I want a tummy tuck with lipo on my waist and flanks, and breast lift with implants. (Photo)

Question

Theres alot of fat on my upper abdomen that needs to be removed. I heard its not safe to do trunk lipo with a tummy tuck or the skin might die. should i break the surgery up into 2 parts, having breasts and lipo done on upper abs.. then wait for a few months and go in and have tummy tuck and lipo thru my hips and flanks. How long should I wait... and also is that the order I should do it in? age 52 - height 5-9 - weight 208

Kenneth Hughes, MD · Answer

You could have the liposuction prior to the tummy tuck if you want a great deal of fat liposuctioned from the upper abdomen.Kenneth Hughes, MDLos Angeles, CA..........

Jed H. Horowitz, MD, FACS · Answer

The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting. #Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time. Now, the intentional result of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.Always talk to a Plastic Surgeon to discuss your issues and concerns. Information that you read online may not apply to your situation. Be sure your surgeon is boarded by the American Board of Plastic Surgeons.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your questions and photos.  You should discuss with a board certified plastic surgeon what you desire from surgery.  A tummy tuck and breast lift can be done in the same procedure by many doctors.  However, if you want lipo done as well, you would want to have two separate surgeries.All the best,Dr. ResultsMiami, FL

Vincent N. Zubowicz, MD · Answer

Very few patients to have and abdominoplasty require subsequent liposuction. I think you would do fine with a mommy makeover including mastopexy liposuction of the waist and an abdominoplasty. I personally do not suction the flaps elevated for and abdominoplasty for the safety reasons you suggest. Nevertheless, subsequent liposuction of the abdomen is seldom necessary.

Shlomo Widder, MD · Answer

Dear D,    Thanks for submitting your pictures. Safety should be the number one concern in any cosmetic surgery, since it is purely elective and so complication should be reduced to a minimum. Consequently, the answer to one of your question is yes, it should be done in 2 stages, because together it is too long and can increase significantly the complication  like blood clots, dehydration, pneumonia etc. Additionally, the long surgery can fatigue the surgeon and the end result will be less than optimal. Before any surgery, you should have a physical and get cleared for surgery by your internist. As far as the sequencing, in my practice I always do the tummy tuck first because a lot changes after tummy tuck due to the possible weight loss, resulting from the abdominal muscles tightening that reduces the amount of food that you can eat and the sense of hunger. A significant number of my patients do not do lipo after tummy tuck, because they are happy with the way they look. I recommend to wait 6 - 8 weeks after the tummy tuck , if they are considering liposuction, so the swelling from surgery subsides and the weight stabilizes. I also recommend to all my tummy tuck patients the book 'sugar busters' which help a lot in additional weight loss.When you do lipo of the abdomen first , it is very difficult to do the tummy tuck because of the diffuse scarring under the skin and also the result is not as good because the skin is stiff and more difficult to re drape and tighten. Another issue is concerning your breasts. They become smaller after the weight loss and the size of the implants will have to be adjusted accordingly. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive.                         Best of luck,                                              Dr Widder

Edwin C. Pound, III, MD · Answer

Based on your pictures, you appear to be a good candidate for all of those procedures.  The surgery could be done in a single long procedure or broken up into two separate procedures.  It would be more cost effective for you to do it in a single procedure, however.  How to go about this is something you really need to discuss with the board-certified plastic surgeon performing your surgery.  He can examine you in person and review your options with you.

Luis A. Mejia, MD · Answer

Hi... Thank you for the question and photos.... About the liposuction and TT... Both could be done without no problem or complications by a Board Certified Plastic Surgeon... And if you are in a good health condition the three procedures could be done.

Adolfo Sesto, MD · Answer

You are indeed a good candidate for both of the procedures you desire : Tummy Tuck, Lipo and Breast Lift with Implants. But for  not to increase your risks and possible complications these procedures  should be divided in too surgical times :Tummy Tuck Plus Lipo ( Lipo as a complement in high back and low back and flanks), andBreast Lift with Implants.Is always a good advise to lose some weight before surgery for improving your general health and possible results. And it is essential to have high hemoglobin  levels to perform the surgery.After the first surgery, all you need to undergo the second one is  raise of your hemoglobin levels to a minimum o12 or 13 grams. This takes more or less 2 weeks.

Tania Medina de Garcia, MD · Answer

You need a complete mommy makeover, you need to start caring up yourself and start to pull up your hemoglobin levels for having safe and healthy surgery!! You need liposuction in waist, tummy tuck with muscle repair, liposuction in upper and lower back and the brazilian butt lift to complete the barbie process!! good luck!!

Bahair Ghazi, MD · Answer

Congrads, sounds like an exciting time for you. Based on your photos and in my experience a breast lift with augmentation and a tummy tuck with aggressive flank liposuction can be done safely at the same surgery. In my experience and practice I do reccomend that a second stage be used to address the central abdominal fat if it needs to be liposuction thoroughly. This is a safe approach and it is intended to protect the central skin from necrosis injury or infection and does not increase operative time in an already timely procedure. Most patient don't mind and appreciate the concern especially since at the second stage the abdomen skin is very well healed and can be liposuction as needed. Best wishes and hope this helps.

I want a tummy tuck with lipo on my waist and flanks, and breast lift with implants. (Photo)

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