Liposuction vs Mini Tummy Tuck?

I am 35 and have had 2 C-sections. I do have a acummulated fat in the lower part of the abdomen and on the flanks. I had a recent consultation with a Plastic Surgeon who mentioned that I may be happy with Lipo alone, but could benefit from lipo+ mini tummy tuck (he says only a smalll % of people can actually qualify for it). I don't want the added risks involved with another procedure, and not the cost if would not make a drastic difference. He did say my skin is not in bad condition ...I do have some extra skin, but nothing sagging. You can notice it if I bend, for example, or move etc....It seems to be a lot of hype about samrtlipo and the benefits of skin Tightening. Would that be enough to have a flat tummy? Also, I don't like the idea of general anesthesia. Can a mini tummy tuck be performed under local+sedation, maybe?

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20 answers to “Liposuction vs Mini Tummy Tuck?”

A: Lipo with a mini-tummy tuck.

George J. Beraka, MD

I think I can visualize what your problem is because it is very common. Many women who have had a C-section develop a shelf along the C-section scar with skin and fat hanging over this shelf-like scar. If this is what your stomach looks like, then you are an ideal candidate for liposuction of the... more

A: Depends on what the problem is

Brent Moelleken, MD

Which procedure you choose depends on what is wrong and how it can be fixed. Most women who have had at least two children and two C-sections have several problems: Loose skin, a C-section scar with irregularities, extra fat, loose fascia. If you choose not to fix any of these problems, the unfixed problems... more

A: The best procedure depends on your body and how tight a result you want

Richard P. Rand, MD

When patients come in after having children, there are usually issues of excess skin and muscle laxity. Often there is extra fatty tissue as well and C-section scars with overhanging tissue rolls. There are several ways to approach these issues. Liposuction alone is the most limited approach. No technology... more

A: Smart Lipo is not so Smart!

S. Sean Younai, MD

Tumescent liposuction tightens the skin significantly if the Plastic Surgeon is aggressive with Liposuction. Smart Lipo is just a Hype and there is nothing smart about it. Considering that you have had two c-sections, there is a high likelihood that you have poor skin elasticity, especially in the lower... more

A: It's difficult to know exactly what the best option is...

Shahram Salemy, MD

It's difficult to know exactly what the best option is for you without an examination, but in general if you have some skin laxity now, chances are liposuction alone (regardless of it is conventional lipo or smart lipo) may not be enough, especially if you have had C-sections and the scar is stuck down to your... more

A: Patients will determine what will benefit them

Robin T.W. Yuan, MD

The basic question with any cosmetic surgery is asking what are the anatomical conditions that make you look the way you look and what do you want to achieve as an end result. It is a relatively simple puzzle of how to get from A to B. The procedure will be determined by answering these questions, not the... more

A: Few benefit from Mini-TT

John P. Di Saia, MD

Hello, I would get a few opinions before I went forward. As one surgeon said, few benefit from a mini TT. Many feel "not much improved" afterward. Also be careful of seeking absolutes like "flat." If you are targeting "flatter" then you are likely to be happy afterward. If you... more

A: A mini tummy tuck certainly can be performed safely...

Evan Sorokin, MD

A mini tummy tuck certainly can be performed safely under sedation. In fact some surgeons would tell you that it would be safer than general anesthesia for a procedure such as this. Liposuction works very well for some people but given the extra skin and c-section scar you would likely have a "better" result... more

A: Your Best Outcome

Armando Soto, MD

Hi- Your desire to avoid a larger operation is very understandable, and I agree that you should- but only if the more minor operation will achieve your goals. I do believe that you should always have the smallest operation necessary to make you happy, but just as important is understanding that the only thing... more

A: Mini-tummy tuck and/or lipo

Steven Wallach, MD

First, in my opinion Smartlipo doesn't tighten the skin as much as the company says it does.  Liposuction of the abdomen is OK if your skin is not too loose.  If you have a midline that is very lax, then liposuction alone may not flatten your abdomen.  I don't performe a lot of mini-tummy tucks... more

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