Liposuction is a contouring procedure that removes bulges to blend body outlines more aesthetically. Age, heredity, and hormonal factors sometimes counteract our best efforts to attain the type of physical appearance we desire. Surgery, when indicated, can be combined with a program of fitness and nutrition to achieve and maintain long-lasting results. Areas of the body where fat deposits can cause localized bulges to include the face and neck, upper arms, upper and lower abdomen, flanks, hips (love handles), inner thighs, outer thighs (saddlebags), buttocks, knees, calves, and ankles. New York Super Doctor, Dr. Forley precisely removes excess localized fat deposits through tiny incisions using a multiple cross-tunneling technique with a small tube called a cannula. The control he is able to maintain with this approach enables a very artistic sculpting of the body to achieve the desired result. Skin with good tone and elasticity will shrink or contract to fit the new body contour. If the elasticity of the skin has been compromised by pregnancy or extreme weight gain and loss, additional excisional procedures may have to be considered. In some cases, Dr. Forley uses BodyTite™, the new minimally invasive subdermal radiofrequency energy procedure to lift and tighten skin laxity. Non-surgical fat contouring technology using radiofrequency or laser heat energy or controlled cooling to freeze fat cells has a role for smaller problem areas but often requires multiple treatment sessions with varying degrees of success.
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New York Super Doctors
Annual guide to the top 5% of New York City Physicians.
Doctors are selected from ballots sent to over 18,000 New York City physicians. Identifies those doctors held in highest regard by their peers. Dr. Forley has been listed annually since 2008.
Castle Connolly Guide-Top Doctors: New York Metro Area
The authoritative guide to finding highly qualified physicians throughout the New York region. Doctors are selected based on nominations by their peers and reviewed by Castle Connolly’s physician-directed research team.
TATLER
UK-based Tatler discussed Dr. Forley in its 2008 Beauty and Cosmetic Surgery Guide as one of the “A-list of cosmetic surgeons”…”who are at the top of their game”…and whose “innovations are shaping the art of cosmetic surgery around the world.” It was noted that Dr. Forley’s “discreet Upper East Side clinic is perfect for women and men in search of minimally invasive natural-looking surgery.
Vogue
Julia Reed writes that Dr. Forley, “disarms me by asking what I might like to have done. Nothing, I say, sure that I mean it. And then he shows me before and after books of tiny little neck lifts, subtle browlifts involving tiny little incisions well hidden within the hairline. In ten years, he assures me, I’ll be thinking about it. I actually like him. And I fear he may be right.”
Now that you have committed to a healthy, low calorie diet and a regular exercise routine to maintain the results of your liposuctio…
August 30th, 2011
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Along with the healthy eating habits discussed in Part 1 of this series, you need to pursue a good exercise program following your b…
August 23rd, 2011
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Now that you have undergone a body contouring procedure – liposuction, tummy tuck or body lift – you will want to maintain the benef…
August 14th, 2011
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Is This For Me?You should consider liposuction if:
Your NYC Liposuction ConsultationDuring your consultation, Dr. Forley will first ask about your medical history and describe what concerns you most about your appearance. He will examine you to assess your skin quality and the amount of skin and fat excess. Any surface irregularities will be evaluated for possible improvement. Your muscles will also be evaluated for strength and convexity to determine their contribution to the appearance of your body. The procedure will be explained in detail and you will be given an idea of realistic expectations for improvement with examples of before and after results. As a proud member of the New York Regional Society of Plastic Surgeons, Dr. Forley will discuss strategic incision placement to minimize scar visibility. If skin elasticity is an issue, additional procedures involving skin excision or radiofrequency tightening with BodyTite™ will be discussed. You will have plenty of time to get all of your questions answered. Go back
PreparationAchieving a stable body weight is important for the best result. A program of healthy eating and moderate exercise prior to the surgery that is resumed after the recovery period will contribute to maintaining the optimal outcome. Instructions pertinent to reducing the risk of bleeding and bruising will be discussed during your pre-operative appointment two weeks prior to the surgery. A program of vitamins and supplements designed to enhance healing and minimize bruising and swelling will be provided to you for use before and after the surgery. Go back
The ProcedureDr. Forley will mark the planned locations for fat removal and confirm that all your questions have been answered. The anesthesiologist will then review with you the twilight/sedation method of anesthesia that is utilized exclusively in our Joint Commission accredited office-based surgery facility. The tumescent technique is used in which large volumes of fluid containing anesthetic and a blood vessel constrictor are placed directly into the fat compartment to be treated after you are asleep. This enables a more even removal of fat and decreases any blood loss as well as providing extended pain relief. Incisions less than a half-inch long are made in concealed areas and small suction tubes are inserted to reach the target fat deposit. The tube or cannula is then passed back and forth until an appropriate amount of fat has been removed through multiple fine tunnels. The entire bulging area is treated in this fashion, carefully removing small amounts at a time, and constantly checking fat thickness and contour as suctioning proceeds. Finally, the incisions are repaired with dissolvable sutures under the skin, and an elastic compression garment is placed to reduce swelling and bruising in the area with gentle pressure. Go back
