Fat Necrosis Los Angeles, CA
Removal of Fat Necrosis Every Day with Dr. Kenneth Hughes
Dr. Kenneth Hughes performs a great number of revisions of all types of surgery. Many times patients have run out of options or have no options when they seek out Dr. Hughes’s expertise. Dr. Hughes sees patients who have been to 20 or 30 consultations looking for an answer and have been turned away. This presents a unique situation in which Dr. Kenneth Hughes possesses the tools and skill to remedy a situation that others do not.
The removal of dead fat also called fat necrosis can be a daunting task. Although many times fat necrosis may improve over a period of time, sometimes the fat necrosis or dead fat can be debilitating to daily tasks and can cause chronic pain particularly with sitting or reclining. Dr. Kenneth Hughes has removed huge bricks of fat necrosis from patients’ buttocks and hips. This always necessitates an incision.
Dead fat cannot simply be removed by the liposuction process or with any type of liposuction technique. Liposuction can only remove lower density materials through the power of vacuum suction. Fat necrosis results when the fat dies due to lack of blood supply and dystrophic calcification occurs -thus creating a hard calcific ultradense brick of tissue. This dead tissue must be cut out or excised.
The question is where to place the incision and how long to make the incision. A patient obviously wants to have as inconspicuous a scar as possible. In the many cases, Dr. Kenneth Hughes makes the incision under the buttock, at the top of the buttock, or within a tattoo. Dr. Hughes then dissects to the level of fat necrosis for removal. Dr. Kenneth Hughes performs this with the help of a lighted retractor so that he can both visualize the offending fat necrosis and feel for the dead fat with his opposing hand.
Sometimes the necrotic tissue is hard throughout and is removed as a brick. Sometimes, the dead fat has a hard outer shell and the inside contains more liquid material. Either way these are good things to remove, because the removal reduces pain, can reduce contour deformities, and reduces the risk for future infection.
Most recently, Dr. Kenneth Hughes removed a great deal of fat necrosis from an individual and then removed a great deal of skin from the buttock fold at the same time. This procedure accomplished two goals for the patient: 1) the patient wanted to remove the obviously hard, dead calcified fat and 2) the patient wanted to make the area appear smoother and make the buttocks appear shorter and rounder without a lot of loose, hanging skin. Dr. Hughes was able to improve all of these aspects at one surgery with the inferior buttock lift incision.
The inferior buttock lift surgery is a surgery that very few surgeons perform or perform in a certain way. The goal of the procedure is not to flatten the buttock or to reduce the buttock/leg definition, but rather it is to tighten the skin of the posterior thigh and improve the buttock shape as well as the sagging or droopiness of the buttocks.
Sometimes Dr. Kenneth Hughes utilizes this approach in conjunction with the lower posterior body lift incision and/or fat grafting. Sometimes, the removal of the dead fat is done at one time with the inferior buttock lift. In the future, the patient can be reconstructed with fat grafting or implants to improve the areas of removal if necessary.