Scar Revison Surgery Before Power Assisted Lipo (PAL) OR Vise Versa?

One of your goals would be to remove the adherence of the scar to the abdominal wall. Doing the liposuction prior to the scar revision would avoid any possibility of disturbing the scar revsion. I would allow three months or so to pass, letting all the reaction to the liposuction to decrease, then do the scar revision. There are alternatives, such as doing the liposuction and scar revision at the same operation, lipo first then scar, but doing a scar revsion on stable,... more

As you were apparently instructed by the plastic surgeon you consulted, your scar may be adherent to the abdominal wall (fascia / muscle), especially if the scar resulted from a prior abdominal surgery. If that is the case, which should be apparent based on the physical examination, then a scar revision involving removal of the current scar and release of the deeper scar tissue. The scar revision can be performed after the liposuction or simultaneously. Additionally,... more

Greetings, You're an unusual case. Without knowing the specifics for why you have that scar in the location you do, my thought is that you could do the scar revision and liposuction at the same time. My plan would be do to extensive liposuction of the love handles and abdomen, perform a scar revision with probably skin excision, possible plication of the rectus abdominus muscle, and probable incision around the umbilicus (to avoid distorting its position on the abdominal wall).... more