Is it possible to eliminate, or greatly reduce, "love handles" during a tummy tuck by extending the incision or is lipo still necessary?
Love Handles - Lipo of the Flanks or Extend the Tummy Tuck Incision?
Doctor Answers (17)
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Love handles and abdominoplasty
Usually the skin tone in the love handle region is good enough to just do lipo (unless the patient has lost a lot of weight). I usually do the lipo first with the patient prone, then turn the patient and do the abdominoplasty. If there has been a lot of weight loss and there is skin laxity in the love handle area, I recommend a lower body lift which will address the abdomen, the flanks and the back.
I use liposuction in the love handle area most of the time. The incisions are smaller and the skin shrinks very well in that region most of the time. However there are times when an extension of the incision is needed to remove loose or excess skin. Your surgeon should be able to guide you in this decision.
Liposuction can enhance tummy tuck results
I routinely combine liposuction of the flanks and the lower back with a high tension abdominoplasty or tummy tuck in Los Angeles in order to create a more curvaceous look and to eliminate the "love handles".
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How to deal with love handles?
Love handles or muffin top- tummy tuck of flank plasty
Excisions remove extra skin but leaves scars. Lipo removes extra fat but not extra skin.
A thorough analysis should be made of what type of tummy tuck, how long the incision should be, whether the patient should have a tummy tuck alone, an extended tummy tuck, or a flank plasty (or a total body lift).
Often the answer is not so easy. If the better result would also necessitate longer scars, is the improvement worth it?
An experienced plastic surgeon can guide youthrough the decision making process.
How to treat love handles?
I always liposuction the waist and hip areas during abdominoplasty.
In many cases this will deal with the patient's concerns.
However, if the love handles extend around onto the back, just above the buttocks, then the operation must begin with the patient lying prone (i.e., face down). The patient is then turned to complete the abdominoplasty.
I would have to see your photos to tell what would need to be done in your case.
In rare patients who have achieved dramatic weight loss, the skin excision would have to be extended around onto the back to tighten things sufficiently. In most cases the skin in this area will shrink enough after liposuction alone.
Liposuction Is Better For Reducing Love Handles Than A Longer Tummy Tuck Scar
In a typical tummy tuck, the fullness in the love handle area is typically beyond its reach as judged by the end of the incisions by the hips. This is why many tummy tucks include liposuction of the love handles (flanks) to make for a more complete waistline result. While a tummy tuck incision can be extended into the back area, it should only be done for the purpose of removing extra skin and avoiding dog ears. Liposuction is more effective for the love handles because it removes fat over a much broader area
Treatment for love handle
It is difficult to answer your question without photos. Most of times, I would perform tummy tuck and liposuction of waist/flank for "love handles." However, if the area of love handle has a lot of excess skin, then I would extend the incision longer (extended tummy tuck) and incorporate the love handle into my tummy tuck.
Love handles, extend the tummy tuck, or suction
We feel that most feel that the tummy tuck scar is long enough, and suctioning should take care of the hip or love handle during a tummy tuck procedure unless there are special circumstances. If you have had considerable weight loss and skin laxity onto the hip an extended tummy tuck can make sense, but for most suctioning will do nicely.
Best of luck,
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