dr. Askari say about their techniques?

Accepted Answer

I normally recommend a gummy bear gel implant that has a fill of silicone. The practice uses techniques to remove excess arm tissue and create a nicer arm contour.

Question 16

What does Dr. Askari say about safety?

Accepted Answer

Combining J-Plasma with liposuction is considered safer because liposuction creates a safe and easy-to-maneuver plane (space) for the radiofrequency energy, which minimizes harm and prevents contour deformities or problems.

Question 17

What does Dr. Askari say about the technology they use?

Accepted Answer

Newer generation gummy bear implants use a very viscous or cohesive gel, meaning the gel is much more together.

Question 18

What does Dr. Askari say about results?

Accepted Answer

In our experience this has produced better results which is instead of using laser, use radio frequency energy. RF energy enables the practice to achieve a desirable body contour and a high-definition, well-curved waistline, particularly in the extremities and abdomen.

Question 19

What does Dr. Askari say about recovery?

Accepted Answer

Specific components for wearing include a side foam, a belly board, and a small tip placed in the butt area. Foams and boards are items that patients need to wear within their garment after a tummy tuck or liposuction.

Dr. Morad Askari, MD, MBA

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