Lipo with tummy tuck - is it really needed?

Hi,
Thank you for your question about the potential need for liposuction in conjunction with a tummy tuck, especially considering your significant weight loss. The decision to include liposuction as part of your tummy tuck procedure depends largely on your individual anatomy and specific body contours.
Liposuction is primarily used to remove isolated pockets of fat, but it does not address excess skin. During a tummy tuck (abdominoplasty), the procedure focuses on removing excess abdominal skin and fat. Additionally, the procedure often involves lifting and reducing the pubic area, repositioning the belly button, and plicating or tightening the rectus abdominis muscles.
Given your history of substantial weight loss, plication of the abdominal muscles is highly recommended as it can help contour the abdomen and restore a more toned appearance. As for liposuction, it might not be necessary in your case. After losing a significant amount of weight, it's more common to have excess skin rather than substantial isolated fat pockets. However, if you do have areas of localized fat, particularly in the upper iliac crest (love handle region) or above the pubic bone, liposuction could be beneficial to enhance the contouring effects of the tummy tuck.
If you're uncertain about including liposuction, it's important to discuss this with your plastic surgeon. They can assess your specific needs based on a physical examination and provide recommendations tailored to your body. Remember, it's not mandatory to have liposuction if you and your surgeon don't feel it's necessary.
Consulting with multiple board-certified plastic surgeons can be helpful to gather different opinions and establish a consensus on the best approach for your situation.
I hope this information assists you in making an informed decision about whether to include liposuction with your tummy tuck. Wishing you the best in your consultation process and upcoming procedure.
Good luck.
Sincerely,
Dr. Katzen

Thank you for your inquiry.

For me to offer a valid medical opinion, it's essential to review images of your body from various perspectives. I recommend seeking treatment from a board-certified plastic surgeon with expertise in this procedure to achieve optimal results.

Respectfully, Dr. Emmanuel Mallol Cotes.