Biggest Lipo Myths: Bra Bulge, Belly Fat, and Why the Scale Barely Budges
You wake up from surgery expecting to be snatched, and a week later you weigh more than before you went in. Dr. Kat Gallus and Bri explain why this happens: tumescent fluid, IV fluids, and swelling that comes and goes.
Liposuction removes stubborn pockets of fat. It doesn't drop pounds, fix cellulite or tighten loose skin, and it's not a license to live on candy and burgers.
They go myth by myth:
Why lipo hurts more than people expect ("you feel like you got hit by a bus"), the three things that should never happen (lidocaine toxicity, a perforated organ, a spreading infection), when loose skin means you need an excision or Renuvion, where fat shows up if you gain weight later, and why a beer belly made of visceral fat isn't a lipo problem.
Plus: why men need a heads-up about swelling below the belt, two weeks in compression, and when to start lymphatic massage.
In the gossip segment: The Swan contestants 20 years later, Farrah Abraham's jaw wired shut in the middle of a city council race, John Cusack's new eyes, Emma Stone's Paris look, the Kardashians' AI intro and Susan Dell. And Dr. Gallus shows off her new 10 Blade scrubs.
Meet La Jolla plastic surgeon Dr. Kat Gallus
Shop the 10 Blade scrubs Dr. Gallus wears
Trending stories:
Page Six, Former Swan contestants: "I almost died" for televised plastic surgery
TMZ, Farrah Abraham's jaw wired shut after "custom jaws" surgery
HELLO!, John Cusack sparks fan debate with an unrecognizable new look
BuzzFeed, Emma Stone's Paris Fashion Week photos spark plastic surgery rumors
IBTimes UK, Why is Susan Dell being compared to a "reptilian"? White House appearance sparks viral debate
Questions answered by this episode:
- Does liposuction help you lose weight?
- Why do I weigh more after liposuction?
- Does liposuction hurt?
- Is liposuction dangerous?
- Who should perform liposuction?
- Will liposuction tighten loose skin?
- Does fat come back after liposuction?
- How long is recovery after liposuction?
- When can I start lymphatic massage after lipo?
- Can liposuction get rid of a beer belly?
All the B's covers aesthetics and plastic surgery through the lens of trending pop culture stories and celebrity gossip.
Who are the B's? The all-female team working closely with Dr. Gallus every day at Restore SD Plastic Surgery in La Jolla, California. Getting plastic surgery is a big deal, and they go the extra mile to make sure you feel super comfortable and know exactly what's going on.
To learn more about the practice or ask a question, go to restoresdplasticsurgery.com
Follow Dr. Gallus and the team on Instagram @restoresdplasticsurgery
Watch Dr. Gallus and Bri on YouTube @restoresdplasticsurgery7487
Got a question for us? Send us a message or leave us a voicemail at itsthebs.com
Co-hosts: Dr. Katerina Gallus & Brianna Lempe
Producer: Eva Sheie
Assistant Producer: Mary Ellen Clarkson
Engineering: Victoria Cheng
Theme music: Rear View, Nbhd Nick
Cover Art: Dan Childs
All the B's is a production of The Axis: theaxis.io
Bri (00:00):
Now, have I occasionally said, "Oh, instead of going to the gym, can you just lipo this for me?" Yeah, that may be the easy way out, but why not?
Dr. G (00:11):
Yeah.
(00:14):
You're listening to another episode of All the B's with me, Dr. G and my scrub tech, Bri. Okay. Let's talk about lipo.
Bri (00:23):
Love some lipo.
Dr. G (00:24):
It's one of the most popular cosmetic surgeries performed every year in America, but I think it's also misunderstood probably, right?
Bri (00:34):
Yeah. Oh, absolutely. I have so many thoughts on that one.
Dr. G (00:37):
I think there's so many misconceptions about what lipo can do, about what the recovery's going to be like. People think it's going to change their weight, like it's going to drop their weight. It's going to handle cellulite. It's going to tighten skin. It does none of those things. It's just removing stubborn fat. And so we're going to break it down myth by myth, what it can fix and what it can't fix. It is a very good adjunct to what we do. I mean, I feel like the chicken nuggets are the number one -
Bri (01:08):
Yeah, the chicken nuggies.
Dr. G (01:09):
Tweak mint liposuctioning, that little axillary fat pad that's -
Bri (01:14):
Wear those tank tops.
Dr. G (01:16):
Yeah, that stick up over your bra strap.
Bri (01:18):
I made her do mine.
Dr. G (01:21):
That is a perfect indication for liposuction, but not everything is. So anyway, let's tackle some celebrity gossip. I took the L and watched the Swan documentary.
Bri (01:34):
She did. She did it for both of us. Tell us your thoughts.
Dr. G (01:39):
It's hard because it's mostly a sesh where these women who participated on the Swan discussed their experience, but obviously they're looking for people who regret being on it. Otherwise, I mean, it's 20 years since this aired. It's kind of crazy, but also it was the beginning of reality TV and contestants and -
Bri (02:06):
Wait, are these the women coming back after this show?
Dr. G (02:09):
Yes. So it's 20 years from now and they're talking about how they participated in this show, they got free plastic surgery, and then they didn't realize that there was going to be a pageant or a competition at the end. But my husband was sort of side watching it and he was like, "What competition?" I was like, "I don't know. There was a beauty contest at the end to see who was the most -
Bri (02:36):
Transformed, prettiest?
Dr. G (02:37):
What was the biggest transformation?" He's like, "Yeah, but they keep saying contest. What did they win?" I'm like, "The didn't win anything. They just got -
Bri (02:46):
Free surgery.
Dr. G (02:47):
Labeled the swan. They all got free surgery." So it's just weird because they make it seem like we didn't know we were going to be in this contest in this pageant. And I'm like -
Bri (02:57):
Are they getting free plastic surgery again on this show to fix things?
Dr. G (03:01):
No.
Bri (03:01):
Okay. I was going to say that'd be crazy if they all complained about it and then came back on the show 20 years later.
Dr. G (03:06):
No. They're just on the show. I think one or two of them had reasonable kind of retrospective looks at the experience. And then there's this one lady that's just so angry about the whole thing. And I was like, "Girl, half a million women applied to be on the show. Half a million-
Bri (03:29):
That's crazy.
Dr. G (03:30):
had to send in videos and the personal storyline about why you needed it." So it's really, really hard to feel bad for you.
Bri (03:40):
Yeah, not at all.
Dr. G (03:42):
And then they all made it seem like they were told exactly what they had to do and that they couldn't say no. And one woman on there was like, actually, she's the angry one. She's very angry about the whole thing. Also, they did her nose, but they didn't change anything. So it's hard because they're 20 years later, so you're like, "What's happening?" But her nose looks exactly the same as it did pre-op, so I'm not sure what happened there. Anyway, so one lady was like, "Yeah, you're not doing that to my face." And so they took her out of the pageant. They wouldn't let her compete, but again, you're competing for nothing. And she still got plastic surgery wherever else she wanted it, like her boobs done. They also said, "Oh, we didn't realize I had a rupture later. These implants are not permanent. There's maintenance." I'm like, "I don't know." I feel like...
Bri (04:40):
I'm sure if they signed some consent that said all of those things.
Dr. G (04:45):
Right.
