WHAT'S IN A NAME?
1. BRA BULGE
Bra buldge is that pesky fat pad that can be found just lateral or outside the outer edge of the pectoralis major muscle. When women wear brassieres, it’s not infrequent that this bra fat that pushes out can be irritating, painful, rashes can form and they can develop dermatitis. This bra bulge can also be unsightly, especially in clothing where this lateral breast region is exposed. On national television Dr. Linder performed a bra bulge procedure, removing this fat using a small triple lumen Mercedes tip cannula to sculp the lateral fat pad resolving the bra bulge. The results can be quite traumatic. This can be performed under either local IV sedation or general anesthesia, depending upon the amount of adiposity. Patients with increased skin laxity at this region may require a skin excision at the same as tumescent liposuction of this bra bulge fat pad. Compressive garments for at least six weeks should be used postoperatively. Sutures remain in for approximately 14 days.
2. MUFFIN TOP
The Muffin Top specifically is associated with the adiposity or lipodystrophy fat pads within the iliac crest roll or hip region and the lower flanks. It can also extend to the lower abdominal or periumbilical region. Dr. Linder performed a muffin top procedure on national television recently. The patient was brought to the operating room, administered general anesthesia, although IV sedation may be used on smaller localized muffin top regions of the hips. The fat is directly lipo sculptured with tumescent technique using a bi-directional technique. Both superficial and deep fat is removed with as 4 mm and a 3 mm triple lumen Mercedes blunt tip cannula. Subsequently, fat is removed directly perpendicular to the pelvic bone in order to smooth out and contour the medial hip region. The results can be absolutely fantastic. Six weeks of compression garments are placed. Patients who have significant fatty tissue around the lower abdomen can be sculpted at the same time leading to a completely sculpted muffin top region.
3. MUFFIN BOTTOM
The Muffin Bottom consists of sculpting three different regions at one time, the infragluteal fold, the medial posterior thigh and the lateral posterior saddlebag region. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. This was sculpted for a national television program recently and the results are dramatic. Care must be taken to avoid over-sculpting the infragluteal fold to prevent increased skin laxity or contour deformity.
4. SADDLEBAG PROCEDURE
Saddlebags are that localized fat deposits in the outer thigh region which cannot be removed through diet and exercise. These are resistant genetic fat pads which can only be removed through direct surgical liposculpture. Dr. Linder performs a double layer criss-cross technique using a deep 4 mm cannula and a superficial 3 mm cannula to remove the fat in the lateral thigh region in a criss-cross perpendicular manner. Meticulous and precise sculpting of the lateral thigh as well as removing some of the anteromedial inner thigh and iliac crest roll or hip thigh fat can completely contour the thigh, removing the saddlebags and proportionating the lower third of the body with the midriff and upper portions of a woman’s anatomy. This was performed recently on national television with the following pre- and postoperative results. Liposuctioning of different areas of the body follow similar patterns with respect to technique. I use tumescent fluid in all these regions in order to
- 1) contour the fat, hydrating the fat cells, reducing the contour deformity and skin irregularity;
- 2) reduce bruising and bleeding by using the epinephrine to vasoconstrict the blood vessels;
- 3) to use Lidocaine in order to reduce pain by allowing for numbness.