Liposuction for Weight Gain Following Tummy Tuck Surgery?

I had abdominoplasty 6 yrs ago (I am 50 y.o. now)... the result was good but left me with "dog ears." My surgeon did it again and corrected it. I was happy, but since then have gained a lot of weight and am considering lipo. Can I get just the lipo without doing the tuck again? Do you think I should go to the same surgeon for lipo as for my second-time's-the-charm tummy tuck? If the dog ear problem is a typical one, I won't worry about it too much... What would you do?

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4 Doctor Answers | Asked by mahesh in houston Texas

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Lipo may leave loose skin

Liposuction after tummy tuck unfortunately is a common clinical situation. I would go back to your first surgeon for evaluation. Dog ear revisions are extremely common. If you still have a good amount of stretch marks, liposuction may leave you with saggy deflated skin. The first thing your surgeon should tell you however is that you probably need to lose some weight to make whatever procedure you choose safer to perform. Body contouring procedures on overweight patients frankly rarely... more

Tummy tuck and then Liposuction

Liposuction can be done after a tummy tuck. If there is a lot ot suction, you may not get the rebound that you want and there may be excess skin as well. Hard to tell without examining you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

From what you said... the same surgeon seems fine

Dog ears after abdominoplasty are not uncommon. If you were happy with the revision and the result, then the surgeon probably did a good job. Your weight gain will increase fat and stretch the abdominal skin. Some patients can do well with just liposuction, but may need to have an abdominoplasty revision in the future to remove the extra skin. If you already have extra skin now, it will likely not "contract" after liposuction, and you will need a revision abdominoplasty. This is... more

It is fine to just do liposuction and see how it turns out on its own.

You've had a tummy tuck already and know what to expect. The dog ear problem is common and fixable as you have also seen. If you just have excess fat in your tummy from weight gain then the liposuction should take care of it nicely. If there is a lot of loose skin also, which I probably doubt, then a tummy tuck would be good. The liposuction is so much easier to go through and less expensive and less risky. Skin still tightens on its own after tumescent liposuction with microcanulas ... more