4D Vaser/PAL Hi-Definition Liposuction For Men

*Individual results may vary

Liposuction is one of the most commonly performed cosmetic procedures in the United States as well as around the world. Although most liposuction patients are female, in today’s image-conscious society, more and more males are looking to liposuction to attain the body contours they desire. Just as in females, males can also obtain removal of unwanted, stubborn areas of fat that they believe compromises their appearance and keeps them from obtaining the masculine, youthful sculpted look they desire*.

Ideal Candidates For Liposuction

The ideal candidate is healthy, in good physical shape and medical health, not overweight (or maybe slightly so), and is concerned about one or more problem areas. Often these areas will not respond to diet, exercise or other weight loss methods. Patient expectations need to be realistic and you must understand that this procedure is not a substitute for a proper diet and regular exercise. It is instead used to improve the contours of your body.

Even small localized areas of fat will often leave patients looking disproportionate, with subsequent loss of self-esteem. These areas can often be successfully treated via liposuction to remove excess fat, leaving them with a slimmer, more toned appearance*. Larger areas can also be treated as well. It is important to remember that liposuction does not replace exercise, healthy eating and traditional weight loss when indicated. Liposuction requires lifestyle changes and is not just a quick fix. Patients with realistic expectations are usually most satisfied with their results.


Your Guide To Liposuction Surgery

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Body Contouring Information


Areas Commonly Treated with Liposuction in Males

Liposuction for men is most commonly performed on the chest, flanks, abdomen, neck and chin. Fat transfer can enhance the appearance of muscle volume of the pectoral, buttocks, deltoid and biceps muscles. Some of the commonly (and not so commonly) treated areas are:

  • Abdomen
  • Flanks
  • Chest/Male breasts
  • Back
  • Hips
  • Neck
  • Arms
  • Thighs

Gynecomastia, an condition presenting as the enlargement of male breast tissue caused by a certain medications, drugs and hormonal imbalance can often be treated via liposcution. This common condition can be treated through more traditional breast reduction surgery, but liposuction can often offer the same if not better results with minimal downtime and practically no visible scarring. Many men with gynecomastia only have a small amount of fat tissue that needs to be removed and can usually benefit from liposuction. Excess glandular tissue can usually be removed using a “pullout” technique through very small incisions as well.

What is Different About Liposuction in Males?

Aesthetically speaking, male and female bodies are very different. Whereas the female body has an hourglass shape, extending from the widened outer contour of the breasts to a narrow waist to widened hips, the male has a more triangular torso with greater definition. Viewed from the side, the female has a greater “S-curve” from the upper back to the lower back to the buttocks. This is not to say that the female can’t have definition, some of the best female bodies that I have liposculpted have nice definition, but not to the extent of the male.

I define the term “core procedure” as a group of body regions that need to be treated together in most patients. There are always exceptions, but in this case I would say 90+% of patients need the core procedure at minimum. This is analogous to painting a house. You would not paint the front but not the back of the house. Same thing with body contouring. It is important to think circumferentially. Where the “core procedure” in a female is liposuction of the abdomen and flanks, with the arms, thighs and buttocks as an add-on for more complete body sculpting, the situation in the male is different.

In a male patient, it is essential to treat the chest, abdomen and flanks together at minimum. Again, there are exceptions to every rule, but the majority of my patients would benefit from this approach. Most of my male patients come to me concerned about their abdomen. They really do not pay much attention to their chests, and even less to their flanks, but treating these areas really makes a huge difference. On the chest, I have several goals: Improved definition of the pectoralis major muscle, reduction of excess breast tissue, increase the bulk of the pectoralis muscle with fat placed within the muscle, and remove the fat on the side of the chest between the pectoralis and the latissimus dorsi muscle. You can see this in the example below.

On the abdomen, my goal is to remove excess fat, to the extent that I can now show the linea alba (the vertical line in the upper mid-abdomen between the vertical pair of rectus abdominus muscles, the linea semilunaris (the vertical-oblique lines between the outer rectus abdominus and external oblique muscles), and the three horizontal lines on the abdomen above the umbilicus called “tendious inscriptions” – these are the natural dividers between the segments of the rectus abdominus muscle. Also, I want to remove as much fat as I can from the outer abdomen, extending this onto the flanks and back. You can see this in the patient shown above.

Below is a video demonstrating the surgical results of VASER/PAL Hi-Definition liposuction in a patient who is rotating on a platform:


 

The Liposuction Procedure

Male liposuction is performed in the same way as for females. You can read more about the procedure and how it is performed here.

Recovery

After the liposuction procedure, patients usually require one or two small stitches to close their incisions. You can return home right after the procedure and usually return to work within a few days. Compression garments should be worn for several weeks to help minimize swelling and bruising and to help the area heal as quickly as possible. Post-operative massage therapy, including deep-tissue massage, lymphatic drainage and external ultrasound are helpful in reducing the amount and duration of swelling, as well as in obtaining the best aesthetic results.

Results

After liposuction, men can expect results to be visible right away, even when the area is swollen*. During the first few days, swelling will increase and results may be less noticeable. Results will become more evident as swelling subsides, and will continue to improve for several months before full results are present*. Scars from the liposuction procedure will also fade and are usually completely healed within a few months.

 

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Epstein Plastic Surgery Long Island NY

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Mark D. Epstein, M.D., F.A.C.S.
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