Ryan Neinstein, MD, FRCSC

Thanks for the question, and congrats on the baby. I just had one myself. My suggestion for you is a skin only tummy tuck. It has the benefits of removing the pouch but not all the downtime and risks of a full tummy tuck

The average plastic surgeon does a few cases a year of liposuction so please see someone that does 10 plus a week. By evaluating the quality of your skin (looking at stretch marks, cellulite) and a through medical history the surgeon should be able to accurately predict your outcome and put you in the right direction for either surgery or lifestyle management or both!

Thanks for this question, its best to have liposuction when you are close to your ideal body weight. If you lose a lot of weight after you can destabilzie the collagen in the skin. I prefer to use plama or ionized helium in these scenarios to help tighten peoples skin. Its like putting your skin in the dryer vs taking it to the tailor (skin removal)

Thanks for the question, I would use both vaser and plasma to contribute to skin tightening during your liposuction. Since you dont have stretchy skin from weight loss, maturity, sun damage, or multiple pregnancies from what I can see I dont think you need skin removal. Just make sure you see an expert with all of the necessary devices!

Thanks for the question, your surgeons were right to pump the breaks. I would suggest minimal fat removal and max skin tightening to get you as close to flat and tight as possible. Dont let someone take a lot of fat out it will loosen skin and make it worse

Thanks for the question, we all want a buick for the price of a chevy (I heard that line once). If your goal is to be super flat than even with vaser and plasma you will not with lipo alone, you will only get good skin retraction with intense plasma energy after the vaser and lipo component, many times I add a small amount of skin removal to the lipo to take the result to the next level. This can all be done under local or general the key is seeing an expert on lipo and lipo technology who has a post op healing program

Thanks for the question, please dont waste your time and money with non surgical treatments here. You need a little vaser liposuction of the chin under local anesthetic to get the result you want. Everything else will be a dissapointment

There is so much misconception out there. So here is a great opportunity. First, please see a lipo specialist. Most surgeons do 20 a year, see someone who does at least 10 a week. Overall, the better shape you are going into surgery the better you will be coming out. Secondly the goal is to remove as many fat cellls as possible but maintain a thin natural look (we leave about 4mm of fat under the skin to allow a smooth result). Using technology such as vaser melts all the fat so the size of the cells do not matter!

Its perfectly safe to work on the abdomen after a tummy tuck, just make sure you go to a lipo specialist who has technology such as vaser to melt any encountered scar tissue. The procedure is common and can be done under local or general. 

Thanks for the question, you need some who sculpts not just sucks. My practice is almost 100% lipo and men are 30% of the patients. We typically do minimally invasive procedures with limited downtime using vaser energy to melt fat and plasma to tighten skin!