Am I a good candidate for Liposuction and J-Plasma? (i.e. no Tummy Tuck) - advice? (photos)

Question

Hi, Can you please advise if I'm a good candidate for liposuction and j-plasma skin tightening (i.e. no tummy tuck)? A few clinics have given different opinions on whether just lipo and j-plasma will result in me having excess skin left? I'm 29 years,5ft3 and 12stone, 10lbs. (I don't want a major operation like tt, or the scar. And I'm yet to have children). Also I'm leaning towards traditional lipo over vaser, as I read that the results are more dramatic. Is this accurate? Thanks in advance.

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. I would recommend you liposuction with BBL for betters results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear cj9cj9,
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. If you want to avoid tummy tuck, you can try liposuction and skin tightening but there is a risk of loose skin. 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

Camille Cash, MD · Answer

From your photos and description you can consider liposuction and J plasma for the abdomen and hips/flanks.  These procedures will give you improvement but will not give you the same results as a tummy tuck.  There is a risk you may have loose skin after the procedure. I encourage you to visit with a board certified plastic surgeon near you to discuss your goals as well as what you can expect in terms of results from these procedures.

Jason Pozner, MD · Answer

J-plasma (called renuvion in the US) helps tighten skin and is almost always combined with liposuction. Vaser is ultrasonic liposuction which helps break up fat and is always combined with traditional liposuction to remove the emulsified fat. In your case I think you are a good candidate for j-plasma/renuvion combined with lipo

Douglas Taranow, DO, FACOS · Answer

Dear CJ,
You have significant fat in your abdomen, sides and lower back (Lipo 360).  Your umbilicus (belly button) is already a bit transverse which indicates some skin excess and from the photos, I do see some early cellulite on your lateral and lower belly.  With your age, lack of children and desire not to have an abdominoplasty, I would lean towards liposuction alone and then deal with any contour irregularities (cellulite of the lower abdomen) and looseness of the skin around the umbilicus and possibly lower abdomen.  You will certainly look infinitely better in clothing and your skin may retract post traditional or Vaser or J-plasma liposuction.  
Best wishes.
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Procedures should be picked based on what the primary, secondary, tertiary ideologies are.

In other words the first step is to make an accurate diagnosis before prescribing a treatment option.

In regards to the front of the abdomen there are four variables that contribute to shape and contour. These are skin laxity, access subcutaneous fat, muscle separation from previous pregnancies call diastasis recti and lastly access visceral or intra-abdominal fat.

I’m guessing you have a history of weight loss because it seems like skin laxity is the primary issue. You have some excess subcutaneous fat as well. Without previous pregnancies you do not have diastasis recti and you don’t have a bulging abdominal wall so visceral fat does not appear to be a problem.

To differentiate skin laxity versus subcutaneous fat pull up on your skin and look at how putting the skin under tension improves your contour.

For those who is diagnosis is exclusively subcutaneous fat pulling on the skin does not change contour very much at all. When skin is the primary problem the contour is usually improved significantly by putting the skin under tension.

If the problem is skin then you need a skin procedure.

If it’s part fat part skin then addressing fat only will give you a partial improvement.

I purchased the J plasma for Renuvion device when it first came out. I used a device for a year and literally did not see any skin tightening that could not be explained by Liposuction alone.  in my opinion the device does not create significant skin tightening. Any results providers show can typically be explained by Liposuction alone.

In regards to types of Liposuction all forms of Liposuction rely on the same small stainless steel Cannula connected to a source of vacuum to remove the fat.

VASER is simply a pre-treatment with an ultrasound probe.  Weather pre-treating the threat with ultrasound has a big impact is something providers were different but most providers who have the device what time is it is having a far greater impact than those who don’t use it.

In the end no Liposuction Equipment will I ever have the impact that a skilled surgeon can deliver regardless of equipment used.

Choose providers not equipment.

Nobody wants to have a tummy tuck but some people need them.

If you’re planning on having children in the future then most providers will tell you to not do the tummy tuck until after you’ve had pregnancies.

In the end the only treatment that delivers quality results consistently for skin laxity and surgical skin excision.

If the primary problem is skin then you need a skin procedure. If the primary problem is fat and Liposuction should deliver ideal results and if you have a combination of both you will have a partial improvement with Liposuction only.

Liposuction results vary substantially based on who does the procedure.

Delivering consistent high-quality Liposuction results is more difficult than those people think.

For that reason I recommend vetting surgeons carefully before committing to having Liposuction.

Do that by having multiple in person consultations.

Look for providers who have massive collections of impressive before and after pictures and few to no justified negative reviews and various physician review websites.

Best,

Mats Hagstrom MD

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