Where is the Internal FAT? | BTM4 Ep.19

[@magg2780]

Dr. William you seem to showcase a lot of younger women getting BBLs. What about older women like me in my late 40’s who are dealing with gravity kicking in? Can you do a video on us. Are BBL challenges/successes different for this age group?

[@kayalzate]

I am 49 and I just had my bbl and lipo in June. I will be 3 months post-op on the September 23rd. My recovery was great. The only minor issue that I have is fibrosis but with my massages, captivation, and carboxy treatment. My results are great! Plus, I workout regularly regularly. It took me 5 years to do research and to think about whether I should get lipo and a BBL. Get your regular doctor's appointment and pray on the matter. No pressure.

[@deecope5007]

I under went lipo and still have a tummy after recovering I was disappointed so I went to my doctor and said I want to look at a tummy tuck I was told that it was visceral fat and I needed to workout hit the gym and dismiss tummy tuck for now so thank you for explaining the very issue that I think I have.. although I want a flat stomach now! Again thank you for the explanation

[@shahrazadtimmen6228]

I just love listening to your lectures, I'm a Medical PA..

[@DrWilliamMiami]

That makes me happy to hear!

[@debbiedolphin784]

Wow , you are so talented the way you explain everything! Thank you!

[@debbiedolphin784]

PS Do you do inner thigh work?

[@DrWilliamMiami]

This video may help you: kzbin.info/www/bejne/i5fGpqRngJhopbM

[@violettejoseph1233]

Thanks Doctor William see you soon

[@conchataperry700]

Internal Fat has been my worst enemy, in pre-op you told me to stay away from the cheese and ummm yea 😂 but hopefully I can get this internal fat down to a minimum before my next surgery 😬

[@shanicetravis6120]

Were you pleased with your results despite the internal fat?

[@rockyniz2594]

Not only are you helpful but you’re hilarious too 😂💜

[@DrWilliamMiami]

Thanks 😅. You should tune in to my IG on Sunday at 8pm for the last episode of Season 4 of Behind The Mask. I do something funny and quite embarrassing there. You may want to watch that. Same username for my IG as here.

[@JH-pr2fg]

Thank you great information, wish i would of known this before i had my tummy tuck last year. Though i was going to have a flat stomach but a year later my plastic surgeon told me the reason i did not have a good result was because i have eternal fat and needed to loose weight.😢😢😢

[@DrWilliamMiami]

It's never too late! I am fighting it too. Don't give up.

[@kiarich5051]

Dr William ! Thanks for this ! I’d like to see a video on arm & chin lipo! I want arm lipo in combination with a TT/lipo 360 but I need to know the safety of it & the trauma it puts on the body. I’m wanting an mmo but separating the procedures to minimize the trauma & down time

[@DrWilliamMiami]

I prefer not to perform arm lipo with a TT as you will need your arms to help you recover from your TT.

[@MoreLifeWithMo-nd8ih]

Hi Dr. Williams I’m 12dpo and went from a flat tummy out of surgery to having lower abdominal swelling and being told to use more compression and massages. Confused on what to do.

[@samcam9321]

Thank you🫶🏾💯🙏🏾💙🇨🇦

[@DrWilliamMiami]

🇨🇦

[@silviapiedra8920]

@@DrWilliamMiamiHi Dr William. I love your videos . I live in Canada . I know I have internal fat, beer fat etc. I am 60 Year old . I have a question ? I know , the Dr told me I can’t have lipo in my abdomen , I am trying to lose weight with diet and exercise but I would like to have lipo in my back and handles and transfer a bit to my buttock ( nothing exagerado ) only to fillip up the emptiness. Is that possible ? I would appreciate your honest answer . Kinds Regards , Silvia

[@rkenshin364]

Dr Williams, could you tell us about combining a BBL and BA and having them done at the same time.

[@DrWilliamMiami]

Sure. I call it a mini mommy makeover. Here is a link to a video. kzbin.info/www/bejne/bZy7aWuEdtyFfpY Most people don't realize you can sleep on your tummy after having a breast augmentation so you recover from your BBL exactly the same as you normally would. Place pillows under and above your breasts to take the pressure off your breasts.

[@ferncompton4906]

Do you do auto-augmentation? If so that would be a great video. 😍🤩😍

[@DrWilliamMiami]

I do. That's a great idea. I will get on it.

