Are second tummy tucks commonly performed? And is liposuction typically performed in the abdominal area for a BBL? (photo)

Question

I had a "mommy make over" in 2016. Since then my abdominal muscles have become very lax. I'm considering having a second tummy tuck for the muscle repair and also getting a BBL. I know most likely I will need an inverted T incision since I don't have much loose skin. Are second tummy tucks commonly performed and would liposuction typically be performed in the abdominal area for the BBL? I'm worried about the risks of having a second surgery performed in the same area.

Casey Anderson, MD, FACS · Answer

Second tummy tucks are not common but are done. Liposuction can pretty much come from anywhere to do the BBL. The amount of lipo from the abdominal area has to be less in the setting of a concurrent tummy tuck for tissue viability.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Yes another tummy tuck can be safely performed but it will depend on your goals and identifying whether a muscle laxity or visceral fat issue is taking place.  Liposuction of the abdomen is commonly performed for a BBL, as is any other area of fat amenable to harvest.

Daniel Barrett, MD · Answer

Dear isilove,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Bruce K. Smith, MD · Answer

Secondary or revisional abdominoplasties are usually not required unless a patient becomes pregnant after the procedure and the skin and abdominal wall gets stretched out again. Your photo is absolutely inadequate for providing more detailed information about your particular situation. I would discuss the risks, benefits, alternative and complications in detail with your surgeon after a complete physical examination in person.

Camille Cash, MD · Answer

If you had previous abdominal wall correction  then the abdominal shape may be from visceral, or internal fat, which would not be addressed by a tummy tuck.  An exam would be needed to determine this.  Typically no liposuction is done to the abdomen during a tummy tuck out of concern for interruption of blood flow to healing tissues.  However liposuction is commonly performed on the hip/flank or back areas in conjunction with a tummy tuck.

Darryl J. Blinski, MD · Answer

If doing in Florida there a restrictions on the amount of lipo allowed with a TT or even revision TT of 1 liter ONLY. That would come from your back areas only. Since can not lipo over revised TT skin in same operation.

Douglas Taranow, DO, FACOS · Answer

More information and photos are required.  If your curvature is due to loose abdominal muscles vs visceral fat (fat located internally around the abdominal organs). The latter requires weight loss and exercise.  
Having a Fleur-de-Lis scar is not desirable especially in patients of color.  
A physical exam is certainly required

Are second tummy tucks commonly performed? And is liposuction typically performed in the abdominal area for a BBL? (photo)

Answers (7)

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