Why Liposuction Sucks (Pun Intended!)

Chicka_Boom
Chicka_Boom Posts: 62
edited September 26 in Food and Nutrition
I stumbled across an article that I thought was interesting; it discusses why liposuction doesn't work in the long run. I remember sitting in on the interview of a professorial candidate who was presenting her research on liposuction several years ago - it's been awhile, but essentially she found that liposuction did not reduce the number or volume of fat cells in the body, and that, when they are removed surgically, your body starts holding onto more fat until they are replaced, and you wind up having healthier types of fat replaced with less healthy types. There was more to it, but as I said, it’s been several years – mostly what stuck with me is that her research reinforced the fact that there is no easy, instant solution to weight loss, not surgery or pills or shakes or restrictive diets.

Anyways, the article: http://blogs.plos.org/obesitypanacea/2011/04/26/liposuction-does-not-permanently-remove-fat/

“…The authors found that a year after liposuction was performed the fat initially removed is basically all replaced, but not necessarily where you’d want it to go. Specifically, while fat removed from the thighs and buttocks tended to stay ‘off’, abdominal fat increased to essentially compensate for any initial fat reduction (regardless of whether or not abdominal fat was removed during the procedure). There was a particularly significant growth of fat in the visceral depot. So, essentially liposuction can permanently reduce fat stores in areas that may be beneficial to metabolic health (butt, hips and thighs) but increase fat stores in areas known to lead to metabolic problems (abdominal, specifically visceral fat).”

If you ever start thinking that eating well & exercising is too hard, if you ever begin to look for a shortcut, remember this: there is no shortcut! The only way to lose weight, become healthier, and – most importantly - maintain those results is to make sustainable, practical changes. I definitely have to remind myself of that sometimes! If you do it the right way, the results will be worth it & you’ll be able to continue making healthy choices for the rest of your life.

ETA: I found a great comment by the author of the article regarding the difference between losing weight by bariatric surgery (which has its own risks & complications, of course) or diet & exercise and liposuction.

"There is a very important distinction between the surgical removal of fat (taking out fat cells) and the reduction of fat through weight loss (reduction in the size of fat cells). Simply removing a bunch of fat cells does not make the remaining ones any more functional – in fact they may have to deal with a greater relative load of excess calories per given cell. On the other hand a negative energy balance (whether diet/exercise or bariatric surgery) will make all fat cells smaller and thus more metabolically functional. The latter scenario would improve insulin sensitivity while the former would not."

Replies

  • Hahaha, right after I posted that all of the ads on MFP changed to advertisements for liposuction. Irony!
  • DaniJeanine
    DaniJeanine Posts: 473 Member
    What you're talking about has validity, but it's not because lipo "doesn't" work. Lipo works by removing the fat cells in a specified area. Once fat cells have been removed, they cannot "grow" back. Consequently, you will never gain fat in that area again. However, fat cells in the other areas of your body still have the ability to grow and shrink. Therefore, if you gain weight after lipo, you will naturally get bigger in the areas of your body that still have fat cells. If you maintain a healthy weight after lipo, that will not happen.
  • What you're talking about has validity, but it's not because lipo "doesn't" work. Lipo works by removing the fat cells in a specified area. Once fat cells have been removed, they cannot "grow" back. Consequently, you will never gain fat in that area again. However, fat cells in the other areas of your body still have the ability to grow and shrink. Therefore, if you gain weight after lipo, you will naturally get bigger in the areas of your body that still have fat cells. If you maintain a healthy weight after lipo, that will not happen.

    Well, what the research found is that fat stores increase in unhealthy areas to compensate for fat lost via lipo. So if you get lipo on your butt, hips, or thighs, yes, that fat will stay gone, but your body reacts as though it is in danger (responding to an injury, more or less) by increasing deposits of visceral fat in your abdominal area, which is more dangerous to your health. They controlled for caloric intake & metabolic activity and found that people who had lost weight via lipo had a significant increase in visceral fat deposits afterwards, even when on a diet that should have kept their weight steady. So, in a sense, lipo does work, but I think that the title of my post conveys my feelings on it: It sucks!
  • DaniJeanine
    DaniJeanine Posts: 473 Member
    Hmmm, interesting. So what they are saying is that healthy fat gets replaced with unhealthy fat?
  • Hmmm, interesting. So what they are saying is that healthy fat gets replaced with unhealthy fat?

    Pretty much. By "unhealthy fat" I mean visceral fat (fat around the abdomen) which is much more dangerous to your health & damaging to your metabolism than fat that is distributed elsewhere. From the article:

    "So, essentially liposuction can permanently reduce fat stores in areas that may be beneficial to metabolic health (butt, hips and thighs) but increase fat stores in areas known to lead to metabolic problems (abdominal, specifically visceral fat)."

