Safe for upper abdomen, flank, and mons lipo with Tummy Tuck - advice? (photos)

Thank you for your question regarding what to do with your abdomen and whether liposuction could compromise the blood supply to the abdominal skin during a tummy tuck or abdominoplasty. During a tummy tuck the intra-abdominal wall is undermined and the blood supply to the skin is transected. The abdominal skin then relies on blood supply from the love handle region. To be perfectly safe and to minimize any vascular compromise to the abdominal flap, liposuction should not be done in the love handle region. Liposuction can safely be performed in the mons or pubic region during a tummy tuck and should not affect vascularity. With that said, plastic surgeons still perform liposuction in the love handle region during a tummy tuck. Even though this is riskier for the abdominal skin flap, if your plastic surgeon is not too aggressive during the liposuction of the love handles, these combined procedures can be performed. In consideration of your case and if you have a smoking history, I would suggest you could undergo a tummy tuck and conservative love handle liposuction at the same time. If you’re overly concerned about abdominal skin necrosis with combined liposuction and an abdominoplasty, don’t have a liposuction. Thank you for your question. I hope this helps answer your concerns regarding a tummy tuck and liposuction of love handles.

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of QWO or Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.

Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Hi, thank you for sharing your question. I don’t think you need a tummy tuck. You will have an amazing result with 360 Liposuction without any resultant loose skin. You are correct in saying that many patients, but not all, can develop terrible skin necrosis when combining abdominal wall liposuction with tummy tuck.I hope this helps.