Male Tummy Tuck: Q&A
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Male Tummy Tuck Surgery on Stomach
It has been almost 2 years since my only Liposuction procedure. I still have large flanks and and a "funny" stomach. Should I go for a Full/Mini Tummy Tuck or should I simply try Liposuction again, avoiding the enormous scar? I'm afraid I don’t have enough skin for a Full Tummy Tuck. Thank you!
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32 Doctor Answers |
Asked by
Fernando Nunes
in São Paulo - Brazil
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Liposuction (again) will help, but you really need an extended tummy tuck!
Some surgeons will opt to follow your lead and give you whatever improvements that can be achieved via liposuction. This will cost less, have much less scarring, but of course, will have less improvement. Since degree of inprovement is so subjective, whomever is advocating one thing over another will naturally emphasize the pros of their recommendation (while hopefully not entirely omitting the cons), and do the reverse for the "other option," in this case, extended tummy...
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Repeat Liposuction Can be a Challenge
A secondary liposuction procedure can be technically more difficult because of scarring from the first procedure, particularly if you developed fluid accumulations (seroma) after the first operation.
Seroma can cause scar build-up leading to lumps and bumps, similar to what I see in your photo. Of course, I can't tell that for certain, even with an examination.
Weight loss is your first best option.
Repeat liposuction may or may not produce much change.
A tummy...
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Uneven results after liposuction
The only effective way to achieve a very nice abdomen in your case would in my opinion be a full tummy tuck (without tightening the fascia). There is loose skin above and below the belly button and multiple liposuction irregularities that will only respond to tightening of the skin with removal of excess skin.
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Treatment of abdominal fat
In your case, liposuction would produce more sagging of the midline skin and I believe that you would benefit more from an abdominoplasty. There are gradations for tummy tuck, just as plastic surgeons perform breast reductions on DDs as well as J cups!
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Liposuction vs Tummy Tuck
Liposuction addresses excess fat only, while a tummy tuck addresses fat, skin and muscle. Based on your picture, your problem still appears to be excess fat. I would try liposuction again and try to avoid the tummy tuck scar which is long and permanent.
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Mini or full tummy tuck?
Thank you for the question and picture.
I think you will benefit from a full tummy tuck procedure. In my opinion, the mini tummy talk is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the...
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Full or Mini Tummy Tuck after a Disappointing Liposuction
There is NO substitute for a physical examination and in its place several photographs are always better than one. In your case, your liposuction appears to not have been complete in the "love handles" / hip area leaving residual fullness and in the abdomen it uncovered a significant skin looseness.
The ONLY way to achieve tummy skin smoothness / tightness with an excess as significant as yours is to SURGICALLY REMOVE the excess overhanging skin. All other proposed nonsurgical...
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You may be a good candidate for a tummy tuck
Many men are good candidates for a tummy tuck procedure. The primary reason for needing a tummy tuck for men is a significant amount of weight loss, either from dieting and exercise or from weight loss surgery. If you have significant amount of loose skin, then I recommend that you consult a board certified plastic surgeon in your area for a tummy tuck. You can consult the website of American Society of Plastic Surgeons to help find one.
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Tummy tuck for men
Looking at your photos, it seems that your principal issues now are loose skin and laxity of the abdominal muscles. These are issues that can only be corrected with a tummy-tuck. While this can only be determined accurately by examining you, it appears to me that there is enough loose skin to do a full tummy-tuck, which gives a much better result than a mini.
In my clinic in Montreal tummy-tuck surgery for males is becoming more and more popular. This is likely because of the growing...
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Tummy tucks in men yield great contours
There are differences in the distribution of fat between women and men. Men can carry significant intra-abdominal fat (around organs). Liposuction is a treatment option for removing subcutaneous fat and can provide smoother contours that accentuate the shaping of a tummy tuck. Significant amounts of excess skin or lax skin will not retract completely after liposuction and may necessitate excision. The abdominal wall tightening of a tummy tuck can be...
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Tummy tuck for men
Although you will benefit from another liposuction, you will obtain a better contour after full tummy tuck. Liposuction will get rid of your excess fat; however, given your photo, I am afraid that you may have excess skin which may not retract back down to your belly. You seem to have excess skin and fat in both upper and lower abdomen. By undergoing full tummy tuck, you will have a better shape. You do have to accept hip to hip scar for a better contour.
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Excesss skin remaining after liposuction
To treat the excess skin remaining after liposuction, you will likely benefit from an abdominal contouring procedure like a tummy tuck + liposuctioning of the waist or an extended tummy tuck with lipo waist/flanks. You are correct, to achieve a flat tummy, you will need to accept a waistline/beltline scar. Please visit with a board certified plastic surgeon to learn more about your options.
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Male Tummy Tuck
An extended tummy tuck will give you the result you are looking for. Anything less, will leave you with remaining skin, and sub-optimal results. I perform tummy tucks on men regularly, and yes you have plenty of skin. The key is placing the scar below the bathing suit line, and a great looking belly button.
Good luck
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Liposuction vs. Tummy Tuck
I would recommend doing some aggressive liposuction to avoid the scar from a tummy Tuck. Based on your pictures it would appear that liposuction the the flanks and abdomen could benefit your appearance.
San Francisco Plastic Surgeon
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Male tummy tuck versus liposuction
Based on your photo, liposuction would definitely be helpful in the love handle area to give you a better contour overall. As far as the abdominal region, whether or not liposuction or tummy tuck is better really depends on how much loose skin you have. Liposuction will remove fat, and how much your skin shrinks down to match depends on the quality and characteristics of your skin. Men tend to have less stretch marks and damaged skin in this area unless they have undergone massive weight...
