How much lipo is ok to do with an extended tummy tuck (ETT)? And what compression garments should I wear after and for HOW long?

Question

45, 5 c-sections, 60 lb weight loss, steady weight for nearly year, heavy at 200/5'4 but comfortable with weight (curvy) and work out 4 times a week with cardio and weights etc. Dr. Recommends ETT with 10 areas of Lipo (back, upper abdomen, flanks etc). He says between skin removal and fat lipo, will lose 10-15 lbs. Is this too much Lipo and if so, what areas minimum should I get just to complement the ETT? And afterwards, what compression garments should I wear and how long? Thanks for info!

Jose Perez-Gurri, MD, FACS · Answer

Hi. By law, in Florida, a surgeon cannot remove more than 1,000 cc of fat when combined with other procedures. I would think that at 200 lbs and 5' 4" you would need the extraction of more than 1,000cc to give you a noticeable result. I would highly recommend that you have your extended tummy tuck first then come back at another occassion with agressive lipo to complete your transformation. Make sure to discuss the possibiltiy of pulmonary embolus with your surgeon and the use of Lovenox to decrease the chances of this complication from occurring. Good luck, Dr. PG

Thomas Trevisani, MD · Answer

In the State of Florida- for patient's safety- we can only remove 1 liter of fat if combined with any major surgical procedure. Be sure to seek an experienced Board Certified PS for in person exam

Ken Dolynchuk, MD · Answer

Thanks for the question. It is difficult to answer the questions without photos, but usually a 2000 cc maximum liposuction aspirate is recommended for outpatient surgery. If admitted to a hospital post op the limit is greater. However, risk increases the higher you go. The 3 areas (love handles back and abdomen are commonly incorporated with tummy tuck surgery and there's no reason to be concerned about combined surgery as this has been a recognized technique for a long time. Be sure that the compression garment extends up to the bodice and past the groins. It varies with the surgeon and post op course but 2 weeks of continual wear and an additional 4 weeks during the day are average recommendations. Best wishes.

How much lipo is ok to do with an extended tummy tuck (ETT)? And what compression garments should I wear after and for HOW long?

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How much lipo is ok to do with an extended tummy tuck (ETT)? And what compression garments should I wear after and for HOW long?

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.