Do fat cells get re-attached together after removal of loose skin?

Thank you for your interesting question. When a plastic surgeon removes loose skin during procedures such as a tummy tuck, the excised skin often has some fat cells attached to it. However, the primary goal of these surgeries is to remove excess skin and, in some cases, tighten the underlying muscles. The removal of fat cells is not the primary focus but may occur as a result of the excision.

In the healing process that follows the removal of loose skin, the remaining fat cells in the treated area do not "re-attach" in the way you might be thinking. Instead, the body naturally heals the surgical site, and the remaining fat cells stay in place within the remaining tissue. The healing process involves the formation of new blood vessels and collagen, which help the treated area regain its structure and strength.

It is essential to maintain a healthy lifestyle, including a balanced diet and regular exercise, after a body contouring procedure. This ensures that the remaining fat cells do not expand, which could affect the long-term results of the surgery.

Thank you for your question, and I wish you the best of luck in your journey to a more contoured physique.

Sincerely, Dr. Katzen

Dear Optimistic237718,
generally speaking, the human body will replace injured cells with scar tissue. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I’m not sure exactly what you are asking, but after a tummy tuck, the skin is pulled down and stitched to the lower pelvic incision. The skin flap always has fat underneath (which carries the blood to the flap and skin) and there is some fat left just above the muscle. During the healing process, the two sides touch and immediately there is scar tissue which binds them together closing off the space over time. The drain removes any blood or fluid which would normally accumulate and stop the two sides from touching and sealing together.
Hope that answers your question
Dr. Taranow

Hi and welcome to our forum!Fat cells do reattach...When in contact with other fat cells, they initially share nutrition by imbibing tissue fluid. Although relatively avascular, a somewhat tenuous blood supply will redevelop among the fat cells, which tend to adhere to each other and to surrounding tissues. There will be a scar interface at the site of the original tissue injury. Best wishes...