Will a surgeon do Lipo in my mother’s apron? I can’t afford a tummy tuck. (photo)

Question

I have a huge pocket of fat that hangs over my pubic region,and diastasis recti. Unfortunately I CAN NOT afford a tummy tuck nor do I have the option to do one of those financial assistance programs,because Im a stay at home mother,and husband refuses to do it FOR ME(he has the job)So my question is: Will a surgeon do lipo on my fanny pack area?(I know there will be excess skin still, I’ll still have the muscle separation.) or will I be refused because I need skin removal and muscle tightening?

Jerimiah Mason, MD · Answer

You can certainly find someone willing to perform a liposuction procedure on you, but that doesn't necessarily mean it is the best option.  Typically patients in your situation would not be considered an ideal liposuction candidate, but in reality it's all about expectations.  In general, as long as the surgeon explains what the realistic best case scenario would be, and the patient is happy with that, then I don't see any harm in going ahead with it.  There may be better options out there, but sometimes, for whatever reason, they aren't available to everyone.

Harry T. Haramis, MD, FACS · Answer

Neither liposuction nor tummy tuck is for weight loss and will not remove internal fat- however, removing that stubborn flap of skin would jump start weight loss. Instead of a full tummy tuck, you can have the skin/fat removed without tightening the muscle- a panniculectomy. The recovery is easier also.Liposuction will remove fat and "debulk" the area, but has limitations.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Jason Emer, MD · Answer

Unfortunately, you aren't a candidate for liposuction alone. For best results, I recommend a hi definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck, depending on skin laxity. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Marco A. Pelosi III, MD, FACOG, FACS · Answer

You need a tummy tuck. Refusing to do just lipo is the sign of surgeon who cares about the appearance afterwards. Lipo will turn your apron of fat into an apron of loose wrinkled skin. Not a good investment, not a pretty result. An option that some patients take is called a panniculectomy. This is a surgical excision of the hanging apron without a tummy tuck. It leaves a similar scar to a tummy tuck and doesn't eliminate the need for tummy tuck if you are seeking correction of the loose muscles, but it won't leave you with loose wrinkled skin.

Scott C. Lindsay, DO · Answer

Thank you for your question. Unfortunately I’m going to have to join in with everyone else in saying that you would not be a canidate for Liposuction alone. If the overhang is causing you problems such as rashes, I’d recommend looking into an insurance based panniculectomy. Good luck!

Daniel P. Friedmann, MD · Answer

I agree with what everyone else has said. Not only could you have excessively loose skin post-procedure, but a large part of what you have is visceral fat, which 1) can not be treated with liposuction (or even a tummy tuck) and 2) could actually become even more prominent after liposuction. Significant weight loss should be first and foremost.

Roberta Gartside, MD, FACS · Answer

Thanks you for sharing the photos and your situation.  I agree, do not wase your money.  Consult with a plastic surgeon to find out the best option and then save.  You should also be wary for doing procedures that family members may be strongly against without fully thinking it out.  Weight loss, although easy to say, would be just as beneficial as liposuction.  Remember that none of the procedure we do such as liposuction or a tummy tuck will help with weight control  Best Wishes.

Paul J. Leahy, MD · Answer

Thanks for your question. I would encourage you to save your money and do not have just liposuction done on this area. It would be a waste. You will see very little improvement. The tummy tuck is really your best option, but you would need to try and lose a little weight first so that more tissue could be removed during surgery. Best wishes.

Karol A. Gutowski, MD, FACS · Answer

You may be disappointed with lipo alone as the skin will hang more. At some point, the loose skin will need to be cut off.

Gregory Chambon, MD · Answer

I understand your concern. Skin and muscle issues will not be fixed by Smart Lipo. The answer depends on the amount of subcutaneous fat there is to  be removed and your expectations. An in person consult would be needed to know for sure.

Will a surgeon do Lipo in my mother’s apron? I can’t afford a tummy tuck. (photo)

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