Following the exact advice
from a surgeon on this or any other website who proposes to tell you what to do
based on a limited history without photos and without examining you, physically feeling the
tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of each operative procedure (liposuction - tummy tuck) may not be in your
best interest. I would suggest you find a plastic surgeon certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with.
You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Thank you for the question.
Although a physical examination or picture evaluation is required, I believe the best procedure would be a tummy tuck in combination with liposuction.
Thank you for your question. If you are hoping to tighten your abdominal wall and get rid of excess skin, a tummy tuck can be a good solution. Liposuction addresses excess fat, but does not improve the muscle postion or take away stretched out skin. To know what is good in your particular circumstances, seek out an experienced surgeon certified by the American Board of plastic Surgery.
It would always be best to make an appointment with a plastic surgeon so he or she can evaluate your needs and what options are best for you. I would suggest making a consult or two.
Dear mom2threekids, after having pregnancies, in special twins, woman gets skin excess and a belly that looks bigger than what actually it is. It is cause because you abdominal muscles gets separated one from another and they get weak. In your case after having multiple surgery fat seem to be accumulated by the sides of the scar. It would be beneficial in your case with your story to get a tummy tuck to achieve a flat abdomen and a liposuction to achieve a better shape. If you need more information please feel free to contact us. Kelvin Eusebio.
My guess is that you probably need a tummy tuck and not liposuction after twins. See a board certified plastic surgeon for a consultation. Liposuction will only make the sagging skin look worse. Any surgery is a bit more complicated when there has already been scarring from other procedures but this is something that we deal with routinely in plastic surgery. Best wishes.
Previous stomach surgeries could increase your risk of abdominal wall perforation with liposuction. Also, when you have "a lot of excess skin", liposuction may not be the best option for your particular needs as it only removes fat and does not tighten loose skin. You may want to consider an abdominoplasty or tummy tuck procedure, but again, with the previous surgeries and scar tissue you may be at an increased risk for flap necrosis. The best thing to do would be to seek a comprehensive consultation with a Board Certified Plastic Surgeon that is well versed in body contour surgery. Only during a physical exam can a surgeon determine if the risk of your previous surgeries outweigh the benefit of cosmetic surgery.
With the number of procedures you have had, I believe the best place for you to start is with a consultation with a board certified plastic surgeon who performs these procedures regularly. The scars from your prior procedures will limit certain procedures from being performed.
Thank you for your question. There are many surgical treatment options for the removal of excess fat and skin from the abdomen. I recommend that you make an appointment to visit with a board certified plastic surgeon to discuss all of your surgical options.