Liposuction: Q&A

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Can I Have Lipo Even After Doctor Says I Will Look Horrible with Excess Skin?

I have been to 6 plastic surgeons, and all said that I need a Tummy tuck because I will have excess skin, due to the fact that I lost 60lbs sometime ago. I now weight 135lbs. I can afford lipo but is this a waste of money? How horrible will I look? 2 doctors said I will look horrible, which hurt my feeling.. with all the fat gone after lipo, I should look better instead of worst? One doctor offered to do the Avelar.

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excess skin weight loss 130-149 lbs

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18 Doctor Answers | Asked by Washington7355 in Washington, DC

Doctor Answers (18)
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Liposuction Candidate?

Thank you for the question. Based on the description of your weight loss and your experience with plastic surgical consultations, it will be in your best interests to save for the operation that will give you the results desired. Best wishes.

Unanimous consensus for a tummy tuck and not liposuction

The facts are: 1.) that you have lost 60 pounds meaning that you will have excess, lax skin and 2) 6 different plastic surgeons recommended the tummy tuck and against the liposuction and provided you with consistent reasoning. This is a quite a open and shut case even without photos. Doing the liposuction would just be a waste of time and money and would be the wrong procedure. Wait until you can afford to have the correct procedure, a tummy tuck. Don't do the wrong procedure.... more

Will liposuction alone after significant weight loss with loose skin, end up with a bad result

You have done your due diligence by seeing 6 surgeons. If you have loose skin, the lipo will have a deflational effect and you will be powerfully unhappy. It will definitely be worth your while to save up and get the right procedure which likely would be liposculpture with a tummy tuck.

Kenneth L. Stein, MD

5 reviews

Chicago Plastic Surgeon

Liposuction with loose skin.

It sounds like you have been given good advice. Save your money and get the correct surgery (a tummy tuck). If 6 different surgeons have advised you against liposuction, it is likely that they are correct, and you would be very unhappy with the result.

Tummy tuck and liposuction

Some patients who have significant redundant skin will first undergo liposuction and then after some time will undergo an abdominoplasty / tummy tuck. If the muscle needs tightening in the abdomen, not just skin removal, there is no reason why it couldn't be done at a later time. Certainly it might be more convenient to do all the surgery at once, but the risks do increase compared to having the abdominoplasty at a time separate from the liposuction. It usually is not a... more

Liposuction,SmartLipo,SlimLipo,Tumescent liposuction after weight loss

Once you have excess skin with very little fat, unfortunately, the only way to help it is with it being excised like with pta tummy tuck. SmartLipo, SlimLipo,Vaser,Tumescent liposuction, liposculpure may shrink the skin but usually minimally. If you had gone to only one board certified plastic surgeon I would suggest to seek another opinion but after several and if they are telling you the same, I would be realistic and realize that you need to save your money and do something... more

Liposuction vs. Abdominoplasty

If six board certified plastic surgeons have given you their opinion I would concur. Unfortunately we all have an ideal of what would be the most convenient and work the best for us and when that is not the case, it's tough to wrap your mind around. No reputable surgeon would perform a procedure that would not produce the best possible results to address your concern. If you look long enough you will find someone who will perform what you want... more

Liposuction and tummt tuck

Usually six different plastic surgeons will offer six different opinions. If they all agreed, then it is probably the correc thing to do.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Liposuction vs tummy tuck.

First , you should be congratulated on your weight loss. Second, a photo would be helpful in evaluating your problem, however, you state that several plastic surgeons have already recommended against just liposuction as they felt it would not leave you looking good. If you have excess skin of your abdomen, which is loose and perhaps hangs a bit, then liposuction will only decrease the bulk of your abdomen but will not tighten the skin ( no matter what type of marketing says... more

Jeffrey M. Darrow, MD

18 reviews

Boston Plastic Surgeon

Liposuction vs Tummy Tuck

Chicken or the egg? This particular question rattles the plastic surgeon on a daily basis. Here's the dilemma. Too much skin or just enough? Patients who are candidates for a tummy tuck will have excess skin with poor tone, multiple stretch marks and redundant skin above the umbilicus. If your skin is tight or has minor laxity then you may be a candidate for liposuction. There is also the technique of lipoabdominoplasty which implements both. If you have gone for a few... more

Liposuction after large weight loss

The main concern I have is that you want to go against the advice of 6 plastic surgeons. I am sure you can keep looking until you find one that may agree with you, but there is a reason all 6 agree on their advice. I would follow their advice. It is better not to have any surgery than to have the incorrect surgery and all the consequences that carries.

Liposuction vs. Tummy Tuck Is Decided But How Much Loose Abdominal Skin You Have

It is understandable that you don't like the answer to your abdominal concerns when it is not in your present budget. But their answers are telling you that you will not be happy with the outcome even if your abdomen is smaller. (but with more loose and irregular skin) After hearing it 6 times, you can assume the outcome will not be what you ideally would want. The question to ask yourself is...if I have liposuction and my abdominal skin looks horrible, will I think it is better and... more

Loose skin after liposuction

After having lost that amount of weight and speaking to 6 plastic surgeons with their combined experience you must by now understand what will happen with the skin. Having liposuction will reduce your size in clothing but out of clothing the skin will need resection.

Liposuction does not remove excess skin

Liposuction will remove additional fat, decreasing your bulk. However it will not remove any skin, it will not cause any significant skin tightening. Thus you may look thinner, less bulky when wearing clothes. However underneath it all you will have loose wrinkled skin. If that doesn't bother you then you are OK. If you wish to be able to wear tight fitting clothing or even show some skin, a tummy tuck is probably the best way to go. An Alvear tummy tuck is... more

You need tummy tuck

You had multiple consultations and do not like the answer. Your surgeons have vast experience and their opinion all same. If you do not want tummy tuck , then just excercise is the other alternative and not liposuction.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Can I Have Lipo Even After Doctor Says I Will Look Horrible with Excess Skin?

Regarding: "Can I Have Lipo Even After Doctor Says I Will Look Horrible with Excess Skin? I have been to 6 plastic surgeons, and all said that I need a Tummy tuck because I will have excess skin, due to the fact that I lost 60lbs sometime ago. I now weight 135lbs. I can afford lipo but is this a waste of money? How horrible will I look? 2 doctors said I will look horrible, which hurt my feeling.. with all the fat gone after lipo, I should look better instead of worst? One doctor... more

Liposuction, seek the truth and not what you want to hear.

If your goal is to simply decrease bulk and look better in clothes then lipo may be ok. It all depends on diagnosis. For lipo to do anything there must be fat to remove. If your abdomen simply has excess skin, and muscle separation, and umbilical deformity, and not much fat you will gain nearly zero but skin uneveness. 6 opinions is a fair assessment. If no one wanted to even consider lipo you likely need to listen carefully. You might... more

Loose skin after liposuction

This is such a struggle for people, but liposuction does not under any circumstances regardless of what trendy new technique is offered tighten skin. If you want to get rid of or improve the appearance of loose, hanging skin, the best and only way in my opinion is to have it surgically removed. Liposuction, by reducing volume, will in fact, make loose skin look worse. I feel it is better to not have surgery at all than to have the wrong procedure just to do "something". The... more