Question 1

What is fibrosis after a BBL, and why are lymphatic massages important for recovery?

Accepted Answer

Fibrosis is when fat hardens after a BBL. Lymphatic massages are crucial for reducing swelling, minimizing fibrosis, and helping with pain. They can help soften hardened tissue, prevent fibrosis in some cases, and treat it in others, ultimately maximizing results and improving the healing process. Dr. Golpanian recommends at least 10 lymphatic massages, ideally three to four times a week during the first week, then trailing off. It's important to factor these into your post-surgery journey.

Question 2

What are the potential complications of aggressive liposuction?

Accepted Answer

Aggressive liposuction performed too close to the skin can cause contour irregularities like 'cobblestone' divots, increased skin laxity or looseness, and if the cannula burns the skin, hyperpigmentation, discoloration, and hardness of the skin.

Question 3

How is a tummy tuck procedure performed?

Accepted Answer

A tummy tuck involves elevating a flap of skin and fat off the underlying muscle, pulling it down, and removing the excess skin to smooth out the abdominal area.

Question 4

Why is it important to choose a Board Certified plastic surgeon?

Accepted Answer

Patients should research their surgeon to ensure they are Board Certified, which indicates a high level of training and expertise in plastic surgery.

Question 5

Which areas are included in Dr. Golpanian's Lipo 360 procedure?

Accepted Answer

Dr. Golpanian's Lipo 360 procedure covers eight areas: the abdominal area, the pubic or mons area, the waist or flanks, the upper back, the middle back, the bra rolls, the hip rolls, and the presacral area. Arms and thighs are not included in this specific Lipo 360 procedure.

Question 6

How should I massage my breast implants after surgery, and why is it important?

Accepted Answer

Breast implant massaging is an important part of post-operative recovery, helping with implant settling and preventing capsular contracture. For the right breast, hold the nipple with your left hand, push down incrementally with your right hand until pressure is felt at the bottom. Repeat this motion from the side pressing into the middle, from the middle pressing out to the side, and from above pressing from below. Repeat this technique on the opposite breast. Perform these massages on each breast three times a day for three minutes each for positive results.

Question 7

Why are foam pieces used after abdominal liposuction?

Accepted Answer

Foam pieces are used around the abdominal area after liposuction to help the treated areas scar down smoothly and tightly against the underlying muscle fascia.

Question 8

What is Qwo cellulite treatment and what can I expect?

Accepted Answer

Qwo is a new FDA-approved prescription medication composed of collagenase, an enzyme that breaks down collagen within cellulite-causing fibrocepta. It is administered via subcutaneous injection directly into the fat. Patients can expect no downtime, with the most common side effect being bruising that typically resolves within one to two weeks. The treatment results in significantly noticeable improvements.

Question 9

What are the different buttock shapes and how do they relate to a Brazilian Butt Lift (BBL)?

Accepted Answer

There are four basic buttock shapes: H, V, O, and A (heart). The H shape is the most common. Studies suggest the heart or A shape is considered the most attractive. The inverted (V) buttock shape is generally the most difficult to correct during a Brazilian butt lift.

Question 10

What are common sensations and changes to expect during breast augmentation recovery?

Accepted Answer

Recovery after breast augmentation is generally easy. Patients will experience a sensation of tightness across their chest. Implants may initially feel heavy and hard, like bricks, but they will soften over time. They will also sit high up on the chest initially but will settle lower and drop within a few months.

Question 11

What is a 'muffin top,' how is it treated, and what happens if I gain weight after liposuction or BBL?

Accepted Answer

A 'muffin top' refers to excess fat in the lower abdominal or hip roll area above the hips, which is often resistant to diet and exercise alone. Liposuction is a good option for removing these fat deposits. If you gain weight after liposuction or a BBL due to excess caloric intake, both the liposuctioned areas (where fat cells were removed) and fat-grafted areas (where new fat cells were added) will still gain weight as existing fat cells enlarge. However, the liposuctioned areas will gain slightly less weight than other areas.

Question 12

What are the red flags to look for to avoid a 'botched BBL' or significant contour irregularities, and what are the options if it happens?

Accepted Answer

Aggressive liposuction performed too close to the skin can cause contour irregularities like 'cobblestone' divots, increased skin laxity or looseness, and if the cannula burns the skin, hyperpigmentation, discoloration, and hardness of the skin.

Question 13

Why is breast implant massaging important, how should it be done correctly, and for how long post-surgery?

Accepted Answer

Breast implant massaging is an important part of post-operative recovery, helping with implant settling and preventing capsular contracture. For the right breast, hold the nipple with your left hand, push down incrementally with your right hand until pressure is felt at the bottom. Repeat this motion from the side pressing into the middle, from the middle pressing out to the side, and from above pressing from below. Repeat this technique on the opposite breast. Perform these massages on each breast three times a day for three minutes each for positive results.

Question 14

Beyond the abdominal and pubic areas, what are the other six areas typically included in a Lipo 360 procedure?

Accepted Answer

Dr. Golpanian's Lipo 360 procedure covers eight areas: the abdominal area, the pubic or mons area, the waist or flanks, the upper back, the middle back, the bra rolls, the hip rolls, and the presacral area. Arms and thighs are not included in this specific Lipo 360 procedure.

Question 15

What are the '4 things' not to panic about during breast augmentation recovery, and what is the typical recovery timeline?

Accepted Answer

Recovery after breast augmentation is generally easy. Patients will experience a sensation of tightness across their chest. Implants may initially feel heavy and hard, like bricks, but they will soften over time. They will also sit high up on the chest initially but will settle lower and drop within a few months.

Question 16

If I gain weight after liposuction or BBL, where does the fat typically go, and how can I best maintain my results?

Accepted Answer

A 'muffin top' refers to excess fat in the lower abdominal or hip roll area above the hips, which is often resistant to diet and exercise alone. Liposuction is a good option for removing these fat deposits. If you gain weight after liposuction or a BBL due to excess caloric intake, both the liposuctioned areas (where fat cells were removed) and fat-grafted areas (where new fat cells were added) will still gain weight as existing fat cells enlarge. However, the liposuctioned areas will gain slightly less weight than other areas.

Question 17

What are the main causes of fibrosis post-BBL, and how critical are lymphatic massages in preventing or treating it?

Accepted Answer

Fibrosis is when fat hardens after a BBL. Lymphatic massages are crucial for reducing swelling, minimizing fibrosis, and helping with pain. They can help soften hardened tissue, prevent fibrosis in some cases, and treat it in others, ultimately maximizing results and improving the healing process. Dr. Golpanian recommends at least 10 lymphatic massages, ideally three to four times a week during the first week, then trailing off. It's important to factor these into your post-surgery journey.

Question 18

What does Dr. Golpanian say about recovery?

Accepted Answer

The doctor recommends getting at least 10 lymphatic massages.

Dr. Samuel Golpanian, MD

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