Would I need a tummy tuck after liposuction and a Brazilian Butt Lift? (photos)

Question

Hey, I'm 5 ft 5, I have had 1 child 17 months ago, I would love a BBL and a flatter stomach, would I need a tummy tuck? Also can a tummy tuck and bbl be done together?

Kenneth Hughes, MD · Answer

In most cases, liposuction and BBL can performed even if tummy tuck is indicated if pregnancy in the future is planned. I perform the tummy tuck and liposuction/BBL combination frequently because many of my patients only want to go through surgery and recovery one time. Recovery can be challenging and uncomfortable. However, there are creative ways to manage the recovery position. 
You could stage the procedures and have the tummy tuck done first; then the liposuction and BBL. However, the result will not be as tight as liposuction and BBL first and then tummy tuck. Both can be performed at the same time, but the upper abdomen cannot be aggressively liposuctioned at the time of the tummy tuck due to blood supply issues.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for 360 Lipo with BBL. You can certainly opt to do a tummy tuck at the same time but you may want to consider staging the procedure for optimal results. A consultation with a board certified plastic surgeon will help give you the best options.

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. I would recommend you a Tummy Tuck liposuction for betters results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

Zoran Potparic, MD · Answer

Based on these photos, it is quite possible that liposuction of torso, in particular lower abdomen, will create desired improvement. There is a possibility that lower abdominal skin will not retract as desired; in that case, small abdominoplasty may be needed. I would wait at least 6 months after lipo/fat transfer to see what result that will produce. Good luck.

Daniel Barrett, MD · Answer

Dear Terrific799503,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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

Mats Hagstrom, MD (license on probation) · Answer

To get an a deal outcome I would encourage you to consider both Tummy tuck and the BBL.
Providers do these as combined procedures while others recommend doing them as Seperate procedures.

Personally I think it’s better to do these as separate procedures though there are good arguments for doing them as a combined procedure as well.

In regards to your abdomen there are foreign variables that contribute to someone’s shape and contour.

In other words if someone doesn’t like the way their belly looks it is always because of one or more of these four variables.

The variables are skin laxity typically related to previous pregnancies, significant weight loss or possibly age, access subcutaneous fat, muscle separation from previous pregnancies called diastasis recti and lastly excess intra-abdominal or visceral fat. 
Tammy tech primarily treats pregnancy related changes which are skin laxity and muscle separation. Having had previous children does not change fat distribution and this is why Liposuction is really not an ideal treatment for correcting pregnancy related changes.

Before deciding to have a full tummy tuck patients should be fairly set in their family planning decisions. Patients should be fairly certain they’re not planning on having children in the future before committing to a full tummy tuck.

In the end the most important decision is choosing the most talented and experienced provider. in some cases that may be one provider for one procedure and another provider for the other.

Delivering consistent high-quality Liposuction and fat transfer results is one difficult than people believe glad the variance in outcome of these procedures various substantially.

There’s a difference in outcome from quality work for all cosmetic surgical procedures but liposuction and fat transfer seem to have the greatest variance of all the procedures.

To find the most talented and experienced provider and for those newer to cosmetic surgery I have a list of general recommendations.

1. I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

2. Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

3. Whenever possible schedule in person consultations.  
4. During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in. At a minimum at least 20+.

5. Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

6. Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

7. Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom, MD

Would I need a tummy tuck after liposuction and a Brazilian Butt Lift? (photos)

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