What Will Stretch Marks Look Like After Laser Lipo?

I am 24 years old, 5'6, 160 lbs, and had a baby 6 months ago. I reached 218 lbs during my pregnancy and have alot of stretch marks on my stomache, as well it hangs. I am planning to have laser lipo in November and I am wondering what will my stretch marks look like after. Will my belly still hang or is it just like that from the weight of the fat. Please note that my belly has always been large. I am not willing to have a tummy tuck. Thanks

Doctor Answers 13

Stretch marks and laser lipo

Reduction in girth from lipsuction alone may make the stretch marks less visible as the skin contracts on itself. The laser energy might stimulate collagen production in the dermis which might help the appearance of the stretch marks but, if this occurs, and it's a low chance, it might only be realized six months or more after the liposuction.


Manhattan Dermatologic Surgeon
5.0 out of 5 stars 37 reviews

Liposuction does not effect the appearance of your stretch marks

Thank you for your question.  Liposuction should have no effect on the appearance of your stretch marks.  Stretch marks are caused by tears in the dermis of the skin that can arise from fluctuations in weight, rapid growth, and/or pregnancy.  These tears in the dermis are essentially scars in the skin and are unaffected by the removal of subcutaneous fat during a liposuction procedure.  

From the photo that you included, it appears as though you have some excess fat and excess skin and laxity of the abdominal wall.  Should you elect to have a liposuction procedure, you should ultimately notice a loss of some inches around the abdomen but it will not correct or take care of the extra hanging skin.  The only way to remove the abdominal pannus or excess skin fold would be to surgically remove it with a tummy tuck.  A tummy tuck would also afford your surgeon the ability to correct the laxity of your abdominal wall at the same time.

I hope you find this helpful and I wish you the best.  

Liposuction will not help sagging or stretch marks.

Hi.

Just looking at your picture, I think you need a tummy tuck.  And I think tumescent liposuction is better than laser liposuction anyway. Works at least as well, and probably safer.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Laser lipo or any liposuction unlikely to achieve what you need.

Dear Slimsoon

You may have been over promised on the liposuction.  The stretch marks will not go away with the liposuction, laser or otherwise.  The photo demonstrates profound skin laxity contributing the folding over of the skin at the bottom of the tummy known medically by the term panniculus.  Liposuction will reduce the overall shape and fullness of the stomach and can be associated with a degree of skin contraction.  There is no evidence that this type of skin contraction is more dramatic with a laser lipo over a conventional liposuction.  Also when surgeons discuss this, it is possible to be mislead by the degree of improvement.  In your case, you will have some improvement but it is unrealistic to expect the panniculus to resolve.  However, a prior liposuction does not prevent you from getting a tummy tuck at a later date if you decide you want further improvement.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 22 reviews

Laser lipo is not a treatment for stretch marks

There is absolutely no question from looking at you photo that you will get a MUCH better result from a tummy tuck. Lipo of any kind, with or without laser, will only remove fat and not help the loose skin and stretch marks very much if at all. I rarely state things so strongly on Real Self but I have to advise against lipo for you if what I see in the picture is accurate.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 43 reviews

Laser lipo and stretch marks

Laser lipo will probably  not improve your stretch marks.  It will only help to debulk the areas of fat excess.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

Laser liposuction is unlikely to improve stretch marks

Stretch marks are caused by tears in the skin due to rapid growth, weight gain, or pregnancy. They are a true scar in the skin and are unlikely to be improved much by liposuction of any kind, including laser liposuction. Your picture does demonstrate significant abdominal laxity and a pannus, or over-folding of excess skin. I think a tummy tuck would be a better alternative.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 39 reviews

Laser lipo will not improve stretch marks

I'd be interested to learn what you were told regarding stretch mark improvement from laser lipo. Quite simply, the appearance of your stretch marks will not be improved with laser lipo, or any kind of liposuction technology available. Additionally, your skin laxity will worsen with liposuction. You need a tummy tuck for optimal improvement. Anything less than a TT is a compromise. Good luck.

Stretch marks after laser lipo

Dr. Shafer is absolutely right. Laser lipo is best suited to small, isolated trouble areas, which is not represented by the posted picture. Liposuction of any sort is definitely not a weight loss procedure. Liposuction is a body contouring tool, not a weight loss tool. As such, it rarely results in any significant weight loss although it does significantly change the contours of one's body and, in many cases, how one's clothes fit. Liposuction results are best on someone who has achieved their goal weight but has some "trouble spots" that don't seem to go away with proper diet and exercise. It is certainly not a tool suited for someone that wants to "drop that last 20, 40, 60, etc."

Deason Dunagan, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 11 reviews

Stretch marks after laser lipo

First of all, you are NOT a candidate for a laser lipo suction.  If you have it, you will be very unhappy with the results.  You need to have an abdominoplasty to remove your extra skin, tighten your abdominal wall and improve the contour of your waistline.  There are no good treatments for stretch marks except surgical excision.  Abdominoplasty will accomplish this very nicely.  You are trading unsightly stretch marks for one incision that will be hidden by your underwear.  Good luck with your surgery.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 72 reviews

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.