Andre P. Marshall, MD

Hi Nnz bcar, Liposuction is a great procedure to help contour the midsection/back/and anywhere on your body. You have a good frame and a natural hourlglass type figure. You would have enough fat for a BBL, but you would also have a nice buttocks with liposuction alone, there is no right answer. It all depends on your preferences. One thing to consider is the possibility of loose skin after liposuction. Some patients opt for skin removal and others opt for radiofrequency based tightening modalities at the same time as liposuction. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi m20783, Smoothing out your shape may require correction of the underlying cellulite. This can be done through a number of treatments. Fat transfer rarely treats cellulite. Depending on the amount of fat that survives you may get the shape you desire but that would need a formal consult with a board certified plastic surgeon to determine what's best. Fat transfer surgery varies person to person depending on your metabolism and baseline shape. Congratulation on the weight loss and amazing fitness journey! Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi Outlaw18, Unfortunately your surgery did not go as you planned. Revision liposuction is always more complex due to contour irregularities and scar tissue. Fat grafting is likely not needed and is rather unpredictable in these situations. In your case completion lipo to help smooth out the shadows and valleys which were previously created would likely be recommended. We recommend you consult with a board certified plastic surgeon for further evaluation.

Hi luv2bebalanced Being a member or not being a member of an organization does not always speak to a surgeon's skillset. What' most important is are they board certified in plastic surgery by the ABPS (American Board of Plastic Surgery). Apart from that it comes down to your comfort level with the surgeon and your due diligence in research on that particular doctor prior to your procedure. Many doctors decide to join organizations such as ASPS later in their career and that's fine, but board certification is the most important thing to have. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi justamama, Procedure costs vary from surgeon to surgeon and state to state. You can usually get a range for pricing by calling the surgeon's office you are interested in directly. A google search will also show you averages for typical procedures in plastic surgery. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi rettedgui, You could just do liposuction if you wanted. You will still have bulging muscles under the skin from prior pregnancy and the loose skin you see when you bend over will still remain. Some women who want to avoid a TT do liposuction with or without a skin tightening procedure. If they are unhappy with the loose skin afterwards they may return for a TT. Make sure you know all of your possible options before making a decision about surgery. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi JWmommy, An hourglass shaped is most dependent on your body's bone and muscle structure, particularly your ribs, intercostal (waist) muscles, and your hip bones. Depending on how these all align determines your final shape, along with the surgeon's liposuction technique to remove fat from these areas during surgery. The majority of plastic surgeons don't use mesh during this procedure but a fair number do. To my knowledge there is no scientific research that shows the importance of mesh in obtaining a certain postop figure. Rather, it is most commonly used to support the muscle repair, especially if the muscles or fascia are very weak. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi Versatile178854, Swelling after abdominoplasty surgery is extremely common and can persist well beyond a year. The body's lymphatic system is disrupted during a tummy tuck. Until this normalizes again you will have ongoing swelling, some days worse than others. Also, depending on the extent of liposuction you had (if any) during your surgery, your swelling may persist longer than others. What some perceive as swelling could also be residual fat under the abdominal skin as well-this can oftentimes be removed with liposuction. We always recommend speaking directly with your surgeon for evaluation as they know your body best. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi rettedgui, Umbilical floating allows you to keep your same belly button while also getting full muscle repair of your abdomen. The belly button often sits a little lower than it is now after the surgery. This procedure is especially helpful in patients with a naturally high belly button and minimal loose abdominal skin. With a mini tummy tuck the belly button is (usually) not moved and the muscle above the belly button are (usually) not repaired but it vareis from provider to provider. Based on your pictures you would most likely benefit from a full muscle repair and full tummy tuck to address the extra loose skin you have. Each board certified plastic surgeon has their own techniques and preferences. Make sure the one you choose clearly explains your options and realistic goals for your body. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hi Alexmontes1028, Depending on your surgeon's technique, you may have permanent muscle repair sutures that are now able to be felt under your thin skin. In patients with larger fat deposits under the skin these are typically not felt. However, if your surgeon used permanent sutures this could be indeed what you are feeling. To be 100% sure we recommend you speak directly with the surgeon who performed your procedure as he/she knows exactly was used to repair your muscles in the midline. Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210