Would I be a good candidate for Vaser Liposuction ?

Question

Mom of 4 weight 186. I am looking to get liposuction on my abdomen and lower stomach. I have four kids and not having any more. i’m not interested in getting a tummy tuck. So that’s why I’m leaning towards liposuction

Randal Haworth, MD, FACS · Answer

Hello !

It's understandable that you may be considering liposuction as a way to contour your abdomen and lower stomach after having four children. Liposuction can be an effective way to remove stubborn pockets of fat that are resistant to diet and exercise.

However, it's important to keep in mind that liposuction is not a weight loss procedure and should not be used as a substitute for a healthy lifestyle. Liposuction is most effective for people who are already at or near their ideal body weight and have good skin elasticity.

It's also important to understand that liposuction alone may not be enough to achieve your desired results, especially if you have loose or sagging skin in the abdominal area. In some cases, a tummy tuck (abdominoplasty) may be a more appropriate procedure to address both excess fat and loose skin.

Ultimately, the decision to undergo liposuction or any other cosmetic procedure should be made after a thorough consultation with a board-certified plastic surgeon. They will be able to assess your individual situation and advise you on the best course of action to achieve your goals.

I hope this helps,
best of luck !

J. Timothy Katzen, MD, FACS · Answer

Thank you for your inquiry about whether you are a suitable candidate for VASER liposuction. In the absence of photographs, providing an accurate recommendation is challenging. Given your history of four pregnancies, it is likely that you have a significant amount of excess skin. While VASER liposuction can offer some skin tightening, the degree of skin retraction may be limited. Consequently, you may experience an increase in excess skin following the procedure.

I encourage you to consult with a board-certified plastic surgeon for personalized evaluation and recommendations. Please feel free to submit new photographs for a more specific assessment. Thank you for considering our expertise in addressing your concerns.

I encourage you to consult with a board-certified plastic surgeon for personalized evaluation and recommendations. Please feel free to submit new photographs for a more specific assessment. Thank you for considering our expertise in addressing your concerns.

Mark H. Tseng, MD · Answer

Liposuction is a cosmetic surgery procedure that involves the removal of fat from specific areas of the body. It is usually done through small incisions, and a tube-like instrument called a cannula is used to suction out the fat. Liposuction can be effective for reducing localized fat deposits, but it is not a weight-loss procedure.
It is important to note that liposuction is not a substitute for a healthy diet and exercise. While it can help remove stubborn pockets of fat that are resistant to diet and exercise, it is not a solution for obesity or weight loss.
It is also important to have realistic expectations about the results of the procedure. Liposuction can improve the contour of your abdomen and lower stomach, but it is not a guarantee of a flat and toned stomach. The final result will depend on your individual body type, the amount of fat removed, and your skin's elasticity.
Before considering any cosmetic surgery, it is essential to consult with a experienced plastic surgeon to discuss the benefits, risks, and expected outcomes of the procedure. They can help you determine if liposuction is the right choice for you or if another procedure would be more appropriate.

Giuseppe Fiore, MD · Answer

Hello, Thanks for your question. Unfortunately without photos, it is difficult to provide a specific answer to your concerns or determine if you are a suitable candidate for Vaser Liposuction. 
However I would recommend two options for you to consider: abdominoplasty (tummy tuck) and Vaser liposuction on your flanks and lower back as the first option, or a less invasive approach with Vaser liposuction combined with Renuvion/J plasma or Bodytite on the upper and lower abdomen, flanks, and back area. The second option is ideal for fat removal and body contouring, and it can also improve your waistline. This approach can increase the likelihood of skin tightening, and my preferred method involves circumferential body Vaser liposuction ( 360 degree approach) and Renuvion/J plasma, which is an excellent option for women or men who want to improve their body contour and silhouette with fewer scars and avoid a tummy tuck. Renuvion only requires one session and is typically performed under general anesthesia or sedation in a hospital setting. Bodytite requires one session in combination with Morpheus 8 (three sessions four weeks apart). 
Before undergoing Vaser liposuction, it's essential to have a preoperative assessment to determine if you are a suitable candidate. Factors such as a BMI less than 30-32, overall health, and medications you are taking will be evaluated. 
It is important to note that liposuction is not a weight loss procedure and should not be used as a substitute for a healthy diet and regular exercise. Additionally, while Vaser Liposuction can effectively remove unwanted fat, it may not address loose skin or stretch marks. Therefore, it is important to have realistic expectations and understand the limitations of the procedure.
I strongly recommend scheduling a consultation with an expert body contouring surgeon for a medical and surgical assessment to determine the best treatment plan for you. 
I wish you all the best in achieving your desired results.
Dr Giuseppe Fiore

Anuj Purbey, MBBS · Answer

Thank you for sharing your thoughts and considerations. Liposuction can indeed be an effective option for targeting specific areas of unwanted fat, such as the abdomen and lower stomach, without the need for a tummy tuck. It's great that you're exploring your options and taking steps towards achieving your desired body contour.

As a mother of four, it's understandable that you may have specific goals for your body and lifestyle. Liposuction can help address stubborn fat deposits and enhance your overall body shape, providing you with a boost in confidence and self-esteem.

Before proceeding with liposuction, I would recommend scheduling a consultation with a board-certified vaser surgeon or dermatologist who specializes in body contouring procedures. During your consultation, your provider will assess your individual needs and goals, discuss the liposuction procedure in detail, and provide you with personalized recommendations based on your unique anatomy and desired outcomes.

