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Mark Johnson, MD, PhD
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Mark Johnson, MD, PhD
Cosmetic surgeon | Views: 43357


Friendname: DrMarkEJohnson
Business Name: Nouveau Jeunesse Rejuvenative Medicine
Website: findnewyouth.com
 
Location: 7131 W Deschutes Ave, Ste 101
Kennewick, WA 99336
United States
Telephone: 509-736-9989
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Ask An Expert > Mark Johnson Message Board > Circumferential Liposuction of Thighs: Yay or Nay?
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User photo for: daria1983
daria1983
Providence, RI
Circumferential Liposuction of Thighs: Yay or Nay?
I am pear shaped. I'd like to shrink my thighs. Despite losing a great deal of weight, they are still heavy.

What advice would you give someone who is looking for circumferential liposuction (anterior, posterior, interior and exterior)? It seems to be uncommon. My anterior/front thigh troubles me the most while the exterior is mostly fine, though I'd like the higher/hip portion to be smoother.

I'm looking to have surgery either in SE Asia or S America. I live in E Asia, but the surgeons here aren't especially great with body procedures.


DrMarkEJohnson
Cosmetic surgeon
Kennewick, WA
United States
View My Professional Profile
thigh liposuction  May 18, 2011 3:39 PM

The answer to your question was provided many years ago by the masters of liposuction Fournier, Illouz, and Gasparotti. The thigh is a difficult area to work if you do not understand that there are 4 different types of fat. The anterior portion can be worked fairly aggressively, except to be cautious just above the knee to not remove too much. The lateral aspect can actually be worked very aggressively with great results. The posterior portion should only be worked superficially and not deep. If you work it deep you will damage the support for the buttocks and likely end up with "banana rolls" under your buttocks. These are almost impossible to correct, even surgically. The medial portion is unforgiving if overworked, because this area has very little connective tissue. (Have you ever noticed how much softer the inner thigh is to the touch?). It is best worked from the posterior aspect of the medial thigh, where you can get some good skin retraction and not leave loose hanging skin like if worked aggressively from the front. The exception on the medial aspect is the knee, which can be worked aggressively with great results.

If you are considering liposuction of the thigh, make sure your doctor is familiar with these differences.

I hope you have found this helpful.

Kind regards,
Mark E Johnson, MD, PhD


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  May 19, 2011 5:32 AM

The previous expert poster was very profound and correct. You need a true liposuction expert. Be careful out there!


daria1983
  June 9, 2011 3:07 AM

Dear Dr. Johnson,

Thank you for your insight. Do you have any recommendations, especially abroad? I now live in East Asia, though it is possible for me to travel elsewhere when I finish my current contract.

Thank you!

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DrMarkEJohnson
Cosmetic surgeon
Kennewick, WA
United States
View My Professional Profile
  June 9, 2011 2:32 PM

Thank you very much for providing the pictures! You have a very nice physique that only needs a little shaping to reveal that natural beauty! You do have what is classified as a violin deformity, but lipo of the hip area that extends down the lateral aspect of the gluteus and includes the lower lateral segment at the lowest part of the bottom will shape your posterior and lateral legs nicely. A small amount of lipo on the anterior portion will improve your overall appearance as well. Just make sure that the doctor you see can recognize and appropriately treat the violin shape deformity and you will do well. Unfortunately, I do not know anyone in Asia currently to refer to you.

Kind regards,
Mark E Johnson, MD, PhD


Dr.Pascual
Cosmetic surgeon
Aventura, FL
United States
View My Professional Profile
Circumferential Liposuction of Thighs: Yay or Nay?  October 1, 2013 10:48 AM

An ultrasound assisted liposuction procedure would be best for your complaints, as it will also help tighten the skin of the thighs. However, you may also benefit from a thigh lift procedure. A physical examination is required to accurately assess your complaints.
For details, click here http://pascualmd.com/eng/Lipo.html




 



 

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