'This fat can be found on all types of women, from las mas flaquitas to las mas gorditas. "It's mostly hereditary," says Steven Wallach, M.D., a plastic sur­geon in New York City. What causes those popcorn-like dimples? "They occur when the conjoined fibers that hold fatty tissue between layers of skin are pulled taut or slackened, allowing tiny pockets of fat to poke through", says Dr. Wallach. "And while a healthy diet, regular exercise, and drinking plenty of water can diminish cellulite, there is no permanent cure." But, he admits, "Losing surrounding fat may reduce its appearance."

The longer-lasting solution: Liposuction

The liposuction technique (now the most popular proce­dure performed by plastic surgeons) entails first breaking up, then suctioning out fat cells through a small incision in the skin. Dr. Wallach recommends checking with a board-certified plastic surgeon to see whether you are a candidate. "The best patients are those of normal weight, with firm, elastic skin, and an excess of fat in particular regions," he says. Still, even surgery isn't a guaranteed, permanent solution. While your legs or hips may be slimmer and actually have less fat in them, the dimples associated with cellulite can still be noticeable. Liposuction is not recom­mended for people with diabetes, or significant heart or lung disease. The cost of the procedure ranges from $2,500 to $5,000.

AS IF PLASTIC SURGERY wasn't hard enough, post-op patients also had to worry about salon treatments damaging the merchandise. Now, Dr. Steven Wallach is easing their minds along with their signs of aging, lectur­ing upscale sa­lons like Fred­eric Fekkai and Avon in New York City on dealing with recently nipped, tucked and/or suctioned patients. His pointers: Don't dye the hair for three weeks to keep chemicals out of a face-lift's scalp sutures. Stylists must be cau­tious, too, so "no sharp combs." A facial after a nose job? "Don't touch my work!" for at least three weeks. But go for a massage a few days after lipo. "It may get rid of some of that kind of lumpy­ bumpy feeling."

Neck lifts can correct problems under the chin created by loose skin, excess fat or muscle tension. The approach taken will depend on the specific cause, explains Steven Wallach, M.D., a New York City plastic surgeon. For loose skin alone, an incision is made behind the ear, skin is redraped and excess removed. If isolated fat is the culprit, liposuction is done through an incision under the chin or behind the ear. A tense muscle requires an incision and then suturing on either side of the muscle or removal of a wedge of muscle to leave it less taut. The skin might redrape itself, but if not, the excess can be surgically removed. It can be done in the hospital or doctor's office; you will be sedated. Recovery time is 7 to 10 days; plan to stay at home during that period. Results last 5 to 10 years. Cost: about $2,500 for liposuction; $4,000 to $5,000 for skin or muscle surgery. Possible risks, although rare, like scarring and nerve damage that could affect your smile.

"It's safer, and it's really good for some areas, especially hip rolls, male chest, back. But with the thighs and abdomen, you can usually use classic liposuction to mechanically suck out the fat." Dr. Wallach

"Most of what was going on was people trying to limit the amount of scarring they put on the breasts. To minimize scarring, we make an incision around the areola and it's an up and down incision only. A combination breast lift and augmentation is a really hot thing." Dr. Wallach

"Patients are more in tune with what's out there. The Internet has become a very popular tool for people to canvas and obtain info on their own. Patients are savvier. They don't have consultations to gather information anymore; they are doing them to try and find a surgeon. They are well informed." Dr. Wallach

Every six months to a year a new laser comes out that improves wrinkles on the face and neck. Every meeting there is a new laser, so I am taking a wait and see attitude. If one day we can have scarless healing that would be amazing. No matter what we do, if there is an incision. there will be a scar. Hopefully, that will change." Dr. Wallach

• Plan ahead Ask your pediatrician which hospitals she can admit patients to and which one she recommends for pediatric emergencies. If you're covered by managed care, ask which hospitals are affiliated with your plan.
• Review your child's medical record You'll be asked about significant illnesses or operations, allergies and immunizations.
• Anticipate "controlled chaos," notes Larry Bedard, M.D., president of the American College of Emergency Physician 3. Emergency departments are busy, often noisy places.
• Communicate with the nurses The triage nurse assesses whether your child needs immediate attention or can safely wait. Talk to her about special physician requests. For example, if your child needs stitches on the face, ask her to summon the plastic surgeon on call, recommends Steven Wallach, M.D., a New York City plastic surgeon.
• Be realistic about squeamishness You'll be allowed to re­main with your child through most procedures, but if you faint at the sight of blood, it may be better to stay in the waiting area.
• Understand the E.R.'s methods Don't be alarmed by the use of restraints, for instance. Sheets, towels and boards are routinely used to minimize thrashing while a child is being examined or stitched. It may look shocking, but it's for your child's protection.