What to Expect After Your Liposuction in New YorkYou will have some swelling, bruising, and numbness over the areas that have been suctioned although you will see an immediate contour change. Most patients experience minimal discomfort, but there may be a few days of soreness, tightness, or fullness. An elastic compression garment is worn for 2-4 weeks following the procedure. Bruising and the initial phase of swelling usually resolve within 2-3 weeks or sooner coinciding with a gradual return of sensation. Patients are able to return to work in 3-4 days and resume exercise in 2 weeks. Contour definition with additional swelling resolution and skin contraction will continue to occur over 3-4 months, at which point the final result is evident. The results of liposuction are long term provided that you maintain a stable weight. Go back
The Stages of RecoveryBehavioral factors related to diet and exercise after your procedure will determine if fat going to other parts of your body is a myth or a reality. The reason that areas of your body that were not a problem before liposuction may become a problem is usually the result of consuming more calories than you use. If you are not maintaining an active lifestyle with a healthy diet and a reasonable amount of exercise, the calories you ingest on a daily basis will likely exceed what you burn for energy. As a result, these excess calories will be deposited in the form of fat. Since there are now fewer fat cells in the areas treated with liposuction, the fat will appear in other areas that were not previously prone to excessive fat deposits.
Although you will have some soreness and areas of discomfort in the first few days after your liposuction, most patients find it is very tolerable. Pain medication will alleviate most of the symptoms and is usually not needed after the first week.
Cellulite CANNOT be treated by liposuction and in some cases may appear worse when underlying fat is removed. There are many new devices and technologies that claim to improve cellulite. Consistent long term improvement remains an unsolved problem.
Liposuction is not a procedure for weight reduction. It is used to selectively contour and shape areas of your body with excessive fat deposits. If the reasons you gained weight prior to the surgery are not addressed, the results will not be maintained.
We tend to think the less fat the better. In fact, the fat that remains after liposuction is important for creating a smooth surface contour. A thin, even layer of fat must be preserved during the procedure to achieve the best aesthetic outcome.
Potential Risks and ComplicationsLimitations and risks associated with liposuction are few. Other risks common to all surgical procedures such as bleeding, infection, thickened scar tissue formation, and blood clots occur in a very small percentage of cases. We will give you more detailed information about these and other rare risks in our written information and encourage you to discuss any which concern you during your consultation. Go back
Non-Surgical OptionsDuring your liposuction consultation, New York Times chosen, Dr. Forley will discuss body contouring alternatives for you to consider should you desire a non-surgical approach. These include radiofrequency or laser heat energy or controlled cooling to freeze fat cells. He believes that these techniques have a role for smaller problem areas but often require multiple treatment sessions with varying degrees of success. Go back
Behavioral factors related to diet and exercise after your procedure will determine if fat going to other parts of your body is a myth or a reality. The reason that areas of your body that were not a problem before liposuction may become a problem is usually the result of consuming more calories than you use. If you are not maintaining an active lifestyle with a healthy diet and a reasonable amount of exercise, the calories you ingest on a daily basis will likely exceed what you burn for energy. As a result, these excess calories will be deposited in the form of fat. Since there are now fewer fat cells in the areas treated with liposuction, the fat will appear in other areas that were not previously prone to excessive fat deposits.
Although you will have some soreness and areas of discomfort in the first few days after your liposuction, most patients find it is very tolerable. Pain medication will alleviate most of the symptoms and is usually not needed after the first week.
Cellulite CANNOT be treated by liposuction and in some cases may appear worse when underlying fat is removed. There are many new devices and technologies that claim to improve cellulite. Consistent long term improvement remains an unsolved problem.
Liposuction is not a procedure for weight reduction. It is used to selectively contour and shape areas of your body with excessive fat deposits. If the reasons you gained weight prior to the surgery are not addressed, the results will not be maintained.
We tend to think the less fat the better. In fact, the fat that remains after liposuction is important for creating a smooth surface contour. A thin, even layer of fat must be preserved during the procedure to achieve the best aesthetic outcome.
Bryan G. Forley, M.D., F.A.C.S. is a board certified plastic surgeon who specializes in aesthetic facial, breast and body contouring surgery. He has been in private practice in Manhattan since 1994. Dr. Forley is affiliated with the Mount Sinai Beth Israel Medical Center, New York Eye & Ear Infirmary, and Mount Sinai West.
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