Liposuction: Q&A

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Liposuction and Abdominal Muscle Tightening??

It seems people who have tummy tucks also have lipo and abdominal muscle tightening. After having my daughter, I have always planned to have a tummy tuck, but am unsure about stitching muscles together, bc i like to work out. Id like the possibility of controling those muscles and being able to work out w/o being in pain?! Also, I notice if people loose or gain weight after lipo, they have ripply skin bc it is burning away the fat cells.Seems harmful cant you just work out? Thoughts? Thnx!

11 Doctor Answers | Asked by curlygurly in Indiana
+3

Tightening abdominal muscles and liposuction

Liposuction removes fat.  It can't tighten the fascia. Tummy tucks tighten the muscles (actually tighten the fascia which holds the muscles), remove fat and remove extra skin.  There are many different types of tummy tucks, depending on what the patient needs. Patients who have their fascia tightened are usually quite happy that when they do a situp, they no longer have the bulge between the muscles.  While diet and exercise can reduce fat, there is no way to... more
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Choosing the best Body Contouring procedure after pregnancy

The accumulation of fat, production of stretch marks and loosening of abdominal muscular tone, including umbilical hernias, are some of the changes, which women dislike after pregnancy.  The best body contouring procedure is dependent on what's "objectionable" as well as the patient's health status and aesthetic sense, as well as the surgeon's recommendations.  For example, some women will reject a tummy tuck because of their aversion of a long... more
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Tummy tuck: Re-approximating muscles & exercise are not mutually exclusive, they are complimentary. Just like braces & brushing

Stitching muscles together does not mean you can't tone them and it is not a substitute for good exercise. To give a crude example, you need braces to put your teeth closer together but you may still need to brush or whiten your teeth and maintain good oral hygiene. Re-approximating the muscles and exercise are not mutually exclusive they are complimentary.

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+2

Tummy tuck (abdominoplasty) and abdominal liposuction

Exercise can reduce fat in some individuals but some sites are depots of fat accumulation that are very difficult to reduce, especially the lower belly and outer thighs in women.  If the abdomen has been stretched with pregnancy and you are not planning to have more children, then a tummy tuck may be necessary to tighten the fascial covering around the muscle that has become loosened. All the sit-ups in the world will not tighten this fascia and the loose fascia allows the muscle... more
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Tummy Tuck with Liposuction

Tummy tuck with liposuction is the most common body contouring procedure I perform.   It delivers superb results and restores what pregnancy and age have taken away.   The concerns you raise are quite valid and I will address each: 1. Abdominal Muscle Tightening causing pain while working out:   Although you will experience abdominal soreness during the recovery from tummy tuck surgery, you should not experience prolonged pain or weakness from this tightening.  ... more
+2

Tummy Tuck and adjunctive liposuctioning

It is common for plastic surgeons to perform a tummy tuck and liposuctioning of the waist.  A tummy tuck (also called abdominoplasty) is a very popular cosmetic surgery procedure. A tummy tuck can be an effective tool for shaping and sculpting the body for better body appearance and improved self esteem. Sometimes no amount of diet and exercise can create a flat tummy. Tummy tuck plastic surgery actually tightens abdominal muscles and removes excess fat and skin from the stomach... more
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Tummy tuck muscle repair, or just work out

It is possible to work out and strengthen the abdominal muscles, however with pregnancy there is a natural give and stretch in the covering over the muscle called the fascia. This is the layer that the muscles pull against and even in very athletic individuals a separation or diastasis may prevent them from ever achieving a flat stomach without muscle repair. You are right, the muscle is fine, and what we really are repairing is the fascia and for some strengthening alone just won't do.... more
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Tummy tuck and liposuction

I will often do some liposuction of the hips combined with tummy tucks. But I prefer not to liposuction the central abdomen at the same time of a tummy tuck for fear of injury to the skin and soft tissue healing.
+2

Liposuction with Tummy Tuck

Curly, Muscle tightening is usually needed after pregnancies to return the rectus abdominis muscles to their original position.  This really has no effect on the ability to exercise or work out after the healing process is completed.  The liposuction that is performed with a tummy tuck is usually limited to the hips and flanks, areas that don't generally develop skin rippling.  Of course, it is always better if you can tone your body and lose your fat by "just... more
+2

Fixing the separation of your muscles will actually make it easier with better result from your exercise

When women have had babies or gained and lost weight, there is often a triad of changes. There is loose skin on the abdomen, there is separation of the rectus abdominal muscles and fat on the abdomen. A combined approach of abdominal liposuction, (usually combined with hip liposuction), tightening the separation of the muscles (plication diastasis recti) and removal of the excess skin (abdominal paniculectomy) usually gives the best and long lasting results. None of these changes can be... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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