I filled out an application and took pics of my belly for possible selection for a tummy tuck procedure (it is a program for residents to perform the surgery - while supervised). I now think that I only need lipo. I have had several children, but do not have stretch marks, I can't stretch my skin even a centimeter; it is not loose. I do have excessive belly fat that looks abnormal for the rest of me..I'm 5'2" and 134...most of my weight is there. I don't have any significant separation of rec ab
Confused About Lipo or Tummy Tuck, How Do I Know Which One to Do?
Doctor Answers 17
Promoted Local Answer
A pinch test will help decide between liposuction or tummy tuck.
Thank you for this question. Daily I see people in my office confused about what their options are with respect to making the abdomen look better.
The key is skin tone. If your abdomen has good skin elasticity then liposuction will remove the fat from underneath the skin, and the skin will shrink up and chances are you'll be satisfied.
If the skin is loose or sagging, then removing fat from underneath the skin will tend to make the skin even looser. In this situation we begin a discussion of tummy tuck.
If there is a whole role of skin that can be pinched from the pubic area to the bellybutton then that patient will generally be better with a full tummy tuck. You might try this on your own while sitting down.
If a small pinch gives improvement just above the pubic area than mini tummy tuck might be a better option.
Another issue with an abdominal contouring is not skin or fat laxity, but laxity of the abdominal wall. With childbearing and weight gain weight and loss the abdominal wall stretches and usually will not come back without some help from your plastic surgeon. I would strongly recommend that you let your plastic surgeon give you your best options and evaluate you.
Tummy tuck or lipo at 5'2 and 134lbs
It is very dificult to make a firm recommendation without all the information and fully examining your abdomen. On the surface, you look like you coulf benefit from a full tummy tuck but I cannot trully tell based on limited information. I would say you should make sure that whever you go, pl dont sacrifice your safety.
Tummy tuck or lipo
A photo would certainly be of some help in evaluating your case. However, your description would seem to indicate that you are an appropriate candidate for lipo. There many patients who are on the fence as to which procedure would be better for their particular situation. It would be worth consulting with a second plastic surgeon to get their opinion, or resubmit your question with photos.
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I would recommend a visit to a Board Certified Plastic Surgeon. He or she will be able to evaluate your particular situation, including your personal goals for surgery, and advise you on the best course of action. There are many differences between the two surgeries including incisions, recovery, risks, etc. These differences need to be factored into the decision on which procedure is the right one for you. Good luck
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That is precisely why you need to be evaluated face to face by a qualified surgeon before undergoing surgery. These judgements among other factors divide the trained plastic surgeons from those that are not fully trained. It is important to know when liposuction, abdominoplasty or both is the best option and what to expect from each option. That is something one should learn in residency training as it is rarely learned afterward. We obviously cannot teach it to you, the prospective patient, over the internet.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
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It is seldom a good idea to try to become your own plastic surgeon. See a qualified plastic surgeon and learn your pros and cons. Then decide your best option between two of you.
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Judging from your detailed description of your abdomen, it sounds like you are doing a good job at assessing the elements we look at as plastic surgeons to assess you candidacy for either liposuction, abdominoplasty, or both. From your description, it sounds like you would do well with liposuction alone. None the less, it is a good idea to have an experienced surgeon look at your abdomen and discuss all potential options with you.
Tummy Tuck or Liposuction?
Thank you for the question.
Even though you provide a good description of your history and physical examination, only direct physical examination by a well experienced board-certified plastic surgeon will be able to provide you with a good diagnosis and treatment plan.
Having said that, the vast majority of patients who have had “several children” do not achieve the results they are looking for with liposuction surgery only.
Be very careful; you do not want to undergo surgery and be disappointed with the results... Revisionary surgery may be much more expensive (in many ways).
Excess skin and skin quality is the main determining factor whether tummy tuck or liposuction is your best option.
Thank you for your question. The decision is usually based on the amount of excess skin that you have and the elasticity of the skin...otherwise stated, the ability of your skin to snap back after liposuction. This can only be determined by a physical examination in a plastic surgeon's office. Muscle laxity is also important to consider as well.
Tummy Tuck versus Liposuction
This is a question that is posed to me every day and an experienced plastic surgeon should be able to easily answer this. Liposuction works well on patients that have excellent skin tone and if working on the abdomen there should be no laxity of the abdominal wall. I see patients on a weekly basis that have seen a liposuction surgeon and are dry dissapointed with the results. When choosing your cosmetic procedure doctor make sure he performs both liposuction and additional procedures such as tummy tucks and body lifts, that way he can offer you the best procedure for our body. A tummy tuck will remove excess skin and tighten the abdominal al wall and should be combined with liposuction to provide the best result possible! The only way to truly tell is with a physical exam. Great question.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.