I am diabetic and have high blood pressure. Will they improve after surgery?
I Am 64, Had 3 C-sections and Have a Huge Apron. Will Lipo Therme and Lipo Tickle Help Me?
Doctor Answers (13)
Answer to RealSelf.com question regarding liposuction and abdominal apron
Your question raises two important issues: 1. The type of procedure that would be the best for you and 2. The safety of any surgical procedure with your underlying medical conditions.
Without an examination and discussion, it is not possible for me to give you specific advice, however I can discuss some generalities related to your situation. Patients with an abdominal apron or “pannus” will not benefit from liposuction; they need a procedure that removes (primarily) the excess skin. There are two procedures that fall into this category: Abdominoplasty (tummy tuck) and panniculectomy. These procedures are somewhat similar in that their goal is to remove excess skin and fat. The abdominoplasty is more extensive and addresses the entire abdomen, while the panniculectomy just removes the excess skin beneath the umbilicus. Liposuction is primarily for removing fat. While there is often some degree of skin contraction after liposuction, it is not nearly enough to address an abdominal apron.
Your age is not, in and of itself, an absolute contraindication to surgery. When assessing a patient I take into account all possible risk factors. Some 64 year olds may be physiologically younger than other 46 year olds. With your underlying medical conditions (diabetes and hypertension) you should be very cautious before proceeding with any surgery. A thorough evaluation by your internist is in order. You should carefully consult with him/her and your surgeon before proceeding. You might be interested to read the blog by one of my older patients (“Pottery Granny”) at the link below. Good luck.
Abdominal Pannus Needs Tummy Tuck Not Liposuction
The very use of the word 'pannus' as it relates your abdomen makes it clear that no form of liposuction will be effective. What you need is removal of the pannus, known as an abdominal panniculectomy or a 'simple' tummy tuck. Given your age and the two medical conditions that you have mentioned, you will need a medical workup and clearance from your doctor. You will still be able to have surgery once cleared and it may be possible that you will develop some improvement in your medication requirements for your blood pressure and diabetes.
Liposuction not applicable to overhanging panniculus
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Lipo for apron
Any form of liposuction is completely inappropriate. I would stay away from any doctor who recommends this to you. I agree that your overall health needs to be evaluated and careful consideration to having elective surgery.
Treatment of Abdominal Apron?
Thank you for the question.
It is hard to give you good advice without direct examination; however, based on your description you may not be a candidate for elective plastic surgery at all. I would suggest consultation with your primary care physician to evaluate your suitability for any type of procedure.
If the diabetes and high blood pressure are under excellent control and you have no other medical issues that would potentially ( further) complicate your surgery, then the only procedure that may be indicated is a panniculectomy.
I would suggest you proceed with extreme caution.
Tummy apron and Lipo
Lipo Therme and Lipo Tickle give minimal results. If you have an abdominal apron and want it removed, see a Board-certified plastic surgeon. Surgical removal will likely be the best solution if you are a candidate.
Liposuction - I Had 3 C-sections and Have a Huge Apron. Will Lipo Therme and Lipo Tickle Help Me?
Impossible to say without being able to examine you in person but, based on what you describe, I do not think that Lipo - any form - is the appropriate surgical choice for you. It sounds like you will need a tummy tuck in order to recontour your abdomen. However, in view of your age and medical problems you may not be a good candidate medically for such a procedure. Instead, though, you may want to consider a "panniculectomy," in which the excess skin and fat from the lower abdomen are removed without operating on the area above the BB, which is what often contributes to the increased risk of a standard TT. Again, I'm discussing this in a vacuum, but perhaps these thoughts will help you focus on some things to discuss with your PS. Which is, of course, what you should do next.
I hope that this helps, and good luck,
A large "apron" of abdominal tissue will not go away with liposuction.
Liposuction is not a substitute for excessive skin. Prior to any cosmetic surgery, be sure that your surgeon is Board Certified by the American Board of Plastic Surgery. Your surgeon needs to discuss your health status and appropriateness for elective surgery with you and your primary care physician.
Fat treatments alone will not work for "Huge Apron" after 3 c-sections
Without seeing you and examining you, it would be difficult to say for sure, but based on your descriptions, it sounds like you need more than liposuction or non-invasive treatments.
Be sure your medical conditions are under good control, obtain your medical doctor's blessing, and then go visit a reputable surgeon Certified by The American Board of Plastic Surgery for a consultation.
Remember that shortcuts rarely pay off in life.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.