Bri (04:46):
Nowadays, if this show was offered, there'd be five gazillion people in line.
Dr. G (04:52):
Except they would be telling you exactly what they wanted. Yes. 100%.
Bri (04:56):
And they'd be like, "Do everything you can."
Dr. G (04:58):
I don't think there'd be any shortage of people trying to do on the show.
Bri (05:02):
I feel like they're just trying to be relevant again.
Dr. G (05:07):
Yeah, it was interesting. I mean, I don't think the show is a good idea at all, but I just think it wasn't as horrifying as they tried to make it out to be. The one lady who talks about dying, she thought she almost died. And then I think of Dr. Abraham because I feel like she just had a hard wake up. There's no medical evidence that she had any kind of problem.
Bri (05:33):
I was going to say, how did she die?
Dr. G (05:35):
She just woke up hard, telenovela style where you're crying and you don't know what's wrong and you're just sad. I think that's what happened. And she had a lot of anxiety upon wake up and -
Bri (05:47):
That is not almost dying.
Dr. G (05:49):
I know. And she thought it would be like a vacation. I do think what is totally bizarre about this show is they had 90 days. So they showed up, basically went to surgery and then had 90 days before this beauty pageant. So there's all these clips of them with their faces all wrapped up on stationary bikes and walking on the - Stopping. Yeah. They made them go to the gym because they also had to get in shape. They had a nutritionist. Right after surgery. They had life coach. As soon as it was okay, they were doing low intensity exercise. It was weird.
Bri (06:28):
That's weird.
Dr. G (06:29):
And they didn't know about the pageant when they signed up, but reality shows weren't brand new 20 years ago, so you knew there was going to be a catch.
Bri (06:37):
But also your nose takes up to a year for the swelling to go down. So 90 days.
Dr. G (06:41):
It's crazy that they did rhinoplasties and then three months later. And then they're like, "We couldn't see our families because it's a big reveal." I'm like, "Every reality show does that. Every show you're sequestered for whatever the length of time is. They still do that now. Do not sign up for a reality show if you don't want to be cat's eye and you're going to be away from your family for six months or a year, whatever they decide it is. Even on The Bachelor, those people don't have access to...
Bri (07:10):
I think they're just complaining to complain at this point.
Dr. G (07:13):
Right. Okay. But I think one of the funniest things about this show is, so the two plastic surgeons were Dr. Terry Dubrow, who is Beverly Hills. He does botched. He's still around.
Bri (07:27):
His wife is on The Housewives.
Dr. G (07:28):
Yes. And Dr.
Bri (07:31):
He looks so happy there, just looking at some boobs.
Dr. G (07:34):
Haworth.
Bri (07:35):
That is a terrible picture. He's like," Oh tits. "Like," Look at that.
Dr. G (07:42):
The other guy, so he elected not to film for this revisit of the show, smartly. The other dude, Randall Howarth, comes across as such a toad on the show, so bad. And I don't think he did anything wrong on the show? Maybe, but he comes off as such a freaking sleaze ball.
Bri (08:14):
I want to watch it for that.
Dr. G (08:15):
It wasn't my idea for the show. I was just the plumber. And we're like," Oh my God, stop.
Bri (08:22):
Just the plumber? Do elaborate, sir.
Dr. G (08:26):
He was like," I'm just there to fix the... "He did elaborate. All his clips are so cringey. He just looks like such a jackass on the show. And I'm like," Oh, no. No, no, no, no, no. "Then he tries to defend his comments in these articles. And then -
Bri (08:41):
I was just reading that. When I speak in eulogies, people tend to...
Dr. G (08:45):
Did he say eulogies?
Bri (08:47):
Yes.
Dr. G (08:47):
Okay. It's not a eulogy.
Bri (08:49):
Is that what he said or did I just read that? Wait, go up.
Dr. G (08:52):
It's an analogy.
Bri (08:53):
When I speak... Oh, analogy. My eyesight's not great.
Dr. G (08:59):
I was like, Eulogies?
Bri (09:00):
Is that when they die?
Dr. G (09:01):
Yes. Oh my.
Bri (09:03):
Here for all the medical advice.
Dr. G (09:06):
Okay.
Bri (09:06):
How did our Teams just open up?
Dr. G (09:08):
Yeah. Microsoft Teams is joining the podcast. Super. Anyway, he says that he is more sympathetic now.
Bri (09:18):
It said we don't want Rita to read anything else on the podcast.
Dr. G (09:22):
His quote is, "After my second divorce, after my second wife or something, and I got a dog, I'm much more empathetic to what these women were going through." That's all you need to know.
Bri (09:37):
I cannot.
Dr. G (09:37):
If you're going to stand by that quote, I'm like just... I can't. It was mind boggling.
Bri (09:45):
I've got no words actually for that one.
Dr. G (09:47):
There really are no words for that quote.
Bri (09:48):
He actually has left me speechless for the first time.
Dr. G (09:53):
I was like, "I can't believe this guy's still practicing." Also, he does this stupid lip lift thing, and you can tell every woman on that show that got that weird lip lift has -
Bri (10:05):
It the one that's here up here?
Dr. G (10:07):
It's not the up one. It's this one. It's out here and then they all look nuts now because I'm like, "Why do they all look weird?"
Bri (10:13):
My aunt did that way back, like 15 years ago. Yeah.
Dr. G (10:15):
It doesn't age well.
Bri (10:17):
It does not. It looks crazy.
Dr. G (10:19):
It does not look good.
Bri (10:20):
My mom still talks about it all the time.
Dr. G (10:22):
Yeah. It's his famous lip lift and I'm like, "It looks bad." Anyway. All right. So we'll move on from that. Let's talk about also weird faces. Farrah Abraham's jaw wired shut after custom jaw surgery.
Bri (10:40):
Her incisions are so insane. They literally just opened up the entire side of her face.
Dr. G (10:47):
Oh, I haven't seen them.
Bri (10:48):
Have you not seen them? Hold on.
Dr. G (10:49):
Is it like... I know what you're -
Bri (10:50):
Look, can you see them?
Dr. G (10:52):
Yeah.
Bri (10:53):
A facelift doesn't even look like that.
Dr. G (10:54):
ENT shit. Yeah. Double disc surgery is usually for TMJ problems. I'm not sure I let anybody do that to me. I mean, they should, but they didn't. Oof. Yeah, they got to get in there.
Bri (11:11):
If I'm doing that, they better also do a facelift at the same time.
Dr. G (11:15):
But that's not even a facelift incision. It's just the ENT exposure.
Bri (11:20):
I know, but they better take some skin out.
Dr. G (11:23):
It's going to be... Yeah.
Bri (11:25):
Just a little something.
Dr. G (11:26):
Little something.
Bri (11:28):
That looks crazy. I've never seen surgery like that.
Dr. G (11:34):
It looks so painful and weird. And no, she looks nuts.
Bri (11:42):
So this was an elective surgery she chose to do.
Dr. G (11:45):
But it's not cosmetic. It's just to fix her, I'm guessing TMJ. I don't know.
Bri (11:51):
It has to be pretty gnarly to go through that.
Dr. G (11:53):
Yeah. I mean, she looks pretty slim there. If you're going to be on a liquid diet for two months, that's -
Bri (12:00):
I was just thinking that. I was like, "I would be so skinny."
