On March 28th, 2017, Emory Aesthetic Center plastic surgeon, Dr. Gabriele Miotto held an informative live chat on body contouring. With summer coming, many want to know how to improve the shape of their body and tighten excess or loose skin. Dr. Miotto discussed both non-surgical and surgical options – including CoolSculpting, liposuction and tummy tucks.
The live chat had a great turnout and is now available online.
Body Contouring Live Chat, 3/28/17[Mar 28 2017, 11:48 AM] EmoryHealthcare: We are starting the live chat in 14 min. Are you, guys, ready? We see a few people online waiting and we are ready for your questions. Dr. Miotto is so excited to help all our guests today! [Mar 28 2017, 12:00 PM] EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about
Body Contouring with Dr. Gabriele Miotto of Emory Aesthetic Center. [Mar 28 2017, 12:02 PM] EmoryHealthcare: We’ll get started in just a minute. Dr. Miotto is here to answer all of your questions! [Mar 28 2017, 12:05 PM] EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all of your questions today. [Mar 28 2017, 12:06 PM] EmoryHealthcare: We received some questions that were submitted in advance of the chat, so we’ll get started by answering a few of those first. [Mar 28 2017, 12:08 PM] EmoryHealthcare: Lynn asked: “I am 5’10” and 126lb. I look skinny but have severe cellulite. I’m embarrassed to wear a bathing suit. What do you recommend?”
Dr. Miotto: If there is no weight issues, cellulite can be improved by localized leg exercising and changing your diet (no sugar, low carbohydrates, etc). Healthy life habits always improve the skin overall. Lymphatic drainage massage can have some beneficial effect if there is fluid retention in the tissues.
If the dimpling is very severe, we can perform a procedure[Mar 28 2017, 12:11 PM] EmoryHealthcare: Anna asked: “Are there any changes to my diet that I can make to reduce my cellulite?”
Dr. Miotto: Low sugar diet can help with cellulite. If you are overweight, weight loss associated with exercise also improve the quality of skin.[Mar 28 2017, 12:14 PM] EmoryHealthcare: Sydney asked: “Do sleep and the level of stress I have affect my weight?”
Dr. Miotto: A good night sleep is very important for balancing the body functions. It helps the body produce its hormones and can definitely affect your weight. When stressed, we tend to eat more and not to pay attention to the quality of the food we eat, so it can promote weight gain.[Mar 28 2017, 12:22 PM] EmoryHealthcare: Tina asked: “After having two babies, I have a lower abdominal pooch that just won’t go away with diet and exercise. I’d love to get back into my bikini. What can I do?” [Mar 28 2017, 12:22 PM] EmoryHealthcare: Dr. Miotto: After having babies, the abdominal pooch is usually caused by fatty deposits, skin laxity or muscle laxity, or even a combination of those. During the consultation, we can determine the main cause of the pooch and decide between the different procedures we do which one will be best for you. Options include liposuction, tummy tuck, Coolsculpting or a combination of them. [Mar 28 2017, 12:23 PM] EmoryHealthcare: Tatyana asked: “I am unhappy with my stomach. I am considering liposuction. What is the recovery like?” [Mar 28 2017, 12:23 PM] EmoryHealthcare: Dr. Miotto: Recovery depends on the amount of liposuction that we need to do but usually patients go back to work in 5-7 days.
It is common to have tenderness for the first 48-96 hours that responds well to pain medications. A postoperative compression garment is also recommended for a couple of weeks to help with healing. Mild bruising and swelling can last for a few weeks so plan to do the procedure at least 4 weeks before going to be beach[Mar 28 2017, 12:25 PM] EmoryHealthcare: Caroline asked: “I like to eat fruit for dinner. Like bananas and grapes. And oranges. Does this habit contribute to my weight gain?” [Mar 28 2017, 12:26 PM] EmoryHealthcare: Dr. Miotto: Weight gain can have many factors.
