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Tummy Tuck Scar Necrosis - Risks and Causes?

asked 1 year ago by nenee in uk
Latest answer by Steven Wallach, MD
Question viewed 540 times
Tags: flanks, causes, risk, scared

hi my ps does lipo on the flanks as part of the tt process... im terrified about getting necrosis in the tt scar.. iv read that lipo can cause necrosis due to trauma to the fat and blood vessels is this true? i dont smoke, drink,, im ideal weight eat healthy and exercise what are my chances of getting necrosis? I do have allergies and seem to be sensitive to chemicals and suffer with neck and shoulder pain, does this mean i could get necrosis? thanks nenee

13 answers to Tummy Tuck Scar Necrosis - Risks and Causes?

Liposuction With Tummy Tuck

Liposuction with Tummy Tuck is very routine and safe when done with appropriate judgment and technique by properly by a well-qualified surgeon. Minimizing your risks of complications includes finding a very experienced, competent Board Certified Plastic Surgeon.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Tummy tuck and skin necrosis

Liposuction of the flanks is considered pretty safe when combined with a full abdominoplasty. Skin necrosis is more common when a full tummy tuck is combined with central abdominal liposuction.

Steven Wallach, MD
Manhattan Plastic Surgeon

Skin necrosis with tummy tuck

It sounds as if you are an excellent candidate for the procedure. Liposuction on the flanks will not likely contribute to skin necrosis. However, liposuction in the central portions of the abdomen can contribute to an increased incidence of necrosis along with smoking, excessive tension, prior scars, or any other condition contributing to vascular compromise.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Well-executed liposuction should not increase risk of tummy tuck

Hi there- Provided you are a good candidate, and you are having surgery with an experienced, well-trained, and certified Plastic Surgeon who know what they're doing, performing a bit of liposuction at the time of your tummy tuck is a great way to fine tune the sculpture that will be your abdomen and torso. I personally always do a little liposuction with my tummy tucks, and have never experienced (I'm knocking on wood right now) the complication you describe. There... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Can my lower Tummy Tuck skin die and incision separate?

Regarding : "Tummy Tuck Scar Necrosis - Risks and Causes? hi my ps does lipo on the flanks as part of the tt process... im terrified about getting necrosis in the tt scar.. iv read that lipo can cause necrosis due to trauma to the fat and blood vessels is this true? i dont smoke, drink,, im ideal weight eat healthy and exercise what are my chances of getting necrosis? I do have allergies and seem to be sensitive to chemicals and suffer with neck and shoulder pain, does this mean i coul more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Liposuction and Tummy Tuck

I incorporate liposuction into almost all of my tummy tuck / abdominoplasty procedures. I consider this part of the surgery and do not charge extra for this portion. When done conservatively liposuction adds considerably to the results from tummy tuck / abdominoplasty. Risk of necrosis is due to diminished blood supply. Action that you can take on your part is to make sure that you do not smoke and ensure that you are healthy to have surgery. Good luck. more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Properly done lipoabdominoplasty is very safe

For years the Brazilians have been doing liposuction at the same time as abdominoplasty and in New York Alan Matarasso has done this and written a book about it and how to safely do it . Liposuction of the upper abdomen at the time of a tummy tuck is safe and will improve the results over not doing it (in most patients). Based on the information that you gave you should be a good candidate for Lipoabdominoplasty. The main risk factor is smoking which you do not do. Seek out... more

Walter D. Gracia, MD
Arlington Plastic Surgeon

Tummy Tuck Scar Necrosis - Risks and Causes

Causes of skin necrosis after a tummy tuck are as follows: Too tight a repair causing restriction of blood supply, Too aggressive a undermining superiorly. Too much lipo of the flap, swelling. bleeding, trauma to the flap after the operation. Too tight a binder. Risks increase in smokers, any blood thinners or vitamins. Seek opinions in person.

Darryl J. Blinski, MD
Miami Plastic Surgeon

You could but unlikely

It is possible to have a complication with any procedure with any surgeon at any time. By minimizing your risk factors you are decreasing your risks. I perform my abdominoplasties, including conservative lipo, in the hospital only with an overnight stay. This way I can make sure my patients ambulate the day of surgery, breathe correctly, have good pain control, use compression garments and so on. In 20 years , I have never had any of my flaps necrose although it... more

David Shuter, MD
Jupiter Plastic Surgeon

Tummy tucks and liposuction

Tummy tuck (Abdominoplasty) and Liposuction surgeries are frequently combined. Liposuction of the sides and back can help sculpt the torso to maintain pleasing proportions and remove disproportionate bulges of fat. Necrosis is caused by interupting the blood supply to the skin. It is six times more common in people who smoke, because smoking chokes the blood supply to the skin. This is one of the main reasons plastic surgeons ask their patients not to smoke before and after... more

Joseph Mele, MD
Walnut Creek Plastic Surgeon

Lipo is ok with tummy tuck

The potential increased risk from combining liposuction with abdominoplasty has been well studied and should not pose any problems in a nonsmoker who is not overweight. I routinely do some lipo on the flanks with TT to improve the waistline.

Richard Baxter, MD
Seattle Plastic Surgeon

Risk of Necrosis in Tummy Tuck is Low

The risk of having necrosis following your tummy tuck is very low since you do not smoke and if the sugeon is cautious in performing the lipo. I think lipo of the upper abdomen at the time of TT is much more dangerous. The risk in smokers rises dramatically and will not perform a full tummy tuck in a smoker.

John Whitt, MD
Louisville Plastic Surgeon

Tummy tucks ansd Liposuction often done together

The skin necrosis related to liposuction during a tummy tuck occurs when the upper central abdomen is suctioned, not the flanks. The flanks are perfectly fine to have treated with liposuction during a tummy tuck.