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Robert M. Freund, MD answers: Liposuction vs. tummy tuck - what's the difference?

I've had 3 kids and definitely need some help in my stomach area, but I'm not sure if I would need liposuction, a tummy tuck, or both to get the pre-baby look I want. 

Robert M. Freund, MD
4 months ago

The problems of pregnancy include:

1. Excess skin and stretch marks.

2. New Areas of fat in the lower abdomen, hips and thighs.

3. Misshapen belly button

4. Stretching and widening of the muscles - diastasis recti/ventral hernia/ umbilical hernia.

Liposuction will treat #2/

Full Tummy Tuck will treat #1, #2, #3, and #4 -- but you will have scars around the belly button and a long horizontal scar below the bikini line.

Mini-Tummy Tuck will address #2, #4 and #1 below the belly button. There is no scar around the belly button and the horizontal scar is not as wide.

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A: Liposuction, Tummy Tucks, and Mommy Makeovers

Thomas P. Sterry, MD
4 months ago

Many patients need both a tummy tuck and liposuction, but for different reasons. A tummy tuck will remove the extra skin that may have become stretched out (including the many of the stretch marks -- if you are so "lucky"), and liposuction is great for debulking areas that may have become a little "thicker".

Typically, the lower tummy needs to have skin removed, but it may also benefit from some muscle tightening. This is what a tummy tuck can do.

On the other hand, liposuction is terrific for removing the fatty deposits in the flank or spare tire region. I have found that many women are more impressed by the way their tummies look after the liposuction in this area than they were after a tummy tuck.

You really need to be examined by someone who does a lot of body contouring surgery to get the best advice because the results of these operations are dependant on your starting point.

I hope this helps.

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A: Liposuction vs. Tummy Tuck

Steven Wallach, MD
2 months ago

Liposuction is great for areas of fatty deposits. A tummy tuck can treat loose skin and tighten the abdominal muscles that weaken with multiple pregnancies.

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A: After 3 kids, most women need tummy tuck.

George J. Beraka, MD
4 months ago

Hi.

Of course everybody's anatomy is different, and I have not examined you, but my guess is that liposuction of the stomach alone will not give you a good result, because you probably have too much loose skin.  You probably need a tummy tuck.

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A: The choice between Liposuction and Tummy Tuck

Howard T. Bellin, MD
2 months ago

This is from my book BeautyScience:

On occasion there is a decision to be made as to whether a liposuction or an abdominoplasty would best solve the patient’s problem.

The advantage of the liposuction is very small scars and removal of fat. But liposuctioning an area with severe stretch marks may result in an unsightly appearance of wrinkled skin, since stretch marks are like scars and may not allow the skin to shrink properly. For a patient who will not accept the long abdominal scar or does not wish the expense of a tummy tuck, a liposuction may be the proper compromise. Of course liposuction does not remove stretch marks or excess skin.

But one difficulty may be that when there is a lot of fat that hangs down, a liposuction may result in leaving an empty hanging skin sac. I have had some luck in such cases by taping the skin upwards after the liposuction to get it to stick down to the underlying muscle.
Also, it is important to remember that liposuction cannot be done on the upper abdomen or flanks at the same time as a tummy tuck so if those areas are a real problem, a liposuction may be preferable. Of course, liposuction can always be undertaken later as a second operation.

Thus, it is very important to have a thorough discussion with the doctor regarding the various options available to restore the abdomen to its optimal condition.
 

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A: Tummy-tuck preferred after 3 children

Tracy M. Pfeifer, MD
21 days ago

Most patients require a tummy-tuck after 3 children. Pregnancy can cause separation of the rectus muscles and this is repaired after tummy-tuck. Patients also have extra abdominal skin which is removed during tummy tuck procedure. Liposuction is used selectively during tummy-tuck for finesse contouring. Liposuction alone is usually less than optimal-it results in loose, sagging skin and does not address the muscle separation. Hope this helps.

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