[@RAGordy]

Hey Doc, I enjoy your videos. Would you consider an upcoming video that focuses on men’s health in regards to liposuction. I recently had the 360 procedure, and was very disappointed by the dearth of information out there for men. Small things like choosing the right Faja really hindered my progress post surgery. There are other factors, I have learned, that are different when compared to women’s health (exercise, diet, activity, sex, etc.). I think this will be helpful for men in the future.

[@DrWilliamMiami]

I am sorry but I only do liposuction on women so I am not really the best person to do that--perhaps ask your surgeon if he or she would do one.

[@aminehamici1398]

thanks for your well done vidéos . i am a surgeon dr Hamici from algeria 🇩🇿🇺🇲

[@DrWilliamMiami]

Hi!! Thank you I appreciate that. My personal email is [e-mail] if you ever want to communicate directly.

[@kiarich5051]

Sorry it’s me again 😂 I need you to incorporate whether or not we’re supposed to get massages after a TT… and how to compress following a TT and arm lipo & for how long to compress

[@DrWilliamMiami]

I don't suggest any compression with a TT--that can be dangerous. Massages should be performed in any area that had liposuction.

[@honeybadgernasty]

Question Dr. William...is it true that Ozempic sheds iternal fat?,

[@DrWilliamMiami]

It gives the sensation you are full and decreases caloric intake and the body will then burn fat to make up the caloric deficit and the body prefers to burn internal fat first--not in everyone but in most people.

[@honeybadgernasty]

@DrWilliamMiami ahhhh...interesting...I didn't know that... Thank you for explaining it Dr. William

[@iaisha33]

Great video!!! I did not know doing a tummy tuck you remove the skin and the fat!!

[@cherrylanemonroe1082]

They are 2 separate surgeries. a TT removes the skin ONLY. And lipo removes the external fat. The surgeon will charge you for both, or simply do a one price deal. Surgeons before used to only do TT and now they do the combo for better results. And the lipo gets better every year because of the technology with the lipo instruments. It's also a better pull down of the skin if the lipo is done, = best results.

[@zayurineri147]

Dr can i have bbl if i have sciatic nerve inury?

[@sheilapittman8277]

Dr. Williams can you speak on how to remove scar tissue after having a tummy tuck? I had a TT, MR and Lipo almost 3 months ago. The lower part of my stomach is hard and swollen. How do I get rid of this?

[@DrWilliamMiami]

It will usually soften with time but it can take more than a year. I would continue to use a roller.

[@MrsPierreIsabella]

I am scheduled to have my tummy tuck with you at the end of May. I was told I need to lose 40 pounds of internal fat. I am a mother of three and just had my son eight months ago. I have a 4 finger gap separation and a umbilical hernia. I am determined to have my tummy tuck with you. You are so knowledgeable and you have a passion for what you do. So far I’ve been doing intermediate fasting and exercising to help lose weight. Prayerfully I’ll see you soon.❤

[@DrWilliamMiami]

Good luck wiht your weight loss.

[@farinawever3607]

Thank you for the explanation 😊 I'm having a tummy tuck next month. I've got an abdominal lipoma. Can it be removed surgically? I don't want it removed via liposuction because I'm not sure if the surgeon will be able to remove the sack completely. It's about 7cm Greetings from England 🇬🇧

[@DrWilliamMiami]

You are right liposuction is not good for removing a lipoma. It depends on the surgeon and location of the lipoma--if it will not damage the blood supply to the tummy tuck flap than I usually remove them at the time of surgery but I would check with your surgeon to see their protocol.

[@farinawever3607]

​@@DrWilliamMiamiI'm really grateful that you've taken your precious time to reply!! You're one of a kind😊😊 Such a shame that you're too far away for me to have my surgery done by you☹️ 🤗🤗

[@loretaleon31]

my dream is to have a tummy tuck with you Dr..

[@zyrianaarenee453]

I AM Waiting for a Call from your office since over weeks ago????

[@DrWilliamMiami]

That's terrible. I am sorry. Please Email me directly at [e-mail] and I will have someone call you today.

[@satchiebabe6052]

How can you loose internal fat without losing external fat?

[@DrWilliamMiami]

Typically your body prefers to lose internal fat first.

[@felisharucker8655]

Hi Dr Williams I already had my procedures with you.. with the list you just described are you able to determine where are internal fat is at.. and does this mean we will always have internal fat even if we loose the weight will it go back in the same area..