It's essential to have realistic expectations about the results of liposuction and to understand that it is not a substitute for weight loss or a solution for excessively loose or excess skin. However, when performed by a skilled and experienced provider, liposuction can help you achieve a slimmer, more contoured abdomen and lower stomach, allowing you to feel more comfortable and confident in your own skin.

I encourage you to ask any questions you may have during your consultation and to openly discuss your concerns and goals with your healthcare provider. Together, you can determine if liposuction is the right choice for you and create a treatment plan that aligns with your needs and preferences.

Navjot Singh, MD, FACG · Answer

Thank you for your question. Liposuction is a procedure that targets excess fat, while a tummy tuck can address loose skin and tighten abdominal muscles. If you're concerned about loose skin, Renuvion skin tightening is a suitable alternative to a tummy tuck. However, it's important to discuss your expectations with a qualified medical professional to determine which option is best for you. I hope this information helps.

Mats Hagstrom, MD (license on probation) · Answer

The choice of procedure should be based on having a clear understanding about the underlying problem is combined with what you’re trying to achieve and of course what you’re willing to go to.
To start with you are not alone in that wanting to have a tummy tuck. I’ve never met a patient who actually wants to have a tummy tuck, but I’ve met many were willing to undergo the procedure to get a type flat abdomen or reverse. Pregnancy related changes.
Likewise, nobody needs to have a tummy tuck. It is a cosmetic operation and is only indicated. If they desire to have the results from the procedure are sufficient to justify having the operation. That said Liposuction and Tammy Taxi are not exchangeable procedures. They treat two totally different problems.
To go back to the first part of my response, there are four variables that determine what someone’s abdomen looks like. In other words, there are four variables for tissue layers, and one or more of those can usually be determined to be the primary, secondary and tertiary issue when making an assessment for seven months abdomen. Each of the four valuables has its own way of being treated so it’s important to start off with a clear understanding of what the problem is or in other words an accurate diagnosis.
Successful medical treatment basically always have to begin. They having an accurate diagnosis or a clear understanding of what the problem is.
The four variables that determine what the abdomen looks like are abdominal skin laxity typically related to pregnancies or significant weight loss. The second variable is excessive amounts of subcutaneous fat. This is the fat layer between your skin and the muscle. The third variable is muscle separation from previous pregnancies. The last variable is excessive, visceral or intra-abdominal fat.
You didn’t include pictures and without pictures we can’t begin to make an assessment. I suggest re-posting including proper pictures so you can get something out of these answers. Look at plastic surgeons and how they take before and after pictures to get an idea of what we need. Pictures should include your body from your neck to your knees, including your front side, side, and back side. Pictures should be taken from about 8 feet away. Having someone else take the picture or use the timer on your camera. You can crop pictures, so it doesn’t include your facial identity. Do not take pictures by using mirrors or holding out your phone. 
An even better suggestion if they have multiple in person, consultations with local board-certified plastic surgeons in your community. You will notice the plastic surgeons may have different opinions, but will most likely lean towards recommending a tummy tuck. Most women who have pregnancy related changes need a tummy tuck because a tummy tuck treats skin laxity, and muscle separation, which are the two physiological changes. Women typically experience from having children. Pregnancies do not change fat distribution, so Liposuction does not properly treat. Pregnancy related changes. There are major differences in not only outcomes but philosophy, the ability to make accurate assessments, and overall commitment to patient candidacy among different plastic surgeons.
Liposuction has a procedure has the greatest amount of variation, depending on who you choose as a procedur than any other plastic surgery operation. When done poorly patients are left disfigured and poorly performed. Liposuction results cannot be easily corrected. For Liposuction I recommend patients be far more selective than I ever thought possible when it comes to choosing a provider. The difference in skills and experience for this particular procedure is greater than any other plastic surgery operation.
Being a board-certified plastic surgeon with years of experience in an overall good reputation does not mean that somebody has mastered Liposuction, is even good at Liposuction or likes doing Liposuction.
To get an accurate assessment and clear understanding of treatment options, as well as begin the vetting process to find the best provider I recommend patient start by scheduling at least five in person consultations. During each consultation ask you to provide her with their recommendations are after examining you. Talk to them about alternatives, procedures, and why or why not those may be applicable.
You should ask providers to open up their portfolio and show you their entire collection before and after pictures for whatever procedures they recommend to you. If they recommend more than one procedure, then you should insist on seeing a sufficient number of before and after pictures for each of the operations they recommend. For example, if they recommend Comito with Liposuction of your Waist and love handles, then you need to see a sufficient number of pictures who had that combination of surgery. 
For reference and experience plastic surgeon should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures like abdominal liposuction, or a tummy tuck. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider. Ask providers to show you only pictures of previous patients who have body characteristics there is similar to your own body. For Liposuction to look very carefully at all treated areas to make sure there are no skin contour irregularities in any of the treated areas. Ask the providers to point out exactly what areas were treated and what areas were not treated and look carefully at transition zones between treated and untreated areas. For a tummy tuck results, Judge quality work based on who gets the most natural looking belly button with a low sat score that follows anatomic contours naturally, and evenly on both sides. 
I recommend patients be more selective than they think necessary when it comes to choosing providers for Liposuction especially but also for a tummy tuck. Do not assume anything, especially when it comes to confidence or experience, without seeing clear documentation of a proven track record by seeing sufficient numbers of quality before and after pictures. You’ll be reminded every day for the rest of your life. The time to be critical of plastic surgeons is before you schedule surgery.
Take your time. When, in doubt, slow down and schedule more consultations.
Whenever possible, I recommend patients avoid virtual consultations, and I highly recommend against traveling long distances for elective surgical procedures, if at all possible.
Best,
Mats Hagstrom, MD

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