Dr. G (12:06):
She's going to be so tiny because you can't even... After a while, you're just not interested in taking in calories because it's all liquid and you can't taste anything.
Bri (12:17):
Blend up that pizza.
Dr. G (12:18):
It's going to taste awful. It just gets so boring. So then...
Bri (12:22):
Imagine blending up pizza. I actually have a friend that did that when he got his jaw wired shut, blended up pizza. I remember hearing about that and almost vomited.
Dr. G (12:34):
It sounds awesome. Like, "Oh, I'll wire my jaw shut and just have ice cream all day," but it gets old really fast, I'm sure. Okay. And then now she can't speak because her jaw is wired shut.
Bri (12:49):
She chose an interesting time to do this while she's...
Dr. G (12:52):
Running for political office?
Bri (12:53):
Yes. Yes. I feel like there's so many other opportunities -
Dr. G (12:57):
Scheduled surgery.
Bri (12:58):
Right? The one time you decide to do that in the last how long is the one time you actually need to speak.
Dr. G (13:06):
This isn't like, "I need my appendix out." Maybe this is her way of tanking her little local election.
Bri (13:13):
Yeah. She's like, "I just can't speak anymore."
Dr. G (13:16):
Okay. All right. So yeah, vote district -
Bri (13:20):
That looks like it's about to be a porn picture.
Dr. G (13:22):
I know. District five, city council. Interesting.
Bri (13:27):
I might just run for city council. Wait, wait. Go up to her Bob haircut. I'm sorry. I don't mean to talk shit. That picture on Farrah Abrams, but just her entire lifestyle since I've... Literally when I was pregnant as a teen mom, I actually watched this teen mom show and my mind was blown. She just superstar go OG teen mom. Is this on her page, her political page?
Dr. G (13:59):
Who's voting for her? Who is voting for her?
Bri (14:04):
She literally just did porn. I'm sorry.
Dr. G (14:09):
Okay. We're just going to look at faces today, apparently. John Cusack, his fans, his podcast look. He showed up on a podcast. Maybe the angle of the camera was bad. Question mark.
Bri (14:22):
I don't know.
Dr. G (14:22):
Remember what we look nuts?
Bri (14:24):
Who is that?
Dr. G (14:26):
I don't know what's happening there, but he looks really bad. So he's classically overfilled and -
Bri (14:34):
So he got a brow lift.
Dr. G (14:36):
A really bad feminizing brow lift and maybe a bad eye lift, which -
Bri (14:44):
Oh, that is not the same person.
Dr. G (14:46):
It is.
Bri (14:47):
The guy on the right looks Asian.
Dr. G (14:49):
He's starting to look like Elon Musk.
Bri (14:53):
Wait, that is crazy.
Dr. G (14:54):
I don't know. I feel like all of it looks feminizing.
Bri (14:57):
He doesn't even look like the same person.
Dr. G (15:00):
I think it's the eyes.
Bri (15:01):
Oh, it's the eyes the way he made his eyes.
Dr. G (15:05):
The eyes are not good. And I don't know. His hairline is way back. Did they do a coronal brow lift and push his hairline back? I'm not really sure what's happening.
Bri (15:15):
That is -
Dr. G (15:16):
Right?
Bri (15:17):
Someone did him dirty.
Dr. G (15:17):
He has way more forehead and...
Bri (15:21):
He doesn't... Yeah. Did him dirty.
Dr. G (15:24):
Yeah. It's not good. You can really mess people up with the eyes, man.
Bri (15:32):
Yeah. The eyes are the soul. One time I was in a grocery store and this guy was like, "Your eyes look like cat eyes." And I was like, "Oh." And he's like, "Cat eyes are the gateway to hell." And I was like...
Dr. G (15:44):
Randomly?
Bri (15:45):
Yes. Some older gentleman and then walked away. Kid you not, I swear. It was the wildest experience ever. I was in a sprouts. Just wanted to get my vitamins.
Dr. G (15:58):
You're like, "I'm just here for vitamins." Sometimes those places are wild. At Trader Joe's, this guy was like... I asked him, actually, I initiated a conversation. He worked there. I said, "Do you know where the dried seaweed is or something stupid? You look just like the actress on that show." And I'm like, "Here we go. This is five minutes of my life. I'm not going to get back because it's always some unnamed actress. It's not anybody famous. So it's going to take them a minute to work it." I'm like, "Okay." It's fine. Seaweed? Where is the seaweed?
Bri (16:32):
Yo didn't get the seaweed after that, did you?
Dr. G (16:34):
I did, but I was like, "Wow."
Bri (16:35):
I always get on the dragon queen lady from Game of Thrones, but I chopped my hair off.
Dr. G (16:40):
Yeah. I know.
Bri (16:41):
So I'm no longer -
Dr. G (16:41):
New do.
Bri (16:43):
Yeah.
Dr. G (16:43):
New do. I love it.
Bri (16:44):
We get that all the time.
Dr. G (16:45):
All right. So poor, poor John Cusack. So I am doing a talk on blepharoplasty at this upcoming meeting in Houston, and I do talk about trying to acknowledge what the eye already looks like before you... You're not trying to change someone's eyes, you're just trying to enhance what they have. Okay. And then speaking of Emma Stone's Paris Lick Sparks, AI confusion and surgery talk, I did watch the lead in for the new Kardashian season, the AI...
Bri (17:18):
I don't know if we watched the same thing. Is it the one Chloe made?
Dr. G (17:22):
Yeah. It's like AI -
Bri (17:22):
And she's doing a voiceover the entire... It's awful. I watched the first episode.
Dr. G (17:27):
I just watched the intro. The intro was AI where she's on a safari or something, the intro for the season.
Bri (17:34):
Oh, I just watched the first episode and it's like her voicing over everything that's happening. And I was like, "Who allowed this to happen?" It was like that one time Kim made that one show, that one season, and I was like, "Why did her manager allow her to do that?"
Dr. G (17:51):
Oh my God. No, there's an intro where they're all in different places.
Bri (17:55):
Oh, it's not the Kardashians. It's the one Chloe's new show.
Dr. G (18:00):
No.
Bri (18:00):
Hold on. Let me show you.
Dr. G (18:03):
She's on a safari. The one that you watched or the one that I watched?
Bri (18:09):
I think I'm talking about a different show. The girls. This is the one Chloe Kardashian just started.
Dr. G (18:15):
Oh, the girls. No. Uh-uh. This is their new season of...
Bri (18:21):
Just the Kardashians.
Dr. G (18:22):
Kardashians. The intro part. I don't know. Please watch the first episode. The beginning was AI generated and was terrible. Terrible.
Bri (18:34):
Yeah. You got to watch the first episode of Khloe. She got so much hate for it too. And she's like, "You guys take one episode and all of a sudden you guys think you know everything." I'm like, "I only needed to watch one episode. Also, all I could get through. I stopped listening."
Dr. G (18:50):
It's just so bad.
Bri (18:51):
It was awful.
Dr. G (18:52):
Well, their intro is done by AI and it's so weird.
Bri (18:57):
I can't wait to watch their intro.
Dr. G (18:58):
Weird. And then I had to study with my nephew, so I didn't get to watch anymore.
Bri (19:03):
To do smart people things.
