2nd Opinion on Liposuction 360 or Full Torso Lipo? (Photo)

Question

Had physical consultation done by a Plastic Surgeon in Calgary AB and recommendation was 360 on just specific areas within 4Liters for safe liposuction, no assurances of other areas but just upper lower abdomen, lower back. No under arms, upper back considered but only those being prioritized. Should i go for a 2nd opinion? Just wanted it carved out in safe procedure with full torso extraction. What's your BEST recommendation for this procedure?

Sam Speron, MD, FACS · Answer

An aesthetically pleasing abdomen is something many of us desire and while proper nutrition, exercise and weight control are very important, sometimes we cannot achieve our goals. Simply getting older and pregnancy also play a role in the appearance of our abdomen. If you desire the most dramatic improvement, then a full tummy tuck can help you achieve your goals. A tummy tuck removes excess fat and skin, and tightens  muscles.  However, a mini tummy tuck or just liposuction are very good procedures and many patients are happy with only these surgeries.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of tummy tucks and body contouring. Good luck with your future surgery!

I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Jason Emer, MD · Answer

you need larger volume liposuction and I would do revision of the tuck so you get more tightening on the side. if you do not want that you can do the liposuction with internal heating.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear purpley8,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction. If you are considering a surgery, I would suggest you to 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

Connie Hiers, MD, FACS · Answer

Just based on your photos, you would do well with liposuction of your abdomen and flanks, back bra roll, front bra roll, and outer and inner thighs.  You might want to do all of this in two sessions.

Mats Hagstrom, MD (license on probation) · Answer

I’m guessing you must’ve read previous posts of mine.

I typically march to my own drummer when referring to areas like the full torso.

In my opinion you’ve already had some improvement on the upper and lower abdomen and your backside including the upper back and under arm area are therefore more important than treating upper and lower abdomen.  There is still room for improvement to take more fat from the front of the abdomen as well.

It’s true that this may not be able to be done with ideal results while staying within a 4 L limit.

That determination should be done based on the experience of the plastic surgeon.

I personally believe not enough plastic surgeons pay attention to the upper half of the torso when treating the abdomen and waist.

If someone has more fat to remove than the maximum safety limit the decision has to be made before surgery of either evenly removing fat and staying within the safety limit or treating each area to completion knowing that the patient may need to come back for a scheduled second procedure to finish the job.

The following is a general list of recommendations for patients seeking cosmetic surgery.

I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

Whenever possible schedule in person consultations.  
During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in.

Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

Since an examination is really needed and discussion of desired results, I would go on some complimentary consultations with experts and compare recommendations after a full examination and look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin

Dr Corbin

Robert T. Buchanan, MD (retired) · Answer

You do not need liposuction. You need weight loss. Liposuction is dangerous if you doo too much without proper precautions. What you had suggested requires an overnight hospital stay for safety. Loose the weight first and then consider liposuction on any areas remaining.

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