My doctor says my tummy tuck surgery will be challenging due to scar tissue from 2 past liposuctions done 20 years ago, that I may not get as smooth or as tight a result. I am 70 years old, no pregnancies, fit, BMI 21. I don't know if I should have muscle tightening. Have not read anything about past lipo presenting problems and would like to understand this better. Am I not a good candidate? Don't PS's deal with this all the time? Pics are w/tummy pulled in & tummy relaxed.
April 19, 2025
Answer: 70, fit, BMI 21, tummy tuck and past lipo Dear Firstkitty, Yes the lipo does pose some challenges during elevation of the skin flap. That just means the surgery goes more slowly and incrementally to stay in the right plane with cautery dissection. Other than that, you obviously have some laxity of the abdominal wall, particularly the lower. That will be corrected by bringing the rectus muscle fascia to the midline, from top to bottom to make it even from top to bottom. Your skin may not be as stretchy in the vertical direction due to the previous liposuction, so be prepared for the umbilical donor site (hole) to be repaired as a small vertical incision in the lower abdomen. That will be determined at the time of surgery. Your age is fine, no impediment to surgery.
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April 19, 2025
Answer: 70, fit, BMI 21, tummy tuck and past lipo Dear Firstkitty, Yes the lipo does pose some challenges during elevation of the skin flap. That just means the surgery goes more slowly and incrementally to stay in the right plane with cautery dissection. Other than that, you obviously have some laxity of the abdominal wall, particularly the lower. That will be corrected by bringing the rectus muscle fascia to the midline, from top to bottom to make it even from top to bottom. Your skin may not be as stretchy in the vertical direction due to the previous liposuction, so be prepared for the umbilical donor site (hole) to be repaired as a small vertical incision in the lower abdomen. That will be determined at the time of surgery. Your age is fine, no impediment to surgery.
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March 31, 2025
Answer: Muscle tightening -tummy tuck is your solution According to your pictures, my opinion is you will get benefits from muscle tightening and tummy tuck surgeries. Previous liposuctions can make the surgery little bit more challenging but it’s not unusual for many surgeons including myself.
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March 31, 2025
Answer: Muscle tightening -tummy tuck is your solution According to your pictures, my opinion is you will get benefits from muscle tightening and tummy tuck surgeries. Previous liposuctions can make the surgery little bit more challenging but it’s not unusual for many surgeons including myself.
Helpful
March 24, 2025
Answer: H/o Lipo now Tummy Tuck Without having an exam on you or any more photos (like side profile bending over on both sides) - my question is what is your goal of what you want to improve? You look amazing for 70 just from your photos - still appear to be very youthful and can tell you take care of yourself (helps that you haven't had pregnancies nor any huge weight fluctuations). There are a few options just based off your photos - if the skin above your belly button is what bothers you - you can ask if a reverse tummy tuck would be an option (leaving you a curvilinear scar below your breast) versus the lower part of your tummy which would leave you with the traditional TT scar or maybe inverted T scar in the bikini line. The history lipo shouldn't be impossible if there are areas of scar tissue and if you have irregularities already from your lipo history - that can either stay the same, or maybe even improve if a TT was done. And usually there is always at least a small degree of muscle plication in a plastic surgeon's technique for abdominoplasties. Again, this all needs to be discussed with the risks involved with your surgeon to see if you also want to take on the procedure and whatever parts that are needed to complete the procedure. Hope this helps.
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March 24, 2025
Answer: H/o Lipo now Tummy Tuck Without having an exam on you or any more photos (like side profile bending over on both sides) - my question is what is your goal of what you want to improve? You look amazing for 70 just from your photos - still appear to be very youthful and can tell you take care of yourself (helps that you haven't had pregnancies nor any huge weight fluctuations). There are a few options just based off your photos - if the skin above your belly button is what bothers you - you can ask if a reverse tummy tuck would be an option (leaving you a curvilinear scar below your breast) versus the lower part of your tummy which would leave you with the traditional TT scar or maybe inverted T scar in the bikini line. The history lipo shouldn't be impossible if there are areas of scar tissue and if you have irregularities already from your lipo history - that can either stay the same, or maybe even improve if a TT was done. And usually there is always at least a small degree of muscle plication in a plastic surgeon's technique for abdominoplasties. Again, this all needs to be discussed with the risks involved with your surgeon to see if you also want to take on the procedure and whatever parts that are needed to complete the procedure. Hope this helps.
Helpful