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.
Answer: Muscle tightening with tummy tuck, and tummy tuck after liposuction Yes I recommend you have muscle tightening with your tummy tuck as it will give you a much better result. There are two major steps in tummy tuck (and many important minor ones) - removal of excess skin and tightening the muscles and you will benefit from both of these steps, in fact I wouldn't recommend doing the tummy tuck without the muscle tightening in your case, as you demonstrate very nicely in your photos the difference it will make for you. I would have no concern doing a tummy tuck for you 20 years after liposuction, The scars in the areas treated with the liposuction will be soft now and won't present a problem. You have a smooth tummy now and can expect a smooth tummy after, unless you have a complication (for example, infection). Yes experienced plastic surgeons deal with this all of the time. The only challenge compared to an average tummy tuck is that you are 70, and as we age, we don't bounce back from things as quickly as when we are younger. However, the fact that you exercise and have a BMI of 21 also goes a very long way to predict that you will have a good recovery. This comment on your age is a scientific fact, and not a judgement. My advice is make sure you get enough rest after surgery yet be sure to be up and about every day, and I expect you will do great. I think it will be a good idea for you to do some more consults. All the best to you, Dr. Nancy de Kleer
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CONTACT NOW Answer: Muscle tightening with tummy tuck, and tummy tuck after liposuction Yes I recommend you have muscle tightening with your tummy tuck as it will give you a much better result. There are two major steps in tummy tuck (and many important minor ones) - removal of excess skin and tightening the muscles and you will benefit from both of these steps, in fact I wouldn't recommend doing the tummy tuck without the muscle tightening in your case, as you demonstrate very nicely in your photos the difference it will make for you. I would have no concern doing a tummy tuck for you 20 years after liposuction, The scars in the areas treated with the liposuction will be soft now and won't present a problem. You have a smooth tummy now and can expect a smooth tummy after, unless you have a complication (for example, infection). Yes experienced plastic surgeons deal with this all of the time. The only challenge compared to an average tummy tuck is that you are 70, and as we age, we don't bounce back from things as quickly as when we are younger. However, the fact that you exercise and have a BMI of 21 also goes a very long way to predict that you will have a good recovery. This comment on your age is a scientific fact, and not a judgement. My advice is make sure you get enough rest after surgery yet be sure to be up and about every day, and I expect you will do great. I think it will be a good idea for you to do some more consults. All the best to you, Dr. Nancy de Kleer
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CONTACT NOW Answer: Tummytuck Based on the pictures you provided you can be a candidate for second surgery. However, a detailed physical examination would help you out better.
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CONTACT NOW Answer: Tummytuck Based on the pictures you provided you can be a candidate for second surgery. However, a detailed physical examination would help you out better.
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April 13, 2024
Answer: Past lipo Yes we deal with this all the time and yes it is more difficult and the results less predictable when you have had lipo in the past. Your PS is correct on the recommendations. You don’t appear to have much laxity in the lower abdominal skin and maybe consider a reverse tummy tuck.
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CONTACT NOW April 13, 2024
Answer: Past lipo Yes we deal with this all the time and yes it is more difficult and the results less predictable when you have had lipo in the past. Your PS is correct on the recommendations. You don’t appear to have much laxity in the lower abdominal skin and maybe consider a reverse tummy tuck.
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April 2, 2024
Answer: He would definitely benefit from muscle tightening. While physical exam would give better information as to how her skin moves in the photos it looks as if he would get a good result from abdominoplasty with muscle plication. This would flatten her lower abdomen more. If your skin above her umbilicus does not stretch all the way down to a lower tummy tuck incision you may need a vertical incision in the midline to close-year-old umbilical skin. This is a trade off but it is better to have the vertical incision and then raise the lower incision so that it would be above a typical panty line. You might want to get a second opinion from another plastic surgeon to see what they think just to cover all your bases. Good luck on your request, Dr. Tucker
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CONTACT NOW April 2, 2024
Answer: He would definitely benefit from muscle tightening. While physical exam would give better information as to how her skin moves in the photos it looks as if he would get a good result from abdominoplasty with muscle plication. This would flatten her lower abdomen more. If your skin above her umbilicus does not stretch all the way down to a lower tummy tuck incision you may need a vertical incision in the midline to close-year-old umbilical skin. This is a trade off but it is better to have the vertical incision and then raise the lower incision so that it would be above a typical panty line. You might want to get a second opinion from another plastic surgeon to see what they think just to cover all your bases. Good luck on your request, Dr. Tucker
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March 10, 2024
Answer: We thing that your belly muscle didn't repaired or not repaired properly. from the side view your muscle seems very week and we called that RECTUS DIASTASIS that has to be repaired during surgery. we always fix belly muscle during tummy ruck surgery. otherwise it will look like your belly muscle.
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CONTACT NOW March 10, 2024
Answer: We thing that your belly muscle didn't repaired or not repaired properly. from the side view your muscle seems very week and we called that RECTUS DIASTASIS that has to be repaired during surgery. we always fix belly muscle during tummy ruck surgery. otherwise it will look like your belly muscle.
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February 10, 2024
Answer: Tummy question It looks like your muscles are flat and tight and therefore a full tummy tuck is not needed. However, a great option for you is to perform more conservative liposuction, with skin excision and umbilical transposition (similar to the skin aspect of a tummy tuck). This will maximally address your concerns with minimal risk and downtime. This will be done with an oral cocktail and local tumescent anesthesia, same as liposuction with no need for general or IV anesthesia. There will be NO drains and minimal downtime with activity as tolerated; up moving and showering the day after surgery.
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CONTACT NOW February 10, 2024
Answer: Tummy question It looks like your muscles are flat and tight and therefore a full tummy tuck is not needed. However, a great option for you is to perform more conservative liposuction, with skin excision and umbilical transposition (similar to the skin aspect of a tummy tuck). This will maximally address your concerns with minimal risk and downtime. This will be done with an oral cocktail and local tumescent anesthesia, same as liposuction with no need for general or IV anesthesia. There will be NO drains and minimal downtime with activity as tolerated; up moving and showering the day after surgery.
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