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Full Tummy Tuck Without Liposuction

asked 1 year ago by anon6587
Latest answer by Nasimul Huq, MD
Question viewed 351 times
Tags: female, 090-109 lbs, 5 ft 0 in to 5 ft 3 in, diastasis recti, umbilical hernia

Im scheduled to have a full tummy tuck and muscle repair as i have severe diasisis recti and an umbilical hernia after having twins 9 months ago. Im 5'2 and i weigh 90lb. I asked my doctor about lipo and he said i didnt need it. But just because im technically underweight (bmi 16.4) does that automatically mean i dont need lipo or can underweight people benefit from it too? Or should i aggressively demand this as part of my procedure? Please advise.

12 answers to Full Tummy Tuck Without Liposuction

Liposuction with a tummy tuck

At your weight I am positive you don't need liposuction. I only add liposuction to about 10% of my tummy tucks and this is only if they have flank fat (muffin top). You can see from my pictures that I can sculpt the upper abdomen without liposuction. Please also respect your doctor and the opinion they have given you and don't "aggressively demand" anything. The proper doctor patient relationship in plastic surgery is a partnership and that... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Liposuction and Abdominoplasty

Someone with such a low BMI likely does not need liposuction. However, everyone is different and I routinely use a little liposuction to feather the edges and more finely tune the body shape that the patient and I want in over 90% of cases..

Nasimul Huq, MD
Niagara Falls Plastic Surgeon

Trust your surgeon

I agree with the others, as you are 90 lbs, it is not likely that you would need liposuction. You are going for a natural look after the surgery, which means smooth contours. Although your surgeon could perform Liposuction, it is likely that if he did you would have a more unnatural appearance after the operation. If you show pictures it would be helpful, but i doubt I would change my opinion unless you have an unusual fatty deposit at your flanks.

Gordon Lewis, MD
Richmond Plastic Surgeon

Trust the doc

Trust your PS opinion. On thin patients I frequently will not perform any liposuction. The final cosmetic result depends on a combination of factors of which liposuction is only one.

Arko Demianczuk, MD
Vancouver Plastic Surgeon

Demanding liposuction with abdominoplasty

One of the most important things to do when having any type of plastic surgery is to trust your physician. You need to go in with complete confidence that he or she knows exactly what to do and has your very best interest in mind. The question about whether you "need" liposuction really depends on your decision in consultation with your physician.

Josh Korman, MD
Monterey Plastic Surgeon

Full tummy tuck without liposuction

I oftenly perform liposuction of waist and flanks at the time of tummy tuck. However, most of my patients do not weigh 90 lbs. Although it is difficult to give you my opinion without photos, given your height and weight, you are very slim and probably do not have much excess fat on the waist. You should trust your platic surgeon's recommandation.

Sugene Kim, MD
Houston Plastic Surgeon

Your doctor is right

Based on the information you provided, you do not need liposuction. That may a good thing for you as it will reduce the post operative pain, swelling and bruising.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Tummy Tuck With/Without Liposuction

It is difficult to impossible to answer your question without at least a photo or preferably an exam. However, I am inclined to agree with your plastic surgeon that you most likely do not need lipo with your tummy tuck. Not every patient who undergoes a tummy tuck needs liposuction, especially not those weighing 90 pounds.

John Whitt, MD
Louisville Plastic Surgeon

Liposuction and tummy tuck

Without your photos it is difficult to tell if you would benefit from lipo at the time of your tummy tuck. I generally do perform lipo as part of a tummy tuck on the vast majority of patients. If you are in doubt, discuss this again at some time prior to your procedure. Yes, even patients with BMI < 20 can often benefit from lipo in certain circumstances. good luck.

Delio Ortegon, MD
San Antonio Plastic Surgeon

www.sacs-sa.com

Full Tummy Tuck Without Liposuction

I would advise you take a "realistic expectation" pill. As Dr. Rand stated, "At your weight I am positive you don't need liposuction." To write, "should i aggressively demand this", scares me as a surgeon in my patient selection process. My recommendation to you and your surgeon (if he is reading this) is to have a very in depth pre operative discussion to see if you both are on the same page.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Tummy Tuck with Lipo

I have to agree with Dr. Rand, with your frame, liposuction is an unnecessary procedure for you. You obviously respect this doctor and his capability in order to commit to scheduling surgery with him, trust his recommendation and best of luck to you!

Michael A. Fiorillo, MD
New York Plastic Surgeon

Liposuction is Sometime helpful with a tummy tuck

I aways perform liposuction with my tummy tuck procedure, but mostly performed in the flank region. I some time use liposuction on the abdomen for blending. It depends on what the surgeion techniques are and how you look. I would not demand but describe your expectations. see video