What procedure is best for smoothing sagging abdominal skin following liposuction?

The best treatment really depends on the quality of the skin, the amount of laxity, and the lumpiness. While nonsurgical options are wonderful, not everyone is the right candidate. If there is loose, hanging skin a tummy tuck may be the best option. If the laxity is minimal Evolve or perhaps Morpheus8 or BodyTite could be options. I encourage you (or your friend!) to visit with a board certified plastic surgeon near you for a consultation to learn more.

Following Liposuction Tite or Transform X are two good options to remodel skin and improve its appearance. With Tite the radiofrequency penetrates the dermal layers, patients typically notice a reduction in the folds of the skin. During the procedure you can expect a warming of your skin similar to a hot stone massage. Evolve Transform is a procedure that builds and strengthens muscles while enhancing the appearance of your skin and treating fat thru Radiofrequency energy (RF) for deep heating of tissue and fat. The electrical muscle stimulation (EMS) will induce forced muscle contractions that are not achievable during workouts. The combo allows you to improve your tone and shape quickly and painlessly. During your procedure you can expect a warming of your skin and the contraction of the muscles in the specific area being treated.

If after liposuction you are bothered by unwanted loose, sagging skin - depending on where it is on the abdomen and to what extent the best result might actually be obtained by excising the excess. It may consist of a shorter excision of the lower abdominal skin only - which may be referred to sometimes as a “mini tummy tuck” type of excision. If there is sagging of the upper abdomen and beyond, likely a full tummy tuck would pull the skin enough to help resolve lumpiness, as well as treat the extra skin. If you have some diastasis recti (or bulging of your abdominal wall), this would be the ideal treatment for you, killing two birds with one stone. There are “noninvasive” methods on the market of course, but I would consider those only if expecting a moderate improvement in skin laxity, and likely wont help with a lumpy, bumpy appearance.