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
August 1, 2015
Answer: Timing of breast and body work Hi. There very first thing would recommend is that you lose some weight first because according to your height and weight and pictures you are considered overweight and thus are at greater risk for blood clots to your legs that could travel to your heart and lungs and cause a pulmonary embolism. Your increase age and lengthy duration of your surgery would also add to your surgical risks for DVT and Pulmonary Embolism. You will get much better results if you are more within your ideal body weight and your recovery will be much easier. If you lose more weight, there will also be less fat for you to have to worry about removing with liposuction and thus you will not have to worry about splitting up the liposuction and tummy tuck. With less fat to have to remove a lot of surgeons are able do some liposuction safely along with the tummy tuck so it does not have to be staged, if the total duration of the procedure is not too lengthy. I think that you have enough volume to your breasts to start with. A lift alone would improve the shape enough that I think you would be happy. I don't think implants for your case are necessary. If you can avoid implants then you do not have to deal with the risks of implants and since the procedures won't require as much time to do it may be possible to do it in one setting.I would recommend consulting with several experienced board certified plastic surgeons to get their opinion prior to making a decision.Best wishes.
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August 1, 2015
Answer: Timing of breast and body work Hi. There very first thing would recommend is that you lose some weight first because according to your height and weight and pictures you are considered overweight and thus are at greater risk for blood clots to your legs that could travel to your heart and lungs and cause a pulmonary embolism. Your increase age and lengthy duration of your surgery would also add to your surgical risks for DVT and Pulmonary Embolism. You will get much better results if you are more within your ideal body weight and your recovery will be much easier. If you lose more weight, there will also be less fat for you to have to worry about removing with liposuction and thus you will not have to worry about splitting up the liposuction and tummy tuck. With less fat to have to remove a lot of surgeons are able do some liposuction safely along with the tummy tuck so it does not have to be staged, if the total duration of the procedure is not too lengthy. I think that you have enough volume to your breasts to start with. A lift alone would improve the shape enough that I think you would be happy. I don't think implants for your case are necessary. If you can avoid implants then you do not have to deal with the risks of implants and since the procedures won't require as much time to do it may be possible to do it in one setting.I would recommend consulting with several experienced board certified plastic surgeons to get their opinion prior to making a decision.Best wishes.
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July 5, 2015
Answer: Mommy make over 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
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July 5, 2015
Answer: Mommy make over 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
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