What are my options for getting rid of this loose skin after 360 lipo?

Question

I had a 360 lipo that went wrong - I have been left with alien loose skin - when I sit down I have a pouch roll out on my stomach of empty skin - it looked better when I was chubbier now it just looks strange and hideous, I am so ashamed of my body now, at least when I was fat that was the reason, now people look at me and wonder what on earth happened!! I cannot wear bikini my quality of life is really low, how can I fix this? any suggestions would be appreciated

Mathew A. Plant, MD, FRCSC · Answer

​Without examining you it is difficult to be certain but based on the photos it looks like a no-drain tummy tuck with revision of the liposuction would correct your concerns. The excess skin on the back may respond to a tightening solution like renuvion potentially but the quality of the skin would have to be examined in person. I’d suggest having a consultation with a local plastic surgeon with expertise in revision abdominoplasty to be examined and get a better sense of what your options are. Hope that helps!

Chet Mays, MD · Answer

Thank you for your inquiry! To answer this question with accuracy, we would need to see you in person or as a virtual appointment. We would love to meet with you to discuss your options and create a surgical plan. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding loose skin after 360 liposuction. I appreciate your history and your pictures. Based on what you are describing, it sounds like you were left with excess, loose skin following your liposuction procedure. Unfortunately, when fat is removed through liposuction, the skin does not always retract as expected, especially if there was preexisting skin laxity. The only definitive way to remove this excess skin is through a surgical excision, such as a tummy tuck or 360 circumferential lower body lift if your hips and buttocks are also affected.

A tummy tuck (abdominoplasty) removes excess skin from the lower abdomen while also tightening the abdominal muscles, which can improve the contour of your midsection. If your skin laxity extends to the hips, flanks, and lower back, a 360 lower body lift may be the better option, as it removes excess skin circumferentially, lifts the buttocks, and tightens the waist.

If you do not want a surgical excision, another round of liposuction combined with skin-tightening treatments like VASER liposuction and radiofrequency (RF) therapy may help. VASER liposuction breaks down fat while stimulating collagen production, and when combined with RF, it can enhance skin retraction. However, while these non-surgical methods may provide some improvement, they are unlikely to fully correct significant skin laxity the way a tummy tuck or body lift would.

If your back has also been affected by skin laxity after liposuction, and you now have excess skin folds or rolls, a horizontal torsoplasty (bra strap lift) may be necessary. This procedure removes excess skin from the upper back with an incision hidden along the bra line, creating a smoother and more contoured back. If you are considering a 360 lower body lift, it is possible to combine this with a torsoplasty in a single operation to maximize your results.

I understand how frustrating this experience must be, and I strongly recommend consulting with a board-certified plastic surgeon who specializes in body contouring after weight loss or liposuction. They will be able to assess the extent of your skin laxity and determine whether a tummy tuck, lower body lift, or additional liposuction with skin tightening would be the best approach for your goals.

I hope this helps answer your question regarding what can be done to correct the loose skin after 360 liposuction. Best of luck on your journey, and I encourage you to seek out an experienced surgeon who can provide you with the best possible results.

Sincerely,
Dr. Katzen

Ozge Ergun, MD · Answer

Based on a thorough evaluation, you are an ideal candidate for a tummy tuck (abdominoplasty). The following factors contribute to your suitability for the procedure: Excess Abdominal Skin and Fat. You have loose or sagging skin in the abdominal area, which may be due to weight fluctuations, pregnancy, or aging. A tummy tuck is a surgical procedure designed to improve the shape and appearance of the abdomen. The procedure typically includes: Removal of Excess Skin and Fat, Muscle Repair (If Needed), Skin Repositioning, Liposuction (If Required), Incision Placement.

Ira H. Rex III, MD · Answer

From your photographs, it seems like you would be an excellent candidate for a tummy tuck.  This may be the only way to correct all of that of that loose skin and get back into a bikini.  Your back would likely be helped by a bra line lift, but the results might not be dramatic enough for the extent of surgery.  A board certified plastic surgeon could certainly guide you through this decision making.

Arif Eroglu, MD · Answer

Unfortunately, patients often think that once the fat is removed, their problem will be solved. However, if the patient’s skin is very loose or if the patient is very fatty, a new problem arises after fat removal: loose or sagging skin. This issue is even more prominent if the patient has stretch marks on their skin. Therefore, it’s important to first assess the patient’s condition and then create a treatment plan. Sometimes, for patients who come in for liposuction, if their skin quality is poor, Lipoabdominoplasty should be recommended. If the skin quality is good but the patient is very fatty, in addition to fat removal, skin tightening treatments like BodyTite or Renuvion J Plasma should be suggested. In your case, there is significant skin looseness both in the abdomen and on the back. In the abdomen, there is not only skin looseness but also some depressed areas. For the abdomen, if there is enough looseness in the upper abdomen, I would recommend Lipoabdominoplasty because the looseness and depressions in the lower abdomen cannot be fully corrected. If you don’t want a tummy tuck, I would recommend Vaserlipo for the abdomen along with Renuvion J Plasma. However, there is a possibility of sagging in the lower abdomen. For the back, I would recommend Vaserlipo and Renuvion J Plasma.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the information and pictures provided, for a detailed and personalized plan please consult with your plastic surgeon in person.I am sorry that you have to deal with this issue. there are many possible reasons as why people develop this issue after liposuction but rest assured that this issue can be improved .based purely on the pictures you will likely benefit from an abdominoplasty to take care of the redundant skin and redrape it to get a better silhouette , this can also be extended if needed to take care of excess skin on the sides .I hope this helps, best of luck!

Finny George, MD · Answer

Hi, thank you for sharing your question. Skin laxity can develop after liposuction either due to deficient skin elasticity (aging, pregnancy, genetics) or aggressive liposuction. Correction will require additional surgery but a formal evaluation may be needed to determine the exact procedure.

Wayne I. Yamahata, MD · Answer

There are many options available depending on your concerns. The extra skin in the stomach can be removed with a tummy tuck. If the skin in the flanks is an issue, this can be removed by extending the tummy tuck. If the loose skin in the upper back is bothersome, this can be removed with an upper body lift.

Guler Gamze Eren, MD · Answer

Hi from İstanbul,Thanks for your question.I can see that you have a loose skin after liposuction surgery. This can happen with a poor quality of skin. My recommendation is like this;1- Floating umblicus tummy tuck or classic tummy tuck to remove the saggy skin from your front tummy.2- I can recommend plasma treatment to tighten the skin on your back.
Best Luck,Dr. Güler Gamze Eren

Gary M. Horndeski, MD · Answer

In your photographs, you are holding your breasts up and that helps take some of the slack out of the upper abdomen. You may be a candidate for a breast 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. This will clean up the upper abdominal skin. Also, you have extra skin hanging on the back. The breast lift incision can be extended posteriorly to lift up the upper back. In terms of your abdomen, you will need a tummy tuck to take care of the extra skin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

What are my options for getting rid of this loose skin after 360 lipo?

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