I had two pregnancies and have excess skin and stretch marks. My doctor recommends to have a Liposuction first and 6 months later, have the Tummy Tuck. He says that by doing the Liposuction first, the skin will have enough time to shrink back, so when I'm ready to get the Tummy tuck the cut will not be as wide as if I where to do the Liposuction and Tummy Tuck at the same time. Is this statement valid? Is it a good idea or would you recommend to get the two procedures done at the same time?
Liposuction and Tummy Tuck at Once?
Doctor Answers (3)
Lipo + Tummy Tuck: It all depends on where you need Lipo
I routinely combine liposuction and tummy tuck, but the key question is where you are needing the lipo. It is generally NOT advisable to have lipo done on the front of the tummy at the same time as tummy tuck, because of the risk of skin loss and poor healing.
That being said, if you have a lot of fat on your upper abs, why not consider getting the fat off yourself via diet and excercise and then doing the tummy tuck when you don't need as much lipo?
This is cheaper, safer AND patients who commit and follow through with their weight loss have outstanding results that are also much longer lasting.
Pros and Cons of Liposuction and Tummy Tuck at once
Without having the beneift of pictures, by staging your procedures you are likely to get the maximal result with maximal safety. The downside is that you will have to go through two separate procedures with the associated costs and downtime.
I don't believe that minimizing scar length should be the motivating factor here. I my experience, very few patients are good candidates for a "mini" tummy tuck and often excess skin or "dog ears" are created when the surgeon tries to limit the length of the incision.
I routinely combine liposuction and tummy tucks. I have had good results liposuctioning the upper abdomen and sides, but the risk of skin loss precludes liposuction below the level of the umbilicus. If you need extensive liposuctioning, it may be best to stage the procedures.
Be sure to discuss the pros and cons of the one- and two-stage approaches with your surgeon to find which is right for you.
It;s a matter of opinion
The vast majority of patients would clearly prefer to have one surgery.
Doing the surgeries separately, in the manner described, makes sense and is likely based on the surgeons expreience.
There are not hard and fast rules here. It is open to interpretation.