Sounds like you should do the mini-abdominoplasty.

York Jay Yates, 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?


York Jay Yates, MD
8 months ago

If there is loose skin, this may improve or may get worse after liposuction of your abdomen depending on your skin elasticity. If your plastic surgeon recomends the mini-abdominoplasty, you would probably benefit from it. You already have a portion of the scar from your C-section. I frequently do a miniabdominoplasty at the time of abdominal liposuction in patients who need the benefit of skin tightening. This can very easily be done with just light sedation and local anesthesia, even with muscle tightening.

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