Tummy tuck to treat fibrosis? (Photo)

Question

I had lipo 360, arm lipo and a bbl in November 2020. Despite post-op lymphatic draining massages and wearing my faja and boards, I still have quite a bit of fibrosis. I recently went back to my surgeon and he suggested a tummy tuck to help with my “elasticity”. I’d like to have a more snatched waist and breast augmentation but want to make sure that I’m getting the right procedure(s) based on my fibrosis and with another surgeon. Thank you in advance and looking forward to your expert opinion

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. In terms of your breasts, I recommend a lift using 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. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Sandi15,
it is hard to tell for sure without an examination. Based on your photos, it doesn't look like you have a lot of loose skin. 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

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  It does appear that a tummy tuck would offer you the best degree of improvement through removal of loose skin as well as some of the over-resected and fibrotic skin regions.  Hope this helps.

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