Body Surgery | Will Surgical Arts | Dr. Michael J. Will, MD, DDS, FACS

(301) 874-1707 | 3280 Urbana Pike Suite 201 Ijamsville, MD 21754

Michael J. Will, MD, DDS, FACS
Maryland (301) 874-1707


Do Fat Cells Return after Liposuction?

woman with fat to remove via liposuctionIf you have stubborn pockets of fat that just won’t go away, you’re not alone. Many of us find that even the most diligent diet and exercise regimens fail to deliver the results we are looking for. The main reason for this is largely due to genetics. We are genetically predisposed to store fat in certain places, and these may not always be the most flattering areas to accumulate fat deposits. Fortunately, liposuction is an effective way to put the finishing touches on your fitness program and deliver the toned, sculpted figure you desire.

Continue reading “Do Fat Cells Return after Liposuction?” »


Tummy Tuck Maryland
If the idea of wearing a bathing suit is making you cringe, plastic surgery may be the best way to get the body of your dreams. Undergoing surgery now means you can enjoy results right around summertime and show off that new figure at the beach, on vacation, and at any special events this season!



When Diet & Exercise Aren’t Enough to Achieve the Body You Want

Every year, going into my local Maryland gym in January feels like the first day of class. A bunch of new faces crowd the machines and it is more difficult than ever to find an open treadmill or elliptical. The reason? Many of us are stuck having the same resolution every year – lose the belly and the love handles. However, when aging thrashes your metabolism and those stubborn deposits of fat are more difficult to burn off, you can get stuck in the cycle of having that same resolution every year.

The Three Top Tummy Tuck Myths

Despite being the top rated procedure for patient satisfaction, there are many people often swayed away from the tummy tuck because of certain things that they may think or may have heard. It is time to clear up some of those misconceptions. Here are the five top myths about tummy tucks that everyone needs to stop buying into.

Myth #1: If you just eat healthy and exercise then you could get rid of the flab.

Many people think that tummy tucks are meant to help a person lose weight, but that is not what the procedure is designed to do. The tummy tuck is a body contouring treatment not to help you lose weight, but rather to help smooth your body and remove unwanted flab and excess skin or tissue. After major weight loss or pregnancy, your skin may lack the elasticity to adjust to your new, slimmer shape. No diet or exercise can get rid of the hanging skin or tissue. So despite what many people may think, tummy tucks are actually designed for healthy people already at or close to their ideal weight.

Myth #2: Only women get tummy tucks.

Nonsense. Abdominoplasty (the official name for the tummy tuck) is just as much designed for men as they are for women. Last year, over 4,000 men underwent the procedure. While the procedure is more common for women because of pregnancy, abdominoplasty can also help men who have lost a lot of weight by removing the leftover flab and finally allow him to bring out his abs.

Myth #3: Liposuction is always needed when getting a tummy tuck.

While it is often used to help sculpt the waistline during a tummy tuck, liposuction is not always necessary. However, if there are areas of fat that you would like to be addressed during your tummy tuck procedure, make sure to talk with your board-certified plastic surgeon so that he can help you to better achieve your desired results.

What to Expect After a Tummy Tuck Procedure

What to Expect After a Tummy Tuck Procedure in MarylandOne of the most commonly performed cosmetic procedures is the tummy tuck, a surgical procedure that makes the abdomen more smooth by removing excess fat and skin, which may result from weight loss or pregnancy. After the procedure, the new body contours are often dramatically improved and the procedure currently ranks at number one in patient satisfaction. When prospective patients are considering the procedure, many of the most frequently asked questions revolve around the recovery period.

A tummy tuck procedure, or abdominoplasty, is often performed on an out-patient basis, meaning that patients do not get admitted to the hospital and can frequently return home on the same day. Depending on the severity of the procedure, some patients may need to spend a night or two in the hospital on rare occasions. However, the intensity and scope of the procedure may certainly impact the recovery period and the length of the healing process.

Recovering from Your Tummy Tuck

After a tummy tuck, many patients spend a few hours in the hospital and then return home under the care of a friend or loved one. It is normal for there to be some swelling around the area, which may be addressed with special post-surgical garments, ice packs and prescriptions. There may also be some pain, which can be managed with medication. Some patients experience additional pain during coughing or deep breathing, which is normal and does not signify a problem.