Dr. G (19:04):
Gabby was watching it and I was working on some AP bio, if anyone cares. This is their intro that's playing right now.
Bri (19:13):
Yikes.
Dr. G (19:15):
It's AI generated and it's really weird.
Bri (19:17):
Just can't look away.
Dr. G (19:19):
Okay. So Emma Stone's Paris look we were talking about. It's just her eyes look weird. I don't know.
Bri (19:25):
They're very big.
Dr. G (19:27):
She's always had very big eyes, but there's a side by side and I just think she has more upper lid show than she used to. I think she just had an upper bluff and it's probably a subtle one, but it changed how she looks. I don't know. Or she has thread lifts in there. What do I know? Maybe it's not permanent.
Bri (19:46):
Oh she does look very different.
Dr. G (19:46):
See, she looks weird.
Bri (19:48):
She looks like a little pixie.
Dr. G (19:50):
It looks weird.
Bri (19:52):
Her eyebrow's very high.
Dr. G (19:53):
Yeah. Like don't do it. I don't know.
Bri (19:57):
She looks different.
Dr. G (19:59):
Which is stupid because she was always so cute.
Bri (20:01):
It's giving the threads kind of.
Dr. G (20:02):
Yeah, it is giving thread lift. So maybe that's what she did. She's also extremely scrawny there, but...
Bri (20:09):
Yeah. She's been hitting the Tirzepatide. Just kidding.
Dr. G (20:14):
Okay. All right. I think we should probably move on to liposuction, although we could talk all day about this.
Bri (20:21):
Yeah. Susan Dell. Oh my gosh. All my friend group chats have been sending this and it is just so funny. Everyone thinks she looks like an alien. Have you watched these clips?
Dr. G (20:34):
They're so bad. It's just so bad.
Bri (20:35):
The memes made out of it are just amazing.
Dr. G (20:38):
It's just bad. But the thing about her is, I don't know that she had recent plastic surgery because I looked a little bit into it. I think she had plastic surgery 20 years ago or 30 years ago, and they did something at that time to change her eyes and then that's how it aged. So I do talk about this on my -
Bri (21:04):
It's the bangs.
Dr. G (21:04):
Talk. Yeah, the bangs. If you take fat out in an upper bleph, it just ages poorly. It gives you that skeletonized look. Now she has access to everything, right? So somebody should correct that. You could fat graft to put it back in, honestly, to correct that A-frame deformity. But yeah, she looks wild. She looks... See, her eyes are totally different.
Bri (21:30):
Totally different. She's so beautiful before.
Dr. G (21:32):
Somebody took her squinty eyes and rounded them out. And then if you left the rest, it would be okay-ish. I don't know why her face is so much more narrow than it was, but the eyes are really messing up the look and the bangs. Get rid of the bangs. I don't know. Yeah. She's pretty old at this point though. I just would be horrified if my face was plastered everywhere like that.
Bri (22:00):
Yeah. But the way she even moved though in the video, she's like...
Dr. G (22:05):
Yeah, because her eyes are stuck open. I know. It sucks. I think blepharoplasty usually makes the top five of commonly performed cosmetic procedures every year, statistically speaking. And yeah, she's in her 70s, right?
Bri (22:22):
64. My mom was born in 64. She's 62? Sorry, mom.
Dr. G (22:27):
Oh, she is?
Bri (22:29):
Oh. She looks way older than 62.
Dr. G (22:31):
Oh, my bad.
Bri (22:32):
You said 70s.
Dr. G (22:36):
Oof. Anyway, I was going to say... I don't even know. Sorry. The eyes are a mess. Fix it. Somebody help her. I can't believe she's in her 60s. I really though she
Bri (22:51):
Yeah. She's very aged, weathered.
Dr. G (22:57):
Okay. All right. So, well, let's talk about liposuction.
Bri (23:00):
Let's do it.
Dr. G (23:01):
Not about bad bases anymore. Okay. If lipo isn't weight loss surgery, how much does the scale actually move afterwards?
Bri (23:10):
I like to... Okay. So a lot of people, I feel like sometimes I preference this. Was that the word? Preface? Preface. Preface, sorry. Is that everyone thinks that they're going to wake up from surgery and they're going to be -
Dr. G (23:24):
Snatched.
Bri (23:24):
Snatched and skinny. And I remember the first time I had surgery and I was bigger than I was before when I had lipo. And people just think... And they're like, "Oh, I have water weight. I have bloating. We put tumescent in there." There's so many factors, and I think people are just on week two, they're like, "Oh my God, is this worth it?" I was like, "Give yourself a couple weeks, okay? You will look great, but it's literally not an overnight thing."
Dr. G (23:53):
It's the equivalent of having a baby and thinking you're going to weigh less. You're like, "Man, I just dropped seven, eight pounds plus the placenta." And then you're like, "what, wait. Why do I still look pregnant? Why do I weigh more?", if you're dumb enough to get on a scale? It's because the trauma of the surgery of the liposuction, so we're putting in fluid, we're sucking most of it out, but some of it's getting absorbed. You're also getting maybe a couple liters or a liter of IV fluids, and then your body is going to hold onto all of that and swell up some more. So all the fluid you're taking in over the next few days. So yeah, you're going to really hold onto some water weight and it's going to take a while to get off. Yeah. I tell people it's like a sprained ankle. It's going to puff up and then it'll get better. And then you can have a long day or you can eat too much salt or something and you'll puff up again in the areas that we operated, just like any other injury.
Bri (24:56):
Yeah. It's not just a quick fix.
Dr. G (24:58):
So yeah, please, I've had patients get on the scale. It's really the ones who are on their GLP-1 and they're like, had to stop it to do the surgery and were waiting to get back on it. And they're like, "I got to get back on it because I'm gaining weight." I'm like, Water weight, calm down, eat protein, eat healthy. It'll get there.
Bri (25:19):
Which also I feel like people all of a sudden decide, "Oh, I get lipo. I will never get fat back in that area." They're like, "I can eat whatever I want."
Dr. G (25:28):
Don't do that.
Bri (25:29):
Don't do that because that's not true. While it is, I feel like it is a little bit harder to get fat in that area, you still gain it.
Dr. G (25:36):
Yeah. You'll still gain weight.
Bri (25:37):
And you gain weight in other places.
Dr. G (25:40):
We did have a patient who famously did that and was upset. I was eating every time she came in here.
Bri (25:45):
I can't eat Snickers and a burger. No. She said, "You're not supposed to get fat." I was like, "That's not the way it works."
Dr. G (25:52):
Not unless you're planning to do liposuction again.
Bri (25:54):
Yeah. If you're going to do a liposuction every six months, it's fine, but just don't.
Dr. G (26:01):
Yes. It's not a weight loss tool.
Bri (26:04):
No.
Dr. G (26:05):
And so you can't expect to lose weight assuming you do everything right. And it's certainly not an excuse to eat whatever the hell you want. It's a bad idea.
Bri (26:15):
Also, the misconception that people think lipo doesn't hurt. What are your thoughts on that?
Dr. G (26:21):
So I think it's funny because I think it's uncomfortable. It's just a different sort of discomfort than an excision or an incision. Yeah. But my husband, who's a surgeon, but he's a general surgeon, is like, "What do people think is going to happen? You're taking a steel rod and ramming it in and out." And I'm like, "Okay."
