Abdominoplasty with Liposuction for fairly large pannus?

Hello, You are probably looking at an extended tummy tuck plus or minus liposuction. Lipo can add to the swelling and healing time, so I try to avoid it if possible. It usually is possible.

I have discussed this in an article on my website.  It is safe to an extent.  But you must remember that alot of the pannus is excised and discarded so this may not be an issue. You should be evaluated by a board certified plastic surgeon who can accurately go through your options. Good luck.

If the pannus is heavy and hanging, it may be best to reach your goal weight first. Perfoming liposuction of the abdomen at the same time as undermining the abdominal flap may cause tissue death in the central triangle below the umbilicus.

My approach to reshaping the abdomen is to discuss excisional body lifts as well as liposuction, before we get to the O.R.  It's important for patients to realize that the redundant pannus (skin & fat) below the belly button will be discarded and so liposuction isn't so important in this area. ... more

The primary question should first be are you a good candidate for either Abdominoplasty or Liposuction - Stated another way, will the appearance and results of either procedure, if done on you, justify the increased risks and cost? Obviously without either photographs or an examination, it is impossible to... more

 Liposuction of the flanks and minor thinning of the skin above the belly button is routine in most tummy tucks. In a standard tummy tuck the amount of fat that is removed in the upper abdomen(above the belly button) is limited. The surgeon does not want to injure the blood circulation to the skin that is... more

The real answer is that a surgeon will do what it takes to get the job done. There is no set method for doing an individual abdominoplasty. The object is to be able to tailor a procedure to fit the patient's anatomy and needs. A pannus is often removed with a panniculectomy or in conjunction with a full... more

These can be done together depending on your age, health, body mass index, etc. In my practice, I always do liposuction with a tummy tuck. Although one can divide the torso into multiple cosmetic units, I like to treat this as one cosmetic unit. This way you achieve the best results all the way around... more

 If you include a picture, we may be able to give you more specific advice.  However, I include minor  liposuction of flanks (at no additional charge) on about 90% of the abdominoplasties that I perform.  I feel that it gives you a much better overall result.  If you need major... more

The tummy tuck will take care of the pannus and liposuction can be done if you have rolls of fat in the flanks.  The charges for this are separate in my practice because liposuction equipment needs to be opened up during surgery as it is not part of a plain tummy tuck.  Other practices may differ in... more