Large Volume Liposuction Vs TT (NO KIDS)? (photo)

Hello so i am stuck between wether i need tummy tuck or just large volume liposuction. i am going to the dominican republic for my surgery but i dont know what i should do. im 24 years old 5'4, 228 pounds no kids. im terrified of the tt scar thats why i thought large volume lipo would be better. i know the risks of having saggy skin but can i still achieve good results with the lipo only?

Doctor Answers 15

Liposuction versus tummy tuck

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There is absolutely no question that a tummy tuck with liposuction will give you the best overall shape and flattest abdomen.  Liposuction alone will decompress the fat, but will leave you with loose and hanging skin.  My suggestion is that you consult with your local board certified plastic surgeon to go over your options and to make sure you are a good candidate for surgery.


Good Luck.

Liposuction or Tummy Tuck?

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  A large volume liposuction may reduce the fat to the level you are seeking, but the skin may not respond the way you may think.  In addition, I would agree that the risks of operating on patients with a higher BMI are greater and weight loss may be appropriate.

Large Volume Liposuction Vs TT

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At your current weight, neither is a good idea. Your BMI is close to 40, and most US surgeons feel that the procedure will not yield a satisfactory outcome and carries too much risk in patients have BMI over 30. 

Liposuction to the abdomen would probably result in even more overhanging skin than is currently  present--a bad outcome. 

Thanks for your question. Think about weight loss. Best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon


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Liposuction will help you recontour the areas of localised excess that you have. It will do nothing for weight loss. I would not travel abroad

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

Tummy tuck or liposuction

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Large volume liposuction will certainly improve your figure, especially in clothing.  I think that you will be left with extra skin afterwards however.  As long as you are okay with this then It is okay to proceed so long as you are in good health, will be admitted to a hospital post-op, and are using a board certified plastic surgeon.  If I were you however, I would have a tummy tuck so that you could not only get rid of the extra fat but also the extra skin.  Yes there is a scar afterwards but it is well worth it to get rid of that extra skin.

Tummy tuck or liposuction with obesity

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I think that based upon your height and weight you should lose weight first before undergoing either a tummy tuck or liposuction.

Tummy tuck vs. Lipo.

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While liposuction may offer some improvement, you may still have some sagging skin postop.  As you are young, you can try a staged approach and see how much retraction you get after lipo. and then try the tummy tuck.  Hope this helps.

Peter J. Simon, MD
Fort Lauderdale Plastic Surgeon


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Liposuction is not an alternative but rather addresses a different problem than a TT. Liposuction is less invasive and quicker to recover from than a Tummy Tuck (abdominoplasty). This is because liposuction only involves removing fat from beneath your skin. Your body will cause the overlying skin to contract only to the degree it is capable, often leaving redundant skin which can be unsightly. In other words, you need good elasticity to get a good result.
A Tummy Tuck involves removing redundant skin and tightening the underlying muscles. Sometimes liposuction is combined as needed with a Tummy Tuck for the best possible result. Your photos suggest that you probably are a candidate for a Tummy Tuck. The question is whether the shape of your abdomen is affected by an excess of fat, skin, muscle separation or laxity, or some combination thereof. This can only be determined by examination, so go ahead and consult with a board certified plastic surgeon. Some of my patients elect to have liposuction first, and then opt for a Tummy Tuck if the results are not satisfying.

Tummy tuck and small volume liposuction may be your best option

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Thank you for your question of photos. The problem with large volume liposuction is that you will be left with loose skin afterwards. Large volume liposuction cannot be done at the same time as a tummy tuck because of the risk to the blood vessels in your abdomen and possible skin loss.

However judicious or small volume liposuction of your flanks and upper abdomen can certainly be done in the course of a tummy tuck. Careful combining of liposuction with a tummy tuck I believe will give you the best result based on your photographs. Be sure to choose and experienced plastic surgeon certified by the American Board of Plastic Surgery, experienced in body contouring and with an excellent reputation in your community.

Consider All Aspects of Medical Tourism

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Thank you for your question and photos.  You are a candidate for either a tummy tuck or large volume liposuction and as a result of your age should do reasonably well with either.  The larger question you should be asking is whether you have considered all the issues involving medical tourism.  LVL and TT's have a higher risk of a blood clot than other procedures.  Travel immediately after surgery also increases your risk.  If you have a postoperative complication after you have left the DR do you have a physician and the finances to cover the additional cost of managing a cosmetic complication. While there are qualified surgeons in the DR, how do you know you have selected the right one?  If all these issues are taken into consideration having surgery locally where you live, have social support and can consult with your doctor may not seem like such a bad option. Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.