Bri (26:43):
I actually tell patients that sometimes.
Dr. G (26:46):
That is not what I'm doing, but thanks for dumbing it down. So yeah, there is a cannula. It's not a steel rod. It's a few millimeters and it's vibrating and it's sucking the fat out, but it is going in and out of that area. And so if you haven't really thought about what liposuction looks like or visualized it, then yeah, you don't understand that that is kind of repeated trauma and it's just sore. Plus, just honestly, if we just put the tumescent fluid in and did nothing else, you'd be sore because we know just stretching the tissues creates a sensation of pain or discomfort. So we're stretching everything out. We're repeatedly running this cannula in and out and suctioning, and then we're throwing you in a compression garment. So you're going to feel beat up.
Bri (27:38):
Yeah. No, you really will.
Dr. G (27:40):
Yeah.
Bri (27:40):
I really think the metal rod one, like an excision that has this burning, painful, stinging feeling, but this one, you just feel like you got hit by a bus.
Dr. G (27:50):
Yeah. It's just sore. You've been punched repeatedly in that area.
Bri (27:55):
Yeah. It's just not comfortable. And then the tumescent makes your skin... Everything's just so numb and sensitive, just touching it hurts a little bit.
Dr. G (28:03):
It depends on the area, but yeah, I know the lower back is usually... The lower back and back area is usually patients are like, "It's just really numb." And I'm like, "Yeah, it's going to take a while to get better."
Bri (28:15):
Yeah. When I did one, I did my arms, my abdomen, and my legs, and I was literally... I couldn't move. It was the worst thing doing both extremities at the same time because then it's like... Oh, and I got it put in my butt so I could only lay... Oh no, and I think I fixed -
Dr. G (28:35):
Your boobs at the same time.
Bri (28:36):
At the same time. So I slept in this big massive canoe and I couldn't move. I couldn't lay on my stomach. I couldn't... It was like -
Dr. G (28:44):
Trying to elevate your arms, stay off your butt.
Bri (28:46):
Yeah.
Dr. G (28:47):
In a compression garment.
Bri (28:49):
Yeah. Not the move.
Dr. G (28:51):
I've only had a little bit of fat taken out of my lateral thighs to put on my face on my -
Bri (28:56):
Oh yeah.
Dr. G (28:57):
Yes. One time I dared -
Bri (28:59):
Did it awake, right? Yeah.
Dr. G (29:02):
Did a bet that you could fat transfer to the face completely awake under local.
Bri (29:08):
I don't even like getting Botox. I'm such a baby.
Dr. G (29:11):
But I will say it was a tiny little area because I think we got like 30 or 40 ccs of fat maybe, but they did both lateral thighs and because we were doing less tumescent because you just want more purified fat, I was so bruised and yes, and my little lateral thighs hurt so bad and it hurt to sit on the toilet and sit down because I was so bruised on the sides. And I'm pretty sure I didn't wear compression, which was
Bri (29:43):
Tracks.
Dr. G (29:44):
I think, because I think we hadn't really thought any of it through. And then my face was swollen because that's where I got fat grafted. But yeah, it hurts.
Bri (29:54):
It does hurt. It's not comfortable. And I feel like coming in with the mindset that you're going to be a little uncomfortable. Is better than coming in thinking you're going to be, "Oh, this is easy."
Dr. G (30:04):
It is a little bit of a mindset because you're just going to be really, really sore. And it depends on how much liposuction we're doing, what areas we're lipoing. Some areas are more painful than others. And then what your mindset is. You had a lot of things done at once. And so I think when you're doing other surgery, liposuction is a cherry on top and you're like, "Hmm." But when we just did the torso liposuction and fat transfer to the chest, we did that last week on that one patient. She was a tripper when she rolled in the next day, she's like, "Do I have to come back?" I was like, "Yes. What? Let me get your second garment. Slow down."
Bri (30:48):
She looked so good.
Dr. G (30:49):
She already looked good. She wasn't very swollen.
Bri (30:53):
Once again, looked better than us. It was our first of three cases that day.
Dr. G (30:58):
Yes. But yeah, I mean, some people do bounce back and just gut through it, but you are sore. I've operated, I've done liposuction on multiple clinic staff and a lot of them will come to work the next day or in the next few days and they just move slow. Remember, I feel like Jordan would sit with her legs up.
Bri (31:18):
Just a little bit.
Dr. G (31:19):
Yeah. Erin would be like, "Can someone tie my shoe?" Because I'm not bending over.
Bri (31:24):
Slippers.
Dr. G (31:26):
And then I feel like Megan was absolutely not coming back to work. She was miserable. I know. But we saw that little, her level of tolerance when we all did a juice cleanse.
Bri (31:35):
Yeah, exactly. Everyone's just different.
Dr. G (31:38):
I mean, we all did, what was it? Did we do three days? Five days? I can never remember.
Bri (31:42):
I think we did three days of a juice cleanse.
Dr. G (31:43):
Yeah. Which I find...
Bri (31:46):
I think she chickened out at day one.
Dr. G (31:48):
She was miserable and so grumpy.
Bri (31:50):
We should do an office juice cleanse again.
Dr. G (31:52):
We should.
Bri (31:53):
We need it. My liver needs it.
Dr. G (31:54):
I like the juice cleanse because then I don't have to actually think about -
Bri (31:58):
What you're going to eat.
Dr. G (31:59):
Yeah. I'm like, oh, here's another bottle.
Bri (32:00):
I just have to have the ones with protein in it. Otherwise I'm just an angry bitch.
Dr. G (32:04):
I'm not that... I mean, it's fine. I usually can't drink all six of them or whatever the hell they're trying to cram down.
Bri (32:10):
I think I only made it four of them, three or four of them anyway.
Dr. G (32:12):
It's nice to not have to think. Anyway, don't do that while you're getting liposuction.
Bri (32:17):
Yeah, don't do that.
Dr. G (32:19):
We're not endorsing that as a nutritional option.
Bri (32:21):
That was a totally different topic.
Dr. G (32:24):
But I will say, based on her tolerance for the juice cleanse, you could predict that she was not going to come back to work immediately after liposuction. Whereas Jordan not only came back to work, then spent that weekend in Napa or something with her friends, right? Yeah. She did not slow down.
Bri (32:42):
Some wild things.
Dr. G (32:43):
So there's a bell curve as always, but I do think if you underestimate what it's going to take out of you, then you're going to be disappointed. If you're like, "Okay, I'm ready. I know I'm going to be sore. I'm going to move slow. I might have to take a little time off of work," and then you feel great, awesome.
Bri (33:04):
How do you think men are in this? I know this question was for me, but I've been waiting to bring it up in the healing process and getting liposuction because it is not only for women. Men do lipo too.
Dr. G (33:17):
Biggest babies.
Bri (33:20):
That was really nice, actually. I was going to say something way worse.
Dr. G (33:25):
They generally are the biggest babies.
Bri (33:27):
Men compare a cold to a woman giving birth. It's the same thing for lipo.
Dr. G (33:34):
Yeah. Yeah.
Bri (33:35):
Men are just always -
Dr. G (33:36):
Not universally, but overall, they are huge babies.
Bri (33:40):
I'm going to say universally. I haven't met one yet that's not a huge baby. That's not on their deathbed.