Eating fruits at night could contribute to weight gain. Sweet fruits like bananas, grapes, oranges have a high fructose content that functions as sugar in the body. Think about sweet fruits as desert and start your dinner with vegetables and legumes instead to balance your diet and reduce the sugar content of your overall intake.[Mar 28 2017, 12:26 PM] EmoryHealthcare: Maria asked: “When I wear a dress, it looks like I have a muffin on my belly. I don’t like being in pictures because of it…. How can you help me?” [Mar 28 2017, 12:28 PM] EmoryHealthcare: Dr. Miotto: Fatty deposits in the abdomen can look like a “muffin top”. Depending on your skin laxity and muscle tone it is possible to remove the extra fat with liposuction or a tummy tuck. Non-invasive fat removal using Coolsculpting could also be an option in some cases. [Mar 28 2017, 12:33 PM] EmoryHealthcare: Kara asked: “When would one consider a tummy tuck over lipo?” [Mar 28 2017, 12:33 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you. [Mar 28 2017, 12:33 PM] Guest5387: what exactly is cool sculting [Mar 28 2017, 12:37 PM] EmoryHealthcare: Dr. Miotto: CoolSculpting® is an FDA approved treatment that works without surgery, needles, or anesthesia. [Mar 28 2017, 12:37 PM] EmoryHealthcare: The procedure cools and freezes unwanted fat—without damaging surrounding tissues. [Mar 28 2017, 12:37 PM] EmoryHealthcare: Once the fat has been frozen and crystallized from the treatment, the body will slowly break down the unwanted cells and dispose of them, resulting in gradual fat loss following the treatment. [Mar 28 2017, 12:37 PM] EmoryHealthcare: Most patients start to see results within about three weeks, with final results becoming apparent within 1-3 months after treatment. [Mar 28 2017, 12:37 PM] EmoryHealthcare: Great question, @Guest5387! Thank you. [Mar 28 2017, 12:39 PM] EmoryHealthcare: Kelly asked: “I want to add some fullness to my bottom. What are my options?” [Mar 28 2017, 12:39 PM] EmoryHealthcare: Dr. Miotto: A great option to add fullness to the bottom area is by transferring your own fat into the buttocks. Fat is removed from areas like abdomen, waist line, tights or back using liposuction. Then, the fat is prepared as a filler and reinjected into the buttock to increase the volume and improve the shape of the area. [Mar 28 2017, 12:41 PM] Guest8698: Do you recommend waist training? [Mar 28 2017, 12:41 PM] EmoryHealthcare: Great question, @Guest8698! [Mar 28 2017, 12:42 PM] EmoryHealthcare: Dr. Miotto: That is an option for body shaping but the effects are not reliable for long term improvement. It also depends on your weight, initial body shape and exercising. [Mar 28 2017, 12:42 PM] Guest7903: What procedures do you recommend for men? [Mar 28 2017, 12:42 PM] EmoryHealthcare: Thank you, @Guest7903! [Mar 28 2017, 12:42 PM] EmoryHealthcare: Plastic surgery procedures can be done for men and women alike. Liposuction, tummy tucks and Coolsculpting are frequently used to improve body contouring in men of all ages. [Mar 28 2017, 12:43 PM] EmoryHealthcare: @Guest7903, that was a response from Dr. Miotto 🙂 Thanks 🙂 [Mar 28 2017, 12:45 PM] Guest2220: Where can I see a full list of of the services Dr. Miotto offers? [Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, Dr. Miotto does all of the facial and body contouring procedures available on the Emory Aesthetic Center’s website page here: http://www.emoryhealthcare.org/centers-programs/aesthetic-center/index.html [Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, thanks for the great question 🙂 [Mar 28 2017, 12:47 PM] Guest8162: I’m a male with just enough fat below the bellybutton to bother me. A friend who’s had cool sculpting said it didn’t work. Do you recommend another type of non-invasive procedure? [Mar 28 2017, 12:48 PM] EmoryHealthcare: @Guest8162, Dr. Miotto says: Unfortunately, there is no other non-invasive fat removal procedure that is effective. I would recommend a small liposuction. When the fatty deposits are small it can safely be even done under local anesthesia with a light