Today I removed some fat overlying the latissimus dorsi muscles of a young male patient. This fellow had had liposuction to his love handles prevoiusly, with good effect. At the time back then there was no need for liposuction to the fat overlying the latissimus muscles, and he achieved quite a “V” shape, time passed and more recently the indication became apparent.
Incisions were made in the posterior axillary folds and at the inferior-most point of the target fat. From these access points a good deal of criss-crossing was achieved and fat was removed evenly and steadily. One needs to stay relatively superficial, always and always aware of the site of the cannula tip. The skin is thick and can tolerate suctioning on its underside better than at many other sites, and of course on needs to stay well clear of ribs. The cannula is kept almost parallel to the skin, and I prefer to stroke supero-inferiorly to virtually eliminate any chance of the cannnula disturbing a rib.
Volumes of fat removed from this site are generally smaller than those accessed elsewhere, and the results are not as dramatic, but very welcomed by those opting for the treatment. As was the case here, most patients wanting latissimus fat removal have had liposuction previously, dealing with more overt fat deposits.
The patient experienced no pain to speak of, and we happily chatted about his charity work as we removed the fat.