It is important to take it easy for the first few days following your tummy tuck, and avoid activity for the first five to six days. Many patients are able to return to work or normal activity (without any heavy lifting) after 10-14 days. Vigorous exercise is often achievable in a month or so. The true results of the tummy tuck procedure are generally not visible for two to three months. Incision lines will continue to fade and flatten out for around 12 months.

Exercise Can Keep Off Unhealthy Belly Fat After Abdominal Liposuction

exercise after liposuction If you’re having abdominal liposuction, you should consider committing to an exercise routine after your procedure, according to a new study.

Patients in a Brazilian study who didn’t exercise after the surgery had an increase in visceral fat around their abdominal organs.

Visceral fat is more closely associated with diabetes and heart disease than superficial fat found just under the skin.

The study had 36 women who were at a normal weight and were sedentary before the procedure. All had liposuction to get rid of small amounts of abdominal fat. Two months later, half were assigned to an exercise program and half remained sedentary.

Six months after surgery, the women still had flatter abdomens, but the sedentary group showed a significant 10 percent increase in visceral fat compared to before the surgery. The group who exercised after liposuction did not see an increase in visceral fat.

The researchers concluded that abdominal liposuction doesn’t cause a regrowth of fat, but it does “trigger a compensatory increase of visceral fat.” However, the fat can be “effectively counteracted by physical activity.”

Researchers said it was unclear why there was an increase in visceral fat, “but we believe it may be because this particular fat depot is more metabolically active than the other fat depots,” study leader Fabiana Benatti told Reuters.

Exercise after Abdominal Liposuction

The results of this small study suggest that staying or becoming active after abdominal liposuction will stop the increase in visceral fat in the area.

“If one should choose to undergo liposuction, it is very important, if not essential, that this person exercises after the surgery,” according to Benatti.

Before the procedure, talk to your cosmetic surgeon about your expectations for liposuction and about what kind of exercise regimen he or she recommends afterward.

Contact Dr. Will for more information about liposuction.

Waist-to-Height Ratio May Replace BMI

waist-to-height ratioBMI, the current standard for determining if you are at a healthy weight, may be on its way out.

According to researchers, a more accurate way to measure whether you are at risk for obesity-related diseases is your waist-to-height ratio.

Your BMI, which stands for body mass index, calculates a number based on your height and weight that shows if you are a normal weight, overweight, obese or underweight. However, it doesn’t take muscle mass or the distribution of fat around the body into consideration.

A review of 31 studies that included more than 300,000 men and women found that waist-to-height ratio was better than BMI at predicting certain health risks associated with obesity, including high blood pressure, diabetes, heart attacks and strokes.

“Keeping your waist circumference to less than half your height can help increase life expectancy for every person in the world,” according to study leader Dr. Margaret Ashwell.

Dr. Ashwell calls the waist-to-height ratio a “one-size-fits-all approach,” and says it should replace BMI and waist circumference alone as a way to assess body fat and health risks.

Calculating Your Waist-to-Height Ratio

Waist-to-height ratio is easy to determine—all you need is a tape measure. Measure your waist at belly-button level, and then measure your height if you don’t know it. Divide your waist measurement by your height to get your percentage.

Another advantage of waist-to-height ratio is its simplicity: keep your waist circumference to less than half your height. BMI is harder to calculate, and you have to remember or look up whether your BMI number falls into a healthy range.

Cosmetic Surgery & Weight Loss

For those who have lost a significant amount of weight, body contouring procedures can remove excess skin from areas such as the arms, abdomen and thighs.

Liposuction is also popular for removing stubborn areas of fat that don’t go away with diet or exercise. Patients should already be at a healthy weight for this procedure, as it is not meant for weight loss.

Sources: WebMD, Medical News Today

Liposuction Risks Decrease with Use of Local Anesthesia, Study Finds

liposuction with local anesthesiaA new study shows that liposuction done under local anesthesia produces less complications than liposuction done under general anesthesia, reports Medscape Today.

The review study found that cosmetic surgery that used general anesthesia, such as liposuction, and combining surgical procedures significantly increased the risk for complications in office-based surgery.

Published in Dermatologic Surgery, the study found that more than three-quarters of hospital transfers and two-thirds of deaths were associated with cosmetic surgery performed under general anesthesia. On the other hand, the researchers wrote, “Cosmetic procedures performed in offices by dermatologists under local and dilute local anesthesia yielded no reported complications.”

Researchers reviewed data of the statewide mandatory reporting of adverse events in office-based surgery in Florida (10 years of reporting) and Alabama (six years).