Dr. G (33:46):
It's so funny. With men, if you do liposuction around the abdomen, I have to put it in my pre-op that your junk is going to swell up.
Bri (33:59):
Yes.
Dr. G (34:00):
Because if you don't, you're going to get a frank dick call. And then after -
Bri (34:04):
Then you get dick pics while you're at dinner.
Dr. G (34:07):
Is this normal? Whereas every woman, we throw her in that garment with the cutout so that you-
Bri (34:14):
Your vagina is swollen.
Dr. G (34:16):
Nobody ever says anything.
Bri (34:18):
Yeah. I think after I got mine done -
Dr. G (34:19):
Because it seems obvious that that's going to happen. Yeah.
Bri (34:22):
And we're like, gravity, fluid's going to go down. I think I got mine done and I was like, oh, my vagina is so swollen. And Eric comes in while he was helping me pee one time. He's like, "Did you do something to your vagina?" I was like, "No, it's fine. Just relax." He's like, "Is that going to stay that way?" I was like, "Get out. I don't need to help anymore."
Dr. G (34:41):
You're going to have to leave now.
Bri (34:43):
Yeah, you're done. Go away.
Dr. G (34:45):
Yes. But if you don't tell men about it, they lose their minds. So I'm like -
Bri (34:50):
Oh God.
Dr. G (34:51):
Almost, it gives them something to focus on. You're like, elevate that, I guess, on a little ice pack or something.
Bri (34:56):
Elevate your penis on a little.
Dr. G (34:58):
In your balls.
Bri (34:59):
That could be our next invention, the penis pillow. Elevate your junk when it's swollen. Wait. Oh my God. I'm so excited. We can add it to our lube lip gloss.
Dr. G (35:10):
The lube lip gloss is so good.
Bri (35:13):
Because you never know. That slogan can be applicable to that one too. You never know where the day will go. Elevate your junk. I don't know. I'm going to have to think about that one.
Dr. G (35:22):
We're going to have to workshop that a little. Yeah.
Bri (35:25):
We'll get our feedback from the OR this week. We did it all last week.
Dr. G (35:30):
We've decided to take the lube to a double-sided. It'll be lip gloss on one side and lube on the other.
Bri (35:35):
We did a little test market with the staff.
Dr. G (35:38):
Focus group. We're going to be rich.
Bri (35:42):
We are.
Dr. G (35:43):
All right. So liposuction is not dangerous per se.
Bri (35:51):
I feel like only if you are in a setting where you guys aren't measuring how much lidocaine you guys are using, then you can get lidocaine toxicity.
Dr. G (35:59):
Correct. So that's number one is lidocaine toxicity. So anytime we do liposuction, the way you can do it without having a lot of blood loss is that you put this tumescent fluid in and the tumescent fluid has lidocaine and epinephrine in it. All those after hour deaths are usually people miscalculating that and then getting -
Bri (36:19):
Which is crazy because they're-
Dr. G (36:20):
They're usually providers.
Bri (36:22):
Nurses or providers or so forth. And I'm like, how do you miscalculate that? I'm just confused. And if you're doing that all the time.
Dr. G (36:30):
Right. So too much lidocaine either in the bag, which would be dumb because usually we have a limit to how many bags of lidocaine or bags of tumescent you can use. That's also another thing is a fluid shift. So you shouldn't do ever more than... The rule of thumb is five liters. So that is a lot of liposuction.
Bri (36:50):
But even based off of your weight still, what is it, like 35 milligrams per kilogram. Sometimes when we do these worksheets, it says you can have like 11 bags of fluid. You know what I mean?
Dr. G (36:59):
Yes, because we're not putting that much in there. Yeah. Right. So you can do more than five liters, but you need an overnight stay in the hospital and you need to be monitored for fluids. And they will do those kind of cases for lipedema, which we're not going to talk about today for lower extremity and they'll do large volume liposuction, but that is a completely separate topic. So no one should be putting 10 liters of fluid in.
Bri (37:21):
That'd be crazy.
Dr. G (37:23):
So for us, since we're outpatient facility, five liters is the max. You're not going to get anywhere near that max dose of 35 milligrams per kilogram lidocaine in your total. You have to be accredited. You need to have somebody who knows what they're doing. I mean, I think you should stick to board certified plastic surgeons or board certified surgeons.
Bri (37:48):
Don't go to Mexico for this one.
Dr. G (37:50):
This is not a Mexico trip.
Bri (37:51):
I feel like this is not a Mexico trip.
Dr. G (37:53):
This is also don't go to your friendly pediatrician who's doing liposuction on the side, which happened in LA.
Bri (38:00):
Crazy.
Dr. G (38:01):
The fact that these people think it's easy and then hurt people is bananas. It's always -
Bri (38:06):
I mean, I likely think I could do it.
Dr. G (38:08):
OBGYN.
Bri (38:09):
100%, without a doubt. I'm pretty confident.
Dr. G (38:13):
Well, that will get me to the second area of complication. So the way people die from liposuction is drug miscalculation or fluid shift. Okay. So either too much lidocaine -
Bri (38:25):
Cannula into the bowel.
Dr. G (38:26):
Yep. Or perforated organ, cannula into the bowel or lung or liver or multiple perforations. Again, the studies have shown that most commonly is happening when they're doing the infiltration, which traditionally is taught with that two millimeter. Remember that long skinny cannula that I never use? People will put that in, then you're supposed to kind of blow up the area and then go. But it's such a thin cannula you can enter, you can perforate things. So that's generally when it happens because the perforations are usually two millimeters. And then obviously while you're liposuctioning, you could inadvertently end up not where you're supposed to be, not staying in the same plane. So that's a feel thing. There is a study in Europe that looked at it and because of that, they don't allow the APPs, like the PAs and first assists or whatever to do the infiltration because that was the most dangerous part.
(39:32):
But it was also the part that was often passed off to the assistant because I mean, it doesn't require any skill, not much skill to put the fluid in, right?
Bri (39:43):
Yeah. Apparently it does.
Dr. G (39:44):
But it does. It's a critical part. So even when I worked with a PA, some of my colleagues had the PA put the fluid in and I was like, sorry, you're not going to do that. I like to know where it's going because we did have that skinny cannula. And then that's not how I infiltrate anyway. I use the exploded tip because I do safe lipo, so it makes it a little bit safer. It's much harder to perforate anything with that thing. But yeah, those are the two ways that lipo can go south. And so that's why maybe don't get the dancing derm to do it or anytime they're like, person dies from liposuction at plastic surgery office, you almost always Google that article and it's never a plastic surgeon. It's some cosmetic person who had no surgical training who decided liposuction looks easy. I'm just going to do it. That skin and skinnier guy.
Bri (40:34):
Yeah. Someone died. Yeah. Brutal.
Dr. G (40:37):
Yeah. Well, even on his videos, there's a guy in town, you're like, what sterile technique?
Bri (40:45):
I don't think there's any sterile technique.