    The research I mentioned, by the professorial candidate, was along these lines, although I believe that she also got into how it impacted stores of brown fat vs. white fat, but I can't recall any specifics.
  • DaniJeanine
    DaniJeanine Posts: 473 Member
    I can see that. My cousin got lipo on her love handles and now the front of her stomach is bulging. I wasn't sure if it just appeared that way or if she gained it. So I guess if someone does decide to get lipo...they should do their stomach too!! lol
  • RTricia
    RTricia Posts: 720
    bump
  • foxxyredd
    foxxyredd Posts: 1
    I had liposuction on my back, stomach and arms. My doctor told me my skin was fine. He also told me I wouldn't have six pack abs. Of course I knew that. I had medium size rolls on my belly with no wrinkles that I just couldn't fatten with exercises. I also told him I wanted to be able to wear all these stretchy shirts I purchased over the years. I looked "great" a few weeks later. However, a year later, my stomach is more wrinkled than it was before (actually I didn't have wrinkles on my stomach). I have a roll at the bottom of my trunk just above where my leg connect to the truck and smaller rolls which he called the "skin." (this is seen through my jeans or any type of pants I where!) Also, when I went to see him after the first week; there was a bulge over my belly button. He told me he was worry about that and I should massage it. I did. How I have a roll of skin there as well. Guess what I still can't wear those stretchy shirts. This bump sticks out a lot. I'm mortified by what he did to me. My back also has all this hanging skin. If he had been truthful from the beginning telling me that I would have these skin rolls; I definitely wouldn't have wasted all that money for these terrible results. This is a Doctor I know for over 20 years. He also did fat transfer to my face to erase my marionette lines and the parenthesis lines from my face; my skin was good; that didn't work; he did fat transfer to my hands. I hated seeing my veins in my hands. Now the veins can be seen and my skin is so wrinkled; more so than before the surgery.
    Dr. Oz had a plastic surgeon on his show (after I had the surgery) and he spoke about "What Plastic Surgeon Don't Tell You," which is that when the fat is removed from any place on your body; the body thinks it's starving so it replaces ALL THE FAT BACK INTO THE BODY; HOWEVER IN DIFFEREN PLACES. I am the same weight I was when before the surgery. The Fat went to my buttocks, my breast, my back, my highs. I hate this doctor, this NYC Castle Connelly PS (his name is in the 10% range, wish I knew that as well). My breast are so large now that I went from an A cup (never worn for many years) to a D cup and from 32 to 36." I hate the way I look; sometimes, it brings tears to my eyes because I could have just hire a professional to help me with my exercises (it would have been a hella lot less money) and really eat better. Some day I'm going to write and tell him exactly how I feel. Don't waste your time getting lipo or fat transfers they just don't work!

    So yes You are right; fat taken from you body will definitely come back in other areas--every inch of it!!!!!!
  • bcattoes
    bcattoes Posts: 17,299 Member
    …The authors found that a year after liposuction was performed the fat initially removed is basically all replaced, but not necessarily where you’d want it to go. Specifically, while fat removed from the thighs and buttocks tended to stay ‘off’, abdominal fat increased to essentially compensate for any initial fat reduction (regardless of whether or not abdominal fat was removed during the procedure). There was a particularly significant growth of fat in the visceral depot. So, essentially liposuction can permanently reduce fat stores in areas that may be beneficial to metabolic health (butt, hips and thighs) but increase fat stores in areas known to lead to metabolic problems (abdominal, specifically visceral fat).”

    This part isn't quite right, according to what I've read on medical sites. It's not that new visceral fat stores are created, it's that fat accumulates there because those are the fat cells you have left. Fat will always fill existing fat cells before creating them. If you suck them from the hips, buttocks and thighs, but leave those internal belly fat cells that can't be seen. That's where you will gain first. And that is bad for your health.
  • Hi just wondering what some people would think if i got lipo on my butt. The thing is im a fit, skinny and active the only place were i cant loose the weight is my butt, for a guy its a pretty big butt, bigger than some women i might add. It runs in my family on my dads side. At the moment i am thinking about getting lipo done just on that area. I have just been doing a little bit of research and was just wondering what others thought. Cheers
  • bcattoes
    bcattoes Posts: 17,299 Member
    Hi just wondering what some people would think if i got lipo on my butt. The thing is im a fit, skinny and active the only place were i cant loose the weight is my butt, for a guy its a pretty big butt, bigger than some women i might add. It runs in my family on my dads side. At the moment i am thinking about getting lipo done just on that area. I have just been doing a little bit of research and was just wondering what others thought. Cheers

    Are you sure it's fat? Lipo will only remove fat, so if you naturally have a big muscular butt, then lipo is not the answer. I'd suggest talking to a qualified doctor to see if this is a good option for you.
  • i never thought of that. But i pretty certain its not muscle, its too soft to be muscle. I think i will be asking my doctor about it
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