I am considering lipo on my upper and lower abdomen. I have a strange pocket of fat on my upper abs which does not completely go away with exercise although it does shrink depending on my weight. I am not considerably overweight (just untoned) however my surgeon says I will probably be left with loose skin. Is he just saying this to cover himself or will I really be left with folds of loose skin? Should I lose weight first so that the skin doesn't need to shrink back too much?
Without examining you it is very difficult to tell you if you will have loose skin after liposuction. However, if your fat pockets are large or you are older, the likelihood that you will have loose skin with aggressive liposuction is greater.
A good question desrves a good answer. The quality of your skin can be hard to judge. Whether there will be any laxity depends on the area, the amount of change you are looking for and sometimes a little good fortune.
It is important to properly contour an area, leave the superficial fat intact and be on the conservative side so as to not create deformities. If you have pre-existing deformities or laxity, this will not be improved with any particular device - in this situation, grafting and skin tightening may be needed.
A good result takes time and careful assessment. If you understand your own goals and can relay them to the surgeon then you should be happy with the outcome!
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