Dr. G (40:47):
Yeah. Okay. So segueing into the third way liposuction can hurt you would be infection. And we used to see those, again, when I worked hospital base, you would take in cases from usually in Mexico. But again, you can imagine if that equipment isn't sterile or clean, terminally clean, or the setup isn't clean or your sterile technique isn't clean and you somehow drag bacteria in and out multiple channels, you're going to create a diffuse infection. And my friends on the East Coast constantly see those patients come in through their ERs that go to the DR, go to the Dominican Republic, and UCSD and the hospital systems here will see people go to Mexico and then you get an infection. It can be devastating.
Bri (41:38):
Gnarly.
Dr. G (41:39):
Yeah. It's really hard because you've violated all these areas with the cannula and so you're just spreading infection everywhere and there's nothing to open up. It's just bad. It can be really bad.
Bri (41:51):
That sounds terrible.
Dr. G (41:53):
Don't go to Mexico. Just know who's doing your liposuction. Can you have complications? Sure. But lidocaine toxicity, perforation of bowel and infection should not be happening, period. So you-
Bri (42:07):
A hard stop.
Dr. G (42:08):
Yeah. Yeah. Things that are more common with liposuction is skin laxity, which you should know about before you... Sometimes you can have skin laxity. You can have contour irregularities where it's not smooth afterwards. You can get a fluid collection that occasionally happens. I don't put drains in, but some of the guys who do a ton of liposuction at one time will put in these little pembro drains. Oh really? Yeah. It's weird. Just let them help them drain out or they don't close all the incisions so that it drains out the fluid.
Bri (42:41):
I've seen that. That's really common in Mexico too.
Dr. G (42:44):
Yeah. Let the infection drain out.
Bri (42:47):
Yeah.
Dr. G (42:49):
I do close the incisions and just put them in compression, but it also matters if you're doing... People have different techniques for liposuction. So I put about as much fluid in as I'm going to take out. Whereas if you put, let's say, two times the fluid and take out half, then you're leaving all this fluid behind, then you probably need to let it drain out.
Bri (43:07):
Why would you do that? Why would you only take out half?
Dr. G (43:09):
I don't know. I think it's just how people drain or do it.
Bri (43:14):
Interesting. So skin laxity, when you're doing lipo, because I feel like... Is there a candidate where you're like, oh... I know patients that are larger think they're going to have lipo and then sometimes we forget about where the skin goes, that it's all still there. The fat's gone. But what are your thoughts on that?
Dr. G (43:36):
If you have any laxity to start, that is not going to get better with liposuction. You can offset it a little bit with Renuvion or some other radiofrequency device that's going to tighten, but it only does a little bit of tightening at the sub-Q level. So if you have crepey skin, forget it. If you already have laxity starting out, that's not going to magically shrink back. So I think if you have very little laxity and good skin quality, you will probably not have a problem, but overdoing it. And then also the area, like the inner thigh, I think is already that skin is very thin. So if you overdo it there over time, that area is going to be lax. The lower abdomen, if you already have a little bit of laxity, it's going to be more lax. So I think just being aware of that and understanding the arms are another one where some people come in and they clearly need an arm lift because if you just liposuction all their arms, they're just going to have loose skin and it's not going to tighten up.
(44:34):
Now there's a balance. Sometimes if you lipo the arm, you're offsetting the weight and so the skin will retract a little bit and because the fat's not pulling it down, it does come up, but it has to do with skin quality and how much fat you're removing and how young they are. Those things are all issues. That makes sense. But I think it can be right in the right person or if you understand the trade off. Sometimes people are like, "I just don't want excisional surgery and I want to fit in long sleeve shirts or whatever it is, whatever clothing item it is and I don't want this fat here," then it's reasonable to do. But if you're looking for super snatched and you need excision, then that's what you should do. Don't mess around.
Bri (45:27):
At the same time. And sometimes you can get away with doing Renuvion with it and tightening the skin.
Dr. G (45:32):
Yes. And get some tightening. But you have to manage your expectations, otherwise you're set up for disappointment. Also, when you do Renuvion, it does tend to lengthen the amount of time it takes to recover.
Bri (45:47):
It does. You're more swollen longer. Is that the healing?
Dr. G (45:49):
More swollen and sore for a little bit longer. Maybe you can still go back to working out and doing stuff at two weeks, but it takes a while for you to see your final result, more like on the six month end instead of three months.
Bri (46:03):
It does take longer. And then will the fat deposits or all the fat that you sucked out, does that return after liposuction?
Dr. G (46:10):
Yeah. I mean, this is probably the most common thing I have to explain in consultation, but you have a finite number of fat cells and when you gain weight, your fat cells get bigger. When you lose weight, your fat cells get smaller. So if I remove fat from your abdomen, I'm removing fat cells. I'm not removing every last fat cell. So there's still some there. And then those, if you gain weight, will get bigger and if you lose weight will get smaller, but there's less of them. So proportionally, if you used to put weight on your abdomen, now you might see it proportionally somewhere else.
Bri (46:44):
My legs.
Dr. G (46:45):
Your legs.
Bri (46:45):
It goes right to my legs.
Dr. G (46:46):
Does it?
Bri (46:48):
It does.
Dr. G (46:48):
Because you have nothing in your abdomen.
Bri (46:50):
Yeah. So anytime I gain weight, always in my legs.
Dr. G (46:53):
But all of your fat cells are getting bigger. You just have so many fewer in the abdomen.
Bri (46:59):
Yeah.
Dr. G (47:01):
It just can change. Most people know exactly where you start. I always say, yeah, I put weight in my legs. That's where it goes first. And then when you lose weight, that's usually the last, whatever the place is the first is always the last place to go. So I always joke, the first place I lose weight is in my forearms.
Bri (47:20):
Her wrists.
Dr. G (47:21):
My wrists, because they can't get any smaller. So why not? Why not have bony little hands? That's so helpful.
Bri (47:29):
We love that.
Dr. G (47:30):
I'm always like, oh, my wrists, they slay.
Bri (47:32):
Slay. It could be a hand model.
Dr. G (47:35):
No, they're the Susan Dell of forearms. They look crazy. So yeah, people, if you, let's say you always put it in your thighs and you liposuction that, then next time, then you might notice it differently over time.
Bri (47:51):
Yeah. The next question is, is liposuction the easy way out? And I'm going to answer that myself because it is not. Okay? Don't let anybody tell you it's the easy way out because fat is stubborn and you can lose so much, but there is just some fat that stays. Now, have I occasionally said, "Oh, instead of going to the gym, can you just lipo this for me?" Yeah, that may be the easy way out, but why not?
Dr. G (48:18):
Yeah. Yes. Except for the recovery time and yes, no, it is not the easy way out. It is ideal for people who have stubborn pockets of fat that they want to get rid of. And everybody has that area that does not. I mean, the chicken nuggets are a classic. Yeah. You can be a skinny, skinny, skinny and then just have a little fat above your bra and annoys you in a tank top and it just sucks.
Bri (48:45):
No matter what you do or how many arm workouts you do,
Dr. G (48:47):
You're just there. You're not going to get to Hollywood thin to get rid of that. The rest of you will look nuts.
Bri (48:53):
Just do lipo.
Dr. G (48:54):
Some people put it in their saddle bags or on their lower back and flanks or they have this little pooch on their abdomen. All of those areas, some people put it on their arms.
Bri (49:06):
That's so hard to get rid of.
Dr. G (49:06):
Yeah. Those are areas right under the neck. All of these things are good areas to lipo and it's not the easy way out. It's really a game changer for you.