Local vs. General Anesthesia for Liposuction

The authors were most critical of liposuction performed under general anesthesia because when this common cosmetic procedure was performed with local anesthesia no deaths occurred.

“Liposuction under general anesthesia accounted for 32% of cosmetic procedure-related deaths and 22% of all cosmetic procedure-related complications,” the researchers wrote.

Local anesthesia is often used for liposuction because of its safety record and because it allows the patient to stay awake during the procedure and get back to a normal routine quicker.

However, the anesthesia that is used for liposuction often depends on the scope of the procedure. For instance, your cosmetic surgeon may use general anesthesia for liposuction when large volumes of fat are going to be removed. Local anesthesia is often used for a small amount of fat removal.

Understanding Liposuction Risks

Possible complications of liposuction include infection, irregular skin contour, delayed healing, excessive fluid loss, clots and damage to surrounding tissues. Most localized liposuction treatments have a relatively low risk for complications, but risks increase when large volumes of fat are removed.

Learn more about liposuction in Frederick, MD, and the Washington D.C. metro area.

Cosmetic Surgery Embraces Curves

thigh augmentationMore women are embracing a curvy look, a trend that is visible in the cosmetic surgery industry.

For instance, RealSelf, a social media website for sharing information about cosmetic procedures, reported that in 2011 searches for butt augmentations on the site rose 39 percent, making it the “fastest moving topic on the site in terms of overall consumer interest.”

With the rise of procedures like the Brazilian butt lift, in which a patient’s own fat is transferred to enhance the shape and size of the buttocks, women are looking to enhance other areas as well.

Next Trend for Curves: Thigh Augmentation?

A study published recently in the American Journal of Cosmetic Surgery examined thigh augmentation, which uses a custom implant. The authors report that: “Breasts are getting bigger, buttocks are getting fuller, and there is increasing demand for a fuller, more curvaceous look to the thighs.”

According to the study, 18 women received the implants to achieve a fuller appearance in the thighs. During the procedure, a custom-made lateral thigh prosthesis is surgically inserted to give more curve to the lateral thigh area.

The authors reported that all patients were satisfied with the procedure. There were no major complications during the study, and they concluded that the implants helped women achieve a fuller look in the thigh without significant risk.

Traditional Cosmetic Surgery for Adding Curves

Some of the most popular cosmetic surgery procedures have always been about giving women more curves. For instance, many women who are dissatisfied with the size, shape and fullness of their breasts often turn to breast augmentation.

A tummy tuck is a popular way for a woman to get a flatter stomach. It creates a smaller waistline, which accentuates curves above and below the waist.

Study Reveals Patients’ Expectations of Body Contouring after Weight Loss

body contouring after weight lossFor some bariatric surgery patients, weight loss surgery may only be the first surgery on their way to a slimmer body. A new study found that a majority of patients, 75% of females and 68% of males, desire body contouring surgery after their weight loss.

Body contouring procedures after weight loss are often a last and necessary step in a patient’s weight loss surgery journey.

Medically-assisted weight loss often results in loose and hanging skin on the upper arms, breasts, abdomen and thighs. Because of this, one or more body contouring procedures — such as a tummy tuck, breast lift, body lift, arm lift or liposuction — may be desired.

The Austrian study, published in Obesity Surgery journal, examined patients’ expectations of body contouring after massive weight loss. A questionnaire on body image, quality of life and expectations of body contouring surgery was answered by 252 patients who had gastric bypass surgery between 2003 and 2009.

While 90% of women and 88% of men surveyed said their appearance after weight loss was “satisfactory, good, or very good,” 96% reported having surplus skin that caused itching. Some also said they had problems with playing sports and finding clothing that fit well.

A majority of men and women surveyed expressed a desire for body contouring, and the top three expectations of the surgery were:

  • Improved appearance
  • Improved self–confidence
  • Improved quality of life

Both men and women ranked the abdominal area as most in need of contouring, followed by the breasts, thighs, upper arms and buttocks.

The researchers concluded that the success of using weight loss surgery to treat obese patients can’t be judged on weight loss alone. “Patients’ expectations for body contouring surgery are very precise and high,” so it is important that patients are given realistic expectations from their cosmetic surgeon before surgery, according to the authors.

For more information, view the full text of the study.

“Patient care was incredible! We are so very happy our child was referred to Dr. Will. We appreciate the attentiveness given to his medical condition. Will highly recommend to others.”

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