Mens Liposuction by Doctor Nikko - Q&A Session
Ryan Meley: We're with Dr. Nikko. Dr. Nikko is a cosmetic surgeon in Houston, Texas. He's agreed to answer some online questions. These questions are specifically related to men's liposuction. With that said, Dr. Nikko, let's get into the first question that was posted online. "What types of liposuction do you do?"
Dr. Nikko: We perform the tumescent liposuction technique. There are various forms, but the basic is the tumescent liposuction technique. There are ultrasonic, there are smart lipo, there's phaser, but all it boils down to is the tumescent liposuction technique, and that's the one I utilize. Sometimes in men I use the power-assisted liposuction technique, which helps me with the chest area and the love handle, because it's a little bit more difficult in men. There's really no advantage to the other techniques. What it boils down to is how meticulous you are with the tumescent liposuction technique.
Ryan Meley: Okay, "What is the average cost, and do you offer financing?"
Dr. Nikko: The average cost starts out at depending if you're doing just the abdominal area, and then you're doing the love handle, then you're probably looking at around five to $7,000, and we certainly do offer finance.
Ryan Meley: Okay. "What happens if I gain weight after the surgery?"
Dr. Nikko: Yeah, that's a very important question. For all of our patients, the first thing I counsel with them is obviously they're coming in, and a lot of the patients that we see, they come in, they're working out, they have a little stubborn fat pocket, especially the love handle, in the lower abdominal area. I tell them, "Look, once I remove this, it's gonna look fantastic. You won't have the love handles, you'll have the physique you want. But you gotta still live a healthy lifestyle to maintain the results. Exercising, eating well is important. If you maintain that, it will have a long-lasting effect, and it shouldn't come back. Now, if you slack off, you don't exercise, and you eat what you want, yes, it can go to other area, especially the fat that's underneath the muscle, and that's the fat that you don't want to gain."
Ryan Meley: Okay. Next question was, is "How big is the scar gonna be?"
Dr. Nikko: Well, I use very small cannulas, I know that the cannulae I use are no larger than 3 mm. So you're talking about a incision that's smaller than the size of a pencil eraser. The reason why I use the smaller cannulas, well there's several reasons. One, the incisions are smaller, and two, although it takes me longer to do, it's more specific, it's more detailed. You can really avoid the lumpiness, and you can really get the smooth results that patients are looking for. By using larger cannulas, you're creating larger tunnels, you're more likely to get lumpiness, so I avoid those cannulas. But to answer your question, they're very, very small, 3 mm incisions, and they're like little round scars that will heal over time, and it should not be very noticeable at all.
Ryan Meley: Okay. I guess this ties into that as well, but "How long is the recovery period?"
Dr. Nikko: Yeah. Recovery period, that's a difficult question to answer, because whether we're talking about going back to work, going back to the gym, going on vacation. When does it take to feel completely normal? Liposuction, we're going in and actually removing a thick layer of fat from underneath the skin, so along with the fat layers, there's a lot of nerve fibers that run through there. By removing those nerve fibers, you're a little bit numb in those area, and yet you're a little sensitive in that area, and so the recovery for that, that whole process of feeling completely normal, it's about six months. Given that, of course you're not in pain for six months, you're not, you can't work for that. I tell patients two weeks out from surgery, you should be back, you can do whatever you want as long as you tolerate it. I encourage a lot of cardio, because it gets blood supply to that area we just did liposuction, it promotes healing.
So I try to get patients back on their feet as quick as possible. I really make patients walk right after surgery, and a week out I encourage them to get back to the gym and do some cardio, get that blood flow going. If they wanna take a vacation, when does it look really good? I tell patients, "You know, about two months out you'll see 80% of the results that you should be seeing. If you're looking to go on a nice vacation and look really good, plan for two months, but six months is when you really, really feel completely back to yourself."
You do have to wear a special binder, and that's up to about a couple months. The binders they have now are very good, it can under your working clothes, so that shouldn't be a problem. Time off from work, it varies. Some patients do it on a Thursday, go back to work on Monday if it's desk work, but if it's heavy lifting I ask them to take about five days off. Time off from work is pretty minimal. Yeah, they're gonna be a little uncomfortable at work, but they shouldn't miss a lot of time off from work.
Ryan Meley: Okay. "How do I know if I'm a candidate for liposuction?"
Dr. Nikko: Yeah, that's probably the most difficult question for patients to answer. Everyone, they read on the different techniques, and see wonderful photos, and they really don't know how well they will do. That's why I feel like I can come in with doing consultation and help them the most, because when a patient comes in we look at their skin elasticity, and more importantly, we look at how they're built. Let me show you this example here. If you look on the screen, I'll have photos of three different body type, and I'll explain to you which body type does the best. Right here, as you can see, men that are this size ... I break it down pretty easily, so that men can understand.
There's two places on the abdominal area, there's two places that fat can be located. This right here, this layer of fat is above the muscle. You see he's very thin here, is thicker here, and is medium sized here, okay? So men who have this layer of fat that's above the muscle, now if it's above the muscle, that's the fat that we can take out. That's the fat that we can actually work on and take out, and they do very well. Some men come in, and they have really minimal fat on the top, like this, or this, but they have a lot of fat underneath the muscle. Now that's called visceral fat, and that's basically intraabdominal fat, or fat that's actually inside, underneath the muscle, and the only way they can lose that is with proper exercise and eating habit changes, lifestyle changes. By examining the patient I can tell them realistically this is what we can do, what kind of results you can get.
And that's the most important thing with getting patients ... Helping them understand if they're a good candidate. If they're not, you explain to them why they're not, and you wanna guide them in the right direction, and not try to do surgery and do something that won't meet their expectations. That's what we do the most, really looking at the patient and helping the patient understand, "Look, you'll get 40% improvement, 50% improvement, the rest you have to kind of exercise, and eat better, and take care of yourself." So that's the most important thing, is helping them understand if they're a good candidate.
Ryan Meley: Okay, that actually makes a lot of sense. If you have any additional questions for Dr. Nikko, he's agreed to answer them online. All you need to do is post your questions to the YouTube comments section below. With that said, Dr. Nikko, I appreciate your time.
Dr. Nikko: No, thank you. Like I said, you can come in, and we can really help you see if you're a good candidate, and if you're a good candidate, we'll let you know you'll do well. If you're not we'll give you a realistic expectation and do some kind of manage ... And set a right plan for you. If you want a consultation give us a call at (713) 960-1311. Thank you.
Ryan Meley: Thanks, Dr. Nikko.