Open to alternatives to tummy tuck?

Question

I had a pyloromyotomy when I was an infant. I feel they stitched up my skin on the upper abdominal locking it in place. I’ve always been small 5’6 115-120Ibs. But no matter how small I am my stomach holds these pockets of skin that look like fat. I had one cosmetic procedure where she opened up the scar and released some of the tension which improved the appearance a little- but not completely. What other work can I get done to smooth it out?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding alternatives to a tummy tuck. Based on your history and provided photos, it sounds like you’re dealing with small, isolated pockets of fat rather than significant loose skin or muscle laxity. Given that, VASER liposuction could be an excellent option to refine your abdominal area.

VASER liposuction uses ultrasound energy to melt fat and gently heat the skin, which can provide a moderate degree of skin tightening. Here’s how it works: first, tumescent fluid (a mixture of saline, lidocaine, and epinephrine) is injected to numb the area and minimize bleeding. Then, the VASER probe delivers ultrasonic energy, emulsifying the fat and contracting the skin. Finally, a cannula suctions out the liquefied fat, sculpting the area for a smoother contour.

Post-procedure, you would need to wear a compression garment for 6-8 weeks to manage swelling and help shape the treated area. VASER liposuction may be a great choice for addressing the slight fullness you experience without the extensive recovery required for a full tummy tuck.

I hope this information helps in deciding the best route for you!

Sincerely,
Dr. Katzen

Gregory Lakin, MD · Answer

Thank you for your question. Since you're naturally slim and have already had a procedure to release some scar tissue, liposuction, particularly high definition liposuction, can help contour and smooth the pockets of skin that look like fat in your abdominal area without needing a more invasive tummy tuck. It allows for more precise fat removal and better contouring, particularly on smaller, more delicate areas. However, a consultation with your surgeon will determine if this technique will give the result you're looking for by carefully assessing your skin’s elasticity and scar tissue to ensure that liposuction alone will provide the desired results.

Gary M. Horndeski, MD · Answer

You may benefit from liposuction although not much needs to be removed and must be done very carefully otherwise you will end up with contour deformities. I do not believe you have enough skin for a tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jose Leon, MD · Answer

hello thank you for your question and the pics. there are different approaches you can take, specially with recent advances in liposuction. One possibility for you would be using JPlasma for skin retraction on your abdomen and get your skin to contract to its maximum point. better pictures and a short conversation with you should be in hand to see exactly where you want to go for the exact course of action

Connie Hiers, MD, FACS · Answer

Liposuction with Renuvion for skin tightening could be helpful in that area. You could even just try liposuction first.

Camille Cash, MD · Answer

An in person evaluation is best but you may benefit from conservative liposuction.  If it is done too aggressively you may have further contour irregularities.  Visit with a few board certified plastic surgeons near you for consultations to learn more.

Darryl J. Blinski, MD · Answer

Based on your nicely post of photos, I still recommend an in person or virtual consultation. It appears you could have a better vision with liposuction in areas and specialized taping. Feet $5000-$10,000. Again best to virtual consult with.

Michael J. Denk, MD, FACS · Answer

I appreciate the fullness and unevenness of your upper abdomen. Vaser Liposuction can effectively treat the areas of concern without the need for a tummy tuck. Furthermore, Vaser Liposuction is most helpful at sites of scarring or fibrosis. Based on your photos, you are an excellent candidate for this procedure. Gaining a smooth symmetrical appearance while highlighting your toned physique is possible. Please seek a plastic surgeon who has significant experience with Vaser Liposuction so you avoid an unnatural appearance. Hope this helps.

Mats Hagstrom, MD (license on probation) · Answer

I don’t see a good indication for having a tummy tuck in your case.
It’s difficult to see the problem in the pictures.
Maybe you need more of a close-up image? I suggest having a few in person consultations with plastic surgeons in your community to get a better assessment.
 Best,
Mats Hagstrom MD

Open to alternatives to tummy tuck?

Answers (9)

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