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Skin Tightening Treatment for Loose Skin After Liposuction?

After liposuction on my upper and lower abs, I now have loose skin on my upper abs that fold over my belly button. It's not a thin fold, almost a meaty 1 inch pinch-size fold; but the doctor said it's just skin now. He suggests skin tightening surgery now (similar to a tummy tuck). What procedure other than tummy tuck can I consider to tighten my skin? Any laser treatments? Please advise.

Asked 32 months ago by BodyArt09 in Los Angeles

Read my review "Skin Loose After Lipo"

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+1

Thermage

Thermage radiofrequency tightening has helped patients with similar history. It is not surgery however, and the results are not guaranteed. Some patients obtain better improvement than others.
Ronald Shelton, MD
Manhattan Dermatologist
+1

Only surgery will help

It sounds like this should have been discussed first. In the abdominal evaluation the surgeon must appreciate the skin to fat ratio and the tone of the skin. He must understand what the skin will do once the fat has been removed. Often a mini tummy tuck is needed in conjunction with abdominal liposuction to remove the excess skin created by the liposuction. The fold you are describing may resolve by continued use of the garment if you're still not far out from surgery. If you are... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+1

Was skin tone discussed before lipo?

I am hearing a lot of questions like yours lately, thanks to the promotion of liposuction with lasers and other techniques that promise to tighten skin. With the amount of laxity you describe, it sounds like you should have had the tummy tuck instead of lipo, and I haven't seen anything that will tone it up enough short of doing the tummy tuck.
Richard Baxter, MD
Seattle Plastic Surgeon
+1

Tummy tuck is the answer

If you have thousands of dollars to spend on painful laser treatments and won't be disappointed if you don't get an noticeable improvement after undergoing those treatments, then it is reasonable to try. These techniques have little or no evidence to document their effectiveness in a situation like yours, and the hype behidn them is being driven by bottom-line minded ad executives hired by the companies that make the machines. If you have too much skin on your stomach, it needs to be... more
Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
+1

Most likely need abdominoplasty

You most likely need abdominoplasty.  There are skin tightening procedures, such as Smartlipo MPX which uses a laser to help tighten the skin, however, it sounds like you are beyond what that can achieve.  Good luck.
David Shafer, MD
New York Plastic Surgeon
+1

Skin tightening

After liposuction there is a percentage of patients that their skin does not retract adequately that require skin excision.  Skin tightening lasers may give about a 15-20% improvement in the skin.  If you have alot of loose skin, then you need excision.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

I am afraid you probably need surgery.

Hi! For small amounts of loose skin, we get good results with Thermage.  But from your description, you probably have too much loose skin for Thermage. There probably is no good alternative.  I think you need an abdominoplasty.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Infrared/Radiofrequency skin tightening at high power properly used will tighten skin 20-30%

Infrared (LuxIR Deep and Titan) and Radiofrequency (Thermage and Refirme) if used PROPERLY by well trained personnel at high power settings, will tighten skin about 20-30%. The problem is that very few people who offer these treatments (spas, etc.) really know how to use them. High power settings by a well trained professional must be used in the treatments. If done properly, you will see the results. These devices are best for very small or minimal amounts of loose skin after liposuction... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

We are still waiting for the magical treatment to tighten the body without surgery.

Dear BodyArt09 It is very reasonable to first have liposuction of the abdomen even in individuals who might eventually need a tummy tuck. The reason for this is that some individuals often get remarkable skin contraction and firming. Further, liposuction, especially tumescent liposuction under local anesthesia, involves very little down time and minimal risk compared to tummy tuck surgery. This approach is not right for everyone. Out of the gate some women need a tummy tuck. ... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

Skin Tightening after Lipo

The best choice is a tummy tuck. Really from what you are describing anything else would be a waste of money and time. There are many laser and devices that claim to tighten the skin in a "non surgical" fashion, but in short they all fall short compared to surgery. In certain cases, like around the neck and jowls some of these devices may be an "alternative" to surgery but no a replacement. Good luck.
Farbod Esmailian, MD
Orange County Plastic Surgeon
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