sedation or even under straight local anesthesia. [Mar 28 2017, 12:49 PM] Guest950: Sorry if this was already asked, but do those heat based non surgical procedures work and do you recommend them? [Mar 28 2017, 12:50 PM] EmoryHealthcare: @Guest950, Dr. Miotto is asking if you could please clarify which ones you are including in your question. Thank you. [Mar 28 2017, 12:52 PM] EmoryHealthcare: We are so excited about your questions, everyone! We have 9 min left and 3 questions are now being answered by Dr. Miotto, so they will be posted in a minute. Please submit your question asap if you’d like her to answer them. Thank you 🙂 [Mar 28 2017, 12:52 PM] Guest950: I think it’s called thermage? [Mar 28 2017, 12:53 PM] EmoryHealthcare: Thank you, @Guest950, Dr. Miotto will answer in just a second 🙂 [Mar 28 2017, 12:55 PM] EmoryHealthcare: We have 2 questions’ answers coming and you have 6 min left to ask yours 🙂 [Mar 28 2017, 12:56 PM] Guest761: Can I get body contouring after bariatric surgery? [Mar 28 2017, 12:56 PM] EmoryHealthcare: Very good question, @Guest761! [Mar 28 2017, 12:56 PM] EmoryHealthcare: @Guest761, Dr. Miotto said: “Absolutely! There are several procedures that can be performed to treat the extra skin and fat that remains after massive weight loss.” [Mar 28 2017, 12:57 PM] EmoryHealthcare: Bella asked: “When would one consider a tummy tuck over lipo?” [Mar 28 2017, 12:58 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you. [Mar 28 2017, 12:58 PM] Guest2220: Does Emory offer financing for procedures? [Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest2220, we do offer financing through Care Credit https://www.emoryhealthcare.org/centers-programs/aesthetic-center/become-a-patient/index.html [Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest950, Dr. Miotto said: Heat based procedures were designed to improve skin laxity of the face and body. They have some effect for mild laxity, mostly on the face and neck, but not a consistent effect for body skin laxity. They are not effective devices for fat removal. [Mar 28 2017, 1:00 PM] EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! As we mentioned, we’ll follow up with a blog post to answer any questions we didn’t get a chance to address today. [Mar 28 2017, 1:01 PM] EmoryHealthcare: Thanks for your questions. Have a great day, everyone! [Mar 28 2017, 1:02 PM] Guest950: Thanks for your time [Mar 28 2017, 1:02 PM] Guest3275: thank you! [Mar 28 2017, 1:02 PM] Guest5784: It says Dr. Miotto explores cutting edge technology. are there any techniques or procedures she uses that haven’t been mentioned? [Mar 28 2017, 1:02 PM] FSUnole755: I’ve seen advertisements to Cool Sculpting and it seem like everyone is doing it. Should I be selective on choosing a person to do body contouring? [Mar 28 2017, 1:03 PM] EmoryHealthcare: All unanswered questions will be answered in a followup blog. Thanks, everyone and enjoy the rest of your day!
About Dr. Miotto
Dr. Miotto is constantly exploring cutting edge technologies to provide the best available options to her patients. She has published and presented on aesthetic plastic surgery in many national and international meetings. Her main interests include body contouring, facial rejuvenation, eyelid surgery, rhinoplasty, aesthetic breast surgery and fat grafting.
After completing medical school under a full academic scholarship at the prestigious Federal University of Rio Grande do Sul, Dr. Miotto trained at the Hospital de Clinicas and at Santa Casa in Porto Alegre, Brazil. She also received additional training at Emory University and completed a fellowship in Aesthetic and Oculoplastic Surgery with Dr. Clinton McCord and Dr. Foad Nahai at Paces Plastic Surgery in Atlanta. She is a “Membro Titular” of the Brazilian Society of Plastic Surgery, the highest level of credentialing for board-certified plastic surgeons in Brazil.
Dr. Miotto is committed to providing excellent care to her patients. She has a passion for restoring and enhancing beauty through surgical and non-surgical cosmetic procedures of the face and body.