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Skin shrinking gimmics don't work. Looks like you need a full panniculectomy.
You have loose skin above and below the navel and quite a bit of it. I think a full abdominplasty is the only legitimate solution to your problem. Fortunately, your abdominal wall will not need any work which substantially decreases the convalescence and risk of the operation. Beware of skin "shrinking" gimmics. They don't work.
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Male tummy tuck can fix loose skin
Additional liposuction work for you IF your skin quality is good. I can't tell from the photo whether your skin has good elasticity or not. If it does not, then a tummy tuck would be a great option for you.
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You're a good candidate for lipo.
Based on your appearance in the photo I think that you would be a good candidate for some repeat liposuction and possibly even SmartLipo. SmartLipo is a great procedure which helps to decrease the surface area of the skin 50% more than liposuction alone, and tightens the skin 10 - 15 times more. That may be all that you need.
You have to realize that if you gain weight after liposuction the result is going to be jeopardized. You need to maintain a stable weight and your...
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Lipo or Tummy Tuck
It can be hard to judge from one picture. It looks like revision liposuction could treat what I see in the picture. However, if you do have extra skin or stretch marks, tummy tuck may be the better answer. Find a board-certified plastic surgeon that does body contouring surgery frequently, and they can give you the answer based on your physical exam.
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More lipo probably best option
Based on this picture I believe that repeat effective liposuction would be the best option. It appears that you do not have loose skin but you do have some contour abnormalities. An abdominoplasty targets loose skin usually with stretch marks and muscle weakness. Visit with a couple of board certified plastic surgeons to have a complete exam.
Good Luck.
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Tummy Tuck or Liposuction for Male
It is not uncommon to have residual fat after liposuction. Interestingly there is only so much fat that will come out during a liposuction. So with that said here is what I might consider. First liposuction of the flanks is a definite. The abdomen is a little more tricky. My inclination would be to do aggressive liposuction. The alternative would be partial liposuction and an umbilical float tummy tuck. This type of tummy tuck works well if the belly button doesn't get moved more than...
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Tummy tucks in men
Tummy tucks in men are a little challenging because you typically do not have all of the loose skin and muscle that we women are so fortunate to get after having kids. I would suggest seeing at least two plastic surgeons in your area, one who specializes in liposuction and another who does a lot of body contouring after weight loss. With weight loss, I suspect that you'll need only liposuction to refine your waist. Men do not typically accept the large scar required for a full tummy tuck,...
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Male Tummy Tuck or Liposuction for stomach and flanks
Neither now, first try to do intensive weight loss and excercise regime to try to improve your appearance. If this fails than maybe the full tummy tuck but the scar in your age group is hard to accept.
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What to do for male stomach and flanks
My opinion is that you have more than enough skin for a full tummy tuck so don't worry about that. You have a defect that extends above the umbilicus so that would rule out a mini tummy tuck. I can't personally evaluate your muscle layer, however I would favor the full tummy tuck over the Liposuction or even mini. The "enormous" scar fades well over time, and from your photo, you already have "brown" line that would be exchanged for a fine white line scar.
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Liposuction or Tummy Tuck
Hi there-
The answer to your question will depend on many things- what it is you are hoping to achieve, your examination (a photo is insufficient), and what you are willing to go through.
Only a qualified surgeon, with the benefit of an examination and consultation, could answer this question for you definitively.
Find a surgeon you like and trust and visit for a consultation.
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Tummy tuck or Liposuction
From only one photographic view it is difficult to say whether or not you need more liposuction or a tummy tuck. If your skin is very loose, a tummy tuck may be the best thing. If it is mainly fat, then liposuction may be reasonable.
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Looks like you need a tummy tuck
Although you want to avoid a full tummy tuck, your photos make it look as though you have significiant skin rippling and extra skin. The only way to really improve your appearance, therefore, is with a significant removal of skin - this can be accomplished with a full tummy tuck. Repeat liposuction would likely exacerbate your current appearance.
Hope this helps. Best of luck.
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Full tummmy tuck for male
Having previously undergone liposuction with unsatsifactory results, it is my impression that you would do best with a full tummy tuck in order to correct the loose skin and irregularities.
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Male Body Contouring
There is no "one" correct answer here, and opinions will fluctuate based on experience and personal results. Based on your oblique photograph and your self description, it sounds like you still have appreciable fat pockets and fat distribution in both your flanks and abdomen.
I would suggest that you have a second stage liposuction procedure to contour those areas prior to having the larger abdominoplasty procedure. That will then allow your surgeon to perform your tummy tuck...
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You will need tummy tuck
As Dr.Shafer stated, you need tummy tuck. You have a lot of excess skin even when you are in standing position. The best option is to combine liposuction and tummy tuck to get the best result.
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Body contouring
First of all, make sure you are as fit as possible and have a healthy and stable lifestyle. You should try to achieve maximal toning of the abdominal muscles and work on good posture techniques. Once you have achieved these, I suspect liposuction, in the right hands, will give you a reasonable result.
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Tummy Tuck Versus Liposuction
Based on your pictures, you would benefit the most from an abdominoplasty (tummy tuck). Liposuction will reduce the amount of fat, but the abdominoplasty will contour your abdomen and fix your "funny" stomach shape. Good luck.
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