Few benefit from Mini-TT

John Philip Di Saia, MD answers: Liposuction vs Mini Tummy Tuck?

I am 35 and have had 2 C-sections. I do have a acummulated fat in the lower part of the abdomen and on the flanks. I had a recent consultation with a Plastic Surgeon who mentioned that I may be happy with Lipo alone, but could benefit from lipo+ mini tummy tuck (he says only a smalll % of people can actually qualify for it). I don't want the added risks involved with another procedure, and not the cost if would not make a drastic difference. He did say my skin is not in bad condition ...I do have some extra skin, but nothing sagging. You can notice it if I bend, for example, or move etc....It seems to be a lot of hype about samrtlipo and the benefits of skin Tightening. Would that be enough to have a flat tummy? Also, I don't like the idea of general anesthesia. Can a mini tummy tuck be performed under local+sedation, maybe?


John P. Di Saia, MD
10 months ago

Hello,

I would get a few opinions before I went forward. As one surgeon said, few benefit from a mini TT. Many feel "not much improved" afterward. Also be careful of seeking absolutes like "flat." If you are targeting "flatter" then you are likely to be happy afterward.

If you need a muscular repair, I would recomend a general anesthetic so your muscles are relaxed and the operation can proceed normally. Muscle tightening under lesser anesthesia is less than optimal.

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