Liposuction alone probably will be all you need for your tummy and sides.

David Hansen, MD answers: Is Tummy Tuck necessary after Liposuction for male patient?

I am a 30 year old male considering Liposuction and Tummy Tuck. I would prefer to only do liposuction but don't want to be left with a lot of excess skin. Based on the attached photos, is a tummy tuck also necessary?


David Hansen, MD
1 month ago

Liposuction alone will flatten your abdomen and your sides very nicely and you will probably get a fair amount of skin tightening because of your age and if you get the lipo done with the more refined microcanulas which allow the skin to contract better. The cost roughly would be about $5000 under local anesthesia and back to work in 2 days. 

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A: Maybe not.

Toby G. Mayer, MD
1 month ago

 It looks like you will have excess skin, but the question is will it contract enough to prevent a tummy tuck. I give my patients like you the choice of doing the liposuction and waiting for 6-12 months. If you are satisfied with the amount of contracting you have saved a great deal of time and money and a long scar. Otherwise, you can proceed with the tummy tuck. 

A: Liposuction alone is your best initial option

Kenneth D. Steinsapir, MD
1 month ago

Dear Bokad

It amazes me how anxious general plastic surgeons are to put a giant scar across your body!  It should be obvious that this is highly undesirable.  You are young enough that how you look naked matters. A little loose skin but no scar may be a very acceptable trade off. Tumescent liposuction does stimulate some skin contraction. If after you have fully healed from tumescent liposuction (about 12 months) if you have any hanging skin, this can be addressed with an appropriate tummy tuck if it skin does not contract sufficiently. However, your body will never be the same with the lower abdominal scar.

Also your tumescent liposuction can be done under local without general anesthesia. These means that your can return to a work out and work in 2-3 days. Recovery from a tummy tuck will feel more like many weeks and compression garments are often recommended for 6 to 8 weeks. Also there is the not insignificant increased risk of death when you have a tummy tuck versus liposuction under local anesthesia. The risk of death having the tummy tick will be about 1 in 40,000. The risk of death having the procedure as a tumescent liposuction under local anesthesia will be about 1 in 300,000.

Tumescent liposuction is primarily done by fellowship trained dermatologic surgeons. I recommend that you do a little on line research to find one in your area. I think you will find that they will be much more open to helping you without putting a scar on your body from one hip to the other. You might look into Jermone Potozkin, M.D. or Richard Glogau, M.D., both are highly regarded derm surgeons with years of experience in tumescent liposuction.

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