Bri (49:17):
Yeah. It's not at all. So if somebody gets lipo, when can they start getting back to their routine? What does recovery look like?
Dr. G (49:25):
So you need to take two weeks easy. So no heavy lifting, no getting your heart rate or blood pressure up. Stay in compression around the clock, except for when you shower. And then after that, you can go crazy. You won't hurt anything. So it's just, you are going to feel maybe really sore and you'll be swollen when you go back to working out, but you can.
Bri (49:49):
I think walking helps because it gets all that fluid to me. Yeah.
Dr. G (49:51):
And you can walk immediately, just don't hike. Yeah. But as soon as you feel capable of moving around, I always just tell people, especially if you're going to do legs or thighs, it's like doing a hundred squats, you're sitting down carefully, you're getting up carefully. You can stand for a while, you can sit down. It's just the transitions that are a little bit more challenging.
Bri (50:12):
Yeah. I also loved getting lymphatic massage after my liposuction.
Dr. G (50:17):
That's another good point. Lymphatic massage really does help. It's very nice. I tell people they can start seven to 10 days after and usually need to do it two or three times a week. It's a nice gentle massage, just helps remove the fluid.
Bri (50:31):
Gentle. It's literally just moving the fluid because none of that has...
Dr. G (50:38):
It's not a muscle. It's not a deep tissue massage. It's very light.
Bri (50:41):
It's very light and gentle.
Dr. G (50:43):
Yes.
Bri (50:44):
I did so many of them. The massage lady was like, "I don't think you need... We have to break up." I was like, "But he's paying for me to get a massage twice a week. I have to come get a massage. I don't care if it's gentle or light." And then we broke up. It was fine, but it was great. I done it for so long.
Dr. G (51:04):
That's nice. I know. It does feel really good. It's definitely a treat and should be done.
Bri (51:11):
So is liposuction always the answer to belly fat?
Dr. G (51:16):
No. I guess that's another big point is that if you have intra abdominal belly fat, so it's not really... When you go to pinch an inch, you can't really pinch anything, but your belly sticks out, then that's what we call visceral fat. So that's fat inside on your organs, and that's just where some people hold fat, usually men. So they'll come in with a beer belly, but the actual sub-Q isn't very much. It's all internal fat. That you can't liposuction. So we're not going to change much by you're just not a good candidate. You need to lose your unfortunate -
Bri (51:50):
Put the beer down.
Dr. G (51:51):
Yeah, you need to lose weight, unfortunately. Yeah. That's the best way to do it, is to actually lose pounds. Yeah. And it will make you healthier. It is not a good sign for... It's a bad indicator for heart disease to have that visceral fat that's that apple versus pear. And so it's healthier all the way around if you can shrink that down.
Bri (52:11):
Come get your Tirzepatide.
Dr. G (52:13):
Yeah. Come get your tirzep. I think before we sign off too, I want to talk about my scrubs.
Bri (52:21):
Oh yeah. She got the cutest scrubs. Okay. You need to stand up because...
Dr. G (52:26):
I know. I'll take a photo too maybe.
Bri (52:27):
Yeah. And they're perfectly stretchy and comfy.
Dr. G (52:30):
They're stretchy. They're nylon.
Bri (52:34):
She didn't get me a pair.
Dr. G (52:34):
They're silky. They're 10 blade scrubs. They have this cute little detail here.
Bri (52:42):
It's really cute. These ones are like cheetah. Stand up.
Dr. G (52:44):
Yeah. They have a very subtle cheetah print on them.
Bri (52:47):
I was like, "Can I put my flashlight on you? Would that help? Look how cute they are." That didn't help.
Dr. G (52:53):
It's not helping. And then they're very silky and lightweight. And then at the bottom, they have a little parachute cord. So if you want to go from a straight leg to a jogger, you can do that.
Bri (53:07):
I love it when people that actually work in healthcare make healthcare things because they actually know what you want. Yeah. A two for one scrub.
Dr. G (53:15):
A jogger.
Bri (53:17):
Genius.
Dr. G (53:19):
Yay to Dr. Cynthia Diehl, who has been working on this for a while and is just so creative.
Bri (53:25):
I'm an extra small if you want to send me some scrubs.
Dr. G (53:30):
These are small.
Bri (53:32):
I like mine really tight and fitted.
Dr. G (53:34):
Okay. So extra small for Bree. We'll be doing that. So 10 blade scrubs, you can search it. We can drop the link in the thing. Right now they come in black. They have the V-neck and the straight leg slash jogger, and then there's a Y neck, which has a little slightly different neck.
Bri (53:53):
Cute.
Dr. G (53:55):
As in, why not? Then she has a 10 blade necklace option too, for those of you ladies that are interested. I have my own because my other talented plastic surgeon friend made this back when she was making this jewelry. She still makes jewelry, Elizabeth Slas Lee, but that's just...
Bri (54:14):
That's so cute.
Dr. G (54:16):
That was, what's the word? Customized or...
Bri (54:21):
Custom made?
Dr. G (54:22):
Custom made.
Bri (54:22):
I don't know.
Dr. G (54:23):
I don't know. Made just for me, thanks.
Bri (54:25):
Yeah.
Dr. G (54:27):
But Cynthia has these 10 blades also just on a gold chain.
Bri (54:31):
That's really cute.
Dr. G (54:33):
Which are super cute as well.
Bri (54:34):
That is cute.
Dr. G (54:36):
Yeah. Love, love. Yeah. I'm really excited about these and I'm happy for her.
Bri (54:40):
Oh, that's adorable.
Dr. G (54:42):
Yeah. I want her to come up with some more colors so we can do different...
Bri (54:50):
Yeah. Big fan of the black though.
Dr. G (54:51):
Yeah. The black is great. The black scrub is great.
Bri (54:54):
I hate when Figs puts out their scrubs in white and I'm like, why?
Dr. G (54:56):
No one's wearing white scrubs ever. Why? No.
Bri (54:59):
If you've seen me eat breakfast or have coffee, you don't want me... Half the time before I come in the door, I'm already covered in my coffee.
Dr. G (55:08):
That's because you drink coffee in an open mug in the car. That crazy work.
Bri (55:13):
I can never... A travel mug, I don't even want the coffee. It's just not the same. Yeah. With heels.
Dr. G (55:18):
With heels. Well, these are luxury scrubs.
Bri (55:21):
Chef's kiss. The heels is such a vibe.
Dr. G (55:25):
So I was like, I don't know if I'm worthy of these because I usually am just dragging my butt in with uggs, but I wore my little designer secrets today. I love that. All right. Are we going to wrap it up?
Bri (55:37):
Yes. There was no rapid myth or reality.
Dr. G (55:40):
Oh yeah. We don't have to do that today. If you're listening today and you have questions about liposuction and if it's right for you, please reach out.
Bri (55:49):
Yeah.
Dr. G (55:50):
DM us.
Bri (55:51):
Slide in our DMs.
Dr. G (55:53):
Maybe not. We're going to scrub in.
Bri (55:55):
And scrub out.
Dr. G (55:59):
Peace. If you're listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us, go to restoresdplasticsurgery.com or follow us on Instagram @RestoreSDPlasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B's on YouTube, Apple Podcasts, Spotify, or wherever you like to listen to podcasts.
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