Abdominoplasty with Liposuction for Fairly Large Pannus?

Thank you for your question regarding abdominoplasty with liposuction for a large pannus. Many surgeons do combine liposuction with a full abdominoplasty to provide more comprehensive contouring. A full abdominoplasty removes excess skin and tightens the abdominal muscles, which is especially beneficial after significant weight gain and pregnancies like yours. Adding liposuction can further enhance the results by removing stubborn fat from the abdomen and flanks, giving you a smoother, more contoured appearance.

However, it's important to note that liposuction is often considered an additional procedure and is usually not "included" in the standard cost of a full abdominoplasty. The pricing for liposuction will depend on the areas being treated and the amount of fat being removed. I recommend consulting with a board-certified plastic surgeon to discuss the best surgical plan for your specific needs and to get a detailed breakdown of costs.

Sincerely,
Dr. Katzen

I have discussed this in an article on my website.  It is safe to an extent.  But you must remember that alot of the pannus is excised and discarded so this may not be an issue.
You should be evaluated by a board certified plastic surgeon who can accurately go through your options.
Good luck.

These can be done together depending on your age, health, body mass index, etc. In my practice, I always do liposuction with a tummy tuck. Although one can divide the torso into multiple cosmetic units, I like to treat this as one cosmetic unit. This way you achieve the best results all the way around including the flanks, buttocks,back and abdomen. The pannus is excised and does not need to be liposuctioned. The upper abdomen can be liposuctioned judiciously to preserve the blood supply. If a person has a large upper abdominal roll, I tell them that although they will get improvement with the liposuction and abdominoplasty, there's the possibility off further liposuction of the abdomen to refine the results. Since most of the patients I see in my practice require liposuction, my fees are all inclusive.

If you include a picture, we may be able to give you more specific advice. However, I include minor liposuction of flanks (at no additional charge) on about 90% of the abdominoplasties that I perform. I feel that it gives you a much better overall result. If you need major liposuction, that that is a whole different story and I would need to see you in consultation to determine which procedures would be best for you. I hope this information is helpful. Good luck with your procedure.

Surgeons may or may not include this in the price of their tummy tuck procedure. Please realize that not all tummy tucks are the same; some are mini, some are full, some are extended, and some are combinations, etc. Many surgeons will ultimately price the procedure according to the time they think it will take them. Although, you may not want your surgeon to rush through the procedure. So shopping around for price may not be the best indication.