Mini-tummy tuck and/or lipo

Steven Wallach, 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?


Steven Wallach, MD
10 months ago

First, in my opinion Smartlipo doesn't tighten the skin as much as the company says it does. 

Liposuction of the abdomen is OK if your skin is not too loose.  If you have a midline that is very lax, then liposuction alone may not flatten your abdomen. 

I don't performe a lot of mini-tummy tucks because I find that most that need something will usually need the entire abdomen treated (a full tummy tuck). 

If you don't want the scar, then if you are a candidate to do the liposuction first and see how things go. You can always do the mini or full tummy tuck at a later time.

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More answers to Liposuction vs Mini Tummy Tuck?

A: Lipo with a mini-tummy tuck.

George J. Beraka, MD
13 months ago
I think I can visualize what your problem is because it is very common. Many women who have had a C-section develop a shelf along the C-section scar with skin and fat hanging over this shelf-like scar. If this is what your stomach looks like, then you are an ideal candidate for liposuction of the abdomen with a mini-tummy tuck. The recovery from this combination treatment is only a few days, and the results are very gratifying.
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