Can Laser Liposuction Be Combined with a Tummy Tuck?

Doctor Answers 10

Laser Liposuction with Tummy Tuck Requires Caution

Thank you for your question.

The general teaching is that Liposuction of any kind should not be done with a full Tummy Tuck or Abdominoplasty. Tummy Tuck removes the Abdominal Skin from much of its Blood Supply and Liposuction may damage some of the blood vessels that are supplying the Abdominal Skin.

However it is very common to use Liposuction to treat the flanks and "Muffin Top" during the course of a Tummy Tuck.

I frequently do use Laser Liposuction to treat the upper Abdomen above the Umbilicus (Belly Button) when only a Mini Tummy Tuck or Lower Tummy Tuck is done, as the Blood Vessels and supply to the upper Abdomen are left intact.

The key important factor is for you to find an experienced Board Certified Plastic Surgeon who knows how to safely do these procedures.But as a general rule any type of Liposuction must be very carefully used, and preferable only in the course of a Mini or Lower Tummy Tuck.


Laser liposuction and tummy tuck

I recommend you to watch this interesting video in which a colleague explains how this procedure can be combined and what is more effective depending on the body type.

James S. McAdoo, DO, FACOS
Aventura Plastic Surgeon
4.2 out of 5 stars 320 reviews

Laser liposuction and tummy tuck

Avoid laser liposuction, you risk results like the ones you see in the weblink below.

Yes, you can do lipo with tummy tuck safely if you do a Lockwood type tummy tuck.

Check out the video below for a little primer on the different kids of lipo

Ricardo L. Rodriguez, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 94 reviews

Laser liposuction and tummy tuck

Liposcution can be combined with abdominoplasty is some settings. I prefer to avid liposuction of the central undermined flap and will only do the hips. If the patients needs central liposuction I will stage it.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Lipo and Tummy tuck not recommended

There are position statements by our national society in plastic surgery that indciate situations that lead to increased comlications. One is to perform more than 5000cc of liposuction in a single setting, another is to combine other procedures with tummy tuck, particularly liposuction. Your surgeon will advise you as to what is the best and SAFEST way to procede. There are some instances where it is warranted and or weighing the risk or cost of having another anesthesia. OR visit.

Barry E. DiBernardo, MD
Montclair Plastic Surgeon
4.1 out of 5 stars 50 reviews

Laser Liposuction in combination with tummy tuck

There is no simple answer to this question because there are many variable and considerations to make.

In most cases, I prefer not to do aggressive liposuction is the area of the abdominal skin flap.overly aggressive liposuction on this tissue may jeopardize the integrity of the tissue and be the cause of skin necrosis. Also aggressive laser liposuction causes the same effect as a burn and can result in skin loss. I usually do the laser assisted liposuction in the lateral abdominal and flank areas. I tell my patients that they may need a secondary procedure to thin out the abdominal skin in the central area.

Often I recommend doing Slim Lipo as a first step and then waiting to see how the tissue tightens.I have had some success using Slim Lipo to remove the fat in the abdominal area as a prequel to a tummy tuck and much to my surprise the skin has contracted and the apparent need for the tummy tuck has diminished.

Joel B. Singer, MD
New York Plastic Surgeon
3.4 out of 5 stars 34 reviews

Lipo with tummy tuck

The real question here is not laser lipo but lipo and tummy tuck combined. Performing an aggressive tummy tuck and lipo can lead to major problems with wound healing. I always perform my abdominoplasties under general or spinal anesthetic due to the muscle repair required.

There are occasions where I use superfical liposuction above the fascia with a limited undermining dissection up to the xiphoid. I reserve this procedure for the right patient but have no problem doing lipo and a mini tummy tuck. I see no advantage of the laser lipo other than increasing cost and risk to the patient.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

Cool Lipo with Tummy Tuck

Yes indeed! I offer a new and very innovative technique that combines laser assisted Cool Lipo AND an Abdominoplasty at the same time. This procedure is revolutionary and so exciting for a number of reasons:

1.) It is done entirely under local anesthesia with light sedation - NO GENERAL ANESTHESIA!! There are no complications associated with general anesthesia and this is a HUGE improvement for our patient's recovery.

2.) The addition of Cool Lipo Body Sculpting offered with a tummy tuck allows me to not only deal with the sagging skin and fat of the lower abdomen, but also allows me to really get into the lower back and flanks as well. This allows me to literally sculpt and shape like never before! Liposuction takes time to be done correctly. Because I can use local anesthesia on this procedure, I can take my time and really sculpt the body with the Cool Lipo Laser device BEFORE I do the actual abdominoplasty part of the surgery.

Moreover, because the sedation is not general, I am able to move the patient as I need in order to truly assess the liposuction results from every angle. With a patient entirely unconscious (as in general anesthesia), this is nearly impossible.

3.) Using the Cool Lipo, we see the added benefit of skin tightening along with faster healing time. Our patients walk out of our office. They are moving and walking (albeit a bit slower than before) from the very first day of recovery. Our patients are moving at a normal pace with a spring in their step in about 10 days on average.

4.) The practicality of this procedure is also immense in terms of recovery time and cost. I see consultations regularly that have already had a tummy tuck and are dissatisfied with the end result. The actual abdominoplasty may be fine, but they are unsatisfied with the lack of shape and definition of their lower abdomen.

It is very common for those patients to end up having body Liposuction AFTER the tummy tuck to achieve the desired result. With a Cool Lipo and Tummy tuck, all is accomplished in one procedure. One recovery time and one cost and a big savings on time as well.

I'm very excited to offer this new and innovative approach to the tradition abdominoplasty.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.3 out of 5 stars 70 reviews

Laser Liposuction Combination

Laser Liposuction can be combined with tummy tuck.  Patient selection is key.  In some cases, it is better to do the procedures in stages.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Laser Lipo and Tummy Tuck

Liposuction can be performed with Tummy Tuck. You can also do LIPO-ABDOMINOPLASTY.

Laser Lipo is very new with very little scientific peer reviewed paper on its efficacy and safety with Tummy Tuck.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

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.