I want lipo 360 and don't want a tummy tuck. Am I being realistic?

Question

I would like to get liposuction 360 turn in my abdomen area and really don't want to do a tummy tuck. My skin is it loose but I really want all the fat gone and believe I can tone it. Any suggestions? I want to do breast implants at the same. And am I being realistic with the Lipo?

Finny George, MD · Answer

Hi, thank you for sharing your question. 
You are a great candidate for HD liposuction, which will remove the unwanted fat and improve contour and definition. This can be done in a 360 degree manner to treat the entire torso. Based on your photos, I believe that your skin should contract without leaving much residual laxity. 
Consult with a board certified plastic surgeon to review your options for liposuction and breast augmentation. I hope this helps. Best of luck!

Jason Emer, MD · Answer

you will need internal heating with j plasma/renuvion to get a. more tight result, if you bend forward and there Is a lot of sagging a tuck will be needed. but if there is just some fat and the skin Is tight lipo 360 + renuvion will do great (see link).
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Kamran Azad, MD · Answer

It is best to be seen in person, but based on the photos alone, you 
appear to be a good candidate for liposuction. Liposuction of the 
abdomen, back, and flanks can accentuate your shape while looking 
natural. I recommend consulting with plastic surgeons in person or 
virtually who specialize in body contouring so they may better address 
your concerns and go over possible procedures to help you achieve the 
results you desire. Good luck!
Kamran Azad MD, Board Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear muneca_to_be,
it is hard to tell for sure without an examination. Based on your photos, it looks like you are a good candidate for a liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Joshua Kreithen, MD · Answer

Dear Muneca,
Looking at your photos... I would agree that you would do well with liposuction and don't really need a tummy tuck.  Hopefully your PS will have some type of skin tightening laser in conjunction with liposuction.  Hope this helps and good luck!

Trevor M. Born, MD · Answer

Dear menucea to beThank you for your questions and photos! Liposuction with Renuvion/Jplasma should acheive the results that you are looking for .With Warm RegardsTrevor M Born MD

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a great candidate for waistline contouring liposuction of your abdomen, flanks, and lower back.  This can greatly improve your overall shape with a smaller waist. You are also a great candidate for a breast augmentation which can safely be performed at the same time.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  
 
 Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Kamran Khoobehi, MD · Answer

You are excellent candidate for liposuction and fat grafting to the breast. You have uneven breast and fat grafting can them them bigger and even. Please see the link

Robert L. Kraft, MD, FACS · Answer

You may be a candidate for liposuction alone but an exam is necessary to evaluate the skin tone.   Skin cannot be toned. If it is loose and not in an absolutely minimal way, surgery would be required to excise it using your existing scar.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, you would benefit from high definition VASER liposuction 360. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

I want lipo 360 and don't want a tummy tuck. Am I being realistic?

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