Will abdominal Liposuction remove the fat so I can complete the sit up? (photos)

Question

32 y.o. 5’5 250 lbs. Looking for abdominal liposuction. I’m training for a law enforcement physical fitness exam. I have the core strength to do sit ups and crunches, however the fat is in the way and prevents me from touching my elbows to my knees (this is required for completing the exercise). I expect loose skin but don't want a tummy tuck at this time. Will lipo remove enough fat? Is it likely that I will recover and be able to exercise my core before June 11th when I'm scheduled to test?

Carmina Cardenas, MD · Answer

You are a very young person and you have a very dangerous BMI above 41. So you are not candidate for plastic surgery which may be considered safe. 
The volume on your abdomen is the combination of several features: subcutaneous fat, severe saggy skin and visceral fat. And liposuction will only remove the subcutaneous fat but will create a worst degree of saggy skin and an irreparable lumpy appearance of your abdomen, because liposuction won’t make the skin tighter but looser. 
After you losing 60-70 lbs you will become healthier and then the Plastic Surgery will be a safe option for you. 
Dr. Cárdenas

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding if liposuction of the abdomen removes the fat from the abdominal wall. I would suggest abdominal liposuction. However, in my opinion, the best surgery for you would be a tummy tuck or abdominoplasty. In analyzing your pictures, you have excess skin and fat on your abdominal wall. The best surgery would be a tummy tuck or abdominoplasty which would permanently eliminate abdominal skin, abdominal fat, plicate the abdominal wall muscles, and lift and reduce the pubic region. However, in your particular case with your law enforcement physical exercise test coming up, I do not think you will have enough recovery time if you undergo a tummy tuck. If you completely understand that you will have loose skin, it may not look perfectly aesthetic, you can undergo abdominal liposuction. You must realize that the more fat that is removed, the more potential for hanging skin. In conclusion, the best surgery for you will be a tummy tuck. However, considering your circumstances of hardcore physical exercise, you ou should undergo aggressive abdominal liposuction. 
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question, based on the pictures your first recommendations is for tummy tuck with muscle repair but if you don't want it at this moment you can move forward with Intense liposuction. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. You will likely need to lose weight first before undergoing any cosmetic procedure to get the best outcome. For best results, it is recommended to be at your ideal or stable weight before getting a sculpting liposuction procedure. Liposuction is not a weight loss procedure; rather, it is for sculpting, defining and removing problem areas that cannot be removed with weight loss, diet and exercise alone. 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. In the meantime, I recommend getting a formal evaluation with a bariatric doctor or dietitian. Best, Dr. Emer​

Gary M. Horndeski, MD · Answer

Liposuction can be performed. 10 lbs can safely be removed during one session of liposuction and the sessions can be repeated if necessary. However, the skin will hang and you will eventually need the skin removed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Creatiff,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jon S. Wilensky, MD · Answer

Abdominal liposuction can help remove excess fat from the abdominal area, but it’s important to note that it won’t directly affect your ability to complete a sit-up. The ability to perform a sit-up depends on your core strength and muscle development. Liposuction can improve the aesthetics of your abdominal area, but for functional fitness like sit-ups, you should focus on exercise and strength training. It’s always a good idea to consult with a medical professional before considering any surgical procedures.

Camille Cash, MD · Answer

Based on the information provided it is best to lose weight prior to considering surgery.  It is recommended patients have a BMI of 30 or under when considering elective plastic surgery.  Those above that threshold are at higher risk of complications such as infection seroma and wound healing issues.  Once you have reached your weight loss goal a tummy tuck would be recommended to remove excess fat and skin and correct any abdominal wall separation.

Darryl J. Blinski, MD · Answer

Maybe but best to lose weight first like 40+ pounds. Then have a full TT to excise the large amount of excess skin and fat. Best to seek in person or virtual consults with boarded PS.

Mats Hagstrom, MD (license on probation) · Answer

Your primary problem is obesity. You need to lose Close to 100 pounds to be in good shape.

I’m not sure if anyone can guarantee that Liposuction will physiologically allow you to do your pulleys entry exercises but you can always schedule appointments and get individual first-hand opinions.

Being left with an uneven fat distribution isn’t such a great opinion. The correct approach is to lose weight and then address skin laxity at a later date if desired for aesthetic purposes.

It would benefit society if those who wish to serve conduct their personal life in an exemplary way by doing the right thing.

Consider various support networks for weight loss if you’re unable to do this on your own.

I know many people who’ve done well with weight watchers or groups like overeaters anonymous.

That would be the correct and appropriate approach to beginning your career in law-enforcement instead of looking for surgical shortcuts.

Best,

Mats Hagstrom MD

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