Should I have liposuction of stomach before I schedule a tummy tuck? (Photo)
Doctor Answers 6
Stomach liposuction and tummy tuck
Thank you for asking about your tummy tuck and breast reduction.
- A very thoughtful question.
- Your surgeon is correct - with a tummy tuck the lower skin does not need liposuction because it is removed.
- The upper skin should have little or no liposuction to be sure your heal well.
- The flanks can definitely be liposuctioned with a tummy tuck.
- It is smart to have liposuction after the tummy tuck - because often you won't need it and if you do need it done, it is not so extensive.
- A breast reduction can be done at the same time if your surgeon can keep surgery to 6 hours or less.
- A completely flat stomach needs certain conditions - tight muscles,no loose skin and minimal fat under the skin, all which the tummy tuck will give you to a great extent.
- It also needs minimal internal fat around the liver and other organs.
- So ask your surgeon how close you can get to your goal based on her/his examination.
Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Best order for tummy tuck and liposuction?
A detailed physical exam and medical history is necessary to give a definite recommendation. However, based on your photo alone, I would consider doing the breast reduction and tummy tuck together. I would then perform liposuction 9 months to a year later, to reduce any fat deposits that may remain. These areas are typically the upper abdomen,above the pubic area and along the side of the breasts. This is how I can fine tune the contours. This order of procedures is useful for patients who have achieved their baseline ideal weight, but tend to hold on to fat more in the upper abdomen. In these patients, liposuction after a tummy tuck, with diastasis recti muscle plication, does not result in looser skin.
Best regards, Prashant Soni M.D.
Should I have liposuction of stomach before I schedule a tummy tuck?
If there is a great deal of muscle laxity that is leading to the bulge at the upper abdomen, tummy tuck is probably reasonable. If there is a great deal of fat causing the bulge, liposuction could be considered before the tummy tuck.
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Yes it makes sense that liposuction of the central abdominal flap can compromise the skin flap closure. You can do lipo of the abdomen and flanks first along with a breast reduction, and then come back at a later time to perform an abdominoplasty.
Hello and thank you for your question. Based on your
photograph, you are a candidate for a tummy tuck with liposuction. This can be done through a low incision, all completely below the bikini line.
The belly button can be designed to look natural and have no scars on
the exterior. Your muscles can also be
plicated resulting in a flat abdomen.
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Lipo before or after abdominoplasty
I am not sure what you mean by a second procedure. It is not advisable to have major liposuction at the same time as an abdominoplasty for the risk of flap necrosis. In terms of whether to have the tummy tuck before or after breast reduction, I favor performing the abdominal surgery first, which will give you a baseline for how large or small you want the breasts to be in proportion. That said, I perform many breast reductions which are covered by insurance and, in those circumstances, the financial considerations will dictate which operation will be performed first.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.