Liposuction After Substance Abuse: Is It a Viable Option? - Plastic Surgery

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Liposuction of the entire body


Four years ago, I started using amphetamines and occasionally used heroin.
For two years, there wasn't a single day without using.
I'm grateful that I didn't die.
In the last six months, I was using an average of about ten times a day.
Two years ago, I finally quit all drugs and regained my future, but my weight has been skyrocketing...
it's a bit scary.
I went from 55 kg to 80 kg now, with my lower body being proportionately heavier than my upper body, especially in the abdomen and hips.
Q1: I heard from friends that people who gain weight after quitting amphetamines find that no diet pills work for them.
Is this true?
Q2: If I want to undergo liposuction to remove 20 kg, do you think it's feasible?
Q3: If it's not feasible, what other methods are available? (I've tried exercising and dieting, but with almost no effect.)
Q4: If Q2 is feasible, what would be the approximate cost? I understand that costs may vary based on individual circumstances, but I hope you can provide a rough estimate so I can prepare, as I am determined to proceed if it's within my financial capability.

Xiao Yu, 20~29 year old female. Ask Date: 2004/08/07

Dr. Luo Qihua reply Plastic Surgery


Q1: I haven't heard of it.
Q3: Weight loss primarily involves exercise and improving dietary quality.
Don't dismiss it as ineffective just because you've tried it before.
I recommend participating in weight loss programs offered by major hospitals and strictly following their guidelines; you will definitely see results.
Q2: Liposuction is used for sculpting areas with excess fat, not for weight loss.
Moreover, removing 20 kg in one session can be fatal; it should be done in stages and by specific areas.
Also, remember that any surgery carries risks and potential complications.
Q4: For just the lower body, it would cost at least over 100,000, or even more, depending on the number of areas involved.

Reply Date: 2004/08/07

More Info


Liposuction can be a viable option for weight loss, especially for individuals who have struggled with substance abuse and subsequent weight gain. However, there are several important factors to consider before proceeding with this procedure.

Q1: Do people who have abused methamphetamine and then quit find that weight loss medications are ineffective?
It is not uncommon for individuals who have a history of substance abuse, particularly with stimulants like methamphetamine, to experience challenges with weight management after quitting. Stimulants can significantly alter metabolism and appetite regulation. When someone stops using these substances, their body may react differently to food and exercise, leading to weight gain. While some people may find that traditional weight loss medications are less effective, this can vary from person to person. It is essential to consult with a healthcare provider who understands your history and can recommend appropriate weight management strategies tailored to your needs.

Q2: Is it feasible for me to undergo liposuction to remove 20 kg?
Liposuction is primarily designed for body contouring rather than significant weight loss. It is most effective for individuals who are close to their ideal weight but have stubborn fat deposits that do not respond to diet and exercise. While it is technically possible to remove a significant amount of fat through liposuction, most surgeons recommend that candidates be within 30% of their ideal body weight. Removing 20 kg (approximately 44 pounds) in one procedure is generally not advisable due to safety concerns and the potential for complications. A thorough evaluation by a board-certified plastic surgeon is necessary to determine if you are a suitable candidate for liposuction.

Q3: If liposuction is not a viable option, what alternatives do I have?
If liposuction is not appropriate for your situation, there are several alternatives to consider:
1. Behavioral Therapy: Engaging in therapy can help address underlying issues related to substance abuse and eating habits. Cognitive-behavioral therapy (CBT) has been shown to be effective in modifying behaviors related to eating and weight management.

2. Nutritional Counseling: Working with a registered dietitian can help you develop a personalized eating plan that considers your history and current health status. They can guide you on making healthier food choices and managing portion sizes.

3. Physical Activity: While you mentioned that exercise has not been effective, it may be beneficial to explore different types of physical activities. Finding enjoyable forms of exercise can increase adherence and motivation. Consider low-impact activities like swimming, cycling, or group classes that provide social support.

4. Medical Weight Loss Programs: Some clinics offer medically supervised weight loss programs that may include medications, nutritional support, and lifestyle coaching. These programs can provide a structured approach to weight loss.

5. Bariatric Surgery: If you have a significant amount of weight to lose and other methods have failed, bariatric surgery may be an option. This is typically considered for individuals with a BMI over 30 or those with obesity-related health conditions.

Q4: If liposuction is feasible, what are the estimated costs?
The cost of liposuction can vary widely based on several factors, including the surgeon's experience, the geographic location of the procedure, and the extent of the surgery. On average, liposuction can range from $3,000 to $10,000 or more. It is crucial to consult with a qualified plastic surgeon to get a detailed estimate based on your specific situation and the areas you wish to target.

In conclusion, while liposuction may be an option for body contouring, it is essential to approach this decision with caution, especially considering your history of substance abuse. Consulting with healthcare professionals who specialize in weight management and plastic surgery will provide you with the best guidance tailored to your individual circumstances. Remember, sustainable weight loss often involves a combination of lifestyle changes, support, and, when necessary, medical intervention.

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