Will additional lipo help me? (Photo)

Question

43 year old female. For the most part happy and ok with my body except my stomach. Had lipo in 2018, mixed feelings on that procedure. Noticing some extra fat/rolls under my breast rib cage area. Lower tummy has cellulite. I don’t have cellulite anywhere else. Would like a flatter tummy but concerned about skin issues/laxity. Not sure if surgical or non surgical is the way to go.

Matthew Schulman, MD · Answer

Most people think that liposuction is intended for people with lots of excess fat. This isn’t necessarily true. Yes, Lipo will remove fat, but it is a BODY SHAPING procedure, not a weight loss procedure. This means that the best candidates are people who are in good shape and have a healthy lifestyle, BUT still have some “trouble” areas that do not respond to diet and exercise. So, yes, you can probably benefit from liposuction if you want to shape your waistline or any other area. There isn’t going to be a lot of fat removed, but that’s ok because targeted removal of a small amount of fat from the right places can make a big difference. Make sure to see an experienced board certified plastic surgeon who specializes in liposuction, since your case will take a high level of expertise.

J. Timothy Katzen, MD, FACS · Answer

Dear FlyingHi,
Thank you for your inquiry and the provided details. Based on your goals and history, additional liposuction, specifically VASER high-definition liposuction, seems suitable. This technique can address residual fat and scar tissue effectively, particularly for repeat liposuction patients like yourself, and could be ideal if you're aiming for a more sculpted, athletic appearance.
However, it’s crucial to be mindful of potential risks such as skin laxity and contour irregularities due to prior procedures and age. Feel free to reach out if you have more questions or need further assistance in making your decision.
Good luck!
Sincerely,
Dr. Katzen

Gary M. Horndeski, MD · Answer

If you are concerned about the extra skin rolls around the rib cage then perhaps you should consider a breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This will take care of the upper abdomen and may allow you to get by with a mini tummy tuck or liposuction.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question! The most powerful way to transform the appearance of the belly and flanks and through a lipoabdominoplasty (tummy tuck). Liposuction alone removes only fat and does not remove skin, so if there is concern about skin laxity pre operatively, liposuction alone is likely not the answer for you. I would recommend an in-person consultation with a board certified plastic surgeon to discuss if this may be the right surgery for your body type/anatomy.

Daniel Barrett, MD · Answer

Dear flyinghi,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Enrique Quiros Lim, MD · Answer

Hi, After reviewing your pictures, I can say that you can have a nice body structure with good results from your previous Lipo. From these pictures, I saw that you have a little fat pad in the lower abdomen that can be addressed. In my personal experience, power assisted liposuction with some skin tightening devices like Bodytite can help you achieve your desire body shape. Hope this will be helpful.

Camille Cash, MD · Answer

From your photos and description of your concerns it appears you would benefit from some additional liposuction to improve the abdominal contour.  You can add Morpheus8 treatments as well to improve skin tone and texture.  See a board certified plastic surgeon near you to learn more.

Connie Hiers, MD, FACS · Answer

I would suggest liposuction with minimally invasive skin tightening with radiofrequency like Renuvion to help tighten your skin.

Sergio Sanchez-Bailon, MD · Answer

Secondary liposuction can be done and help with your abdomen by flattening it, reducing your waist as well as improve your overall body contouring. In all my liposuction procedures I use the best technology available and that is ultrasound assisted - Vaser and power assisted liposuction - Microaire and you can also use skin tightening technology as Renuvion J-Plasma or Inmode Body tite.

Felix Omar Márquez, MD · Answer

Hello, thanks for your question and pics. It seems that you had a successful lipo before, but always is possible to accumulate fat deposits. This time, if you get a second lipo, you can have a more accurate result. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Will additional lipo help me? (Photo)

Answers (11)

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