Is Lipo Advisable for Significant Belly Fat Before 2nd Pregnancy (G. Diabetes During 1st)? (photo)

asked 6 months ago by Spish
Latest answer by J. Jason Wendel, MD
Question viewed 428 times
Tags: pregnancy, timing

Just turned 43, was obese when I got pregnant with my 1st (born this year), gained approx. 80 lbs. during that pregnancy, & had insulin-dependent GDM. I've lost 60 of the 80 lbs. and have hit a wall. Given my age & trouble bringing a pregnancy to term (lost 4 prior pregnancies, & gained 65 lbs, in the past 5 yrs), I'd like to try to get pregnant one more time ASAP but am concerned about being even heavier this time, especially with all the new belly fat. Could lipo help?

6 answers to Is Lipo Advisable for Significant Belly Fat Before 2nd Pregnancy (G. Diabetes During 1st)? (photo)

No liposuction recommend

No, I do not think that you would be happy at all with liposuction. I recommend that you continue diet and exercise prior to pregnancy to be as healthy as you can be when you become pregnant. If you feel you must have this addressed prior to pregnancy, you may consider and skin/fat only tummy tuck without muscle tightening. After pregnancy, you may then consider the possibility of full tummy tuck if you wish. I hope this helps.

J. Jason Wendel, MD
Nashville Plastic Surgeon

Liposuction - Advisable in between pregnancies?

Advisable is an interesting word....the real question is whether lipo is likely to produce a result you'll be happy with and, in view of what you describe and your appearance, I would say probably not. I think you should finish with your planned pregnancies and, after that, start a program of diet and exercise to get yourself down to a lower weight that you can reasonably maintain. There's no point in a crash diet that lowers your weight to a false level, only to have it... more

Alan Engler, MD
New York Plastic Surgeon

Is Liposuction Advisable to Reduce Obesity?

Very interesting question. You are essentially asking if Liposuction would be a valid treatment to reduce resistent obesity which MAY be associated with your diabetes and which may have been related to your many miscarriages. It is VERY important to work up the cause of your miscarriages (Rh factor, preposensity to clot such as Factor V Leiden mutations) etc before saying it was the obesity. Although there have been a few papers that claim liposuction could ease or reverse obesity... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Liposuction Candidate?

Thank you for the question and pictures. I do not think you are a good candidate for liposuction surgery. As you have “hit the wall”, you may be better off with consultations with your internist, dietitians/ and nutritionists and/or personal trainers. After you have completed pregnancies, and have reached a longer term stable weight, tummy tuck surgery will be beneficial. I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Liposuction

Your posted photos show excess skin and fat above and below the belly button level, an apron of skin and fat that hangs below the pubic bone and lax abdominal muscles. Liposuction will do nothing for the skin and muscle components of the problem. It sounds like you only want the liposuction in order to lose weight so you will not be as heavy during the next pregnancy. That is not what liposuction is for and when the procedure is turned into a weight loss procedure the complication rate goes... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Liposuction and weight loss

Just based upon your photos, it looks like you are too heavy to get a significant improvment from liposuction. I think that it is probably better for you to lose more weight and get to an ideal weight for your height or at least close before undergoing any type of surgical correction.

Steven Wallach, MD
Manhattan Plastic Surgeon

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