Dennis Schimpf, MD

Thank you for the photographs and the question. I agree with the answers above in the sense that not having had children and associated issues with diastasis of the rectus muscles, liposuction would seem to be a good fit. In addition your skin appears to be healthy. I have been very happy with the results of smart liposuction in patients such as yourself.  The use of laser based liposuction and the associated heat not only helps eliminate the fat, but it also improves overall skin contracture and tightening.  Thanks again for your question and best of luck. 

There is concern for blood supply to the distal abdominoplasty flap in the setting of a previous kocher incision.  Ideally we would like to remove the scar with the procedure.  But this is not always feasible. In addition the time period between the kocher incision and the abdominoplasty is important.  The longer the time period the better re-established the blood flow will be. I agree it is doable but you should definitely seek the opinion of a board certified plastic surgeon. Good luck. 

I completely agree with the other comments. Generally speaking these sutures can be removed with local anesthetic in the office. I no longer use permanent sutures either because I had seen this same issue in some of my patients.  

Overall it takes approximately three months for the implants to settle into there final position. Initially they are high and over this time period they drop. They may not necessarily drop at the same rate or equally during the process but they generally even out over the three month period. You look like you are healing very well for being so soon after your procedure.