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. Liposuction can be useful 1) to thin out the remaining skin, which will be redraped as well as 2) to reduce the "dog ears", which stick out of the end of the incision. Most physicians will adopt a similar approach in combining liposuction with tummy tucks. As far as including liposuction of the "flanks" or love handles with a major abdominoplasty, I am reluctant to do both at one time, because of concerns about compromising the blood supply to the abdominal flap. We aim for improved contour not delayed wound healing. Good Luck.
Techniques needed to reshape your abdomen
Lavinia Chong, MD answers: Abdominoplasty with Liposuction for fairly large pannus?
Do surgeons include liposuction with a full abdominoplasty? I have a fairly large pannus from 2 c-sections and significant weight gain (large babies 9 lbs 11 oz and 8lbs 11 oz). I would like to have a procedure that could take care of the entire abdomen and flank area, if possible.
A: Abdominoplasty and Liposuction
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.
Contact the doctorA: Extended Tummy Tuck probably, for 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.
