Can I get Tummy Tuck AND Lipo at same time?
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Tummy tuck w/ liposuction
During a full abdominoplasty loose skin and fat is elevated off the abdominal wall and pulled down snugly. Elevating the skin changes its blood supply and diminishes it. While some doctors do liposuction this elevated skin during abdominoplasty liposuction at the same time can further diiminish the blood supply and lead to healing problems or tissue loss in the lower abdomen.
In my own practice I routinely liposuction hips and love handles with tummy tuck surgery. I find that these areas do not diminish the blood supply to the frontal abdomal skin and help to countour the waist. I rarely liposuction the frontal abdominal skin at the same time as the tummy tuck to perserve the blood supply. In most patients when the skin is pulled tight additional liposuction is not necessary. In patients who might benifit from frontal abdomen liposuction I feel it is safer once the tummy tuck has healed. In mini tummy tuck I do liposuction the frontal abdomen at the same time because much less skin is elevated
You will need to be examined to determine if your waist contour would benefit from extended abdominoplasy,Belt lipoectomy (tummy tuck all the way around), frontal flank or circumferential liposuction-- all are reasonable options for an appropriate candidate.
Lipo and TT at the same time
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Keep in mind, that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos 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 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
Lipo and Tummy Tuck at Same Time
Your question is a good one! Most surgeons routinely perform liposuction of the flanks at the time of a tummy tuck. They do not perform liposuction of the front of the abdomen because there are risks to doing this (too difficult to explain here) when combined with a traditional abdominoplasty, making it unsafe.
However, there is a certain type of tummy tuck that not many surgeons perform, called a lipo abdominoplasty, pioneered by a surgeon named Saldnha in Brazil. Not all patients are candidates for this type of procedure. However, this procedure is a specialty of mine as I perform it in the proper candidates. With this procedure, it is safe to suction the front of the abdomen as well as the sides. If done properly, a much nicer/flatter abdominal contour can be obtained. I'd be happy to see you to determine if you are a candidate for the procedure and to discuss the details of it with you in greater depth.
Best of luck to you with whatever you choose.
TT and Liposuction