Best Option for Stubborn Belly and Flanks Fat on Healthy 40 Year Old? Doctor Answers, Tips
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Best Option for Stubborn Belly and Flanks Fat on Healthy 40 Year Old?

I have stubborn fat in belly and flanks, the right side has more “deposits”. I am almost 40 have healthy eating habits and exercise on and off most of my life. With 1 child. I am 5'7" and pretty thin. I've had 3 consults.

First surgeon told me to get a Tummy tuck because of loose skin on top of the belly button with Liposuction. The second said he couldn’t even do Liposuction and a Tummy tuck was preposterous.

Third suggested combo of lipomax, Carboxytherapy and Mesotherapy but after reading on these, I don’t like mesotherapy and there's not enough information on future side effects of carboxytherapy. It doesn’t seem unhealthy but I really question results.Thanks!

22 Doctor Answers | Asked by humm in MIami
+5

Are you really seriously unhappy with your abdomen?

Given that 98% of the world's 40 year-old women would trade abdomens with you straight up, I wonder how much perfection you need to be happy?? You should do nothing - any surgery involves cost and potential risks for VERY LITTLE gain. I can only hope as you continue on into middle age you can be less severe with yourself and love how lucky you are to have been gifted genetically with the great body you have!
+3

You look pretty good after kids

Sounds like you should do nothing -- I don't know what the two weird therapies are -- stay away. Wear one piece bathing suits not bikinis if your tummy really bothers you.
+3

No solution is often the best solution

I talk to my patients about the choice of being content versus the choice of being discontent. Sometimes a problem has no ideal solution. Yours might be this situation where something that bothers you cannot be improved upon very easily and you should try to accept being content rather being discontent.

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+2

Stubborn “Belly Fat”

Thank you for the question and picture. You may not like my advice but there is a saying in plastic surgery that the “enemy of good is better”; in other words, you should be careful not to do any harm to what looks like a pretty good abdomen. There are a lot of gimmicky therapies marketed aggressively which you should avoid at all costs. These will prove to be a waste of time and money for worse cause deleterious changes. Again, it may... more
+2

Liposuction vs. Tummy Tuck for abdominal skin

Without examining you, it is difficult to asses your skin tone. Based on your photo liposuction may be a good option if your skin tone is normal. Mesotherapy and the other procedures recommended to you have not stood the test of time and most likely will fall to the way-side. Remember Endermologie?! Liposuction and tummy tuck are reliable and time-proven procedures. If a patient is borderline between the two, it is always better to do the less invasive with less scar procedure first and... more
+2

Tummy tuck versus liposuction

Based on the pictures, I think you would get the best results from tummy tuck. You are not going to get much skin tightening with liposuction. You look like you are otherwise in shape and should do well with surgery. see video
+1

Ultrasonic or Laser Lipo will remove fat and likely offer some skin tightening

Based on your photos, I think that liposuction that uses energy to dissolve the fat (Vaser ultrasonic, Slimlipo laser, etc) will give you the best result. These techniques remove fat as smoothly as possible and provide some tightening for the skin to help minimize the risk of postoperative skin irregularities. Seek out a plastic surgeon experienced in body contouring as his or her physical exam will allow the most accurate assessment of how much fat is present and how much skin laxity is... more
+1

Abdomen questions

First, I would absolutely avoid mesotherapy. There is no scientifc proof that it works at all. IN fact, it may cause problems. As to the question of tummy tuck, liposuction of both or none, it would be very difficult to tell without examining you. Just from the single photo, it looks like you have good tone. Hard to tell if you have significant fat to lipo, or excess skin to remove.
+1

Tummy tuck vs liposuction

The reason you are getting so many different answers is because you fall in that questionable category. In my opinion you do not have enought fat for liposuction and doing any kind of liposuction that claims you will have enought skin tightening is far from the truth. A tummy tuck will remove the loose skin you have and may be an option for you but difficult to say without really rexamining you and seeing your abdomen as a whole and how high your belly button is from the pubis area. So... more
+1

Superficial liposuction can actually tighten skin.

Hi. You look pretty good! I agree that tummy tuck is preposterous. Conservative superficial liposuction with sub dermal tunnelling is all I would recommend based on your picture.
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