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Liposuction Needed with Abdominoplasty? (photo)

I was told by my PS that I would be pleased with my abdominoplasty WITHOUT lipo. I feel as though this may be a necessity for my situation, but he doesn't include it. Should I insist he add lipo (at least of the flanks or waist) to my procedure?

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second opinion without liposuction

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16 Doctor Answers | Asked by fat belly bella in SOUTH CAROLINA

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Liposuctioning at Time of Tummy Tuck Surgery?

Thank you for the question and pictures. Liposuction is a tool that is often used during the time of tummy tuck surgery. Different plastic surgeons utilize this tool differently; some are more “aggressive” than others. In my practice, I frequently utilize this tool to treat adipose tissue of the flanks and pubic areas during the tummy tuck procedures. It will not hurt to discuss the pros/cons of liposuctioning with your plastic surgeon; simply ask for his... more

Liposuction with a tummy tuck?

Most of my patients do need some liposuciton in the back, sides and hip roles, and I routinely do it if necessary to achieve the best result and if requested by the patient. There are some limitations to performing the liposuction in the front of the abdomen while having a TT, however. Excess liposuction in this area may compromise the blood supply, but small cannulas can be used to remove some of the fat in the upper abdomen. Most of the fat will be removed with the TT itself... more

Tummy Tuck and Liposuction

Great question! Based on your photos, you would benefit from liposuction of your sides and hips along with the the tummy tuck. I do this routinely in my practice to help blend the sides with the newly flattened tummy. If your surgeon is uncomfortable combining the procedures, I suggest you seek another consult from a Board Certified Plastic Surgeon to explore this option further. Best wishes!

Abosutly yes to liposuction

I think liposuction of side of your abdomen also know as flanks, and also liposuction of lower back (right on top of you buttock area), will give you a better waist definition (curves). Also selective liposuction of skin above the belly button may give your abdomen a flatter appearance.

LipoAbdominoplasty

Yes, you definitely could benefit from a bit of liposuction at the time of your Tummy Tuck. We commonly combine Liposuction with abdominoplasty’s in a procedure called a LipoAbdominoplasty. Yes, it is a bit more expensive, there is a longer recovery and we do monitor you overnight to make sure every thing goes well. But, it is cheeper than having to have two separate procedures/ surgery’s. There are some examples in our photo’s section for your review. Best, Gary R... more

Tummy options...

In your situation dictate more than just a tummy tuck. Yet, if your insurance is paying for a panniculectomy, you can only expect to have the hanging skin removed from that procedure. If you're having a cosmetic tuck, you should discuss your concerns with your surgeon as your problem is a complex one and I believe could benefit from lipoabdominoplasty and you could ask your surgeon about that. Finally, you cannot demand your surgeon do some procedure for you but you can... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Liposuction with abdominoplasty.

From your photos, it appears you would benefit from liposuction with your abdominoplasty. I routinely perform liposuction as part of my abdominoplasty technique. The technique (called discontinous undermining) allows for improved abdominal skin contour, much less fat, improved blood supply to the skin flap, lower drain outputs, and minimal wound complications. Repair (plication) of the muscles is done through a narrow tunnel under the skin and the results can be dramatic. Given the excess... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

TT and Lipo

Lipo may or may not be helpful. Other techniques may be helpful like cautery, scalpel, scissors, etc. Ask your doctor what he intends to do, and discuss it with him.

Tummy tuck

I do not routinely perform lipo with abdominoplasty, but I will add it as another procedure if the patient wants it. It allows me to keep prices lower for smaller individuals, so only the patients that need/want it have to pay for it. There is also increased risks of skin necrosis and poor healing if liposuction of the skin flap is done at the same time. I would go with my surgeons recommendations, or find another surgeon.

Lipo to adjacent areas with tummy tuck is common

Just to be clear, the fat layer on the front of the abdomen is usually removed as part of the tummy tuck, so liposuction would be for adjacent areas such as the love handles, hips, abd back. This is commonly done.

Liposuction and tummy tuck

There is no question that liposuction will give you a far better result with your abdominoplasty. I routinely perform liposuction of both the abdomen and flanks with most of my tummy tucks. It's difficult to tell in the photos, but you may even benefit from a circuferential tuck. This would give you an even better waistline and refined body contours. You can see some examples on my website of before/after photos if you wish. Hope it goes well! more

Liposuction is commonly a part of abdominoplasty.

Liposuction of the hips would be a excellent adjunct to the abdominoplasty. I personally do not liposuction the elevated flap which is part of a tummy tuck to minimize trauma to that structure. Most of the time postoperative liposuction is not necessary.

Liposuction of love handles with tummy tuck

I routinely add liposuction to the flanks as part of almost all tummy tucks that I perform. In your case, I think it would benefit you to have some fat taken out in this area.

Liposuction with tummy tuck

From your photos, it appears that you would benefit from liposuction of the upper abdomen (epigastric region) and flank regions. Some surgeons will include liposuction of the epigastric region in the price, and others will price it separately, but you will likely be paying for this procedure in some manner. Liposuction of the flanks would be separate. Specific or definitive recommendations would require a physical examination. You should consult with one or more... more

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Liposuction Needed with Abdominoplasty?

Thank you for your question. Without an in-person exam, the specifics of a recommendation are difficult to make. I do see on the photos some fullness in the flanks, and I think that adding on liposuction of that area will be a benefit to you, unless your surgeon is extending the abdominoplasty well around the back. It looks like you should have a nice improvement. If after discussing this further will your surgeon you still feel at odds with your surgeon's plan, think about a... more