Lipo 360 gone wild. Thoughts? Is this fixable? (Photo)

Dear Butterfly2U,

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

Thank you for your question and for sharing your concerns. I'm sorry you weren't told about the excess skin that would be left behind after your 360 lipo. Based on your photos and history, I believe your abdomen is fixable with an extended tummy tuck. While I understand your feedback may be confusing, I want to address some of the key concerns.

It’s common for patients with prior liposuction to develop scar tissue and adhesions, which can make the skin appear irregular or tethered. During an extended tummy tuck, I would release these adhesions and scar tissue to allow the remaining skin to be re-draped more evenly. This process is particularly important in cases like yours to optimize the results and achieve smoother contours. Additionally, the procedure would involve removing a good amount of excess skin, which should further enhance the overall result.

While every patient is different, and the degree of improvement depends on factors like skin elasticity and existing scar tissue, I do believe you have the potential for significant improvement. It’s crucial to consult with a board-certified plastic surgeon who has experience in complex revision cases and can tailor the surgical plan to address your unique anatomy.

Good luck with your journey, and I hope this helps to answer your question.

Sincerely,
Dr. Katzen

An examination is needed to see what can safely be done. If your skin is very thin and scarred, it might be best to limit the tuck.