[@DrWilliamMiami]

Weight loss will get rid of the internal fat. It is only in the front abdomen--not in the back.

[@sttbull]

Hello Dr. Williams and thank you for this video. I have a question. I had a tummy tuck done in March 2021 and my stomach was never flat afterwards and I noticed that after I eat that my stomach swells and I look like Im about 4 to 5 months pregnant. The doctor that performed my surgery told me that it was visceral fat and that I needed to do some exercises and it would go away and he told me this about three months after my surgery when I stressed my concerns to him and I have since then lost 28 pounds and I still have the same issue with my stomach. Would this qualify for a tummy tuck revision? Or would a Lipo 360 fix the problem? Please advise.

[@krazylady7275]

So Informational ..what if you are 6ft and 250lbs but want a tummy tuck but not loose weight down to 225lbs can it be done safely

[@DrWilliamMiami]

The height and weight are not as important as internal fat.

[@Ms504babygirl]

What are your BMI requirements

[@DrWilliamMiami]

Here are my thoughts on BMI kzbin.info/www/bejne/e3u6fqGofpWhgsk

[@judithrajaram1124]

Hi doc I had tt more than a year ago and I was never flat. My upper stomach is extremely high while my lower stomach is flat. I look really weird and it’s stressing me out. How can I address this situation . Thank you

[@DrWilliamMiami]

Lose weight. That is 99% of the time the problem. Internal fat. It is a devil 👹

[@shenellelittrean7963]

Can I still have liposuction if u have loose skin on your tummy . Because my skin is so thin on my tummy I can feel my rib bone.

[@ladypink3473]

You’ll probably have more loose skin with lipo, the only way to get rid of loose skin would be a tummy tuck.

[@DrWilliamMiami]

Thank you @ladypink3473

[@ladypink3473]

@@DrWilliamMiami Thank You for all the basic info you provide so that we can help each other out have the best outcome and it also helps us make the best decision for ourselves. Wish more doctors were like you ☀️💯❤️

[@shenellelittrean7963]

@@ladypink3473 yeah I know but I would still have to get liposuction because my tummy wouldn't look flat and I would have to go back for another tummy tuck and I don't want that

[@PastOverRated]

If your having a tummy tuck does it matter if the fat is internal

[@DrWilliamMiami]

YES!!!!! Internal fat is the enemy of a tummy tuck.

[@cherchang8481]

If you can suck in your tummy does that mean u still have thick internal fat or diastasis recti?

[@naegleriafowleri2230]

cardio is the best way to get rid of visceral fat

[@DrWilliamMiami]

One mile burns 100 calories. One bagel has about 250 calories.

[@patriciamccord2812]

Dr. William I'm in my late 60 more like 64 is it ok for me to get a Tummy Tuck, no medical History of anything that I know of as of today.

[@aminah761]

I have fatty liver disease 😢 . Can I still get tummy tuck with this disease my bmi is 30 I weigh 188 pounds I’m working on losing 45 pounds to restore my liver 😢😢😢

[@DrWilliamMiami]

Once your liver is in check then it will be safe to have surgery but get your liver healthy first before you do anything.

[@kiarich5051]

Also how the hell do I tell the difference in whether I need arm lipo or arm lift !! Back to the drawing board !!!!

[@teegee1454]

👍

[@alaiaadam5767]

⚡️🧡💥🤔 Hmmm

[@glocan]

If I am using Ozempic/Semaglutide for weight loss (not using it because I have a condition) to get to a more healthy BMI before surgery, when should the patient stop using it before surgery?; tummy tuck in particular. Your videos are so helpful. Thank you. ♥️

[@Launjeray]

Where did you purchase??

[@glocan]

@@Launjeray Doctor prescribed Wegovy. Talk to your doctor

[@DrWilliamMiami]

I haver my patients stop 2 weeks before surgery.

[@glocan]

@@DrWilliamMiami thanks for responding. 😊

[@IamEvelynEvette]

can internal fat spread your bones?

[@DrWilliamMiami]

No

[@barnabascollins4625]

It’s intertwined within your organs

[@DrWilliamMiami]

It can be in the organs and out of the organs as well.

[@cherrylanemonroe1082]

I am exercising a lot more now than before and my only problem is that I am gaining muscle. Some may like that, but I don't. I feel I am gaining muscle and I prefer to just get on a restrictive diet. I like being strong though. The problems we have . :/ ugh